Skip to main content
. 2019 Sep 1;32(Suppl 2):59–62.

Table 2.

Most important antifungal prophylaxis randomized studies in high risk haematological patients.

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