Sepsis & infection

Rezafungin versus caspofungin for patients with candidaemia or invasive candidiasis in the intensive care unit: pooled analyses of the ReSTORE and STRIVE randomised trials

Crit CarePublished Post-hoc pooled analysis of the STRIVE and ReSTORE randomised trials

Authors' conclusion

Rezafungin was well tolerated and efficacious in critically ill, mainly non-neutropenic patients with candidaemia and/or IC.

Study context

Population
Adults with candidaemia and/or invasive candidiasis in the intensive care unit (ICU) at randomisationICU subset of 294
Participants
113 adults
Comparison
Rezafungin vs caspofungin
  • Rezafunginn = 46
  • Caspofunginn = 67reference
Outcome
All-cause mortality
Follow-up
Day 30
Methodological detailsdouble-blind
  • Double-blind

Pooled result

As reported in the abstract

Day 30 all-cause mortality

Further pooled results

Mycological eradication · Day 5

Mycological eradication · Day 14

Time to negative blood culture · nominal, not adjusted for multiplicity

P = 0.001

Events

OutcomeRezafunginCaspofungin
Candidaemia/IC-attributable deaths21

Rezafungin exposure after initial 400-mg dose, ICU (n = 50) vs non-ICU (n = 117)

Comparable between ICU and non-ICU patients

Safety

Discontinuation due to treatment-emergent adverse events

Discontinuation due to treatment-emergent adverse events

Safety profiles similar between groups

Original publication

Rezafungin versus caspofungin for patients with candidaemia or invasive candidiasis in the intensive care unit: pooled analyses of the ReSTORE and STRIVE randomised trials. Crit Care. Published 28 October 2024. doi:10.1186/s13054-024-05117-5

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