Evidence map›Paper›PMID 27696283›Full record

Trial reportInternational journal of hematology2017

A multicenter phase 2 study of empirical low-dose liposomal amphotericin B in patients with refractory febrile neutropenia.

Kotaro Miyao, Masashi Sawa, Mio Kurata, Ritsuro Suzuki, Reona Sakemura, Toshiyasu Sakai, Tomonori Kato, Satomi Sahashi, Natsuko Tsushita, Yukiyasu Ozawa and 8 more

Abstract readClinical Trial, Phase IIMulticenter Study
PubMed Publisher
In one paragraph

Trial report in International journal of hematology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 6 institutions in 1 country.

Kotaro MiyaoDepartment of Hematology and Oncology, Anjo Kosei Hospital, Anjo, Japan. koutarou380@med.nagoya-u.ac.jp.
Masashi SawaDepartment of Hematology and Oncology, Anjo Kosei Hospital, Anjo, Japan.
Mio KurataJapanese Data Center for Hematopoietic Cell Transplantation, Nagoya, Japan.
Ritsuro SuzukiDepartment of HSCT Data Management and Biostatistics, Nagoya University, Nagoya, Japan.
Reona SakemuraDepartment of Hematology and Oncology, Anjo Kosei Hospital, Anjo, Japan.
Toshiyasu SakaiDepartment of Hematology and Oncology, Anjo Kosei Hospital, Anjo, Japan.
Tomonori KatoDepartment of Hematology and Oncology, Anjo Kosei Hospital, Anjo, Japan.
Satomi SahashiDepartment of Hematology and Oncology, Anjo Kosei Hospital, Anjo, Japan.
Natsuko TsushitaDepartment of Hematology and Oncology, Anjo Kosei Hospital, Anjo, Japan.
Yukiyasu OzawaDepartment of Hematology, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan.
Motohiro TsuzukiDepartment of Hematology, Fujita Health University, Toyoake, Japan.
Akio KohnoDepartment of Hematology and Oncology, Konan Kosei Hospital, Konan, Japan.
Tatsuya AdachiDepartment of Hematology and Oncology, Chukyo Hospital, Nagoya, Japan.
Keisuke WatanabeDepartment of Hematology and Oncology, Anjo Kosei Hospital, Anjo, Japan.
Kaneyuki OhbayashiDepartment of Hematology, Nishio Munishipal Hospital, Nishio, Japan.
Yuichiro InagakiDepartment of Hematology and Oncology, Anjo Kosei Hospital, Anjo, Japan.
Yoshiko AtsutaJapanese Data Center for Hematopoietic Cell Transplantation, Nagoya, Japan.
Nobuhiko EmiDepartment of Hematology, Fujita Health University, Toyoake, Japan.
Anjo Kosei Hospital · JPNagoya University · JPFujita Health University · JPThe Japanese Data Center for Hematopoietic Cell Transplantation · JPChukyo Hospital · JPKonan Kosei Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Invasive fungal infection (IFI) is a major life-threatening problem encountered by patients with hematological malignancies receiving intensive chemotherapy. Empirical antifungal agents are therefore important. Despite the availability of antifungal agents for such situations, the optimal agents and administration methods remain unclear. We conducted a prospective phase 2 study of empirical 1 mg/kg/day liposomal amphotericin B (L-AMB) in 80 patients receiving intensive chemotherapy for hematological malignancies. All enrolled patients were high-risk and had recurrent prolonged febrile neutropenia despite having received broad-spectrum antibacterial therapy for at least 72 hours. Fifty-three patients (66.3 %) achieved the primary endpoint of successful treatment, thus exceeding the predefined threshold success rate. No patients developed IFI. The treatment completion rate was 73.8 %, and only two cases ceased treatment because of adverse events. The most frequent events were reversible electrolyte abnormalities. We consider low-dose L-AMB to provide comparable efficacy and improved safety and cost-effectiveness when compared with other empirical antifungal therapies. Additional large-scale randomized studies are needed to determine the clinical usefulness of L-AMB relative to other empirical antifungal therapies.

Indexed as

AdultAgedAmphotericin BAntifungal AgentsFebrile NeutropeniaFemaleHematologic NeoplasmsHumansMaleMiddle AgedMycosesProspective StudiesYoung AdultAmphotericin BAntifungal Agentsliposomal amphotericin BAntifungal therapyEmpirical therapyFebrile neutropeniaHematological malignancyLiposomal amphotericin B

Identifiers

PMID27696283
OpenAlexW2524973376

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.