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AspergillosisPhase 3NCT00531479

Anidulafungin Plus Voriconazole Versus Voriconazole For The Treatment Of Invasive Aspergillosis

A Phase 3 study testing voriconazole and anidulafungin in people with Aspergillosis, run by Pfizer at 107 sites in 24 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study compares the effectiveness and safety of the combination of anidulafungin and voriconazole compared to that of voriconazole alone (which is generally considered the standard of care) for the treatment of Invasive Aspergillosis. Read more about this study

Who is it for?
Ages 16 years and older
Conditions the study is for
Aspergillosis
What is being tested?
voriconazole and anidulafungin
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
459 participants
Where
107 sitesin 24 countries
Study dates
Jul 2008to May 2011
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 16 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Immunocompromised state due to either 1. receipt of hematopoeitic stem cell transplantation or 2. hematologic malignancy;
  • Diagnosis of possible, probable, or proven invasive aspergillosis.

Who cannot join

  • Patients with aspergilloma or chronic aspergillosis
  • Receipt of 4 or more days of systemic antifungal treatment for the current episode of invasive aspergillosis
  • Anticipated survival of less than 5 days or Karnofsky score <=20

Trial locations and contacts

107 sites in 24 countries.

107 sites in 24 countries

United States26 sites
  • Pfizer Investigational Site

    Atlanta, Georgia, 30322

  • Pfizer Investigational Site

    Baltimore, Maryland, 21205

  • Pfizer Investigational Site

    Baltimore, Maryland, 21231-2410

  • Pfizer Investigational Site

    Baltimore, Maryland, 21231

  • Pfizer Investigational Site

    Baltimore, Maryland, 21287

  • Pfizer Investigational Site

    Birmingham, Alabama, 35233

  • Pfizer Investigational Site

    Birmingham, Alabama, 35249

  • Pfizer Investigational Site

    Chapel Hill, North Carolina, 27514

  • Pfizer Investigational Site

    Chicago, Illinois, 60612

  • Pfizer Investigational Site

    Chicago, Illinois, 60637

  • Pfizer Investigational Site

    Detroit, Michigan, 48201

  • Pfizer Investigational Site

    Detroit, Michigan, 48202

  • Pfizer Investigational Site

    Gainesville, Florida, 32610

  • Pfizer Investigational Site

    Houston, Texas, 77030

  • Pfizer Investigational Site

    La Jolla, California, 92037

  • Pfizer Investigational Site

    La Jolla, California, 92093

  • Pfizer Investigational Site

    Little Rock, Arkansas, 72205

  • Pfizer Investigational Site

    Miami, Florida, 33136

  • Pfizer Investigational Site

    Philadelphia, Pennsylvania, 19104

  • Pfizer Investigational Site

    Portland, Oregon, 97239

  • Pfizer Investigational Site

    Rochester, New York, 14642

  • Pfizer Investigational Site

    San Diego, California, 92103-8976

  • Pfizer Investigational Site

    San Francisco, California, 94143

  • Pfizer Investigational Site

    Seattle, Washington, 98109

  • Pfizer Investigational Site

    Seattle, Washington, 98195

  • Pfizer Investigational Site

    Winston-Salem, North Carolina, 27157

Other trials in United States

Germany12 sites
  • Pfizer Investigational Site

    Berlin, 10117

  • Pfizer Investigational Site

    Berlin, 12200

  • Pfizer Investigational Site

    Bremen, 28177

  • Pfizer Investigational Site

    Cologne, 50937

  • Pfizer Investigational Site

    Dresden, 01307

  • Pfizer Investigational Site

    Frankfurt (Oder), 15236

  • Pfizer Investigational Site

    Hamburg, 20246

  • Pfizer Investigational Site

    Heidelberg, 69120

  • Pfizer Investigational Site

    Homburg/Saar, 66421

  • Pfizer Investigational Site

    Mainz, 55101

  • Pfizer Investigational Site

    München, 81737

  • Pfizer Investigational Site

    Würzburg, 97080

Other trials in Germany

France8 sites
  • Pfizer Investigational Site

    Brest, 29609

  • Pfizer Investigational Site

    Créteil, 94010

  • Pfizer Investigational Site

