Clinical trial • Phase IV • Infectious Disease

FLUCONAZOLE for Fungal infection

Phase IV trial of FLUCONAZOLE for Fungal infection.

Overview

Trial Therapeutic Area
Infectious Disease
Trial Disease
Fungal infection
Trial Stage
Phase IV
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
10-11-2023
First CTIS Authorization Date
16-02-2024

Trial design

Randomised, placebo (natriumklorid "b. braun" intravenous infusion) versus fluconazole kabi 2mg/ml solution for infusion (fluconazole). ctis record provides product entries including max daily dose for fluconazole (400 mg) and max treatment period (30 days) but specific dosing schedule in the protocol is not provided in the ctis json.-controlled Phase IV trial across 5 sites in Denmark.

Randomised
Yes
Comparator
Placebo (Natriumklorid "B. Braun" intravenous infusion) versus Fluconazole Kabi 2mg/ml solution for infusion (fluconazole). CTIS record provides product entries including max daily dose for fluconazole (400 mg) and max treatment period (30 days) but specific dosing schedule in the protocol is not provided in the CTIS JSON.
Target Sample Size
420
Trial Duration For Participant
90

Eligibility

Recruits 420 No vulnerable population selected. Participants must be able to understand and sign informed consent in Danish (inclusion criterion requires ability to understand and sign an informed consent in Danish)..

Vulnerable Population
No vulnerable population selected. Participants must be able to understand and sign informed consent in Danish (inclusion criterion requires ability to understand and sign an informed consent in Danish).

Inclusion criteria

  • {"criterion_text":"- Patients > 18 years\n- Willingness to participate in the study and the ability to understand and sign an informed consent in Danish\n- Indication for performing cystectomy\n- The urinary diversion is limited to the ileal conduit"}

Exclusion criteria

  • {"criterion_text":"- Patients with contraindications to Fluconazole. This includes allergies and treatment with non-pausable medication that in combination is contraindicated\n- Patients in active treatment for mycotic infections"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Postoperative complications measured by Clavien Dindo III-V classification score","definition_or_measurement_approach":"Measured by Clavien Dindo III-V classification score (as stated)"}

Secondary endpoints

  • {"endpoint_text":"- Days Alive and Out of Hospital measured within the 90th postoperative day","definition_or_measurement_approach":"Measured as days alive and out of hospital within the 90th postoperative day (as stated)"}
  • {"endpoint_text":"- Time to gastrointestinal function (first bowel movement) postoperatively","definition_or_measurement_approach":"Measured as time to first bowel movement postoperatively (as stated)"}
  • {"endpoint_text":"- Reduction in percentage of patients who require placement of nasogastric tube postoperatively","definition_or_measurement_approach":"Measured as percentage of patients requiring nasogastric tube placement postoperatively (as stated)"}
  • {"endpoint_text":"- Quality of Life measured by questionnaires (EORTC QLQ-C30 and QLQ-BLM30) at day 0 and day 90","definition_or_measurement_approach":"Measured using EORTC QLQ-C30 and QLQ-BLM30 questionnaires at baseline (day 0) and day 90 (as stated)"}
  • {"endpoint_text":"- Length of stay for index admission","definition_or_measurement_approach":"Measured as length of stay for the index admission (as stated)"}
  • {"endpoint_text":"- Re-admission within 30 and 90 days","definition_or_measurement_approach":"Measured as readmission rates within 30 days and 90 days postoperatively (as stated)"}
  • {"endpoint_text":"- Microbiome resistance development in the urinary tract","definition_or_measurement_approach":"Measured as development of microbiome resistance in the urinary tract (as stated)"}
  • {"endpoint_text":"- Urinary tract infections requiring treatment","definition_or_measurement_approach":"Measured as occurrence of urinary tract infections that require treatment (as stated)"}

Recruitment

Planned Sample Size
420
Recruitment Window Months
30
Consent Approach
Participants must be able to understand and sign an informed consent in Danish. Inclusion criterion requires willingness to participate and ability to understand and sign informed consent in Danish. Subject information and informed consent form documents are listed in the CTIS record (titles include 'Deltagerinformation' and 'Participant information'). No assent process is required because participants must be >18 years.

Geography

Total Number Of Sites
5
Total Number Of Participants
420

Denmark

Earliest CTIS Part Ii Submission Date
16-02-2024
Latest Decision Or Authorization Date
16-09-2025
Processing Time Days
578
Number Of Sites
5
Number Of Participants
420

Sites

Site Name
Herlev Hospital
Department Name
Department of Urology
Contact Person Name
Ann Bersang
Site Name
Odense University Hospital
Department Name
Department of Urology
Contact Person Name
Lars Lund
Contact Person Email
lars.lund@rsyd.dk
Site Name
Aalborg University Hospital
Department Name
Department of Urology
Contact Person Name
Knud Fabrin
Contact Person Email
knf@rn.dk
Site Name
Aarhus Universitet
Department Name
Department of Urology
Contact Person Name
Pernille Skjold Kingo
Contact Person Email
perkin@rm.dk
Site Name
Rigshospitalet
Department Name
Department of Urology
Contact Person Name
Andreas Røder
Contact Person Email
andreas.roeder@regionh.dk

Sponsor

Primary sponsor

Full Name
Rigshospitalet
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Denmark

Third parties

  • {"country":"Denmark","full_name":"Frederiksberg Hospital","duties_or_roles":"sponsorDuties code: 1","organisation_type":"Hospital/Clinic/Other health care facility"}

Investigational products

Investigational Product Name
Fluconazole Kabi 2mg/ml solution for infusion
Active Substance
FLUCONAZOLE
Modality
Small molecule
Routes Of Administration
INTRAVENOUS INFUSION
Route
INTRAVENOUS INFUSION
Authorisation Status
Authorised (marketing authorisation number MA1123/00802 listed)
Maximum Dose
Max daily dose 400 mg; max total dose amount 12000 mg (as reported in CTIS product entry)
Investigational Product Name
Natriumklorid "B. Braun"
Active Substance
SODIUM CHLORIDE
Modality
Small molecule
Routes Of Administration
INTRAVENOUS INFUSION
Route
INTRAVENOUS INFUSION
Authorisation Status
Authorised (marketing authorisation number 13341 listed)
Maximum Dose
Max daily dose 6 (unit: mmol/kg per CTIS entry); max total dose amount 10000 ml (as reported in CTIS product entry)

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