Studied for
3 endpoints · 3 findings · 1 paper · 3 null
- All-cause mortalityno detected effectEvidence strength: moderate. Human evidence with one recorded weakness, or capped at moderate by its design or by unread numbers.
- Hospital length of stayno detected effectEvidence strength: moderate. Human evidence with one recorded weakness, or capped at moderate by its design or by unread numbers.
- Withdrawal due to adverse eventsno detected effectEvidence strength: moderate. Human evidence with one recorded weakness, or capped at moderate by its design or by unread numbers.
What the evidence says
How to read these marks3 findings · 3 endpoints · 1 paper · 3 null · by evidence strength
Every finding here is a null result.
What did not
3 findings
No detected effect on all-cause mortality
ModerateEvidence strength: moderate. Human evidence with one recorded weakness, or capped at moderate by its design or by unread numbers.FindingNull result“The use of prophylactic fluconazole was associated with a reduction in the proportion of patients with candidaemia (RR = 0.21, 95% CI = 0.06–0.72, P = 0.01; I2 = 0%) and fungal infections other than lower urinary tract infection (RR = 0.39, 95% CI = 0.24–0.65, P = 0.0003; I2 = 0%), but was associated with no significant difference in hospital mortality (RR = 0.82, 95% CI = 0.62–1.08, P = 0.15; I2 = 7%).”
Quoted verbatim from The use of prophylactic fluconazole in immunocompetent high-risk surgical patients: a meta-analysis.. - Study
- meta-analysis
- Dose
- 100 to 800 mg/day
- Population
- Immunocompetent high-risk surgical adult patients in seven randomised trials of prophylactic fluconazole versus placebo; pooled routes (five intravenous, one enteral, one either)
Effect 0.82 risk ratio, 95% CI 0.62 to 1.08
The use of prophylactic fluconazole in immunocompetent high-risk surgical patients: a meta-analysis.2005PMID:16280069Industry fundedPermalink
No detected effect on hospital length of stay
ModerateEvidence strength: moderate. Human evidence with one recorded weakness, or capped at moderate by its design or by unread numbers.FindingNull result“The total length of hospital stay was no different between the fluconazole group and the placebo group (weight mean difference = -0.4 days, 95% CI = -10.35 to 9.54, P = 0.94; I2 = 52.4%).”
Quoted verbatim from The use of prophylactic fluconazole in immunocompetent high-risk surgical patients: a meta-analysis.. - Study
- meta-analysis
- Dose
- 100 to 800 mg/day
- Population
- Immunocompetent high-risk surgical adult patients in randomised trials of prophylactic fluconazole versus placebo; pooled routes (five intravenous, one enteral, one either)
Effect -0.4 mean difference, 95% CI -10.35 to 9.54
The use of prophylactic fluconazole in immunocompetent high-risk surgical patients: a meta-analysis.2005PMID:16280069Industry fundedPermalink
No detected effect on withdrawal due to adverse events
ModerateEvidence strength: moderate. Human evidence with one recorded weakness, or capped at moderate by its design or by unread numbers.FindingNull result“The proportion of patients colonised with or infected with fluconazole-resistant fungi (RR = 0.66, 95% CI = 0.22–1.96, P = 0.46; I2 = 0%) and the proportion of patients with adverse events leading to cessation of the study drug (RR = 0.75, 95% CI = 0.22–2.58, P = 0.65; I2 = 0%) were not different between the fluconazole group and the placebo group.”
Quoted verbatim from The use of prophylactic fluconazole in immunocompetent high-risk surgical patients: a meta-analysis.. - Study
- meta-analysis
- Dose
- 100 to 800 mg/day
- Population
- Immunocompetent high-risk surgical adult patients in randomised trials of prophylactic fluconazole versus placebo; pooled routes (five intravenous, one enteral, one either)
Effect 0.75 risk ratio, 95% CI 0.22 to 2.58
The use of prophylactic fluconazole in immunocompetent high-risk surgical patients: a meta-analysis.2005PMID:16280069Industry fundedPermalink
Papers screened
700 papers
- Compound
- fluconazole
- Screened
- 700
- Admitted
- 1
- Discarded
- 34
- Not read
- 665
- Showing
- 200 of 700
Produced a finding1 paper
- PMID:162800692026-10-05
Discarded: the wrong intervention14 papers
- PMID:11283809cited by PMID:16280069; not about the subject it would be filed under2026-10-05
- PMID:11418877cited by PMID:16280069; not about the subject it would be filed under2026-10-05
- PMID:11486286cited by PMID:16280069; not about the subject it would be filed under2026-10-05
- PMID:11561803cited by PMID:16280069; not about the subject it would be filed under2026-10-05
- PMID:12024098cited by PMID:16280069; not about the subject it would be filed under2026-10-05
- PMID:12173140cited by PMID:16280069; not about the subject it would be filed under2026-10-05
- PMID:12678418cited by PMID:16280069; not about the subject it would be filed under2026-10-05
- PMID:12958120cited by PMID:16280069; not about the subject it would be filed under2026-10-05
- PMID:14652203cited by PMID:16280069; not about the subject it would be filed under2026-10-05
- PMID:15306996cited by PMID:16280069; not about the subject it would be filed under2026-10-05
- PMID:15546116cited by PMID:16280069; not about the subject it would be filed under2026-10-05
- PMID:15546117cited by PMID:16280069; not about the subject it would be filed under2026-10-05
and 2 more.
Discarded: no comparator9 papers
- PMID:10428919no claim extracted — comparator_not_absence2026-10-05
- PMID:22568999no claim extracted — comparator_not_absence2026-10-05
- PMID:24563222no claim extracted — comparator_not_absence2026-10-05
- PMID:25188769no claim extracted — comparator_not_absence2026-10-05
- PMID:39632750no claim extracted — comparator_not_absence2026-10-05
- PMID:40152076no claim extracted — comparator_not_absence2026-10-05
- PMID:41557647no claim extracted — comparator_not_absence2026-10-05
- PMID:26525782no claim extracted — comparator_not_absence2026-09-29
- PMID:42500178no claim extracted — comparator_not_absence2026-09-29
Discarded: no extractable result4 papers
- PMID:23325436claims extracted but the two passes did not agree2026-10-05
- PMID:41877274no claim extracted — no_quantitative_result2026-10-05
- PMID:27350534claims extracted but the two passes did not agree2026-09-29
- PMID:37106436no claim extracted — no_quantitative_result2026-09-29
Discarded: an endpoint this vocabulary does not hold3 papers
- PMID:39651788no claim extracted — no_outcome_node — measured: radiation-induced oral mucositis severity or incidence of grade 2 or higher, CTCAE v5.0; oral Candida carriage and colony-forming units by oral rinse culture | radiation-induced oral mucositis severity, CTCAE v5.0 grade at weeks 1, 4, 7; oral Candida carriage, oral rinse culture and CFU2026-10-05
- PMID:27298330no claim extracted — no_outcome_node — measured: invasive candidiasis or death, composite endpoint, patient-level pooled odds ratio, premature infants | invasive candidiasis, or a composite of invasive candidiasis or death, in premature infants, pooled odds ratio, fluconazole prophylaxis versus placebo2026-09-29
- PMID:41612235no claim extracted — no_outcome_node — measured: fluconazole resistance prevalence in non-albicans Candida species, pooled weighted proportion by MIC-based, disc, or genotypic susceptibility testing | prevalence of fluconazole resistance among non-albicans Candida clinical isolates, pooled by antifungal susceptibility testing (MIC-based, disc, or other method)2026-09-29
Discarded: not retrievable3 papers
- PMID:15357151no PMID parsed, abstract under 200 characters, or no record returned by efetch2026-10-05
- PMID:15599171no PMID parsed, abstract under 200 characters, or no record returned by efetch2026-10-05
- PMID:9274541no PMID parsed, abstract under 200 characters, or no record returned by efetch2026-10-05
Discarded: another reason, stated per paper1 paper
- PMID:7615713no claim extracted — design_has_no_evidence_type2026-10-05
Not read yet665 papers
- PMID:110285502026-10-05
- PMID:119909122026-10-05
- PMID:124475122026-10-05
- PMID:128562132026-10-05
- PMID:146061112026-10-05
- PMID:147487992026-10-05
- PMID:150128612026-10-05
- PMID:155461132026-10-05
- PMID:155991492026-10-05
- PMID:88109642026-10-05
- PMID:103308012026-09-29
- PMID:103419972026-09-29
and 653 more.
