TABLE 2.
Details of therapeutic studiesa
| Study no. | No. of centers, location | Underlying diagnosis | Indication | Fluconazole dosage (mg/kg/day), route of administration | Comparator(s) |
|---|---|---|---|---|---|
| 178 | 32, USA | Immunocompromise | Oropharyngeal candidiasis | 2 or 3, p.o.b | Nystatin, 1,600,000 U, p.o. |
| 368 | 1, France | HIV infection | Prophylaxis | 1, p.o. | Ketoconazole, 5 mg/kg, p.o. |
| 369 | 1, UK | Prematurity | Prophylaxis | 1, p.o. or i.v. | Nystatin, 400,000 U, p.o. |
| 370 | 7, Europe | HIV infection | Oropharyngeal candidiasis | 2 or 3, p.o. | Ketoconazole, 3.5 or 7 mg/kg, p.o. |
| 372 | 12, Europe | None | Systemic fungal infection | 6–12, p.o. or i.v. | None |
| 373 | 23, Europe and Canada | Hematological or oncological malignancy | Prophylaxis | 3, p.o. | Nystatin, 50,000 U/kg, p.o. or amphotericin B, 25 mg/kg, p.o. |
| Mean duration of therapy [days (range)]
|
No. of patients
|
Mean age (range)
|
Reference | |||
|---|---|---|---|---|---|---|
| Fluconazole-treated group | Comparison group | Fluconazole-treated group | Comparison group | Fluconazole-treated group | Comparison group | |
| 13 (1–29) | 12 (2–27) | 94 | 88 | 5.1 yr (NA) | 5.3 yr (NA) | Flynn et al. (9) |
| 90 (53–129) | 68 (8–134) | 6 | 7 | 5.8 yr (1–12 yr) | 3.7 yr (0–7 yr) | Pfizer, Inc. (21a) |
| 13 (1–18) (p.o.) and 16 (14–19) (i.v.) | 18 (15–35) | 7 (p.o.) and 6 (i.v.) | 7 | 17.9 d (5–47 d) (p.o.) 21.2 d (9–38 d) (i.v.) | 9.9 d (6–20 d) | Pfizer, Inc. (21a) |
| 14 (6–33) | 16 (5–49) | 24 | 22 | 4.6 yr (0–14 yr) | 3.8 yr (0–12 yr) | Hernández-Sampelayo et al. (14) |
| 20 (5–162) | 51 | 5.3 yr (0.1–17 yr) | Presterl et al. (23) | |||
| 28 (1–89) | 29 (1–112) | 245 | 257 | 6.8 yr (0–17 yr) | 6.8 yr (0–17 yr) | Ninane et al. (20) |
Abbreviations: USA, United States; UK, United Kingdom; p.o., orally; i.v., intravenously; NA, not available; d, days.
Loading dose of 4 or 6 mg/kg on first day of treatment.