Table 4 Stratified analyses by mould-active agent

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

Outcome

Trials (patients)

RR a (95% CI)

P- value

P- value for interaction test

Mould-active agent

 Proven or probable IFI

   

0.1

Amphotericin

3 (287)

1.46 (0.70, 3.05)

0.31

 

Other azoles

12 (3426)

0.60 (0.43, 0.84)

0.003

 

Echinocandin

3 (1089)

0.71 (0.29, 1.73)

0.45

 

 Invasive aspergillosis

   

0.29

Amphotericin

3 (618)

1.18 (0.28, 4.97)

0.82

 

Other azoles

9 (2796)

0.52 (0.36, 0.76)

0.0006

 

Echinocandin

3 (1089)

0.19 (0.03, 1.11)

0.07

 

 IFI-related mortality

    

Amphotericin

4 (642)

0.91 (0.39, 2.16)

0.83

 

Other azoles

9 (2648)

0.64 (0.38, 1.08)

0.09

 

Echinocandin

2 (982)

0.70 (0.12, 4.28)

0.70

 

 IA-related mortality

   

0.43

Amphotericin

2 (101)

3.41 (0.14, 81.07)

0.45

 

Other azoles

5 (1531)

0.63 (0.18, 2.13)

0.46

 

Echinocandin

2 (982)

0.27 (0.03, 2.38)

0.24

 

 Overall mortality

   

0.79

Amphotericin

3 (618)

1.11 (0.78, 1.59)

0.55

 

Other azoles

11 (3270)

0.99 (0.86, 1.14)

0.89

 

Echinocandin

2 (982)

0.89 (0.42, 1.88)

0.76

 

 AEs requiring antifungal treatment discontinuation or modification

   

0.001

Amphotericin

4 (642)

5.98 (1.20, 29.86)

0.03

 

Other azoles

10 (2869)

1.92 (1.19, 3.08)

0.007

 

Echinocandin

2 (982)

0.59 (0.34, 1.03)

0.06

 
  1. Abbreviations: AEs=adverse events; CI=confidence interval; IA=invasive aspergillosis; IFI=invasive fungal infection; RR=risk ratio.
  2. a RR<1 represents an advantage of mould-active coverage compared with fluconazole using a random-effects model.