Measured, not recorded
- Compound
- fluconazole
- Endpoints measured
- 283 endpoints
- Recorded as a finding
- No
Show what was measured
children reporting side effects, comparable agents
unclear
Side effects were reported by more patients treated with fluconazole (45 of 382; 11.8%) than by those patients treated with comparable agents (25 of 381; 6.6%)
PMID:10428919 · one of two readings recorded this
children reporting side effects, fluconazole
increases
Side effects were reported by more patients treated with fluconazole (45 of 382; 11.8%) than by those patients treated with comparable agents (25 of 381; 6.6%)
PMID:10428919 · one of two readings recorded this
children reporting treatment-related side effects
unclear
Overall, 58 (10.3%) children reported 80 treatment-related side effects.
PMID:10428919 · one of two readings recorded this
patients taking concomitant medications
no effect
Although 98.6% of patients were taking concomitant medications, no clinical or laboratory interactions were observed.
PMID:10428919 · one of two readings recorded this
treatment-related side effects and treatment-related laboratory abnormalities in children given fluconazole, pooled from 12 clinical studies; incidence in a single pooled arm, and fluconazole versus other antifungal agents in a five-study subset
increases, side effects in 45 of 382 (11.8%) fluconazole patients versus 25 of 381 (6.6%) comparator patients
Not recorded as a finding: the comparison was against another active treatment
Side effects were reported by more patients treated with fluconazole (45 of 382; 11.8%) than by those patients treated with comparable agents (25 of 381; 6.6%); vomiting and diarrhea were the most common events in both groups.
PMID:10428919 · one of two readings recorded this
treatment-related side effects (patients reporting at least one) in children given fluconazole; controlled subset compared with other antifungal agents, mostly oral polyenes
increases, side effects in 45 of 382 (11.8%) on fluconazole versus 25 of 381 (6.6%) on comparable agents
Not recorded as a finding: the comparison was against another active treatment
Side effects were reported by more patients treated with fluconazole (45 of 382; 11.8%) than by those patients treated with comparable agents (25 of 381; 6.6%); vomiting and diarrhea were the most common events in both groups.
PMID:10428919 · one of two readings recorded this
adverse events leading to cessation of the study drug
no effect, p = 0.65
the proportion of patients with adverse events leading to cessation of the study drug (RR = 0.75, 95% CI = 0.22–2.58, P = 0.65; I2 = 0%)
PMID:16280069 · one of two readings recorded this
candidaemia proportion (patients with candidaemia), pooled RR
decreases, RR 0.21, 95% CI 0.06-0.72, p = 0.01
Not recorded as a finding: no outcome node for candidaemia / invasive fungal infection incidence
The use of prophylactic fluconazole was associated with a reduction in the proportion of patients with candidaemia (RR = 0.21, 95% CI = 0.06–0.72, P = 0.01; I2 = 0%) and fungal infections other than lower urinary tract infection (RR = 0.39, 95% CI = 0.24–0.65, P = 0.0003; I2 = 0%), but was associated with no significant difference in hospital mortality (RR = 0.82, 95% CI = 0.62–1.08, P = 0.15; I2 = 7%).
PMID:16280069 · one of two readings recorded this
fungal infections other than lower urinary tract infection
decreases, p = 0.0003
fungal infections other than lower urinary tract infection (RR = 0.39, 95% CI = 0.24–0.65, P = 0.0003; I2 = 0%)
PMID:16280069 · one of two readings recorded this
hospital mortality
no effect, p = 0.15
no significant difference in hospital mortality (RR = 0.82, 95% CI = 0.62–1.08, P = 0.15; I2 = 7%)
PMID:16280069 · one of two readings recorded this
patients colonised with or infected with fluconazole-resistant fungi
no effect, p = 0.46
The proportion of patients colonised with or infected with fluconazole-resistant fungi (RR = 0.66, 95% CI = 0.22–1.96, P = 0.46; I2 = 0%)
PMID:16280069 · one of two readings recorded this
patients requiring systemic amphotericin B as rescue therapy
decreases, p = 0.004
The proportion of patients requiring systemic amphotericin B as a rescue therapy for systemic fungal infection was lower after prophylactic use of fluconazole (RR = 0.35, 95% CI = 0.17–0.72, P = 0.004; I2 = 0%)
PMID:16280069 · one of two readings recorded this
proportion colonised with or infected with fluconazole-resistant fungi, pooled RR
no effect, RR 0.66, 95% CI 0.22-1.96, p = 0.46
Not recorded as a finding: no outcome node for antifungal-resistant colonisation/infection
The proportion of patients colonised with or infected with fluconazole-resistant fungi (RR = 0.66, 95% CI = 0.22–1.96, P = 0.46; I2 = 0%) and the proportion of patients with adverse events leading to cessation of the study drug (RR = 0.75, 95% CI = 0.22–2.58, P = 0.65; I2 = 0%) were not different between the fluconazole group and the placebo group.
PMID:16280069 · one of two readings recorded this
proportion of patients requiring systemic amphotericin B as rescue therapy for systemic fungal infection
decreases, RR = 0.35, 95% CI = 0.17–0.72, p = 0.004
Not recorded as a finding: No outcome node for rescue antifungal therapy requirement.
The proportion of patients requiring systemic amphotericin B as a rescue therapy for systemic fungal infection was lower after prophylactic use of fluconazole (RR = 0.35, 95% CI = 0.17–0.72, P = 0.004; I2 = 0%).
PMID:16280069 · one of two readings recorded this
proportion of patients with candidaemia, trial-reported
decreases, RR = 0.21, 95% CI = 0.06–0.72, p = 0.01
Not recorded as a finding: No outcome node for candidaemia incidence; nearest, infectious-complication-rate, requires each source's own case definition and a postoperative setting recorded, and candidaemia is a specific bloodstream infection.
The use of prophylactic fluconazole was associated with a reduction in the proportion of patients with candidaemia (RR = 0.21, 95% CI = 0.06–0.72, P = 0.01; I2 = 0%) and fungal infections other than lower urinary tract infection (RR = 0.39, 95% CI = 0.24–0.65, P = 0.0003; I2 = 0%), but was associated with no significant difference in hospital mortality (RR = 0.82, 95% CI = 0.62–1.08, P = 0.15; I2 = 7%).
