Posaconazole Pharmacokinetics in Patients Receiving Chemotherapy or Stem Cell Transplants

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18+
SponsorMelbourne Health

About this trial

The purpose of the study is to investigate the pharmacokinetics of oral dosage of Posaconazole which is routinely administered as a standard care prophylaxis for patients undergoing cancer treatments.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adult (≥18 years old) haematology patients receiving Posaconazole prophylaxis in the inpatient setting as standard of care.

Able to give informed consent.

Disqualifiers

Unable to give informed consent.

Trial design

Design model

Single group

Treatments tested in this trial

  • Posaconazole pharmacokinetics

    Drug

    Blood samples will be collected on Days 7, 14 and 21 from the onset of Posaconazole prophylactic treatment If significant diarrhoea occurs, additional blood samples will be collected twice weekly until symptoms resolve. All blood samples will be used for Posaconazole pharmacokinetics study.

Treatment groups

100 Participants
are divided into 1 treatment group
Group A: Posaconazole prophylaxisExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Pre-dose plasma Posaconazole concentrations

The median interquartile range pre-dose plasma Posaconazole concentrations equal or greater than 0.7 mg/L will be assessed.

Time frame
On days 7, 14 and 21 of Posaconazole prophylaxis course, when significant diarrhea occurs, when active gastrointestinal graft versus host disease occurs.

Secondary outcomes

1

Clinical symptoms affecting plasma Posaconazole concentrations.

Observed association between concurrent patient factors with change in plasma Posaconazole concentrations.

Time frame
At Screening, Days 7, 14 and 21, and 72 hours after onset of diarrhoea, and when invasive fungal infection occurs.
2

The number/proportion of patients achieving desirable pre-dose plasma Posaconazole concentrations.

The number/proportion of patients achieving pre-dose plasma Posaconazole concentrations greater or equal to 0.7 mg/L will be assessed.

Time frame
On days 7, 14 and 21 of Posaconazole prophylaxis course, when significant diarrhea occurs, when active gastrointestinal graft versus host disease occurs.
3

Effects of diarrhea on plasma Posaconazole concentration

Correlation between the presence/extent of diarrhea with change in plasma Posaconazole concentrations.

Time frame
When diarrhea occurs during Posaconazole prophylaxis on Days 1 to 21.
4

Alteration in prophylaxis due to Posaconazole-attributed toxicities.

Frequency of Posaconazole-attributed toxicities resulting in dose changes or cessation of prophylaxis will be noted.

Time frame
When change in or cessation of oral Posaconazole prophylaxis occurs during Day 1 to Day 21.

Other outcomes

Sponsors and contacts

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Melbourne Health

Lead sponsor

Merck Sharp & Dohme LLC

Collaborator