Evidence map›Paper›PMID 30105657›Full record

Observational studyAdvances in therapy2018

Effectiveness and Tolerability of Micafungin in Chinese Patients with Invasive Fungal Infections: A Retrospective, Multicenter Study.

Xiaoyun Zheng, Xiaobo Huang, Jianmin Luo, Juan Li, Wei Li, Qifa Liu, Ting Niu, Xiaodong Wang, Jianfeng Zhou, Xi Zhang and 2 more

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Advances in therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02678598 (A Retrospective Study Evaluating the Efficacy and Safety of Micafungin Sodium in the Treatment of Invasive Fungal Infections), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 43% 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.

NCT02678598 completednot on this map

A Retrospective Study Evaluating the Efficacy and Safety of Micafungin Sodium in the Treatment of Invasive Fungal Infections

TypeobservationalSponsorAstellas Pharma China, Inc.Ran2015 to 2015Enrolled2,555ConditionsInvasive Fungal InfectionsArmsMicafungin
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
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

12 authors at 10 institutions in 1 country.

Xiaoyun ZhengFujian Institute of Hematology, Fujian Provincial Key Laboratory on Hematology, Fujian Medical University Union Hospital, Fujian, China.
Xiaobo HuangSichuan Provincial Peoples' Hospital, Sichuan, China.
Jianmin LuoThe Second Hospital of Hebei Medical University, Hebei, China.
Juan LiThe First Affiliated Hospital, Sun Yat-sen University, Guangdong, China.
Wei LiThe First Hospital of Jilin University, Jilin, China.
Qifa LiuNanfang Hospital, Guangdong, China.
Ting NiuWest China Hospital of Sichuan University, Sichuan, China.
Xiaodong WangSichuan Provincial Peoples' Hospital, Sichuan, China.
Jianfeng ZhouTongji Medical College Huazhong University of Science and Technology, Hubei, China.
Xi ZhangXinQiao Hospital, Third Military Medical University, Chongqing, China.
Jianda HuFujian Institute of Hematology, Fujian Provincial Key Laboratory on Hematology, Fujian Medical University Union Hospital, Fujian, China. drjiandahu@163.com.
Kaiyan LiuPeking University Institute of Hematology, Peking University People's Hospital, Beijing, China. liukaiyan@medmail.com.cn.
Fujian Medical University · CNSichuan Provincial Hospital of Traditional Chinese Medicine · CNHebei Medical University · CNHuazhong University of Science and Technology · CNJilin University · CNNanfang Hospital · CNPeking University · CNThe First Affiliated Hospital, Sun Yat-sen University · CNWest China Hospital of Sichuan University · CNXinqiao Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInvasive fungal infections (IFIs) are a significant health problem in immunocompromised patients, resulting in substantial morbidity, mortality, and healthcare costs. Micafungin is a broad-spectrum echinocandin with activity against Candida and Aspergillus spp. This was a multicenter, non-comparative, retrospective observational study that evaluated the effectiveness and tolerability of intravenously administered micafungin for treating IFIs caused by Candida and Aspergillus spp.

methodsAdult patients in China who had received at least one dose of intravenously administered micafungin were eligible. Retrospective data (May 2008-April 2015) were extracted from patients' medical files and recorded using electronic data capture. The primary endpoint was overall success rate (patients with complete or partial response). Subgroup analyses determined effectiveness according to diagnostic certainty, fungal species, type of IFI, duration of micafungin treatment, and daily dose of micafungin. Tolerability, including the incidence of adverse events (AEs), was also assessed.

resultsOverall, 2555 patients who received at least one dose of micafungin were identified. The mean duration of treatment and mean daily dose were 10.2 days and 133.0 mg, respectively. The overall success rate was 60.8%; this was significantly higher in patients who received treatment for at least 1 week (range 67.9-71.6% [mean 69.2%]) compared with less than 1 week (47.8%; P < 0.0001), and those who received 50-100 mg (65.7%) compared with other daily doses (range 42.9-60.1% [mean 59.0%]; P = 0.0011). Success rates in Candida- and Aspergillus-infected patients were similar (61.9% and 56.8%, respectively). AEs and adverse drug reactions were observed in 36.2% and 4.5% of patients, respectively. The majority of AEs were mild, while discontinuation due to AEs was low (2.3%).

conclusionMicafungin is effective and well tolerated for the treatment of patients with IFIs in China, as demonstrated in Candida- and Aspergillus-infected adults. Subgroup analyses highlighted the potential benefits of treating IFIs with micafungin for a minimum of 1 week.

trial registrationClinicalTrials.gov identifier NCT02678598.

fundingAstellas Pharma Inc.

Indexed as

AdultAgedAntifungal AgentsChinaFemaleHumansIncidenceInfusions, IntravenousInvasive Fungal InfectionsMaleMicafunginMiddle AgedRetrospective StudiesAntifungal AgentsMicafunginAspergillusCandidaInvasive fungal infectionsMicafunginReal-world dataRetrospective study

Identifiers

PMID30105657
PMCPMC6133133
OpenAlexW2885812757

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.