NIH-funded research R01 grant

Short Course vs Standard Course Antifungal Therapy for Pediatric Candidemia

Official title: Short Course Versus Standard Course Antifungal Therapy for Pediatric Candidemia: A Multi-Center Randomized Controlled Trial

Funded at Arkansas Children's Hospital Res Inst · NIH-11606535 · Data updated 2026-11-12

This study tests whether a shorter 7-day total antifungal treatment after an initial 7 days of echinocandin therapy is as effective as the usual 14-day course for children with candidemia.

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Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionArkansas Children's Hospital Res Inst
NIH-funded
Lab location1 site (Little Rock, United States)
Project startAugust 5, 2022
Project endJuly 31, 2029
Funding year2026
Award (this year)$25,000
NIH project number3R01AI170385-05S5
Project IDNIH-11606535 on NIH RePORTER

Who could benefit from this research

Could help

Pediatric patients (0-11 years old) with uncomplicated candidemia who show clinical improvement on initial echinocandin therapy.

Less likely to help

Children with complicated candidemia or whom current guidelines already require longer therapy may not benefit.

What this research studies

This multi-center randomized trial in children with invasive candidiasis asks if shortening antifungal therapy after an initial responsive period is safe and effective. All participants start on an echinocandin, with the question focused on whether an additional 7 days of therapy is necessary. The study compares outcomes between the shorter-duration approach and the standard 14-day total course. If successful, it could reduce treatment time, exposure to medications, and potential side effects for pediatric patients.

Why it matters

Potential benefit: If shorter therapy is non-inferior, children could have shorter hospital stays and fewer drug-related risks.

How similar studies have gone: Shorter durations have been shown safe for many bacterial infections, but this is a novel question for invasive fungal disease like candidemia.

Where this research is happening

  • Arkansas Children's Hospital Res Inst
    Little Rock, United States
    Active

Researchers

  • Principal investigator: Steinbach, William J — Arkansas Children's Hospital Res Inst
  • Study coordinator: Steinbach, William J

Related research

Other NIH-funded projects on the same topics.

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    A clinical study tests how CBT-I and the sleep drug trazodone work for adults with insomnia and high blood pressure, focusing on a specific sleep duration pattern.

    NIH research Pennsylvania State Univ Hershey Med Ctr · Hershey, United States · NIH-11635771

  • Shorter antifungal treatment for kids with candidemia

    A multi-center pediatric trial tests whether a shorter, 7 extra days of antifungal therapy after an initial 7 days is just as good as the standard 14-day approach for kids with candidemia who are improving on echinocandin therapy.

    NIH research Arkansas Children's Hospital Res Inst · Little Rock, United States · NIH-11606539

  • Shorter antifungal treatment for kids with candidemia

    A multi-center study tests whether kids with candidemia can finish treatment earlier after an initial week of antifungal therapy than the standard two weeks total.

    NIH research Arkansas Children's Hospital Res Inst · Little Rock, United States · NIH-11606531

  • Shorter antifungal treatment for kids with candidemia

    This study tests whether children with candidemia can finish treatment after 7 days of an echinocandin if they are improving, instead of completing a full 14 days.

    NIH research Arkansas Children's Hospital Res Inst · Little Rock, United States · NIH-11606505

  • Shorter antifungal course for kids with candidemia

    A multi-center study tests whether 7 extra days of antifungal therapy after an initial week of treatment can be shortened safely for children with candidemia.

    NIH research Arkansas Children's Hospital Res Inst · Little Rock, United States · NIH-11606502

  • Shortened antifungal treatment for kids with candidemia

    A pediatric multicenter trial will test whether stopping antifungal therapy after 7 more days, following an initial 7 days of treatment, isas safe as continuing for 14 days.

    NIH research Arkansas Children's Hospital Res Inst · Little Rock, United States · NIH-11606491

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.