Table 3

Antifungal medication use through 180 days posttransplantation

Fluconazole (N = 295)Voriconazole (N = 305)
No. of days on study drug [IQR]* 91 [27, 100] 96 [34, 101] 
Empiric antifungal therapy, n (day 180 cumulative incidence) [95% CI] 89 (30.2%) [24.9%, 35.5%] 73 (24.1%) [19.2%, 29.0%] 
Start day of empiric antifungal therapy median, [IQR] 16 [10, 33] 12 [8, 39] 
Duration in days of empiric antifungal therapy median, [IQR] 7 [4, 17] 7 [5, 15] 
Premature withdrawal of study drug 
    Protocol-specified reason, n (%) 103 (34.9%) 109 (35.7%) 
    Nonprotocol-specified reason, n (%) 28 (9.5%) 15 (4.9%) 
    Total N (%) 131 (44.4%) 124 (40.7%) 
Time (days) to premature withdrawal median, [IQR] 29 [19, 54] 29 [19, 58] 
Unblinded use of antifungal prophylaxis, n (%) 
    Fluconazole only 33 (11.2%) 61 (20.0%) 
    Voriconazole only 7 (2.4%) 13 (4.3%) 
    Other mold-active agents 16 (5.4%) 22 (7.2%) 
    Total§ of voriconazole plus other antimold agents N (day 180 cumulative incidence) [95% CI] 23 (7.8%) [4.7%, 10.9%] 35 (11.5%) [8.0%, 15.0%] 
Time (days) to unblinded use of antifungal prophylaxis median, [IQR] 43 [22, 109] 60 [22, 117] 
Fluconazole (N = 295)Voriconazole (N = 305)
No. of days on study drug [IQR]* 91 [27, 100] 96 [34, 101] 
Empiric antifungal therapy, n (day 180 cumulative incidence) [95% CI] 89 (30.2%) [24.9%, 35.5%] 73 (24.1%) [19.2%, 29.0%] 
Start day of empiric antifungal therapy median, [IQR] 16 [10, 33] 12 [8, 39] 
Duration in days of empiric antifungal therapy median, [IQR] 7 [4, 17] 7 [5, 15] 
Premature withdrawal of study drug 
    Protocol-specified reason, n (%) 103 (34.9%) 109 (35.7%) 
    Nonprotocol-specified reason, n (%) 28 (9.5%) 15 (4.9%) 
    Total N (%) 131 (44.4%) 124 (40.7%) 
Time (days) to premature withdrawal median, [IQR] 29 [19, 54] 29 [19, 58] 
Unblinded use of antifungal prophylaxis, n (%) 
    Fluconazole only 33 (11.2%) 61 (20.0%) 
    Voriconazole only 7 (2.4%) 13 (4.3%) 
    Other mold-active agents 16 (5.4%) 22 (7.2%) 
    Total§ of voriconazole plus other antimold agents N (day 180 cumulative incidence) [95% CI] 23 (7.8%) [4.7%, 10.9%] 35 (11.5%) [8.0%, 15.0%] 
Time (days) to unblinded use of antifungal prophylaxis median, [IQR] 43 [22, 109] 60 [22, 117] 
*

IQR (interquartile range) (25th percentile, 75th percentile).

P = .11.

Empiric antifungal therapy was administered > 14 days in 25 patients (28%) in the fluconazole arm and 19 patients (26%) in the voriconazole arm.

§

P = .133.

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