Superiority trials in invasive aspergillosis: a harsh reality check with the IA-DUET (HOVON502) trial

IF 8.2 1区 医学 Q1 IMMUNOLOGY Clinical Infectious Diseases Pub Date : 2024-10-08 DOI:10.1093/cid/ciae501
Hanne Lamberink, Sammy Huygens, Robina Aerts, Katrien Lagrou, Elena van Leeuwen-Segarceanu, Tom Lodewyck, Laurens Nieuwenhuizen, Maarten F Corsten, Ine Moors, Sophie Servais, Julien De Greef, Maya Hites, Astrid Demandt, Alexander Schauwvlieghe, Johan Maertens, Bart Rijnders
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Abstract

The IA-DUET study aimed to compare azole-echinocandin combination with azole monotherapy for invasive aspergillosis. Recruitment was hindered by patient ineligibility, competing studies, and guidelines favoring combination therapy when azole resistance was unknown. The low IA-attributable mortality suggests future trials may benefit from cluster randomization or composite endpoints to enhance efficiency.
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侵袭性曲霉菌病的优势试验:IA-DUET(HOVON502)试验的残酷现实检验
IA-DUET研究旨在比较唑类-棘白菌素联合疗法和唑类单药疗法对侵袭性曲霉菌病的治疗效果。由于患者不符合条件、竞争性研究以及指南倾向于在唑类药物耐药性未知的情况下采用联合疗法,因此招募工作受到了阻碍。可归因于侵袭性曲霉菌病的死亡率较低,这表明未来的试验可能会受益于分组随机化或复合终点以提高效率。
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来源期刊
Clinical Infectious Diseases
Clinical Infectious Diseases 医学-传染病学
CiteScore
25.00
自引率
2.50%
发文量
900
审稿时长
3 months
期刊介绍: Clinical Infectious Diseases (CID) is dedicated to publishing original research, reviews, guidelines, and perspectives with the potential to reshape clinical practice, providing clinicians with valuable insights for patient care. CID comprehensively addresses the clinical presentation, diagnosis, treatment, and prevention of a wide spectrum of infectious diseases. The journal places a high priority on the assessment of current and innovative treatments, microbiology, immunology, and policies, ensuring relevance to patient care in its commitment to advancing the field of infectious diseases.
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