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CandidemiaPhase 3NCT05421858

A Phase 3 Efficacy and Safety Study of Fosmanogepix for the Treatment of Adult Participants With Candidemia and/or Invasive Candidiasis.

A Phase 3 study testing Fosmanogepix, Caspofungin and Fluconazole in people with Candidemia and Candidiasis, Invasive, run by Basilea Pharmaceutica at 146 sites in 20 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record

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Trial summary

The purpose of this clinical trial is to learn about the safety and effects of the study medicine (called Fosmanogepix) for the potential treatment of candidemia and/or invasive candidiasis, a life-threatening fungal infection caused by several species of yeast called Candida. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Candidemia, Candidiasis, Invasive
What is being tested?
Fosmanogepix, Caspofungin and Fluconazole
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
450 participants
Where
146 sitesin 20 countries
Study dates
11 Dec 2024to 30 Jan 2028
Phase
Phase 3

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients ≥ 18 years (or the minimum country-specific age of consent if > 18) at Screening who have provided signed informed consent indicating that they understand the purpose of, and procedures required for, the study, and are willing to participate in the study. If the patient is unable to consent for himself/herself, a legally authorized representative must provide informed consent on his/her behalf.
  • Diagnosis of candidemia and/or invasive candidiasis based on a blood or non-blood specimen obtained within ≤ 96 hours (4 days) before randomization, and on clinical criteria judged attributable to candidemia/invasive candidiasis occurring at any time from ≤ 12 hours prior to the qualifying positive index culture being taken through to randomization.
  • Patient's condition allows for appropriate infection source control measures, including removal of pre-existing intravascular catheters and devices, if necessary.

Who cannot join

  • Existing infection
  • Infection known to be due to Candida krusei, in blood or any other normally sterile site.
  • Inappropriate fungal infection source control.
  • Diagnosis of certain deep-seated Candida infections.
  • Life expectancy of < 72 hours in the opinion of the investigator.
  • Requirement, or expected requirement, for hemodialysis, peritoneal dialysis, or hemofiltration.
Show all 17Show fewer
  • Ongoing neurological disorders, including specified conditions presenting with a CTCAE Grade ≥ 2 (neurological symptoms that are considered to be a consequence of the current episode of candidemia / invasive candidiasis are not exclusionary).
  • Patients with known human immunodeficiency virus infection, who have CD4+ count < 200/mm3 or viral load > 400 copies/mL), or who have had an active opportunistic infection within 6 months prior to Screening.
  • Other medical or psychiatric condition or laboratory abnormality that may increase the risk of study participation or make the patient inappropriate for the study.
  • Current use of any prohibited concomitant medications or those unwilling/unable to use a permitted concomitant medication.
  • Received > 2 days (> 48 hours) equivalent of prior systemic antifungal treatment at approved doses and frequency to treat the current episode of candidemia and/or invasive candidiasis (e.g., > 2 doses of a once daily antifungal agent or > 4 doses of a twice daily antifungal agent), within the 96 hours prior to randomization (except for non-susceptible Candida spp. and for patients who develop candidemia or invasive candidiasis while on prophylaxis with an azole or amphotericin B).
  • Previous administration with an investigational drug or investigational vaccine within 30 days or 5 half-lives preceding the first dose of study drug used in this study (whichever is longer).
  • Prior participation in this or any previous study of fosmanogepix.
  • Moderate or severe hepatic impairment, known active viral hepatitis B or C, ALT or AST ≥ 5 × ULN or total bilirubin > 3 × ULN unless this is due to isolated hyperbilirubinemia or documented Gilbert's syndrome.
  • Female patient is pregnant or lactating.
  • Known hypersensitivity to fosmanogepix, manogepix, caspofungin, any echinocandin, fluconazole or to any of their excipients.
  • Investigator site staff directly involved in the conduct of the study and their family members, site staff otherwise supervised by the investigator, and Sponsor and Sponsor delegate employees directly involved in the conduct of the study and their family members.

Trial locations and contacts

146 sites in 20 countries. Contact the study team or a site near you to ask about taking part.

