Evidence map›Paper›PMID 16261306›Full record

Trial reportEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2005

International, open-label, noncomparative, clinical trial of micafungin alone and in combination for treatment of newly diagnosed and refractory candidemia.

L Ostrosky-Zeichner, D Kontoyiannis, J Raffalli, K M Mullane, J Vazquez, E J Anaissie, J Lipton, P Jacobs, J H Jansen van Rensburg, J H Rex and 3 more

Erratum issuedAbstract readClinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 49 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 3 pooled it
13.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 3 syntheses or guidelines pooled it, 189 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Brazilian guidelines for the diagnosis and treatment of candidemia and invasive candidiasis in adults and children.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Guideline
  4. Trial
  5. Trial
  6. Article
  7. Antifungal Combinations againstJournal of fungi (Basel, Switzerland) · 2022
    Review
  8. Role of Antifungal Combinations in Difficult to TreatJournal of fungi (Basel, Switzerland) · 2021
    Review
  9. Article
  10. Article
  11. Advances in the Treatment of Mycoses in Pediatric Patients.Journal of fungi (Basel, Switzerland) · 2018
    Review
  12. Review
  13. Observational
  14. Review
  15. Review
  16. Review
  17. Article
  18. Article
  19. Review
  20. Breakthrough invasive candidiasis in patients on micafungin.Journal of clinical microbiology · 2010
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 9 institutions in 5 countries.

L Ostrosky-ZeichnerDivision of Infectious Diseases, University of Texas Medical School-Houston, 6431 Fannin MSB 2.112, Houston, TX 77030, USA. Luis.Ostrosky-Zeichner@uth.tmc.edu
D Kontoyiannis
J Raffalli
K M Mullane
J Vazquez
E J Anaissie
J Lipton
P Jacobs
J H Jansen van Rensburg
J H Rex
W Lau
D Facklam
D N Buell
Astellas Pharma (United States) · USThe University of Texas Health Science Center at Houston · USAstellas Pharma (China) · CNLoyola University Medical Center · USNew York Medical College · USPrincess Margaret Cancer Centre · CAThe University of Texas MD Anderson Cancer Center · USUniversity of Arkansas for Medical Sciences · USWayne State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Candida spp. are the fourth leading cause of bloodstream infections, and non-albicans species are increasing in importance. Micafungin is a new echinocandin antifungal agent with excellent in vitro activity against Candida spp. Pediatric, neonatal, and adult patients with new or refractory candidemia were enrolled into this open-label, noncomparative, international study. The initial dose of micafungin was 50 mg/d (1 mg/kg for patients <40 kg) for infections due to C. albicans and 100 mg/d (2 mg/kg for patients <40 kg) for infections due to other species. Dose escalation was allowed. Maximum length of therapy was 42 days. A total of 126 patients were evaluable (received at least five doses of micafungin). Success (complete or partial response) was seen in 83.3% patients overall. Success rates for treatment of infections caused by the most common Candida spp. were as follows: C. albicans 85.1%, C. glabrata 93.8%, C. parapsilosis 86.4%, and C. tropicalis 83.3%. Serious adverse events related to micafungin were uncommon. Micafungin shows promise as a safe and effective agent for the treatment of newly diagnosed and refractory cases of candidemia. Large-scale, randomized, controlled trials are warranted.

Indexed as

Antifungal AgentsLipoproteinsPeptides, CyclicAdolescentAdultCandidaCandidiasisChildChild, PreschoolDrug Therapy, CombinationEchinocandinsFemaleFungemiaHumansInfantInfant, NewbornAntifungal AgentsEchinocandinsLipopeptidesLipoproteinsMicafunginPeptides, Cyclic

Identifiers

PMID16261306
OpenAlexW2099536314

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.