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Open, Pharmacokinetic Study of Caspofungin Acetate in Immunocompromised Young Children With Febrile Neutropenia

Information source: Merck
Information obtained from ClinicalTrials.gov on June 20, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Fungal Infection

Intervention: caspofungin acetate (Drug)

Phase: Phase 2

Status: Completed

Sponsored by: Merck

Official(s) and/or principal investigator(s):
Medical Monitor, Study Director, Affiliation: Merck

Summary

This is an open-label study of MK0991 in children between 3 to 24 months of age with new onset fever and neutropenia. The purpose of the study is to investigate plasma drug levels of caspofungin.

Clinical Details

Official title: A Multicenter, Open, Sequential Dose-Escalation Study to Investigate the Safety, Tolerability, and Pharmacokinetics of 2 Separate Doses of Caspofungin Acetate in Children Between the Ages of 3 to 24 Months With New Onset Fever and Neutropenia

Study design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Pharmacokinetics Study

Primary outcome: Plasma drug-level observed in children 3 to 24 months of age is similar to the levels observed in adults.

Secondary outcome: Caspofungin is generally safe and well tolerated in children 3 to 24 months of age.

Eligibility

Minimum age: 3 Months. Maximum age: 24 Months. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Patient is 3 to 24 months of age with one or more of the following conditions:

- Leukemia, lymphoma, or other cancers

- Bone marrow or peripheral stem transplantation

- High dose chemotherapy leading to a decrease in white blood cells

- Aplastic anemia

- Patient has an absolute neutrophil count <500 mm3 (a specific type of white blood cell

that fights infection) AND at least one recording of fever > 38 degreesC (oral or oral equivalent) within 72 hours of screening.

Exclusion Criteria:

- Patient is <3 months or >24 months of age at the time of study drug administration

- Patient has proven or probable invasive fungal infection at the time of enrollment

- Patient has certain blood clotting or liver function abnormalities

- Patient is hemodynamically unstable, exhibits hemodynamic compromise or is not

expected to survive at least 5 days

- Patient is taking rifampin, cyclosporin A, phenytoin, carbamazepine, or

phenobarbital.

Locations and Contacts

Additional Information

Starting date: February 2006
Ending date: February 2007
Last updated: December 23, 2007

Page last updated: June 20, 2008

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