Timsit 2012.
Trial name or title | Micafungin Versus Placebo in the Nosocomial Sepsis in Patients Multi‐colonized With Candida, Randomized Controlled Trial (EMPIRICUS) |
Methods | Two‐arm multicentre randomized controlled trial |
Participants | Adult patients, mechanically ventilated for more than four days with sepsis of unknown origin and with at least one extra‐digestive fungal colonization site and multiple organ failure |
Interventions | 1) Micafungin 100 mg intravenously once a day for 14 days (empiric therapy) 2) placebo for 14 days |
Outcomes | Primary outcomes: survival to 28 days without proven invasive infection; breakthrough infections occurring at least 48 hours after initiation of treatment Secondary outcomes: All‐cause mortality at 28 day and 90 days, antifungal‐free survival at 28‐days, organ failure, mechanical ventilation use, colonization index, serum biomarkers (1–3)‐β‐D‐glucan level, mannan antigenaemia, anti‐mannan antibodies, blood Candida PCR), incidence of ventilator‐associated bacterial pneumonia, pharmacokinetic/pharmacodynamic (PK/PD) profile of micafungin, tolerance of micafungin |
Starting date | July 2012 |
Contact information | Jean‐François Timsit, University Grenoble 1, Intensive Care Unit, Albert Michallon Hospital, BP 217, 38043 Grenoble, Cedex 9, France |
Notes | Target sample size: 260 patients |
In the outcome section, we described the outcomes reported by the investigators.
ICU = intensive care unit
SOFA = sequential organ failure assessment score