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Table 4 Outcomes of prophylactic micafungin vs. posaconazole during first induction chemotherapy in newly diagnosed AML patients

From: Micafungin prophylaxis for acute leukemia patients undergoing induction chemotherapy

 

Micafungin, n (%)

Posaconazole, n (%)

P-value

Incidence of fungal infection

2/32 (6.3)

2/39 (5.1)

1.000

 Proven fungal infection

1/32 (3.1)

0

 

 Probable fungal infection

0

2/39 (5.1)

 

 Possible fungal infection

1/32 (3.1)

0

 

Discontinuation of prophylactic antifungal agent

17/32 (53.1)

20/39 (51.3)

0.877

Cause of discontinuation

 Suspected fungal infection

2/32 (6.3)

2/39 (5.1)

 

 Prolonged neutropenic fever

13/32 (40.6)

17/39 (43.6)

 

 Any adverse event

2/32 (6.3)

0

 

 Oral mucositis

0

1/39 (2.6)

 

 Antifungal treatment completed

15/32 (46.9)

19/39 (48.7)

 

Change to another antifungal agent

16/32 (50.0)

20/39 (51.3)

0.914

Adverse event of prophylactic antifungal agent

2/32 (6.3)

4/39 (10.3)

0.683

 Liver function test abnormality

1/32 (3.1)

4/39 (10.3)

 

 Allergic reaction (Grade 2)

1/32 (3.1)

0

 

 No adverse event

30/32 (93.8)

35/39 (89.7)

 

Cause of mortality during chemotherapy

3/32 (9.4)

2/39 (5.1)

0.652

Fungal infection (proven)

1/32 (3.1)

0

 

Respiratory failure (pneumonia, pulmonary edema)

1/32 (3.1)

1/39 (2.6)

 

Septic shock

1/32 (3.1)

1/39 (2.6)

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