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. Author manuscript; available in PMC: 2011 Jun 1.
Published in final edited form as: Infect Dis Clin North Am. 2010 Jun;24(2):439–459. doi: 10.1016/j.idc.2010.01.002

Table 1. Major prospective randomized controlled trials of invasive candidiasis.

Author, Year Comparators Number Enrolled* Proportion Candidemic (%) C. albicans Infections (%) End of Therapy Success (%) Significance (P value) Comments
Rex 1994 [122] Fluconazole 113 100 70 72 0.17 Non-neutropenic population;
Less toxicity with fluconazole.
Amphotericin B 111 100 63 80
Rex 2003[123] Fluconazole plus Placebo 107 100 68 56 0.043 Higher APACHE II scores in fluconazole arm;
Mortality not improved with combination;
Higher nephrotoxicity with combination.
Fluconazole plus Amphotericin B 112 100 68 69
Kullberg 2005[124] Voriconazole 248 100 43 70 0.42 Non-blinded, non-neutropenic population;
More renal toxicity & SAEs with AmB.
Amphotericin B followed by Fluconazole 122 100 51 74
Mora-Duarte 2002[125] Caspofungin 109 83 36 73 0.09 No difference in mortality;
More drug related adverse events with AmB.
Amphotericin B 115 79 54 62
Kuse 2007[126] Micafungin 264 83 39 74 NS 12% of study population neutropenic
LAMB 267 84 43 70
Reboli 2007[127] Anidulafungin 127 91 64 76 NS 3% of study population neutropenic;
Microbiologic response higher with anidulafungin.
Fluconazole 118 87 59 60
Pappas 2007[128] Caspofungin 188 86 44 72 NS 9% of study population neutropenic
Micafungin 100mg 191 85 48 76
Micafungin 150 mg 199 84 51 71

NS, not significant; LAMB, liposomal amphotericin B; AmB, amphotericin B; SAEs, serious adverse events

*

Modified intent to treat population