Use of DOOR and Win-Ratio Analysis in a Secondary Evaluation of a Histoplasmosis Clinical Trial

Hierarchical composite end points may better reflect patient outcomes, rather than mortality alone. We applied DOOR and Win-Ratio analyses to a phase II trial comparing single high-dose vs standard liposomal amphotericin B for HIV-associated histoplasmosis. No clear differences were observed, supporting feasibility and informing design of future phase III trials.

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Publication Details

Journal
Open Forum Infectious Diseases
Published
2026-02-23
DOI
https://doi.org/10.1093/ofid/ofag089
Primary Topic
Fungal Infections and Studies
Type
article
Field-Weighted Citation Impact
0.00
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article

Use of DOOR and Win-Ratio Analysis in a Secondary Evaluation of a Histoplasmosis Clinical Trial

Lisandra Serra Damasceno, D. Dalla-Lana, Diego R. Falci, David R. Boulware et al.
Open Forum Infectious Diseases
Fungal Infections and Studies
article

Use of DOOR and Win-Ratio Analysis in a Secondary Evaluation of a Histoplasmosis Clinical Trial

Lisandra Serra Damasceno, D. Dalla-Lana, Diego R. Falci, David R. Boulware, Biyue Dai, Hareton Teixeira Vechi, Terezinha M. J. S. Leitao, Nathan Bahr, Alessandro C Pasqualotto, Marineide G Melo, Tarsila Vieceli, Cassia S M Godoy, Renata B A Soares, Monica B Bay
article en

Abstract

Hierarchical composite end points may better reflect patient outcomes, rather than mortality alone. We applied DOOR and Win-Ratio analyses to a phase II trial comparing single high-dose vs standard liposomal amphotericin B for HIV-associated histoplasmosis. No clear differences were observed, supporting feasibility and informing design of future phase III trials.

Open Forum Infectious DiseasesVol. 13(3)
University of Minnesota (US), Universidade Federal do Rio Grande do Sul (BR), Universidade Federal de Ciências da Saúde de Porto Alegre (BR), Universidade Federal do Ceará (BR), Santa Casa Hospital (BR), Services Hospital (PK), Universidade Federal do Rio Grande do Norte (BR), Hospital de Clínicas de Porto Alegre (BR), Hospital Nossa Senhora da Conceição (BR), University of Minnesota Medical Center (US)
Good health and well-being
Openalex Percentile: Top 42%
Fungal Infections and Studies
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