- « Previous
- Clinical Pharmacology
- Next »
Cancidas
Clinical Pharmacology
Cancidas
*Patients received CANCIDAS 70 mg on Day 1, then 50 mg daily for the remainder of their treatment.
**Study defined as study treatment period and 6-8 week follow-up period.
***Determined by the investigator to be possibly, probably, or definitely drug-related.
Of the 239 patients enrolled, 224 met the criteria for inclusion in the MITT population (109 treated with CANCIDAS and 115 treated with amphotericin B). Of these 224 patients, 186 patients had candidemia (92 treated with CANCIDAS and 94 treated with amphotericin B). The majority of the patients with candidemia were non-neutropenic (87%) and had an APACHE II score less than or equal to 20 (77%) in both arms. Most candidemia infections were caused by C. albicans (39%), followed by C. parapsilosis (20%), C. tropicalis (17%), C. glabrata (8%), and C. krusei (3%).
At the end of IV study therapy, CANCIDAS was comparable to amphotericin B in the treatment of candidemia in the MITT population. For the other efficacy time points (Day 10 of IV study therapy, end of all antifungal therapy, 2-week post-therapy follow-up, and 6- to 8-week post-therapy follow-up), CANCIDAS was as effective as amphotericin B.
Outcome, relapse and mortality data are shown in Table 3.
TABLE 3
Outcomes, Relapse, & Mortality in Candidemia and Other Candida Infections (Intra-abdominal abscesses, peritonitis, and pleural space infections)
| CANCIDAS* | Amphotericin B | % Difference** after adjusting for strata (Confidence Interval)*** | |
| Number of MITT† patients | 109 | 115 | |
| FAVORABLE OUTCOMES (MITT) AT THE END OF IV STUDY THERAPY | |||
| All MITT patients | 81/109 (74.3%) | 78/115 (67.8%) | 7.5 (-5.4, 20.3) |
| Candidemia Neutropenic Non-neutropenic | 67/92 (72.8%) 6/14 (43%) 61/78 (78%) | 63/94 (67.0%) 5/10 (50%) 58/84 (69%) | 7.0 (-7.0, 21.1) |
| Endophthalmitis | 0/1 | 2/3 | |
| Multiple Sites Blood / Pleural Blood / Peritoneal Blood / Urine Peritoneal / Pleural Abdominal / Peritoneal Subphrenic / Peritoneal | 4/5 1/1 1/1 - 1/2 - 1/1 | 4/4 1/1 1/1 1/1 - 1/1 - | |
| DISSEMINATED INFECTIONS, RELAPSES AND MORTALITY | |||
| Disseminated Infections in neutropenic patients | 4/14 (28.6%) | 3/10 (30.0%) | |
| All relapses†† Culture-confirmed relapse | 7/81 (8.6%) 5/81 (6%) | 8/78 (10.3%) 2/78 (3%) | |
| Overall study††† mortality in MITT Mortality during study therapy Mortality attributed to Candida | 36/109 (33.0%) 18/109 (17%) 4/109 (4%) | 35/115 (30.4%) 13/115 (11%) 7/115 (6%) | |
Generic Name: Caspofungin Acetate
- « Previous
- Clinical Pharmacology
- Next »
Herbal First Aid
Herbal medicine is ancient, but only in recent years have many people started to take notice of its all natural healing powers. See more WebMD Videos »
WebMD Daily
Get breaking medical news.
