Efficacy of Micafungin (MCFG) for Pediatric Patients of Hematological Disorder and Malignant Tumor

  • ONUMA Masaei
    Departments of Pediatrics, Tohoku University School of Medicine
  • KUMAKI Satoru
    Departments of Pediatrics, Tohoku University School of Medicine
  • YOSHINARI Miyako
    Departments of Pediatric Hematology and Oncology, Tohoku University School of Medicine
  • SATO Atsushi
    Department of Hematology and Oncology, Miyagi Children's Hospital
  • TERUI Kiminori
    Department of Pediatrics, Hirosaki University School of Medicine
  • KAMIO Takuya
    Department of Pediatrics, Hirosaki University School of Medicine
  • HIRAYAMA Masashi
    Department of Pediatrics, Nakadoori General Hospital
  • KANNO Miyako
    Department of Pediatrics, Yamagata University School of Medicine
  • KAWAKAMI Takako
    Department of Pediatrics, Yamagata University School of Medicine
  • MOCHIZUKI Kazuhiro
    Department of Pediatrics, Fukushima Medical University School of Medicine
  • ITO Masaki
    Department of Pediatrics, Fukushima Medical University School of Medicine
  • WATANABE Arata
    Department of Pediatrics, Nakadoori General Hospital
  • ENDO Mikiya
    Department of Pediatrics, Iwate Medical Universiy
  • MITSUI Tetsuo
    Department of Pediatrics, Yamagata University School of Medicine
  • IMAIZUMI Masue
    Department of Hematology and Oncology, Miyagi Children's Hospital
  • KIKUTA Atsushi
    Department of Pediatrics, Fukushima Medical University School of Medicine
  • ITO Etsuro
    Department of Pediatrics, Hirosaki University School of Medicine
  • TSUCHIYA Shigeru
    Departments of Pediatrics, Tohoku University School of Medicine

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Other Title
  • 血液・腫瘍性疾患患児における抗真菌薬ミカファンギンの有効性に関する検討

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Abstract

We performed a multicenter study to evaluate the efficacy and safety of micafungin (MCFG) in empiric and prophylactic treatment for pediatric patients with neutropenia due to hematopoietic stem cell transplantation or chemotherapy for hematological disorders and malignant tumors. In the prophylactic treatment group, all 17 patients, administered MCFG at a dose of 3.1 mg/kg (range 2.5 to 4.5 mg/kg), showed prophylactic efficacy against fungalinfection. In the empiric treatment group, 14 (70%) of 20 patients, administered MCFG at a dose of 3.8 mg/kg (range 2.6 to 6.0 mg/kg), showed improvements in infectious symptoms. None of the patients required discontinuation, although toxicity developed in 8 (19%) patients, including diarrhea and abdominal pain. This multicenter study demonstrated the effectiveness and safety of MCFG in an empiric and prophylactic treatment for pediatric patients.

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