ConductScience.org, home

Trial ยท NCT00413218

Isavuconazole (BAL8557) in the Treatment of Candidemia and Other Invasive Candida Infections

NCT00413218, Phase 3, Completed, Astellas Pharma Inc; results first posted 2017-08-01

3 sourcestrials-2026-11-12-0.5.0

Download JSON
Cite this record

ConductScience Library. Isavuconazole (BAL8557) in the Treatment of Candidemia and Other Invasive Candida Infections. Trials, record NCT00413218. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00413218

On this page

Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Isavuconazole (BAL8557) in the Treatment of Candidemia and Other Invasive Candida Infections
NCT number
NCT00413218
Status
Completed
Phases
Phase 3
Enrollment
450 participants, actual
Lead sponsor
Astellas Pharma Inc
Conditions
Candidiasis, Invasive, Candidemia, Mycoses
Interventions
Isavuconazole, Caspofungin, Voriconazole
First posted
2006-12-19
Last updated
2024-12-10
Other registries' IDs
eudract:2006-003951-18
Results first posted
2017-08-01
Limitations and caveats
Enrollment in the clinical study was suspended in January 2009 pending further characterization of newly identified impurities. After successful completion of the studies, regulatory notifications and transfer of sponsorship from Basilea to Astellas,

Source ClinicalTrials.gov

Registered outcomes9

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
Primary
Percentage of Participants With Overall Response of Success at the End of Intravenous Therapy (EOIV) as Determined by the Data Review Committee (DRC) Based on the Assessments of Clinical and Mycological Responses as Well as Alternative Systemic AFT Use
End of Intravenous Treatment (EOIV) (Days 11-56)
A Data Review Committee (DRC) was established from independent experts in the field of fungal infections to determine diagnosis and outcomes independently of the investigators and sponsor. Success was defined as clinical response (complete or partial) and mycological response (eradication or presumed eradication) without the use of alternative systemic antifungal therapy (AFT) within 48 hours after the last dose of IV study medication.
Secondary
Percentage of Participants With Overall Response of Success at Follow Up Visit 1 (FU1-2 Weeks After End of Treatment (EOT)) as Determined by the DRC Based on the Assessments of Clinical, Mycological Responses and Antifungal Therapy (AFT)
End of Treatment (EOT) (Day 56) and FU1 (2 weeks after end of treatment)
A data review committee (DRC) was established from independent experts in the field of fungal infections to determine diagnosis and outcomes independently of the investigators and sponsor. Success was defined as clinical response (complete or partial) and mycological response (eradication or presumed eradication), without the use of alternative systemic AFT within 48 hours after the last dose of IV study medication.
Secondary
Percentage of Participants With Overall Response of Success at EOT and Follow Up Visit 2 (FU2) as Determined by the DRC Based on the Assessments of Clinical and Mycological Responses as Well as Alternative Systemic AFT Use at EOT and FU2
EOT (Day 56) and FU2 (6 weeks after end of treatment)
