Defining responses to therapy and study outcomes in clinical trials of invasive fungal diseases: Mycoses Study Group and European Organization for Research and Treatment of Cancer consensus criteria.

Defining responses to therapy and study outcomes in clinical trials of invasive fungal diseases: Mycoses Study Group and European Organization for Research and Treatment of Cancer consensus criteria.
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DOI:
10.1086/590566
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发表时间:
2008-09-01
期刊:
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
影响因子:
--
通讯作者:
De Pauw BE
De Pauw BE
中科院分区:
其他
文献类型:
--
作者:
Segal BH;Herbrecht R;Stevens DA;Ostrosky-Zeichner L;Sobel J;Viscoli C;Walsh TJ;Maertens J;Patterson TF;Perfect JR;Dupont B;Wingard JR;Calandra T;Kauffman CA;Graybill JR;Baden LR;Pappas PG;Bennett JE;Kontoyiannis DP;Cordonnier C;Viviani MA;Bille J;Almyroudis NG;Wheat LJ;Graninger W;Bow EJ;Holland SM;Kullberg BJ;Dismukes WE;De Pauw BE

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Invasive fungal diseases (IFDs) have become major causes of morbidity and mortality among highly immunocompromised patients. Authoritative consensus criteria to diagnose IFD have been useful in establishing eligibility criteria for antifungal trials. There is an important need for generation of consensus definitions of outcomes of IFD that will form a standard for evaluating treatment success and failure in clinical trials. Therefore, an expert international panel consisting of the Mycoses Study Group and the European Organization for Research and Treatment of Cancer was convened to propose guidelines for assessing treatment responses in clinical trials of IFDs and for defining study outcomes. Major fungal diseases that are discussed include invasive disease due to Candida species, Aspergillus species and other molds, Cryptococcus neoformans, Histoplasma capsulatum, and Coccidioides immitis. We also discuss potential pitfalls in assessing outcome, such as conflicting clinical, radiological, and/or mycological data and gaps in knowledge.
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