PMID:16280069 · one of two readings recorded this
proportion of patients with candidaemia
decreases, p = 0.01
a reduction in the proportion of patients with candidaemia (RR = 0.21, 95% CI = 0.06–0.72, P = 0.01; I2 = 0%)
PMID:16280069 · one of two readings recorded this
proportion requiring systemic amphotericin B rescue therapy for systemic fungal infection, pooled RR
decreases, RR 0.35, 95% CI 0.17-0.72, p = 0.004
Not recorded as a finding: no outcome node for prophylaxis failure requiring rescue antifungal therapy
The proportion of patients requiring systemic amphotericin B as a rescue therapy for systemic fungal infection was lower after prophylactic use of fluconazole (RR = 0.35, 95% CI = 0.17–0.72, P = 0.004; I2 = 0%).
PMID:16280069 · one of two readings recorded this
total length of hospital stay
no effect, p = 0.94
The total length of hospital stay was no different between the fluconazole group and the placebo group (weight mean difference = -0.4 days, 95% CI = -10.35 to 9.54, P = 0.94; I2 = 52.4%)
PMID:16280069 · one of two readings recorded this
adverse events leading to antifungal prophylaxis discontinuation or modification
increases
fluconazole prophylaxis (RR 1.95, 95% CI 1.24–3.07)
PMID:22568999 · one of two readings recorded this
IFI-related mortality
decreases
mortality (RR 0.67, 95% CI 0.47–0.96)
PMID:22568999 · one of two readings recorded this
invasive aspergillosis (IA)
decreases
the risk of IA (RR 0.53, 95% CI 0.37–0.75)
PMID:22568999 · one of two readings recorded this
overall mortality
no effect
overall mortality (RR 1.0, 95% CI 0.88–1.13)
PMID:22568999 · one of two readings recorded this
proven or probable IFI, sensitivity analysis
unclear
with the exception of proven or probably IFI which was no longer significant after removing the three studies that used oral itraconazole solution doses
PMID:22568999 · one of two readings recorded this
proven or probable invasive fungal infection (IFI)
decreases, p = 0.03
reduced the risk of IFI (RR 0.71, 95% CI 0.52–0.98; P=0.03)
PMID:22568999 · one of two readings recorded this
proven or probable invasive fungal infection, invasive aspergillosis, IFI-related mortality, overall mortality (3-month observation) and adverse events leading to discontinuation, mould-active versus fluconazole prophylaxis
no effect, RR 1.0, 95% CI 0.88–1.13
Not recorded as a finding: the comparison was against another active treatment
Importantly, mould-active prophylaxis did not significantly influence overall mortality (RR 1.0, 95% CI 0.88–1.13).
PMID:22568999 · one of two readings recorded this
proven or probable invasive fungal infection, mould-active versus fluconazole prophylaxis, pooled RR across 18 trials; overall mortality at 3 months
no effect, overall mortality RR 1.0, 95% CI 0.88-1.13 (mould-active versus fluconazole); fluconazole is the active comparator, not the exposure
Not recorded as a finding: the comparison was against another active treatment
Importantly, mould-active prophylaxis did not significantly influence overall mortality (RR 1.0, 95% CI 0.88–1.13).
PMID:22568999 · one of two readings recorded this
all adverse events
no effect, p = 0.238
The relative risk of all AEs in the fluconazole group was not statistically different from those treated with placebo (RR 1.30, 95 % CI 0.84–2.03, P = 0.238)
PMID:23325436 · one of two readings recorded this
all adverse events
no effect, p = 0.85
Compared to all other antifungal drugs there was again no significant increase in the risk (RR 1.05, 95 % CI 0.62–1.80, P = 0.85)
PMID:23325436 · one of two readings recorded this
all adverse events
no effect, p = 0.364
or the prophylaxis group (RR 1.68, 95 % CI 0.55–5.11, P = 0.364)
PMID:23325436 · one of two readings recorded this
all adverse events
no effect, p = 0.437
The overall relative risk of adverse events in the fluconazole group was not significantly different within the treatment group (RR 0.82, 95 % CI 0.49–1.36, P = 0.437)
PMID:23325436 · one of two readings recorded this
cholestasis in extremely low birth weight neonates, fluconazole-exposed
increases, p = 0.001
Another prophylactic cohort study recorded 60 cases of cholestasis in 140 fluconazole-exposed extremely low birth weight neonates as against 12 in 137 non-exposed neonates (P < 0.001)
PMID:23325436 · one of two readings recorded this
cholestasis in extremely low birth weight neonates, single cohort without unexposed group
unclear
one of which was a prophylactic study which recorded 127 cases of cholestasis in 409 fluconazole-exposed extremely low birth weight neonates
PMID:23325436 · one of two readings recorded this
gastrointestinal adverse events incidence by dose
no effect, p = 0.585
dose (IRR 1.07, 95 % CI 0.85–1.39, P = 0.585)
PMID:23325436 · one of two readings recorded this
gastrointestinal adverse events incidence by duration of treatment
no effect, p = 0.07
duration of treatment (IRR 1.01, 95 % CI 0.99–1.03, P = 0.07)
PMID:23325436 · one of two readings recorded this
gastrointestinal adverse events incidence, neonates vs children
decreases, p = 0.012
the incidence of GI AEs were lower in neonates than children (IRR 0.15, 95 % CI 0.03–0.66, p = 0.012)
PMID:23325436 · one of two readings recorded this
gastrointestinal adverse events incidence, oral administration
no effect, p = 0.125
Although oral administration increased the incidence of GI AEs, this increase was not significant (IRR 3.22, 95 % CI 0.72–14.33, P = 0.125)
PMID:23325436 · one of two readings recorded this
gastrointestinal events versus placebo, pooled RR
no effect, RR 0.81, 95% CI 0.12-5.60, p = 0.831
Not recorded as a finding: no outcome node for gastrointestinal adverse events as a distinct endpoint
There was no statistical difference in the risk of GI events of fluconazole compared with placebo (RR 0.81, 95 %CI 0.12–5.60, P = 0.831).
PMID:23325436 · one of two readings recorded this
gastrointestinal events
no effect, p = 0.831
GI events | 0.81 | 0.12–5.59 | 0.831
PMID:23325436 · one of two readings recorded this
gastrointestinal events
no effect, p = 0.219
GI events | 2.02 | 0.66–6.23 | 0.219
PMID:23325436 · one of two readings recorded this
gastrointestinal events
no effect, p = 0.235
GI events | 1.23 | 0.88–1.71 | 0.235
PMID:23325436 · one of two readings recorded this
hepatotoxicity incidence by dose
decreases, p = 0.001
The incidence of hepatotoxicity appears to decrease with increasing dose (IRR 0.52, 95 % CI 0.37–0.74, P = 0.001)
PMID:23325436 · one of two readings recorded this
hepatotoxicity incidence, neonates vs children
no effect
Although the incidence of hepatotoxicity in neonates on fluconazole was greater than that in children (IRR 1.33, 95 % CI 0.63–2.80)
PMID:23325436 · one of two readings recorded this
hepatotoxicity incidence, oral vs IV
decreases, p = 0.001
Patients on oral fluconazole were less likely to have hepatotoxicity than those on IV fluconazole (IRR 0.21, 95 % CI 0.92–0.47, P = 0.001)
PMID:23325436 · one of two readings recorded this
hepatotoxicity incidence, therapeutic vs prophylactic use
increases, p = 0.001
the incidence of hepatotoxicity with therapeutic fluconazole was significantly greater than that with prophylaxis (IRR 5.34 95 % CI 1.99–14.37, P = 0.001)
PMID:23325436 · one of two readings recorded this
hepatotoxicity (undefined in the review) versus placebo and versus other antifungals, pooled RR
no effect, RR 1.36 (95% CI 0.87-2.14) versus placebo; RR 1.43 (95% CI 0.67-3.03) versus other antifungals
Not recorded as a finding: node hepatotoxicity-incidence requires an adjudicated transaminase or bilirubin threshold; the review states no definition, and the sentence mixes two comparators
The relative risk of hepatotoxicity with fluconazole was 1.36 (95 % CI 0.87–2.14) and 1.43 (95 % CI 0.67–3.03) when compared with placebo and other antifungals, respectively (Fig. and); these relationships were not statistically significant (P = 0.175 and 0.352, respectively).