A data review committee (DRC) was established from independent experts in the field of fungal infections to determine diagnosis and outcomes independently of the investigators and sponsor. Success was defined as clinical response (complete or partial) and mycological response (eradication or presumed eradication), without the use of alternative systemic antifungal therapy AFT within 48 hours after the last dose of IV study medication (for EOT analysis) or for continued treatment of the primary infection, or for recurrent or emergent infection by FU2, with no recurrent or emergent infection by FU2 (for FU2 analysis).
SecondaryPercentage of Participants With Clinical Response of Success at EOIV, EOT, FU1 and FU2 as Determined by the Data Review Committee (DRC)EOIV (Days 11-56), EOT (Day 56), FU1 (2 weeks after end of treatment) and FU2 (6 weeks after end of treatment)
A data review committee (DRC) was established from independent experts in the field of fungal infections to determine diagnosis and outcomes independently of the investigators and sponsor. Success was defined as clinical response (complete or partial).
SecondaryPercentage of Participants With Mycological Response of Success at EOIV, EOT, FU1 and FU2 as Determined by the Data Review Committee (DRC)EOIV (Days 11-56), EOT (Day 56), FU1 (2 weeks after end of treatment) and FU2 (6 weeks after end of treatment)
A data review committee (DRC) was established from independent experts in the field of fungal infections to determine diagnosis and outcomes independently of the investigators and sponsor. Success was defined as mycological response (Eradication or Presumed Eradication).
SecondaryPercentage of Participants With Mycological Response of Success at Day 7 and EOT as Determined by The InvestigatorDay 7 and EOT (Day 56)Success was defined as mycological response (eradication or presumed eradication).
SecondaryPercentage of Participants With Clinical Response of Success at Day 7 and EOT as Determined by The InvestigatorDay 7 and EOT (Day 56)Investigators defined clinical response as success if participants exhibited complete or partial clinical response after evaluation of clinical signs and symptoms.
SecondaryAll-Cause Mortality (ACM) at Day 14 and Day 56Day 14 and Day 56
All-cause mortality is represented as the percentage of participants who died on or before the analysis day. Participants who were lost to follow-up (i.e., unknown survival status) before the analysis day were counted as death. All-cause mortality was examined on Day 14 and Day 56.
SecondaryTime to First Confirmed Negative CultureDay 1 up to FU1 (2 weeks after EOT (Day 56))
The first confirmed negative blood culture was defined as the first negative blood culture on or after first dose followed by a second negative blood culture at least 24 hours apart without any positive blood cultures in between. A participant without a confirmed negative blood culture was censored on the participant's last visit day. This endpoint was analyzed for mITT participants with candidemia only using the Kaplan-Meier method. Only participants with at least one positive blood culture on or prior to first dose and the culture not resolved prior to first dose were included in this analysis

