Sepsis & infection

Length of hospital and intensive care unit stay in patients with invasive candidiasis and/or candidemia treated with rezafungin: a pooled analysis of two randomised controlled trials

Crit CarePublished Post hoc pooled analysis of two randomised controlled trials

Authors' conclusion

Rezafungin may enable shorter hospital and ICU LoS in IC/C compared with daily IV caspofungin, with accompanying savings in resource use.

Study context

Population
Patients with invasive candidiasis/candidemia (IC/C) in the ReSTORE and STRIVE trials, pooled modified intention to treat (mITT) population
Participants
294 patients · 2 RCTs
Comparison
Once-weekly IV rezafungin vs daily IV caspofungin
  • Rezafunginn = 139
  • Caspofunginn = 155reference
Outcome
Hospital and ICU length of stay (LoS)
Methodological detailsexploratory, descriptive, generalised linear model adjusted for mechanical ventilation
  • Exploratory
  • Descriptive
  • Generalised linear model adjusted for mechanical ventilation

Pooled result

As reported in the abstract

Total hospital LoS

Further pooled results

ICU LoS · adjusted for mechanical ventilation status

difference 4.1

OutcomeRelative difference (95% CI)
ICU LoSAdjusted for mechanical ventilation status24% (−11% to 72%)
Physicians would have considered earlier discharge with weekly rezafungin
16% · 30
Physicians would have considered earlier discharge with weekly rezafungin — Average days earlier
5-6
  • Intensive care unit (ICU) length of stay (LoS): 126 (43%) had ICU admission
  • Physicians would have considered earlier discharge with weekly rezafungin: 30/187; exploratory question, phase 3 trial

Original publication

Length of hospital and intensive care unit stay in patients with invasive candidiasis and/or candidemia treated with rezafungin: a pooled analysis of two randomised controlled trials. Crit Care. Published 11 November 2024. doi:10.1186/s13054-024-05152-2

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