Table 2

Clinical and laboratory characteristics of patients with hematologic malignancies taking voriconazole, posaconazole, and itraconazole, and a hematologic patient control group not receiving antifungal therapy

Voriconazole (n = 20)Posaconazole (n = 8)Itraconazole (n = 4)Control group (n = 11)
Mean age, y 55.1 54.9 49.5 56.6 
Male sex, % 10 (50) 3 (37.5) 3 (75) 7 (63.6) 
Stem cell transplantation, % 15 (75) 3 (37.5) 4 (100) 10 (90.9) 
Median antifungal treatment, days (IQR) 98 (220) 13 (576) 587 (1400) NA 
Median drug serum concentration (IQR)* 1.7 (1.8) 0.24 (1.17) 1.95 (1.75) NA 
Median glomerular filtration rate (IQR) 77.5 (43.6) 92.2(33.8) 70.8 (45.7) 74.2 (18.9) 
Cyclosporine treatment, % 9 (45) 2 (25) 6 (54.5) 
Median cyclosporine blood concentration, μg/L (IQR) 92 (102.5) 53.5 NA 104 (141.5) 
Median ALP (IQR) 111 (76.5) 66 (103) 120 (138) 71 (31) 
Median ALT§ (IQR) 30 (12.5) 36 (30) 70.5 (90) 20 (18) 
Median fluoride level (IQR) 156.5 (96.8) < 30 (0) < 30 (28) < 30 (32) 
Median no. of radiographic studies (IQR) 2 (3.5) 0.5 (1) 1 (0.25) 3 (3.5) 
Median no. of CT scans (IQR) 1 (1) 0.5 (1) 1 (0.25) 2 (2) 
Radiographic evidence of periostitis, % 1 (5) 
Bone pain, % 3 (15) 
Voriconazole (n = 20)Posaconazole (n = 8)Itraconazole (n = 4)Control group (n = 11)
Mean age, y 55.1 54.9 49.5 56.6 
Male sex, % 10 (50) 3 (37.5) 3 (75) 7 (63.6) 
Stem cell transplantation, % 15 (75) 3 (37.5) 4 (100) 10 (90.9) 
Median antifungal treatment, days (IQR) 98 (220) 13 (576) 587 (1400) NA 
Median drug serum concentration (IQR)* 1.7 (1.8) 0.24 (1.17) 1.95 (1.75) NA 
Median glomerular filtration rate (IQR) 77.5 (43.6) 92.2(33.8) 70.8 (45.7) 74.2 (18.9) 
Cyclosporine treatment, % 9 (45) 2 (25) 6 (54.5) 
Median cyclosporine blood concentration, μg/L (IQR) 92 (102.5) 53.5 NA 104 (141.5) 
Median ALP (IQR) 111 (76.5) 66 (103) 120 (138) 71 (31) 
Median ALT§ (IQR) 30 (12.5) 36 (30) 70.5 (90) 20 (18) 
Median fluoride level (IQR) 156.5 (96.8) < 30 (0) < 30 (28) < 30 (32) 
Median no. of radiographic studies (IQR) 2 (3.5) 0.5 (1) 1 (0.25) 3 (3.5) 
Median no. of CT scans (IQR) 1 (1) 0.5 (1) 1 (0.25) 2 (2) 
Radiographic evidence of periostitis, % 1 (5) 
Bone pain, % 3 (15) 

NA indicates not applicable; ALP, alkaline phosphatase; and ALT, alanine aminotransferase.

*

Target serum levels for voriconazole 1.0-6.0 mg/L, posaconazole > 1.0 mg/L, and itraconazole > 1.0 mg/L.

According to the CKD-EPI formula.

Normal: 35-104 U/L.

§

Normal: 10-35 U/L.

Normal: < 30 μg/L.

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