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

Authors :
Lamberink H
Huygens S
Aerts R
Lagrou K
van Leeuwen-Segarceanu E
Lodewyck T
Nieuwenhuizen L
Corsten MF
Moors I
Servais S
De Greef J
Hites M
Demandt A
Schauwvlieghe A
Maertens J
Rijnders B
Source :
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America [Clin Infect Dis] 2024 Oct 08. Date of Electronic Publication: 2024 Oct 08.
Publication Year :
2024
Publisher :
Ahead of Print

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.<br /> (© The Author(s) 2024. Published by Oxford University Press on behalf of Infectious Diseases Society of America.)

Details

Language :
English
ISSN :
1537-6591
Database :
MEDLINE
Journal :
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
Publication Type :
Academic Journal
Accession number :
39378343
Full Text :
https://doi.org/10.1093/cid/ciae501