PMID:23325436 · one of two readings recorded this
hepatotoxicity
no effect, p = 0.175
Hepatotoxicity | 1.37 | 0.87–2.14 | 0.175
PMID:23325436 · one of two readings recorded this
hepatotoxicity
increases, p = 0.016
Hepatotoxicity | 1.92 | 1.13–3.26 | 0.016*
PMID:23325436 · one of two readings recorded this
hepatotoxicity
no effect, p = 0.352
Hepatotoxicity | 1.43 | 0.67–3.03 | 0.352
PMID:23325436 · one of two readings recorded this
mortality, fluconazole versus placebo, pooled paediatric trials; also hepatotoxicity and gastrointestinal events as relative risks versus placebo and versus other antifungals
RR 0.62, 95 % CI, 0.38–1.03, p = 0.067
Not recorded as a finding: a direction is stated and the estimate does not support it
There was a decrease in mortality when fluconazole was compared with placebo, but this was not significant (RR 0.62, 95 % CI, 0.38–1.03, P = 0.067).
PMID:23325436 · one of two readings recorded this
mortality, fluconazole versus placebo, pooled RR in paediatric patients
decreases, RR 0.62, 95% CI 0.38-1.03, p = 0.067
Not recorded as a finding: sentence states a decrease but not significant (RR 0.62, p 0.067) with no two-sided null statement; direction_stated_but_not_significant
There was a decrease in mortality when fluconazole was compared with placebo, but this was not significant (RR 0.62, 95 % CI, 0.38–1.03, P = 0.067).
PMID:23325436 · one of two readings recorded this
mortality
no effect, p = 0.067
Mortality | 0.62 | 0.37–1.03 | 0.067
PMID:23325436 · one of two readings recorded this
mortality
no effect, p = 0.825
Mortality | 1.01 | 0.02–50.41 | 0.825
PMID:23325436 · one of two readings recorded this
mortality
no effect, p = 0.96
Mortality | 1.01 | 0.72–1.41 | 0.960
PMID:23325436 · one of two readings recorded this
resolution of hepatotoxicity symptoms among patients with complete follow-up
unclear
Therefore, 84 % of patients, for whom follow-up was complete, had resolution of symptoms
PMID:23325436 · one of two readings recorded this
withdrawal due to adverse event
no effect, p = 0.828
Withdrawal due to AE | 0.78 | 0.08–7.24 | 0.828
PMID:23325436 · one of two readings recorded this
withdrawal due to adverse event
no effect, p = 0.992
Withdrawal due to AE | 1.01 | 1.11–9.59 | 0.992
PMID:23325436 · one of two readings recorded this
withdrawal due to adverse event
no effect, p = 0.534
Withdrawal due to AE | 1.25 | 0.62–2.53 | 0.534
PMID:23325436 · one of two readings recorded this
withdrawals due to elevated liver enzymes among drug-related withdrawals
unclear
Of the 41 drug-related withdrawals,17 (42 %) were due to elevated liver enzymes
PMID:23325436 · one of two readings recorded this
duration of treatment on trial drugs
unclear, n = 391
(77 days with voriconazole versus 10 days with amphotericin B)
PMID:24563222 · one of two readings recorded this
fungal-free survival and invasive fungal infections at 180 days, voriconazole versus fluconazole prophylaxis after allogeneic stem cell transplantation (one trial of three)
no effect, no difference in fungal free survival or invasive fungal infections between voriconazole and fluconazole
Not recorded as a finding: the comparison was against another active treatment
The third trial failed to find a difference in fungal free survival or invasive fungal infections at 180 days when voriconazole was compared to fluconazole.
PMID:24563222 · one of two readings recorded this
fungal-free survival and invasive fungal infections at 180 days, voriconazole versus fluconazole prophylaxis after allogeneic stem cell transplantation
no effect
Not recorded as a finding: the comparison was against another active treatment
The third trial failed to find a difference in fungal free survival or invasive fungal infections at 180 days when voriconazole was compared to fluconazole.
PMID:24563222 · one of two readings recorded this
fungal free survival and invasive fungal infections at 180 days
no effect, n = 600
The third trial failed to find a difference in fungal free survival or invasive fungal infections at 180 days when voriconazole was compared to fluconazole.
PMID:24563222 · one of two readings recorded this
mortality
increases, n = 849
More patients died in the voriconazole group
PMID:24563222 · one of two readings recorded this
morbidity and mortality (deaths, fungal infection) in neutropenic cancer patients, fluconazole versus amphotericin B, pooled across 17 trials
no effect, no significant differences in effect between fluconazole and amphotericin B, wide confidence intervals
Not recorded as a finding: the comparison was against another active treatment
There were no significant differences in effect between fluconazole and amphotericin B, but the confidence intervals were wide.
PMID:25188769 · one of two readings recorded this
morbidity and mortality (fungal infection, deaths, drop-outs, adverse effects) in neutropenic cancer patients, fluconazole versus amphotericin B
no effect
Not recorded as a finding: the comparison was against another active treatment
There were no significant differences in effect between fluconazole and amphotericin B, but the confidence intervals were wide.
PMID:25188769 · one of two readings recorded this
morbidity and mortality (overall effect of fluconazole vs amphotericin B)
no effect, n = 3798
There were no significant differences in effect between fluconazole and amphotericin B, but the confidence intervals were wide.
PMID:25188769 · one of two readings recorded this
study dropout
increases
More patients dropped out of the study when they received amphotericin B, but as none of the trials were blinded decisions on premature interruption of therapy could have been biased.
PMID:25188769 · one of two readings recorded this
all-cause deaths, posaconazole vs placebo, fluconazole, and itraconazole solution
decreases, OR 0.49-0.54 (95% CI 0.28-0.88) favoring posaconazole
Posaconazole significantly reduced all-cause deaths, compared to placebo, fluconazole, and itraconazole solution (OR, 0.49 to 0.54 [95% CI, 0.28 to 0.88]).
PMID:26525782 · one of two readings recorded this
all-cause deaths
decreases, OR 0.49 to 0.54 (95% CI 0.28-0.88), posaconazole vs placebo, fluconazole, and itraconazole solution
Posaconazole significantly reduced all-cause deaths, compared to placebo, fluconazole, and itraconazole solution (OR, 0.49 to 0.54 [95% CI, 0.28 to 0.88]).
PMID:26525782 · one of two readings recorded this
incidence of invasive fungal infections and all-cause deaths in patients receiving triazole antifungal prophylaxis (fluconazole, itraconazole, posaconazole, voriconazole), network meta-analysis
OR 0.35 (95% CI 0.16-0.73) posaconazole vs fluconazole for IFI incidence, n = 5505
Not recorded as a finding: the comparison was against another active treatment
Posaconazole was better than fluconazole (odds ratio [OR], 0.35 [95% confidence interval [CI], 0.16 to 0.73]) and itraconazole capsule (OR, 0.25 [95% CI, 0.06 to 0.97]), but not voriconazole (OR, 1.31 [95% CI, 0.43 to 4.01]), in preventing IFIs.