Outcomes9

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARY
Percentage of Participants With Overall Response of Success at the End of Intravenous Therapy (EOIV) as Determined by the Data Review Committee (DRC) Based on the Assessments of Clinical and Mycological Responses as Well as Alternative Systemic AFT Use
End of Intravenous Treatment (EOIV) (Days 11-56)
The ITT population consisted of all randomized participants who received at least one dose of study drug. The mITT population consisted of ITT participants who had documented invasive candidiasis or candidemia at baseline based on the assessment of the independent blinded DRC. Reporting arms included participants who switched to oral ISA and CAS.
Percentage of ParticipantsNUMBER
SECONDARY
Percentage of Participants With Overall Response of Success at Follow Up Visit 1 (FU1-2 Weeks After End of Treatment (EOT)) as Determined by the DRC Based on the Assessments of Clinical, Mycological Responses and Antifungal Therapy (AFT)
End of Treatment (EOT) (Day 56) and FU1 (2 weeks after end of treatment)
The mITT was the primary efficacy population and it consisted of ITT participants who had documented invasive candidiasis or candidemia at baseline based on the assessment of the independent blinded DRC. The isavuconazole and caspofungin group included participants who switched to oral isavuconazol and voriconazole.
Percentage of ParticipantsNUMBER
SECONDARY
Percentage of Participants With Overall Response of Success at EOT and Follow Up Visit 2 (FU2) as Determined by the DRC Based on the Assessments of Clinical and Mycological Responses as Well as Alternative Systemic AFT Use at EOT and FU2
EOT (Day 56) and FU2 (6 weeks after end of treatment)
The mITT was the primary efficacy population and it consisted of ITT participants who had documented invasive candidiasis or candidemia at baseline based on the assessment of the independent blinded DRC. The isavuconazole and caspofungin group included participants who switched to oral isavuconazol and voriconazole.
Percentage of ParticipantsNUMBER
SECONDARYPercentage of Participants With Clinical Response of Success at EOIV, EOT, FU1 and FU2 as Determined by the Data Review Committee (DRC)EOIV (Days 11-56), EOT (Day 56), FU1 (2 weeks after end of treatment) and FU2 (6 weeks after end of treatment)
The mITT was the primary efficacy population and it consisted of ITT participants who had documented invasive candidiasis or candidemia at baseline based on the assessment of the independent blinded DRC. The isavuconazole and caspofungin group included participants who switched to oral isavuconazol and voriconazole.
Percentage of ParticipantsNUMBER
SECONDARYPercentage of Participants With Mycological Response of Success at EOIV, EOT, FU1 and FU2 as Determined by the Data Review Committee (DRC)EOIV (Days 11-56), EOT (Day 56), FU1 (2 weeks after end of treatment) and FU2 (6 weeks after end of treatment)
The mITT was the primary efficacy population and it consisted of ITT participants who had documented invasive candidiasis or candidemia at baseline based on the assessment of the independent blinded DRC. The isavuconazole and caspofungin group included participants who switched to oral isavuconazol and voriconazole.
Percentage of ParticipantsNUMBER
SECONDARYPercentage of Participants With Mycological Response of Success at Day 7 and EOT as Determined by The InvestigatorDay 7 and EOT (Day 56)
The mITT was the primary efficacy population and it consisted of ITT participants who had documented invasive candidiasis or candidemia at baseline based on the assessment of the independent blinded DRC. The isavuconazole and caspofungin group included participants who switched to oral isavuconazol and voriconazole.
Percentage of ParticipantsNUMBER
SECONDARYPercentage of Participants With Clinical Response of Success at Day 7 and EOT as Determined by The InvestigatorDay 7 and EOT (Day 56)
The mITT was the primary efficacy population and it consisted of ITT participants who had documented invasive candidiasis or candidemia at baseline based on the assessment of the independent blinded DRC. The isavuconazole and caspofungin group included participants who switched to oral isavuconazol and voriconazole
Percentage of ParticipantsNUMBER
SECONDARYAll-Cause Mortality (ACM) at Day 14 and Day 56Day 14 and Day 56
The mITT was the primary efficacy population and it consisted of ITT participants who had documented invasive candidiasis or candidemia at baseline based on the assessment of the independent blinded DRC.
Percentage of ParticipantsNUMBER
SECONDARYTime to First Confirmed Negative CultureDay 1 up to FU1 (2 weeks after EOT (Day 56))
The mITT was the primary efficacy population and it consisted of ITT participants who had documented invasive candidiasis or candidemia at baseline based on the assessment of the independent blinded DRC.
DaysMEDIAN