146 sites in 20 countries

United States23 sites, 22 recruiting
  • University of Michigan Health System (UMHS) - A. Alfred Taubman Health Care Center

    Ann Arbor, Michigan, 48109-5000

    Recruiting
  • Emory University Hospital - Clifton Road

    Atlanta, Georgia, 30322

    Recruiting
  • Augusta University Medical Center

    Augusta, Georgia, 30912-5563

    Recruiting
  • Johns Hopkins Hospital

    Baltimore, Maryland, 21287

    Recruiting
  • University of Alabama at Birmingham School of Medicine, Department of Medicine

    Birmingham, Alabama, 35294-0006

    Recruiting
  • University of North Carolina at Chapel Hill

    Chapel Hill, North Carolina, 27514

    Recruiting
  • DMC Harper University Hospital

    Detroit, Michigan, 48201

    Recruiting
  • Henry Ford Hospital, Department of Medicine, Division of Infectious Diseases

    Detroit, Michigan, 48202

    Recruiting
  • City of Hope

    Duarte, California, 91010

    Recruiting
  • Houston Methodist Hospital - Texas Medical Center

    Houston, Texas, 77030

    Recruiting
  • The University of Texas Health Science Center at Houston

    Houston, Texas, 77030

    Recruiting
  • U.T. MD Anderson Cancer Center

    Houston, Texas, 77030

    Recruiting
  • Indiana University Methodist Hospital

    Indianapolis, Indiana, 46202

    Recruiting
  • University of Kentucky College of Medicine

    Lexington, Kentucky, 40506

    Withdrawn
  • David Geffen School of Medicine at UCLA

    Los Angeles, California, 90095

    Recruiting
  • University of Minnesota

    Minneapolis, Minnesota, 55455

    Recruiting
  • Weill Cornell Medical College - NewYork-Presbyterian Hospital

    New York, New York, 10065

    Recruiting
  • University of Pennsylvania School of Medicine

    Philadelphia, Pennsylvania, 19104-6243

    Recruiting
  • UPMC Presbyterian

    Pittsburgh, Pennsylvania, 15213-2582

    Recruiting
  • Carilion Clinic

    Roanoke, Virginia, 24014

    Recruiting
  • UC Davis Medical Center

    Sacramento, California, 95817

    Recruiting
  • University of Texas Health Science Center at San Antonio

    San Antonio, Texas, 78229

    Recruiting
  • Washington University School of Medicine, Infectious Diseases Clinical Research Unit

    St Louis, Missouri, 63110

    Recruiting

Other trials in United States

China20 sites, 20 recruiting
  • China-Japan Friendship Hospital

    Beijing, 100029

    Recruiting
  • The First Affiliated Hospital of Bengbu Medical College

    Bengbu, 233099

    Recruiting
  • West China Hospital, Sichuan University

    Chengdu, 610041

    Recruiting
  • The First Affiliated Hospital of Sun Yat-sen University

    Guangzhou, 510080

    Recruiting
  • Guangzhou First People's Hospital

    Guangzhou, 510180

    Recruiting
  • The First Affiliated Hospital of Guangzhou Medical University

    Guangzhou, 510230

    Recruiting
  • Zhejiang Provincal Hospital of Chinese Medicine

    Hangzhou, 310006

    Recruiting
  • Zhejiang Provincial People's Hospital

    Hangzhou, 310014

    Recruiting
  • Sir Run Run Shaw Hospital Affiliated to Zhejiang University School of Medicine

    Hangzhou, 310016

    Recruiting
  • Lishui People's Hospital

    Lishui, 323000

    Recruiting
  • Liuzhou People's Hospital

    Liuzhou, 530021

    Recruiting
  • The 1st Affiliated Hospital of Nanchang University

    Nanchang, 330006

    Recruiting
  • Qingyuan People's Hospital

    Qingyuan, 511518

    Recruiting
  • Huashan Hospital

    Shanghai, 200040

    Recruiting
  • Shenzhen Third People's Hospital

    Shenzhen, 518112

    Recruiting
  • Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences

    Tianjin, 301617

    Recruiting
  • Central Hospital of Wuhan

    Wuhan, 430014

    Recruiting
  • Zhongnan Hospital of Wuhan University

    Wuhan, 430071

    Recruiting
  • Wuxi People's Hospital

    Wuxi, 214023

    Recruiting
  • The First Affiliated Hospital of Henan University of Science and Technology

    Zhengzhou, 471003

    Recruiting

Other trials in China

Italy10 sites, 10 recruiting
  • Hospital "S. Croce e Carle"

    Cuneo, 12100

    Recruiting
  • IRCCS Policlinic Hospital San Martino

    Genoa, 16132

    Recruiting
  • Maggiore Polyclinic Hospital, Foundation IRCCS Ca' Granda

    Milan, 20122

    Recruiting
  • Hospital San Raffaele, IRCCS

    Milan, 20132

    Recruiting
  • Big Metropolitan Hospital Niguarda Regional Health Authority

    Milan, 20162

    Recruiting
  • University Polyclinic Hospital of Modena

    Modena, 41124

    Recruiting
  • Polyclinic San Matteo, IRCCS

    Pavia, 27100

    Recruiting
  • University Hospital of Pisa

    Pisa, 56124

    Recruiting
  • AOU Senese

    Siena, 53100

    Recruiting
  • Giuliano Isontina University Health Authority

    Trieste, 34125

    Recruiting

Other trials in Italy

Taiwan9 sites, 9 recruiting
  • Kaohsiung Medical University Chung-Ho Memorial Hospital