PMID:26525782 · one of two readings recorded this
incidence of invasive fungal infections, posaconazole vs fluconazole
decreases, OR 0.35 (95% CI 0.16-0.73) favoring posaconazole
Posaconazole was better than fluconazole (odds ratio [OR], 0.35 [95% confidence interval [CI], 0.16 to 0.73]) and itraconazole capsule (OR, 0.25 [95% CI, 0.06 to 0.97]), but not voriconazole (OR, 1.31 [95% CI, 0.43 to 4.01]), in preventing IFIs.
PMID:26525782 · one of two readings recorded this
incidence of invasive fungal infections
decreases, OR 0.35 (95% CI 0.16-0.73), posaconazole vs fluconazole
Posaconazole was better than fluconazole (odds ratio [OR], 0.35 [95% confidence interval [CI], 0.16 to 0.73]) and itraconazole capsule (OR, 0.25 [95% CI, 0.06 to 0.97]), but not voriconazole (OR, 1.31 [95% CI, 0.43 to 4.01]), in preventing IFIs.
PMID:26525782 · one of two readings recorded this
clinical and laboratory adverse event incidence
no effect
The incidence of clinical and laboratory adverse events was similar for infants who received fluconazole compared with placebo.
PMID:27298330 · one of two readings recorded this
clinical and laboratory adverse events
no effect
The incidence of clinical and laboratory adverse events was similar for infants who received fluconazole compared with placebo.
PMID:27298330 · one of two readings recorded this
fluconazole resistance among tested isolates
no effect
There was no statistically significant difference in the proportion of tested isolates that were resistant to fluconazole between the fluconazole and placebo groups.
PMID:27298330 · one of two readings recorded this
proportion of tested isolates resistant to fluconazole
no effect
There was no statistically significant difference in the proportion of tested isolates that were resistant to fluconazole between the fluconazole and placebo groups.
PMID:27298330 · one of two readings recorded this
effect of fluconazole dose on relative risk of invasive fungal infection
no effect
Not recorded as a finding: no outcome node for invasive fungal infection incidence; dose-comparison sensitivity finding
The fluconazole dose had no significant impact on the RR of invasive fungal infections.
PMID:27350534 · one of two readings recorded this
invasive fungal infection incidence by fluconazole dose
no effect
The fluconazole dose had no significant impact on the RR of invasive fungal infections.
PMID:27350534 · one of two readings recorded this
invasive fungal infection risk ratio by fluconazole dose
no effect
The fluconazole dose had no significant impact on the RR of invasive fungal infections.
PMID:27350534 · one of two readings recorded this
mortality, prophylactic fluconazole vs no prophylaxis
no effect, RR 0.82 (95% CI 0.60-1.12), p = 0.2093
The RR of mortality presented no significant differences between prophylactic fluconazole and no prophylaxis (RR 0.82, 95 % CI 0.60 to 1.12, p = 0.2093).
PMID:27350534 · one of two readings recorded this
mortality
no effect, RR 0.82 (95% CI 0.60-1.12), p = 0.2093
The RR of mortality presented no significant differences between prophylactic fluconazole and no prophylaxis (RR 0.82, 95 % CI 0.60 to 1.12, p = 0.2093).
PMID:27350534 · both readings recorded this
adverse reaction occurrence
no effect
Our research indicated that the application of fluconazole did not result in intolerable adverse reactions in patients.
PMID:37106436 · one of two readings recorded this
adverse reactions to fluconazole in VLBW infants
no effect
Our research indicated that the application of fluconazole did not result in intolerable adverse reactions in patients.
PMID:37106436 · one of two readings recorded this
incidence of invasive fungal infection, fungal colonization rate, and mortality in very low birth weight infants receiving fluconazole prophylaxis
decreases
Not recorded as a finding: no estimate is reported anywhere
Fluconazole is effective in preventing invasive fungal infections in very low birth weight infants without serious adverse effects.
PMID:37106436 · one of two readings recorded this
incidence of invasive fungal infections, fungal colonization rate, and mortality, in very low birth weight infants given fluconazole prophylaxis
decreases
Not recorded as a finding: no estimate is reported anywhere
Fluconazole is effective in preventing invasive fungal infections in very low birth weight infants without serious adverse effects.
PMID:37106436 · one of two readings recorded this
incidence of invasive fungal infections
decreases
Fluconazole is effective in preventing invasive fungal infections in very low birth weight infants without serious adverse effects.
PMID:37106436 · one of two readings recorded this
invasive fungal infection incidence in VLBW infants
decreases
Fluconazole is effective in preventing invasive fungal infections in very low birth weight infants without serious adverse effects.
PMID:37106436 · one of two readings recorded this
Age, median (IQR)
no effect, p = 0.566
Age | 40 (35-48) | 45 (38-52) | 45 (38-48) | 0.566
PMID:39632750 · one of two readings recorded this
Candida species isolated: C. albicans + C. glabrata
decreases
C.albicans + C.glabrata | 2 | 0 | 3 | 0 | 7 | 0 | 12 | 0
PMID:39632750 · one of two readings recorded this
Candida species isolated: C. albicans + C. krusei + C. glabrata
decreases
C.albicans + C.krusei+ C.glabrata | 1 | 0 | 4 | 0 | 4 | 0 | 9 | 0
PMID:39632750 · one of two readings recorded this
Candida species isolated: C. albicans + C. krusei
C.albican + C.krusei | 1 | 0 | 1 | 1 | 3 | 0 | 5 | 1
PMID:39632750 · one of two readings recorded this
Candida species isolated: C. albicans + C. tropicalis
C.albicans + C.tropicalis | 1 | 0 | 1 | 0 | 0 | 0 | 2 | 0
PMID:39632750 · one of two readings recorded this
Candida species isolated: C. albicans
decreases
C.albicans | 11 | 1 | 8 | 1 | 5 | 2 | 24 | 4
PMID:39632750 · one of two readings recorded this
Candida species isolated: C. glabrata
C.glabrata | 0 | 1 | 0 | 7 | 0 | 3 | 0 | 0
PMID:39632750 · one of two readings recorded this
Candida species isolated: C. krusei + C. glabrata
C.krusei + C.glabrata | 0 | 0 | 1 | 0 | 0 | 2 | 1 | 2
PMID:39632750 · one of two readings recorded this
Candida species isolated: C. krusei
C.krusei | 1 | 1 | 0 | 1 | 0 | 5 | 1 | 7
PMID:39632750 · one of two readings recorded this
Candida species isolated: C. tropicalis
C.tropicalis | 1 | 1 | 0 | 1 | 0 | 0 | 1 | 2
PMID:39632750 · one of two readings recorded this
Candida species isolated: no organism
No organism | 0 | 1 | 0 | 7 | 0 | 6 | 0 | 14
PMID:39632750 · one of two readings recorded this
Candida species isolated: total
Total | 18 | 5 | 18 | 18 | 19 | 18 | 55 | 41
PMID:39632750 · one of two readings recorded this
CD4 count, median (IQR)
no effect, p = 0.59
CD4 | 300 (250-345) | 311 (236-355) | 245 (212-370) | 0.590
PMID:39632750 · one of two readings recorded this
Clinical resolution
Out of 18 patients in Group A 70.58% of the patients had clinical resolution and 72% of the patients had mycological eradication
PMID:39632750 · one of two readings recorded this
Clinical resolution
Out of 18 patients in Group B 47% of the patients had clinical resolution and 52% of the patients had mycological eradication