Results by group38

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants With Overall Response of Success at the End of Intravenous Therapy (EOIV) as Determined by the Data Review Committee (DRC) Based on the Assessments of Clinical and Mycological Responses as Well as Alternative Systemic AFT Use
Isavuconazole (ISA)60.3Percentage of Participants
Percentage of Participants With Overall Response of Success at the End of Intravenous Therapy (EOIV) as Determined by the Data Review Committee (DRC) Based on the Assessments of Clinical and Mycological Responses as Well as Alternative Systemic AFT Use
Caspofungin (CAS)/Voriconazole71.1Percentage of Participants
Percentage of Participants With Overall Response of Success at Follow Up Visit 1 (FU1-2 Weeks After End of Treatment (EOT)) as Determined by the DRC Based on the Assessments of Clinical, Mycological Responses and Antifungal Therapy (AFT)
Isavuconazole (ISA)54.8Percentage of Participants
Percentage of Participants With Overall Response of Success at Follow Up Visit 1 (FU1-2 Weeks After End of Treatment (EOT)) as Determined by the DRC Based on the Assessments of Clinical, Mycological Responses and Antifungal Therapy (AFT)
Caspofungin (CAS)/Voriconazole57.2Percentage of Participants
Percentage of Participants With Overall Response of Success at EOT and Follow Up Visit 2 (FU2) as Determined by the DRC Based on the Assessments of Clinical and Mycological Responses as Well as Alternative Systemic AFT Use at EOT and FU2
Isavuconazole (ISA)EOT (Day 56)61.3Percentage of Participants
Percentage of Participants With Overall Response of Success at EOT and Follow Up Visit 2 (FU2) as Determined by the DRC Based on the Assessments of Clinical and Mycological Responses as Well as Alternative Systemic AFT Use at EOT and FU2
Caspofungin (CAS)/VoriconazoleEOT (Day 56)72.1Percentage of Participants
Percentage of Participants With Overall Response of Success at EOT and Follow Up Visit 2 (FU2) as Determined by the DRC Based on the Assessments of Clinical and Mycological Responses as Well as Alternative Systemic AFT Use at EOT and FU2
Isavuconazole (ISA)FU2 (6 weeks after end of treatment)43.2Percentage of Participants
Percentage of Participants With Overall Response of Success at EOT and Follow Up Visit 2 (FU2) as Determined by the DRC Based on the Assessments of Clinical and Mycological Responses as Well as Alternative Systemic AFT Use at EOT and FU2
Caspofungin (CAS)/VoriconazoleFU2 (6 weeks after end of treatment)48.3Percentage of Participants
Percentage of Participants With Clinical Response of Success at EOIV, EOT, FU1 and FU2 as Determined by the Data Review Committee (DRC)Isavuconazole (ISA)Success- End of Intravenous Treatment (EOIV)76.4Percentage of Participants
Percentage of Participants With Clinical Response of Success at EOIV, EOT, FU1 and FU2 as Determined by the Data Review Committee (DRC)Caspofungin (CAS)/VoriconazoleSuccess- End of Intravenous Treatment (EOIV)84.1Percentage of Participants

Participant flow8

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDIsavuconazole (ISA)223
Overall StudySTARTEDCaspofungin (CAS)/Voriconazole227
Overall StudyIntent to Treat Population (ITT)Isavuconazole (ISA)221
Overall StudyIntent to Treat Population (ITT)Caspofungin (CAS)/Voriconazole219
Overall StudyCOMPLETEDIsavuconazole (ISA)120
Overall StudyCOMPLETEDCaspofungin (CAS)/Voriconazole131
Overall StudyNOT COMPLETEDIsavuconazole (ISA)103
Overall StudyNOT COMPLETEDCaspofungin (CAS)/Voriconazole96

Adverse events438

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersIsavuconazole (ISA)1322014
otherAnaemiaBlood and lymphatic system disordersCaspofungin (CAS)/Voriconazole1822021
otherTachycardiaCardiac disordersIsavuconazole (ISA)1822020
otherTachycardiaCardiac disordersCaspofungin (CAS)/Voriconazole922010
otherAbdominal painGastrointestinal disordersIsavuconazole (ISA)1622017
otherAbdominal painGastrointestinal disordersCaspofungin (CAS)/Voriconazole2022023
otherConstipationGastrointestinal disordersIsavuconazole (ISA)3222034
otherConstipationGastrointestinal disordersCaspofungin (CAS)/Voriconazole2422031
otherDiarrhoeaGastrointestinal disordersIsavuconazole (ISA)3322037
otherDiarrhoeaGastrointestinal disordersCaspofungin (CAS)/Voriconazole4122049

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityIsavuconazole (ISA)55220
Total, all-cause mortalityCaspofungin (CAS)/Voriconazole55220
Total, other adverse eventsIsavuconazole (ISA)162220
Total, other adverse eventsCaspofungin (CAS)/Voriconazole167220
Total, serious adverse eventsIsavuconazole (ISA)112220
Total, serious adverse eventsCaspofungin (CAS)/Voriconazole106220

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
25902926DERIVEDPubMed
30289478DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Isavuconazole (ISA) vs Caspofungin (CAS)/Voriconazole: deaths from any causeTrial comparisons
Isavuconazole (ISA) vs Caspofungin (CAS)/Voriconazole: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00413218

GET https://conductscience.org/api/trials/v1/NCT00413218/results?page=2