    Kaohsiung City, 807377

    Recruiting
  • Kaohsiung Chang Gung Memorial Hospital

    Kaohsiung City, 833401

    Recruiting
  • Far Eastern Memorial Hospital

    New Taipei City, 220

    Recruiting
  • China Medical University Hospital

    Taichung, 404327

    Recruiting
  • Taichung Veterans General Hospital

    Taichung, 407219

    Recruiting
  • National Taiwan University Hospital

    Taipei, 100226

    Recruiting
  • Taipei Medical University Hospital

    Taipei, 11000

    Recruiting
  • Taipei Veterans General Hospital

    Taipei, 112201

    Recruiting
  • Linkou Chang Gung Memorial Hospital

    Taoyuan City, 333

    Recruiting

Other trials in Taiwan

Belgium7 sites, 6 recruiting
  • General Hospital Saint-Jan

    Bruges, 8000

    Recruiting
  • University Hospital Brussels

    Brussels, 1090

    Recruiting
  • Saint Luc University Hospital, Department of Internal Medicine

    Brussels, 1200

    Recruiting
  • Erasme Hospital, Department of Infectious and Tropical Diseases

    Brussels, B-1070

    Recruiting
  • Jessa Hospital

    Hasselt, 3500

    Recruiting
  • University Hospitals Leuven, Campus Gasthuisberg, Department of Infectious Diseases

    Leuven, 3000

    Recruiting
  • UCL Mont-Godinne University Hospitals

    Yvoir, 5530

    Suspended

Other trials in Belgium

Spain7 sites, 7 recruiting
  • University Hospital Cruces

    Barakaldo, 48903

    Recruiting
  • Hospital del Mar, Department of Infectious Diseases

    Barcelona, Catalonia, 08003

    Recruiting
  • University Hospital Vall d'Hebron, Intensive Care Unit (ICU)

    Barcelona, Catalonia, 08035

    Recruiting
  • Hospital Clinic of Barcelona, Department of Infectious Diseases

    Barcelona, Catalonia, 08036

    Recruiting
  • University Hospital Ramon y Cajal, Department of Infectious Diseases

    Madrid, Madrid, 28034

    Recruiting
  • University Hospital Virgen Macarena

    Seville, Andalusia, 41009

    Recruiting
  • University Hospital Nuestra Senora de Valme

    Seville, Andalusia, 41014

    Recruiting

Other trials in Spain

Argentina6 sites, 5 recruiting
  • Central Hospital de San Isidro Melchor Posse

    Buenos Aires, B1641

    Recruiting
  • Buenos Aires Italian Hospital, Department of Infectious Diseases

    Buenos Aires, C1199ABB

    Recruiting
  • Cordoba Private University Hospital, Department of Infectious Diseases

    Córdoba, X5016KEH

    Recruiting
  • Italian Hospital of La Plata, Department of Infectious Diseases

    La Plata, B1900

    Recruiting
  • Central Hospital Mendoza

    Mendoza, M5500IDN

    Terminated
  • British Sanatorium SA

    Rosario, S2000CVB

    Recruiting

Other trials in Argentina

Australia6 sites, 6 recruiting
  • Monash Medical Center Clayton

    Clayton, 3168

    Recruiting
  • Peter MacCallum Cancer Center, State

    Melbourne, Victoria, 3000

    Recruiting
  • The Alfred Hospital

    Melbourne, Victoria, 3004

    Recruiting
  • Royal Melbourne Hospital

    Parkville, Victoria, 3050

    Recruiting
  • Westmead Hospital

    Sydney, New South Wales, 2145

    Recruiting
  • Princess Alexandra Hospital

    Woolloongabba, Queensland, 4102

    Recruiting

Other trials in Australia

Colombia6 sites, 6 recruiting
  • Cardiomet CEQUIN Foundation, Department of Nephrology

    Armenia, 630004

    Recruiting
  • Hospital Alma Mater de Antioquia

    Medellín, 050012

    Recruiting
  • Luz Castro de Gutierrez Medellin General Hospital, Research Center

    Medellín, 050015

    Recruiting
  • Pablo Tobon Uribe Hospital

    Medellín, 050034

    Recruiting
  • High Technology Medical Institute S.A.S, IMAT S.A.S.