    Grenoble, 38043

  • Pfizer Investigational Site

    Marseille, Cedex 09, 13273

  • Pfizer Investigational Site

    Nantes, Cedex 01, 44093

  • Pfizer Investigational Site

    Paris, 75475

  • Pfizer Investigational Site

    Rouen, 76038

  • Pfizer Investigational Site

    Strasbourg, 67098

Other trials in France

Italy7 sites
  • Pfizer Investigational Site

    Cuneo, 12100

  • Pfizer Investigational Site

    Genova, 16132

  • Pfizer Investigational Site

    Milan, 20132

  • Pfizer Investigational Site

    Milan, 20162

  • Pfizer Investigational Site

    Perugia, 06134

  • Pfizer Investigational Site

    Pescara, 65100

  • Pfizer Investigational Site

    Roma, 00168

Other trials in Italy

Canada6 sites
  • Pfizer Investigational Site

    Hamilton, Ontario, L8N 3Z5

  • Pfizer Investigational Site

    Hamilton, Ontario, L8V 1C3

  • Pfizer Investigational Site

    Montreal, Quebec, H1T 2M4

  • Pfizer Investigational Site

    Québec, Quebec, G1R 2J6

  • Pfizer Investigational Site

    Winnipeg, Manitoba, R3A 1R9

  • Pfizer Investigational Site

    Winnipeg, Manitoba, R3E 0V9

Other trials in Canada

Spain6 sites
  • Pfizer Investigational Site

    Badalona, Barcelona, 08916

  • Pfizer Investigational Site

    Madrid, Madrid, 28006

  • Pfizer Investigational Site

    Madrid, Madrid, 28050

  • Pfizer Investigational Site

    Salamanca, Salamanca, 37007

  • Pfizer Investigational Site

    Valencia, Valencia, 46010

  • Pfizer Investigational Site

    Valencia, Valencia, 46026

Other trials in Spain

South Korea5 sites
  • Pfizer Investigational Site

    Seoul, 110-744

  • Pfizer Investigational Site

    Seoul, 120-752

  • Pfizer Investigational Site

    Seoul, 135-710

  • Pfizer Investigational Site

    Seoul, 138-736

  • Pfizer Investigational Site

    Seoul, 150-713

Other trials in South Korea

Belgium4 sites
  • Pfizer Investigational Site

    Bruges, 8000

  • Pfizer Investigational Site

    Brussels, 1000

  • Pfizer Investigational Site

    Leuven, 3000

  • Pfizer Investigational Site

    Yvoir, B-5530

Other trials in Belgium

Russia4 sites
  • Pfizer Investigational Site

    Moscow, 105229

  • Pfizer Investigational Site

    Moscow, 115478

  • Pfizer Investigational Site

    Moscow, 125167

  • Pfizer Investigational Site

    Saint Petersburg, 197089

Other trials in Russia

Australia3 sites
  • Pfizer Investigational Site

    Adelaide, South Australia, 5000

  • Pfizer Investigational Site

    Herston, Queensland, 4029

  • Pfizer Investigational Site

    Westmead, New South Wales, 2145

Other trials in Australia

Brazil3 sites
  • Pfizer Investigational Site

    Curitiba, Paraná, 80060-900

  • Pfizer Investigational Site

    Porto Alegre, Rio Grande do Sul, 90020-090

  • Pfizer Investigational Site

    Rio de Janeiro, Rio de Janeiro, 21941-913

Other trials in Brazil

Taiwan3 sites
  • Pfizer Investigational Site

    Kaohsiung City, 807

  • Pfizer Investigational Site

    Kuei-Shan Hsiang, Taoyuan County, 333

  • Pfizer Investigational Site

    Taipei, 112

Other trials in Taiwan

Thailand3 sites
  • Pfizer Investigational Site

    Bangkok, Thailand, 10330

  • Pfizer Investigational Site

    Bangkok, 10400

  • Pfizer Investigational Site

    Bangkok, 10700

Other trials in Thailand

Poland2 sites
  • Pfizer Investigational Site

    Gdansk, 80-952

  • Pfizer Investigational Site

    Warsaw, 02-097

Other trials in Poland

Portugal2 sites
  • Pfizer Investigational Site

    Lisbon, 1169-050

  • Pfizer Investigational Site

    Lisbon, 1649-035

Other trials in Portugal

Singapore2 sites
  • Pfizer Investigational Site

    Singapore, Singapore, 119074

  • Pfizer Investigational Site

    Singapore, Singapore, 169608

Other trials in Singapore

Switzerland2 sites
  • Pfizer Investigational Site

    Geneva, CH-1211

  • Pfizer Investigational Site

    Lausanne, 1011

Other trials in Switzerland

Turkey (Türkiye)2 sites
  • Pfizer Investigational Site

    Adana, 01330

  • Pfizer Investigational Site

    Ankara, 06100

Other trials in Turkey (Türkiye)

