Table 2.
Authors | Patients | Antifungal prophylaxis | Results | Others |
---|---|---|---|---|
Cornely et al [9] | Acute myelogenous leukaemia or the myelodysplastic syndrome undergoing chemotherapy | Posaconazole (304) vs fluconazole (240) or itraconazole (58) | Posaconazole was superior in the prevention of IFI (p<0.001) and had lower mortality than any other cause (p=0.048) | More serious adverse events in posaconazolegroup (p=0.01) |
Ullman et al [10] | GVHD who were receiving immunosuppressive treatment | Posaconazole (n=301) vs fluconazole (n=299) | Posaconazole was as effective as fluconazole in preventing all IFI (p=0.07) Posaconazole was superior in preventing invasive aspergillosis (p=0.006). Overall mortality was similar, but lower due to invasive fungal infections in the posaconazole group (p=0.046). |
Adverse events were similar. |
Wingard et al [11] | Patients undergoing HSCT | Fluconazole (n=295) vs voriconazole (n=305) | Voriconazole trends to be more effective in preventing IFIs (p=0.12) and Aspergillusinfections (p=0.09). No differences in fungal-free survival at 6 months and overall survival |
Severe adverse events were similar. |
IFI: invasive fungal infection. GVHD: graft versus host disease. HSCT: haematopoietic stem cell transplantation