    Montería, 230002

    Recruiting
  • Somer Clinic

    Rionegro, 54040

    Recruiting

Other trials in Colombia

France6 sites, 5 recruiting
  • Amiens Picardie University Hospital - South, Intensive Care Unit (ICU)

    Amiens, 80054

    Recruiting
  • Victor Dupouy Hospital Center Argenteuil, Intensive Care Unit

    Argenteuil, 95107

    Recruiting
  • Marseille Nord University Hospitals - AP-HM, Medical Intensive Care Unit, Acute Respiratory Distress and Severe Infections

    Marseille, 13015

    Suspended
  • Nantes University Hospital Center - Hotel Dieu Hospital, Department of Infectious and Tropical Diseases

    Nantes, 44000

    Recruiting
  • Rennes University Hospital Center - Hospital Pontchaillou

    Rennes, 35000

    Recruiting
  • Tours Regional University Hospital Center

    Tours, 37000

    Recruiting

Other trials in France

Germany6 sites, 6 recruiting
  • University Hospital Cologne, Department of Internal Medicine I, Clinical Study Centre II for Infectious Diseases

    Cologne, North Rhine-Westphalia, 50937

    Recruiting
  • Frankfurt University Clinic

    Frankfurt am Main, Hesse, 60590

    Recruiting
  • University Hospital Giessen and Marburg GmbH

    Giessen, Hesse, 35392

    Recruiting
  • University Hospital Heidelberg, Clinic for Anesthesiology

    Heidelberg, 69120

    Recruiting
  • University Hospital Regensburg

    Regensburg, Bavaria, 93053

    Recruiting
  • University Hospital Ulm, Comprehensive Infectious Diseases Center Ulm (CIDCU)

    Ulm, Baden-Wurttemberg, 89081

    Recruiting

Other trials in Germany

Greece6 sites, 5 recruiting
  • "LAIKO" General Hospital

    Athens, 115 27

    Recruiting
  • "Sotiria" Chest Diseases Hospital of Athens

    Athens, 11527

    Recruiting
  • General Hospital of Athens "Evangelismos", 5th Department of Internal Medicine and Infectious Diseases Unit

    Athens, PC 10676

    Recruiting
  • University General Hospital of Heraklion

    Heraklion, 715 00

    Recruiting
  • Tzaneio General Hospital

    Piraeus, 185 36

    Suspended
  • General Hospital of Thessaloniki "Ippokratio"

    Thessaloniki, 54642

    Recruiting

Other trials in Greece

Brazil5 sites, 5 recruiting
  • HC-UFPR

    Curitiba, Paraná, 80060-900

    Recruiting
  • Hospital Our Lady of Grace

    Curitiba, Paraná, 80810-040

    Recruiting
  • Porto Alegre Clinical Hospital (HCPA), Infectious Diseases / Internal Medicine

    Porto Alegre, Rio Grande do Sul, 90035-903

    Recruiting
  • Pontifical University Of Rio Grande Do Sul (PUCRS) - St. Luke Hospital

    Porto Alegre, Rio Grande do Sul, 90610-000

    Recruiting
  • Santa Marcelina Hospital

    São Paulo, São Paulo, 08270-070

    Recruiting

Other trials in Brazil

Israel5 sites, 5 recruiting
  • Rambam Health Care Campus, Institute of Infectious Diseases

    Haifa, 3109601

    Recruiting
  • Edith Wolfson Medical Center, Department of Infectious Diseases

    Holon, 58100

    Recruiting
  • Chaim Sheba Medical Center, Department of Infectious Diseases

    Ramat Gan, 52621

    Recruiting
  • The Tel Aviv Sourasky Medical Center, Infectious Diseases Unit

    Tel Aviv, 6423906

    Recruiting
  • Shamir Medical Center, Department of Infectious Diseases

    Ẕerifin, 7033001

    Recruiting

Other trials in Israel

South Africa5 sites, 2 recruiting
  • Helen Joseph Hospital

    Johannesburg, 2092

    Suspended
  • Milpark Hospital

    Johannesburg, 2193

    Recruiting
  • Ryexo Clinical Research

    Pretoria, 0084

    Withdrawn
  • University of Pretoria / Steve Biko Academic Hospital

    Pretoria, 0084

    Suspended
  • Practice of R Moodley and MI Sarvan - Umhlanga

    Umhlanga, 4320

    Recruiting

Other trials in South Africa

Thailand5 sites, 5 recruiting
  • Vajira Hospital

    Bangkok, 10300

    Recruiting
  • Siriraj Hospital

    Bangkok, 10700

    Recruiting
  • Maharaj Nakorn Chiang Mai Hospital

    Chiang Mai, 50200

    Recruiting
  • Songklanagarind Hospital

    Hat Yai, 90110

    Recruiting
  • Srinagarind Hospital

    Khon Kaen, 40002

    Recruiting

Other trials in Thailand

Austria4 sites, 4 recruiting
  • University Hospital Graz, Department of Internal Medicine