PMID:39632750 · one of two readings recorded this
Clinical resolution
Out of 19 patients in Group C 27% of the patients has clinical resolution and 47.36% of the patients had mycological eradication
PMID:39632750 · one of two readings recorded this
Clinical signs (Physicians Assessment Scale), before vs after treatment
decreases, p = 0.001
Group A (Fluconazole mucoadhesive film) N = 18 | 2.0 (2-3) | 0.0 (0-1) | <0.001
PMID:39632750 · one of two readings recorded this
Clinical signs (Physicians Assessment Scale), before vs after treatment
decreases, p = 0.001
Group B (Fluconazole tablet) N = 18 | 3.0 (2-3) | 1.0 (0-1) | <0.001
PMID:39632750 · one of two readings recorded this
Clinical signs (Physicians Assessment Scale), before vs after treatment
decreases, p = 0.001
Group C (Fluconazole mouth rinse) N = 19 | 2.0 (2-3) | 1.0 (1-1) | <0.001
PMID:39632750 · one of two readings recorded this
Clinical symptoms severity score, before vs after treatment
decreases, p = 0.001
Group A (Fluconazole mucoadhesive film) N = 18 | 2.0 (2-3) | 0.0 (0-0) | <0.001
PMID:39632750 · one of two readings recorded this
Clinical symptoms severity score, before vs after treatment
decreases, p = 0.001
Group B (Fluconazole tablet) N = 18 | 2.5 (2-3) | 0.0 (0-1) | <0.001
PMID:39632750 · one of two readings recorded this
Clinical symptoms severity score, before vs after treatment
decreases, p = 0.001
Group C (Fluconazole mouth rinse) N = 19 | 2.0 (2-2) | 1.0 (1-1) | <0.001
PMID:39632750 · one of two readings recorded this
Colony count, before vs after treatment
decreases, p = 0.001
Group A (Fluconazole mucoadhesive film) N = 18 | 1825 | 23.44 | <0.001
PMID:39632750 · one of two readings recorded this
Colony count, before vs after treatment
decreases, p = 0.001
Group B (Fluconazole tablet) N = 18 | 1727.78 | 133.82 | <0.001
PMID:39632750 · one of two readings recorded this
Colony count, before vs after treatment
decreases, p = 0.001
Group C (Fluconazole mouth rinse) N = 19 | 1896.84 | 226.28 | <0.001
PMID:39632750 · one of two readings recorded this
Improvement in clinical signs, between-group comparison
modulates, p = 0.001
A significant difference was observed in the improvement of clinical signs between the groups (KW = 14.203; P < 0.001)
PMID:39632750 · one of two readings recorded this
Improvement in clinical signs, pairwise
no effect, p = 0.754
there were no significant differences between groups A and B (P = 0.754)
PMID:39632750 · one of two readings recorded this
Improvement in clinical signs, pairwise
increases, p = 0.001
groups A and B had a greater improvement compared to group C (P = 0.001 and P = 0.005, respectively)
PMID:39632750 · one of two readings recorded this
Improvement in clinical signs, pairwise
increases, p = 0.005
groups A and B had a greater improvement compared to group C (P = 0.001 and P = 0.005, respectively)
PMID:39632750 · one of two readings recorded this
Improvement in clinical symptoms, between-group comparison
modulates, p = 0.001
There was a significant difference in the magnitude of improvement in symptoms between the groups (KW = 18.90; P < 0.001)
PMID:39632750 · one of two readings recorded this
Improvement in clinical symptoms, pairwise
no effect, p = 0.247
There were no significant differences in the improvement of symptoms between groups A and B (P = 0.247)
PMID:39632750 · one of two readings recorded this
Improvement in clinical symptoms, pairwise
increases, p = 0.001
patients in group A and group B had a greater improvement in symptoms compared to group C (P < 0.001 and P = 0.002, respectively)
PMID:39632750 · one of two readings recorded this
Improvement in clinical symptoms, pairwise
increases, p = 0.002
patients in group A and group B had a greater improvement in symptoms compared to group C (P < 0.001 and P = 0.002, respectively)
PMID:39632750 · one of two readings recorded this
Improvement in colony count, between-group comparison
no effect, p = 0.149
There was no overall difference in the magnitude of improvement of colony count between the groups (KW = 3.804; P = 0.149)
PMID:39632750 · one of two readings recorded this
Improvement in oral discomfort (VAS), between-group comparison
modulates, p = 0.003
A significant difference in VAS scores was observed between the groups (KW = 11.585; P = 0.003)
PMID:39632750 · one of two readings recorded this
Improvement in oral discomfort (VAS), pairwise
increases, p = 0.005
patients in group A experienced a greater improvement in oral discomfort compared to group B (P = 0.005) and group C (P = 0.002)
PMID:39632750 · one of two readings recorded this
Improvement in oral discomfort (VAS), pairwise
increases, p = 0.002
patients in group A experienced a greater improvement in oral discomfort compared to group B (P = 0.005) and group C (P = 0.002)
PMID:39632750 · one of two readings recorded this
Male participants
no effect, p = 0.699
Male | 10 (55.6%) | 11 (61.1%) | 9 (47.4%) | 0.699
PMID:39632750 · one of two readings recorded this
Mycological cure
Mycological cure was observed in 72%, 52.94%, and 47.36% patients in groups A, B and C, respectively
PMID:39632750 · one of two readings recorded this
Mycological eradication
Out of 18 patients in Group A 70.58% of the patients had clinical resolution and 72% of the patients had mycological eradication
PMID:39632750 · one of two readings recorded this
Mycological eradication
Out of 18 patients in Group B 47% of the patients had clinical resolution and 52% of the patients had mycological eradication
PMID:39632750 · one of two readings recorded this
Mycological eradication
Out of 19 patients in Group C 27% of the patients has clinical resolution and 47.36% of the patients had mycological eradication
PMID:39632750 · one of two readings recorded this
oral discomfort on a visual analogue scale, clinical symptom severity score, clinical signs on the Physicians Assessment Scale, Candida colony count and mycological cure in HIV-related oral candidiasis, fluconazole mucoadhesive film versus fluconazole tablet versus fluconazole mouth rinse
KW = 11.585 across groups; group A greater improvement in oral discomfort than group B (P = 0.005) and group C (P = 0.002), p = 0.003
Not recorded as a finding: the comparison was against another active treatment
A significant difference in VAS scores was observed between the groups (KW = 11.585; P = 0.003); patients in group A experienced a greater improvement in oral discomfort compared to group B (P = 0.005) and group C (P = 0.002).
PMID:39632750 · one of two readings recorded this
oral discomfort on a visual analogue scale in HIV-related oral candidiasis, fluconazole mucoadhesive film versus fluconazole 100 mg tablet versus fluconazole mouth rinse
greater improvement in oral discomfort with film than tablet (P = 0.005) or mouth rinse (P = 0.002)
Not recorded as a finding: the comparison was against another active treatment
A significant difference in VAS scores was observed between the groups (KW = 11.585; P = 0.003); patients in group A experienced a greater improvement in oral discomfort compared to group B (P = 0.005) and group C (P = 0.002).
