At a glance
ClinicalIndex Comparison Record- ✓Must receive allogeneic peripheral blood, bone marrow, or cord blood transplant from family, unrelated, or sibling donor
- ✓Must have 5 or 6 of 6 HLA-matched donor (serologic or molecular level per donor type)
- ✓Underlying disease: AML, ALL, AUL, acute biphenotypic leukemia in CR1/CR2, CML in chronic/accelerated phase, MDS subtypes, or lymphoma with chemosensitive disease (≥50% response) receiving related donor transplant
- ✓Receiving myeloablative conditioning regimens
- ✕Invasive yeast infection within 8 weeks prior to conditioning regimen initiation (superficial infection or colonization allowed)
- ✕History of candidemia within 8 weeks requires negative blood culture within 14 days of conditioning (7 days recommended), no clinical signs, and may not require ongoing antifungal therapy
- ✕Presumptive, proven, or probable aspergillus or other mold infection or deep mycoses (including hepatosplenic candidiasis) within 4 months prior to conditioning
- ✕Uncontrolled viral or bacterial infection at time of study registration
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Randomized Double-blind Trial of Fluconazole Versus Voriconazole for the Prevention of Invasive Fungal Infections in Allogeneic Blood and Marrow Transplant Patients (BMT CTN #0101)
In Brief
A Phase 3 clinical trial evaluating Fluconazole and Voriconazole for Lymphoma and 2 related conditions. Completed, enrolled 600 participants across 33 sites.
Detailed Summary
The study is designed as a Phase III, randomized, double-blind, multicenter, prospective, comparative study of fluconazole versus voriconazole for the prevention of fungal infections in allogeneic transplant recipients. Recipients will be stratified by center and donor type (sibling vs. unrelated) and will be randomized to either the fluconazole or voriconazole arm in a 1:1 ratio.
Study Details
Timeline
Interventions
Fluconazole will be administered orally once daily. Fluconazole capsules should be taken at least one hour before or one hour after a meal. If oral drug is not possible, it will be given intravenously once daily in a total volume of 200 mL in patients \> 12 years. For adults, each 200 mL infusion will be administered over 2 hours. In patients \< 12 years, intravenous doses will be prepared.
Voriconazole will be administered orally twice daily. Voriconazole capsules should be taken at least one hour before or one hour after a meal. Taken concomitantly with food, bioavailability of voriconazole is reduced. If oral drug is not possible, it will be given intravenously at a dosage of 200 mg every 12 hours over two hours in patients \> 12 years. Each voriconazole dose will be diluted to a total volume of 200 mL in patients \> 12 years. Volumes of the formulation required to provide 4 mg/kg doses for children age \< 12 years.