United Kingdom2 sites
  • Pfizer Investigational Site

    London, SE5 9RS

  • Pfizer Investigational Site

    Manchester, M20 4BX

Other trials in United Kingdom

Czechia1 site
  • Pfizer Investigational Site

    Prague, 128 20

Other trials in Czechia

Greece1 site
  • Pfizer Investigational Site

    Thessaloniki, 57010

Other trials in Greece

India1 site
  • Pfizer Investigational Site

    Pune, Maharashtra, 411004

Other trials in India

Netherlands1 site
  • Pfizer Investigational Site

    RC Leiden, NL-2300

Other trials in Netherlands

Peru1 site
  • Pfizer Investigational Site

    Lima, Lima Province, Lima 34

Other trials in Peru

About this study

Official title: A Prospective, Randomized Trial Comparing The Efficacy Of Anidulafungin And Voriconazole In Combination To That Of Voriconazole Alone When Used For Primary Therapy Of Proven Or Probable Invasive Aspergillosis

This study compares the effectiveness and safety of the combination of anidulafungin and voriconazole compared to that of voriconazole alone (which is generally considered the standard of care) for the treatment of Invasive Aspergillosis.

Conditions
Aspergillosis
Being tested
voriconazole, anidulafungin
Medical subject headings
Aspergillosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • voriconazoleDrug

    Also called Vfend

    First week: Voriconazole 6 mg/kg IV bid for the first 24 hours, followed by 4 mg/kg IV BID plus anidulafungin placebo IV qd.

    Second week: Voriconazole 4 mg/kg IV bid or 300 mg PO bid plus anidulafungin placebo IV qd.

    Third and fourth weeks: Voriconazole 4 mg/kg IV bid OR 300 mg PO bid plus anidulafungin placebo IV qd,

    OR

    Voriconazole 4 mg/kg IV bid or 300 mg PO bid monotherapy.

    Fifth and sixth weeks: Voriconazole 4 mg/kg IV bid or 300 mg PO bid monotherapy.

  • anidulafunginDrug

    Also called Eraxis

    First week: Voriconazole 6 mg/kg IV bid for the first 24 hours, followed by 4 mg/kg IV bid plus anidulafungin 200 mg IV on day 1, followed by 100 mg IV qd thereafter.

    Second week: Voriconazole 4 mg/kg IV bid or 300 mg PO bid plus anidulafungin 100 mg IV qd.

    Third and fourth weeks: Voriconazole 4 mg/kg IV bid OR 300 mg PO bid plus anidulafungin 100 mg IV qd,

    OR

    Voriconazole 4 mg/kg IV bid or 300 mg PO bid monotherapy.

    Fifth and sixth weeks: Voriconazole 4 mg/kg IV bid or 300 mg PO bid monotherapy.

  • voriconazoleDrug

    Also called Vfend

    First week: Voriconazole 6 mg/kg IV bid for the first 24 hours, followed by 4 mg/kg IV bid plus anidulafungin 200 mg IV on day 1, followed by 100 mg IV qd thereafter.

    Second week: Voriconazole 4 mg/kg IV bid or 300 mg PO bid plus anidulafungin 100 mg IV qd.

    Third and fourth weeks: Voriconazole 4 mg/kg IV bid OR 300 mg PO bid plus anidulafungin 100 mg IV qd,

    OR

    Voriconazole 4 mg/kg IV bid or 300 mg PO bid monotherapy.

    Fifth and sixth weeks: Voriconazole 4 mg/kg IV bid or 300 mg PO bid monotherapy.