PMID:39632750 · one of two readings recorded this
Visual analogue scale score for oral discomfort, before vs after treatment
decreases, p = 0.0001
Group A (Fluconazole mucoadhesive film) N = 18 | 7 (5.75-8) | 0 (0-1) | <0.0001
PMID:39632750 · one of two readings recorded this
Visual analogue scale score for oral discomfort, before vs after treatment
decreases, p = 0.0001
Group B (Fluconazole tablet) N = 18 | 7 (5.75-8) | 1 (0-3) | <0.0001
PMID:39632750 · one of two readings recorded this
Visual analogue scale score for oral discomfort, before vs after treatment
decreases, p = 0.0001
Group C (Fluconazole mouth rinse) N = 19 | 7 (6-8) | 2 (0-3) | <0.0001
PMID:39632750 · one of two readings recorded this
Age (years), mean ± SD
Mean ± SD | 53.62 ± 1.55 | 54.17 ± 1.89
PMID:39651788 · one of two readings recorded this
C. albicans positive cultures
C. albicans (n) | 22 | 16
PMID:39651788 · one of two readings recorded this
C. albicans positive cultures
C. albicans (n) | 12 | 20
PMID:39651788 · one of two readings recorded this
C. albicans positive cultures
C. albicans (n) | 8 | 18
PMID:39651788 · one of two readings recorded this
C. glabrata positive cultures
C. glabrata (n) | 2 | 2
PMID:39651788 · one of two readings recorded this
C. glabrata positive cultures
C. glabrata (n) | 0 | 3
PMID:39651788 · one of two readings recorded this
C. glabrata positive cultures
C. glabrata (n) | 1 | 3
PMID:39651788 · one of two readings recorded this
C. krusei positive cultures
C. krusei (n) | 1 | 3
PMID:39651788 · one of two readings recorded this
C. krusei positive cultures
C. krusei (n) | 2 | 1
PMID:39651788 · one of two readings recorded this
C. krusei positive cultures
C. krusei (n) | 5 | 2
PMID:39651788 · one of two readings recorded this
C. parapsilosis positive cultures
C. parapsilosis (n) | 1 | 1
PMID:39651788 · one of two readings recorded this
C. parapsilosis positive cultures
C. parapsilosis (n) | 1 | 0
PMID:39651788 · one of two readings recorded this
C. parapsilosis positive cultures
C. parapsilosis (n) | 0 | 0
PMID:39651788 · one of two readings recorded this
C. tropicalis positive cultures
C. tropicalis (n) | 2 | 5
PMID:39651788 · one of two readings recorded this
C. tropicalis positive cultures
C. tropicalis (n) | 0 | 6
PMID:39651788 · one of two readings recorded this
C. tropicalis positive cultures
C. tropicalis (n) | 1 | 7
PMID:39651788 · one of two readings recorded this
Clinical oral candidiasis
no effect, n = 78
Clinical oral candidiasis occurred in 3 out of 78 patients—1 in Arm A and 2 in Arm B
PMID:39651788 · one of two readings recorded this
Grade 1 mucositis patients
with 20 patients (54.05%) in each arm exhibiting grade 1 mucositis
PMID:39651788 · one of two readings recorded this
Grade 1 mucositis patients
most patients in Arm A (22 patients, 61.11%) and Arm B (19 patients, 52.78%) had grade 1 mucositis
PMID:39651788 · one of two readings recorded this
Grade 2 mucositis patients
Grade 2 mucositis occurred in 8 patients (21.62%) in Arm A and 9 patients (24.32%) in Arm B
PMID:39651788 · one of two readings recorded this
Grade 2 mucositis patients
grade 2 mucositis was observed in 9 patients (25%) in Arm A and 15 patients (41.67%) in Arm B
PMID:39651788 · one of two readings recorded this
Grade 2 RIOM incidence, adjusted OR (adjusted for cancer diagnosis)
no effect, p = 0.365
After adjusting for cancer diagnosis, the aOR was 0.577 (95% CI: 0.175–1.898, p = 0.365)
PMID:39651788 · one of two readings recorded this
Grade 2 RIOM incidence, adjusted OR (adjusted for cancer diagnosis)
decreases, p = 0.039
After adjusting for cancer diagnosis, the aOR was 0.294 (95% CI: 0.092–0.937, p = 0.039)
PMID:39651788 · one of two readings recorded this
Grade 2 RIOM incidence, unadjusted OR
no effect, p = 0.782
By week 4, the OR for grade 2 toxicity incidence between the two arms was 0.858 (95% CI: 0.290–2.539, p = 0.782)
PMID:39651788 · one of two readings recorded this
Grade 2 RIOM incidence, unadjusted OR
no effect, p = 0.137
By week 7, the OR for Grade 2 toxicity was 0.467 (95% CI: 0.171–1.274, p = 0.137)
PMID:39651788 · one of two readings recorded this
Mean percentage of weight loss
The mean percentage of weight loss was 6.20% in Arm A and 6.79% in Arm B
PMID:39651788 · one of two readings recorded this
Median Candida CFUs, between-arm difference
decreases, p = 0.05
The difference in median CFUs between the two arms was statistically significant by week 7 (p = 0.050)
PMID:39651788 · one of two readings recorded this
Median Candida CFUs
In Arm A, the median CFUs were high at 180 (IQR: 1.7–8550) in week 1 but then dropped to 20 (IQR: 0–1106.7) in week 4 and 0 (IQR: 0–5780.8) in week 7
PMID:39651788 · one of two readings recorded this
Median Candida CFUs
In Arm A, the median CFUs were high at 180 (IQR: 1.7–8550) in week 1 but then dropped to 20 (IQR: 0–1106.7) in week 4 and 0 (IQR: 0–5780.8) in week 7
PMID:39651788 · one of two readings recorded this
Median Candida CFUs
In Arm A, the median CFUs were high at 180 (IQR: 1.7–8550) in week 1 but then dropped to 20 (IQR: 0–1106.7) in week 4 and 0 (IQR: 0–5780.8) in week 7
PMID:39651788 · one of two readings recorded this
Median Candida CFUs
Arm B started with low CFUs at 18.3 (IQR: 0–580) in week 1, increased to 456.7 (IQR: 6.7–16 000) by week 4, and further rose to 3650 (IQR: 0–40983.3) in week 7
PMID:39651788 · one of two readings recorded this
Median Candida CFUs
Arm B started with low CFUs at 18.3 (IQR: 0–580) in week 1, increased to 456.7 (IQR: 6.7–16 000) by week 4, and further rose to 3650 (IQR: 0–40983.3) in week 7
PMID:39651788 · one of two readings recorded this
Median Candida CFUs
Arm B started with low CFUs at 18.3 (IQR: 0–580) in week 1, increased to 456.7 (IQR: 6.7–16 000) by week 4, and further rose to 3650 (IQR: 0–40983.3) in week 7
PMID:39651788 · one of two readings recorded this
Median overall treatment time
the median overall treatment time (OTT) was 50 days (interquartile range [IQR] 47–58.25) in Arm A and 51 days (IQR 47.75–57) in Arm B
PMID:39651788 · one of two readings recorded this
No Candida growth
No growth (%) | 9 (23.1) | 13 (33.3)
PMID:39651788 · one of two readings recorded this
No Candida growth
No growth (%) | 15 (40.5) | 6 (16.2)
PMID:39651788 · one of two readings recorded this
No Candida growth
No growth (%) | 20 (55.6) | 10 (27.8)
PMID:39651788 · one of two readings recorded this
Oral dose (Gy), mean ± SD
Mean ± SD | 53.70 ± 6.63 | 52.29 ± 7.68
PMID:39651788 · one of two readings recorded this
Overall treatment time, between-arm difference
