Therapeutic Drug Monitoring of Voriconazole
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Purpose
The purpose of this study is to determine whether therapeutic drug monitoring of voriconazole is useful in the treatment of invasive fungal infection.
| Condition | Intervention |
|---|---|
|
Mycoses |
Drug: Voriconazole (therapeutic drug monitoring) |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver) Primary Purpose: Treatment |
| Official Title: | Influence of Therapeutic Drug Monitoring of Voriconazole on Incidence of Drug Adverse Reaction |
- side effects [ Time Frame: during 3 months ] [ Designated as safety issue: No ]
- treatment response to voriconazole [ Time Frame: at 3 months ] [ Designated as safety issue: No ]
- drug discontinuation of adverse events [ Time Frame: within 3 month ] [ Designated as safety issue: No ]
| Enrollment: | 110 |
| Study Start Date: | November 2008 |
| Study Completion Date: | February 2012 |
| Primary Completion Date: | December 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
No Intervention: non-TDM of voriconazole
conventional dose
|
|
| Experimental: TDM of voriconazole |
Drug: Voriconazole (therapeutic drug monitoring)
dosage adjustment according to trough level of voriconazole in plasma
Other Name: plasma drug level
|
Detailed Description:
Voriconazole is an anti-fungal agent, which is used in the treatment of invasive fungal infection, especially aspergillosis. The serious side effects of voriconazole include liver function abnormality, encephalopathy, etc. Recently, the several studies showed that the blood level of voriconazole is variable and it is associated with drug side effect and treatment outcome. However, there is no randomized controlled study which proves that therapeutic drug monitoring of voriconazole can improve the clinical outcome in routine clinical practice.
Eligibility| Ages Eligible for Study: | 16 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- patients who were 16 years of age or older
- receiving voriconazole in order to treat invasive fungal infections or for empirical use
Exclusion Criteria:
- who experienced the serious side effect of voriconazole
- were hypersensitive to azoles
- had an aminotransferase, bilirubin, or alkaline phosphatase level higher than five times the upper limit of normal
Contacts and Locations| Korea, Republic of | |
| Seoul National University Hospital | |
| Seoul, Korea, Republic of, 110-744 | |
| Principal Investigator: | Wan Beom Park, MD, PhD | Seoul National University Hospital |
More Information
No publications provided by Seoul National University Hospital
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Wan Beom Park, Assistant Professor, Seoul National University Hospital |
| ClinicalTrials.gov Identifier: | NCT00890708 History of Changes |
| Other Study ID Numbers: | H-0808-057-254 |
| Study First Received: | April 29, 2009 |
| Last Updated: | February 18, 2012 |
| Health Authority: | South Korea: Institutional Review Board |
Additional relevant MeSH terms:
|
Mycoses Voriconazole Antifungal Agents Anti-Infective Agents Therapeutic Uses |
Pharmacologic Actions 14-alpha Demethylase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on May 19, 2013