Table 1 Characteristics of included trials that compare fluconazole vs mould-active antifungal prophylaxis

From: Mould-active compared with fluconazole prophylaxis to prevent invasive fungal diseases in cancer patients receiving chemotherapy or haematopoietic stem-cell transplantation: a systematic review and meta-analysis of randomised controlled trials

Study author

Pub year

Multi-centre

N

Population

Mould-active dose

Fluconazole dose

Prophylaxis end

Surrogate testing a

Bodey et al, 1994

1994

No

77

Hem malignancy

CAB 0.17 mg kg−1 per dose IV TID

400 mg per dose PO/IV OD

ANC>1000 μl−1 or 8 weeks

No

Annaloro et al, 1995

1995

No

59

HSCT (auto, allo)

Itraconazole 400 mg per dose PO OD

300 mg per dose PO OD

Neutropenia resolution

No

Huijgens et al, 1999a

1999

No

202

Hem malignancy, HSCT (auto)

Itraconazole 100 mg per dose PO BID

50 mg per dose PO BID

ANC>500 μl−1

No

Morgenstern et al, 1999b

1999

Yes

581

Hem malignancy, HSCT (auto, allo)

Itraconazole 2.5 mg kg−1 per dose PO BID

100 mg per dose PO OD

ANC>1000 μl−1 × 7 days

No

Timmers et al, 2000a

2000

No

24

Hem malignancy, HSCT (auto, allo)

Amphotericin B colloidal dispersion 2 mg kg−1 per dose IV OD

200 mg per dose PO OD

ANC>500 μl−1

No

Wolff et al, 2000a

2000

Yes

355

HSCT (auto, allo)

CAB 0.2 mg kg−1 per dose IV OD

400 mg per dose PO/IV OD

ANC>500 μl−1

No

Koh et al, 2002b

2002

No

186

HSCT (auto, allo)

CAB 0.2 mg kg−1 per dose IV OD

200 mg per dose PO OD

ANC>500 μl−1 × 3 days

No

Winston et al, 2003

2003

Yes

138

HSCT (allo)

Itraconazole 200 mg per dose IV BID × 4 then 200 mg per dose IV OD × 12 then 200 mg per dose PO BID until D+100

400 mg per dose IV OD × 14 then 400 mg per dose PO OD until D+100

D+100

No

Marr et al, 2004

2004

No

299

HSCT (allo)

Itraconazole 2.5 mg kg−1 per dose PO TID or 200 mg per dose IV OD

400 mg per dose PO/IV OD

D+120–180 days

No

van Burik et al, 2004

2004

Yes

882

HSCT (auto, allo)

Micafungin 50 mg per dose IV OD

400 mg per dose IV OD

ANC500 μl−1 × 5 days or D+42

No

Choi et al, 2005

2005

No

78

HSCT (allo)

Itraconazole 200 mg per dose PO OD

200 mg per dose PO OD

NS

No

Glasmacher et al, 2006

2006

Yes

494

Hem malignancy

Itraconazole 5 mg kg−1 per dose PO BID

400 mg per dose PO/IV OD

ANC>1000 μl−1 or 8 weeks

No

Oren et al, 2006a

2006

No

195

Hem malignancy, HSCT (auto, allo)

Itraconazole 200 mg per dose PO/IV BID

400 mg per dose PO/IV OD

Neutropenia resolution or 8 weeks

No

Cornely et al, 2007

2007

Yes

544

Hem malignancy

Posaconazole 200 mg per dose PO/IV BID

400 mg per dose PO/IV OD

Neutropenia resolution or 12 weeks

No

Ito et al, 2007a

2007

Yes

209

Hem malignancy

Itraconazole 200 mg per dose PO OD

200 mg per dose PO OD

ANC >1000 μl−1 or leukocytes2 μl−1

Yes

Ullmann et al, 2007

2007

Yes

600

GVHD

Posaconazole 200 mg per dose PO TID

400 mg per dose PO OD

112 days

Yes

Hiramatsu et al, 2008a

2008

No

100

HSCT (auto, allo)

Micafungin 150 mg per dose IV OD

400 mg per dose IV OD

ANC>500 μl−1 × 5 or D+42

No

Sawada et al, 2009b

2009

Yes

107

Hem malignancy, HSCT (allo/auto)

Micafungin 2 mg kd−1 per dose IV OD

10 mg kg−1 per dose IV OD

ANC>500 μl−1

No

Ota et al, 2010

2010

No

73

HSCT (auto, allo)

Itraconazole 200 mg per dose PO/IV OD

400 mg per dose PO/IV OD

D+28

No

Wingard et al, 2010

2010

Yes

600

HSCT (allo)

Voriconazole 200 mg per dose PO BID

400 mg per dose PO OD

D+100

Yes

  1. Abbreviations: allo=allogeneic; ANC=absolute neutrophil count; auto=autologous; BID=twice daily; CAB=conventional amphotericin B; D=day of HSCT; GVHD=graft-vs-host disease; Hem=haematological; HSCT=haematopoietic stem cell transplantation; IV=intravenous; N=total number of subjects randomised; NS=not specified; OD=once daily; Pub=publication; PO=oral; TID=three times daily.
  2. a Surrogate marker evaluation for invasive fungal infection includes galactomannin and beta-D glucan testing.