no effect, p = 0.697
no significant differences in OTT or median weight loss between the two arms (p = 0.697 and p = 0.734, respectively)
PMID:39651788 · one of two readings recorded this
Positive Candida culture, adjusted OR (adjusted for cancer diagnosis)
no effect, p = 0.168
1 | Growth (%) | 30 (76.9) | 26 (66.7) | 1.67 (0.61–4.53) | 0.316 | 2.13 (0.73–6.23) | 0.168
PMID:39651788 · one of two readings recorded this
Positive Candida culture, adjusted OR (adjusted for cancer diagnosis)
decreases, p = 0.024
4 | Growth (%) | 22 (59.5) | 31 (83.8) | 0.28 (0.10–0.85) | 0.024 | 0.27 (0.08–0.84) | 0.024
PMID:39651788 · one of two readings recorded this
Positive Candida culture, adjusted OR (adjusted for cancer diagnosis)
decreases, p = 0.029
7 | Growth (%) | 16 (44.4) | 26 (72.2) | 0.31 (0.12–0.82) | 0.019 | 0.32 (0.12–0.89) | 0.029
PMID:39651788 · one of two readings recorded this
Positive Candida culture, unadjusted OR
no effect, p = 0.316
1 | Growth (%) | 30 (76.9) | 26 (66.7) | 1.67 (0.61–4.53) | 0.316 | 2.13 (0.73–6.23) | 0.168
PMID:39651788 · one of two readings recorded this
Positive Candida culture, unadjusted OR
decreases, p = 0.024
4 | Growth (%) | 22 (59.5) | 31 (83.8) | 0.28 (0.10–0.85) | 0.024 | 0.27 (0.08–0.84) | 0.024
PMID:39651788 · one of two readings recorded this
Positive Candida culture, unadjusted OR
decreases, p = 0.019
7 | Growth (%) | 16 (44.4) | 26 (72.2) | 0.31 (0.12–0.82) | 0.019 | 0.32 (0.12–0.89) | 0.029
PMID:39651788 · one of two readings recorded this
radiation-induced oral mucositis grade 2 or higher incidence by CTCAE version 5.0 at weeks 1, 4 and 7 of chemoradiotherapy (primary), and oral Candida carriage by oral rinse culture with colony-forming units (secondary), fluconazole 100 mg daily versus placebo
OR 0.47 (95% CI: 0.24–0.90) for arm A (fluconazole) in mixed-effects ordinal logistic regression, p = 0.023
Not recorded as a finding: this platform holds no node for the endpoint
In the mixed-effects ordinal logistic regression analysis, patients in Arm A had an OR of 0.47 (95% CI: 0.24–0.90, p = 0.023).
PMID:39651788 · one of two readings recorded this
radiation-induced oral mucositis grade, CTCAE v5.0 at weeks 1, 4 and 7 of chemoradiotherapy (primary: incidence of grade 2 or higher); oral Candida carriage by oral-rinse culture and colony-forming units
mixed-effects ordinal logistic regression, fluconazole arm OR 0.47 (95% CI 0.24-0.90) versus placebo, p = 0.023
Not recorded as a finding: this platform holds no node for the endpoint
In the mixed‐effects ordinal logistic regression analysis, patients in Arm A had an OR of 0.47 (95% CI: 0.24–0.90, p = 0.023).
PMID:39651788 · one of two readings recorded this
RIOM severity, mixed-effects model, cancer diagnosis
no effect, p = 0.083
In contrast, the laryngeal and hypopharyngeal cancer group had an OR of 0.43 (95% CI: 0.17–1.12, p = 0.083)
PMID:39651788 · one of two readings recorded this
RIOM severity, mixed-effects model, cancer diagnosis
increases, p = 0.004
For cancer diagnosis, patients with oral cavity and oropharyngeal cancers had an OR of 3.21 (95% CI: 1.46–7.04, p = 0.004)
PMID:39651788 · one of two readings recorded this
RIOM severity, mixed-effects model, cancer diagnosis
no effect, p = 0.945
Patients with other types of cancers had an OR of 1.05 (95% CI: 0.28–3.91, p = 0.945)
PMID:39651788 · one of two readings recorded this
RIOM severity, mixed-effects model, time during CCRT
increases, p = 0.001
The time during CCRT had an OR of 2.31 (95% CI: 1.89–2.83, p < 0.001)
PMID:39651788 · one of two readings recorded this
RIOM severity, mixed-effects ordinal logistic regression, Arm A vs Arm B
decreases, p = 0.023
patients in Arm A had an OR of 0.47 (95% CI: 0.24–0.90, p = 0.023)
PMID:39651788 · one of two readings recorded this
Unidentified yeast positive cultures
Unidentified yeast (n) | 12 | 6
PMID:39651788 · one of two readings recorded this
Unidentified yeast positive cultures
Unidentified yeast (n) | 15 | 10
PMID:39651788 · one of two readings recorded this
Unidentified yeast positive cultures
Unidentified yeast (n) | 9 | 6
PMID:39651788 · one of two readings recorded this
Weight loss, between-arm difference
no effect, p = 0.734
no significant differences in OTT or median weight loss between the two arms (p = 0.697 and p = 0.734, respectively)
PMID:39651788 · one of two readings recorded this
Aspergillosis
no effect, n = 46
Aspergillosis was observed in 46 patients (38.3%), with 23 patients (38.3%) in each group
PMID:40152076 · one of two readings recorded this
Candida colonization at oral cavity, third week
decreases, p = 0.03
with statistically significant changes observed in the third week at the oral cavity (p = 0.03)
PMID:40152076 · one of two readings recorded this
Candida infections as failure of primary prophylaxis in acute leukemia, fluconazole 150 mg/day versus fluconazole 400 mg/day, both oral
no effect, p = 0.615
Not recorded as a finding: the comparison was against another active treatment
A total of 31 patients (25.8%) developed Candida infections as a failure of primary prophylaxis, with 14 patients (23.3%) in Group 1 and 17 patients (28.3%) in Group 2, showing no significant difference between the groups (p = 0.615).
PMID:40152076 · one of two readings recorded this
Candida infections as failure of primary prophylaxis
no effect, p = 0.615
A total of 31 patients (25.8%) developed Candida infections as a failure of primary prophylaxis, with 14 patients (23.3%) in Group 1 and 17 patients (28.3%) in Group 2, showing no significant difference between the groups (p = 0.615)
PMID:40152076 · one of two readings recorded this
Candidemia
no effect
Candidemia | 0 (0) | 0 (0) | 0
PMID:40152076 · one of two readings recorded this
Candidemia
no effect, p = 0.183
Candidemia | ALL | 0 (0%) | 0 (0%) | 0.183
PMID:40152076 · one of two readings recorded this
Candidemia
no effect
AML | 0 (0%) | 0 (0%)
PMID:40152076 · one of two readings recorded this
Days of prophylaxis
no effect, p = 0.407
Days of prophylaxis; mean (range) | 18.3 (3–48) | 19.5 (3–0) | 0.407
PMID:40152076 · one of two readings recorded this
Death during prophylactic regimen
no effect, p = 0.99, n = 5
During the prophylactic regimen, 5 patients (4.1%) died: 3 patients (5%) from Group 1 and 2 patients (3.3%) from Group 2 (p > 0.99)
PMID:40152076 · one of two readings recorded this
Discharge
no effect, p = 0.509
Discharge; N (%) | 56 (93.3) | 54 (90.0) | 0.509
PMID:40152076 · one of two readings recorded this
Sources cited
1 paper
- Subject
- fluconazole
- Findings
- 3
- Papers
- 1