Study groups in NCT00531479
Study groupRoleWhat they receive
VoriconazoleActive comparatorVoriconazole monotherapy
Receives: Drug: voriconazole
Voriconazole and AnidulafunginExperimentalCombination therapy with voriconazole and anidulafungin
Receives: Drug: anidulafungin; Drug: voriconazole

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. All-cause Mortality at Week 6 in Participants With Proven or Probable Invasive Aspergillosis

    Number of deaths measured 6 weeks after start of treatment. Time to death defined as date of death minus first treatment date + 1.

    Measured: Day 1 to Day 42 (Week 6)

Secondary outcomes (6)
  1. Global Response at Week 6

    Number of participants with a successful response (complete or partial global response). Complete response = resolution of all clinical signs and symptoms and >90% of lesions due to IA that were visible on radiologic studies at baseline (BL); partial response = clinical improvement and >50% improvement in radiological findings present at BL.

    Measured: Baseline, Day 42 (Week 6)

  2. All-cause Mortality at Week 6 in Participants With Possible, Probable, or Proven Invasive Aspergillosis (IA)

    Number of deaths due to any cause measured 6 weeks after start of treatment. Time to death defined as date of death minus first treatment date + 1.

    Measured: Day 1 to Day 42 (Week 6)

  3. All-cause Mortality at Week 12 in Participants With Probable or Proven Invasive Aspergillosis (IA)

    Number of deaths due to any cause measured 12 weeks after start of treatment. Time to death defined as date of death minus first treatment date + 1.

    Measured: Day 1 to Day 84 (Week 12)

  4. Mortality Due to Invasive Aspergillosis (IA) at Week 6 in Participants With Probable or Proven IA

    Number of deaths due to Invasive Aspergillosis measured 6 weeks after start of treatment. Time to death defined as date of death minus first treatment date + 1.

    Measured: Day 1 to Day 42 (Week 6)

  5. Time to Death: All-Cause Mortality

    Survival time from start of treatment. Time to death defined as date of death due to any cause minus first treatment date + 1.

    Measured: Day 1 to Day 84 (Week 12)

  6. Time to Death Due to Invasive Aspergillosis (IA)

    Survival time from start of treatment. Time to death defined as date of death due to IA minus first treatment date + 1.

    Measured: Day 1 to Day 84 (Week 12)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Sep 2007 (estimated)
  2. Study startJul 2008
  3. Primary completionApr 2011
  4. Study completionMay 2011

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
459 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00531479
Sponsor's protocol ID
A8851009
Status last verified
Apr 2012
First submitted
14 Sep 2007
Last updated
30 Apr 2012
Data monitoring committee
Yes

Publications

  • Marr KA, Schlamm HT, Herbrecht R, Rottinghaus ST, Bow EJ, Cornely OA, Heinz WJ, Jagannatha S, Koh LP, Kontoyiannis DP, Lee DG, Nucci M, Pappas PG, Slavin MA, Queiroz-Telles F, Selleslag D, Walsh TJ, Wingard JR, Maertens JA. Combination antifungal therapy for invasive aspergillosis: a randomized trial. Ann Intern Med. 2015 Jan 20;162(2):81-9. doi: 10.7326/M13-2508.

    PubMed 25599346
  • Liu P, Mould DR. Population pharmacokinetic-pharmacodynamic analysis of voriconazole and anidulafungin in adult patients with invasive aspergillosis. Antimicrob Agents Chemother. 2014 Aug;58(8):4727-36. doi: 10.1128/AAC.02809-13. Epub 2014 Jun 9.

    PubMed 24914120
  • Liu P, Mould DR. Population pharmacokinetic analysis of voriconazole and anidulafungin in adult patients with invasive aspergillosis. Antimicrob Agents Chemother. 2014 Aug;58(8):4718-26. doi: 10.1128/AAC.02808-13. Epub 2014 Jun 9.

    PubMed 24913161

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing voriconazole and anidulafungin in people with Aspergillosis, run by Pfizer at 107 sites in 24 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 30 Apr 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 107 sites in United States, Germany, France, Italy, Canada and 19 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 30 Apr 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

All-cause Mortality at Week 6 in Participants With Proven or Probable Invasive Aspergillosis (time frame: Day 1 to Day 42 (Week 6)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00531479, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Apr 2012; AzTrials last refreshed its copy on 8 Nov 2026.

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