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Cresemba in Invasive Aspergillosis: Study Design

The SECURE trial was undertaken to compare the efficacy and safety of intravenous and oral formulations of isavuconazole to voriconazole for the primary treatment of invasive aspergillosis.

Primary endpoint1

Efficacy:

  • All-cause mortality from first dose of study drug to Day 42 in the ITT population​​​​​​​

Secondary endpoints

Efficacy:

  • Overall response at end of treatment in the mITT population

Other Secondary endpoints:

  • All-cause mortality from first dose of study drug to Day 84
  • Overall clinical, mycological and radiological responses on Day 42, 84 and end of treatment†
  • Safety
  • Tolerability

* Hepatic dysfunction (bilirubin ≥3 × ULN, alanine transaminase or aspartate transaminase ≥5 × ULN, cirrhosis or chronic hepatic failure), or moderate-to-severe renal dysfunction (calculated creatinine clearance <50 mL/min). †As assessed by the data review committee. ITT, intention-to-treat; IV, intravenous; mITT, modified intention-to-treat; PO, orally; q8h, every 8 hours; q12h, every 12 hours; q24h every 24 hours; ULN- upper limit of normal

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Dosing

Access dosing information

Prescribing Information for Cresemba (isavuconazole)

Great Britain
Cresemba (isavuconazole) 100mg hard capsules
Cresemba (isavuconazole) 200mg powder for concentrate for solution for infusion 

Northern Ireland
Cresemba (Isavuconazole) 100mg hard capsules and Cresemba (Isavuconazole) 200mg powder for concentrate for solution for infusion

Prescribing Information for Vfend (voriconazole)

Great Britain
​​​​​​​Vfend (voriconazole) 50mg film coated tablets
Vfend (voriconazole) 200mg film coated tablets
Vfend (voriconazole) 200mg powder for solution for infusion
Vfend (voriconazole) 40mg/ml powder for oral suspension

Northern Ireland
​​​​​​​Vfend (voriconazole): 50mg film coated tablets, 200mg film coated tablets, 200mg powder for solution for infusion & 40mg/ml powder for oral suspension 

References:
  1. ​​​​​​​Maertens JA, Raad II, Marr KA, et al. Isavuconazole versus voricanazole for primary treatment of invasive mould disease caused by Aspergillus and other filamentous fungi (SECURE); a phase 3, randomised-controlled, non-inferiority trial. Lancet. 2016;387(10020):760–769.
PP-CRB-GBR-1202. August 2021

Invasive Aspergillosis (Quick Links)

Safety Profile

 CRESEMBA safety information

Adverse events should be reported. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in Google Play or Apple App Store

Adverse events should also be reported to Pfizer Medical Information on 01304 616161

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PP-PFE-GBR-2688. December 2020

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