    Graz, 1100

    Recruiting
  • Kepler University Hospital GmbH, Department of Pulmonology, Clinical Department of Infectious Diseases

    Linz, 4021

    Recruiting
  • Medical University Vienna

    Vienna, 1090

    Recruiting
  • Hospital Favoriten, Department of Internal Medicine IV - Infectious Diseases and Tropical Medicine

    Vienna, 1100

    Recruiting

Other trials in Austria

South Korea4 sites, 1 recruiting
  • Kyungpook National University Hospital

    Daegu, 41944

    Suspended
  • Severance Hospital, Yonsei University Health System

    Seoul, 03722

    Suspended
  • Samsung Medical Center

    Seoul, 06351

    Suspended
  • Ajou University Hospital

    Suwon, 16499

    Recruiting

Other trials in South Korea

Bulgaria3 sites, 3 recruiting
  • Eurohospital University Hospital

    Plovdiv, 4004

    Recruiting
  • University Medical Center "N. I. Pirogov", Burns and Plastic Surgery Clinic

    Sofia, 1606

    Recruiting
  • University Medical Center "N. I. Pirogov", Clinic of Purulent-Septic Surgery

    Sofia, 1606

    Recruiting

Other trials in Bulgaria

Singapore3 sites, 2 recruiting
  • National University Hospital

    Singapore, 119074

    Recruiting
  • Singapore General Hospital

    Singapore, 169608

    Recruiting
  • Tan Tock Seng Hospital

    Singapore, 308433

    Suspended

Other trials in Singapore

About this study

Official title: An Interventional Efficacy and Safety Phase 3 Double-blind 2-arm Study to Investigate IV Followed by Oral Fosmanogepix Compared With IV Caspofungin Followed by Oral Fluconazole in Adult Participants With Candidemia and/or Invasive Candidiasis

The purpose of this clinical trial is to learn about the safety and effects of the study medicine (called Fosmanogepix) for the potential treatment of candidemia and/or invasive candidiasis, a life-threatening fungal infection caused by several species of yeast called Candida.

The study is seeking patients who have a diagnosis of candidemia and/or invasive candidiasis.

Read more

Two-thirds of all patients will receive the study medication fosmanogepix Intravenous (IV) infusion followed by optional fosmanogepix tablets. One-third of all patients will receive a standard of care regimen of caspofungin Intravenous (IV) infusion followed by optional fluconazole capsules.

Fosmanogepix or caspofungin will first be given as an Intravenous (IV) infusion directly into a vein in the arm each day at the study clinic. Fosmanogepix tablets or fluconazole capsules will be taken orally by mouth daily either at the study clinic, or at home if patients are well enough to be discharged from the hospital.

The treatment effect in patients receiving fosmanogepix to those receiving caspofungin/ fluconazole will be compared. The primary aim is to show that fosmanogepix is not inferior (not worse) to caspofungin/ fluconazole with a noninferiority margin of 15%.

The duration of study treatment and number of study visits will vary depending on how long the patient will be treated for the infection. Treatment will continue for a maximum of 6 weeks depending on when the infection is cleared and whether other symptoms related to the infection have improved. There will also be a follow-up visit 6 weeks after the study treatment was stopped.

Being tested
Fosmanogepix, Caspofungin, Fluconazole, Placebo
Keywords
Fungal infection, Candida, Anti-fungal, Yeast
Medical subject headings
Candidemia, Candidiasis, Invasive, Mycoses, Torulopsis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • FosmanogepixDrug

    IV infusion

  • FosmanogepixDrug

    Oral tablet

  • CaspofunginDrug

    IV infusion

  • FluconazoleDrug

    Fluconazole oral capsule

  • PlaceboDrug

    Matching placebo for caspofungin (IV infusion)

  • PlaceboDrug

    Matching placebo for fluconazole (oral capsule)

  • PlaceboDrug

    Matching placebo for fosmanogepix (IV infusion)

  • PlaceboDrug

    Matching placebo for fosmanogepix (oral tablet)

Study groups in NCT05421858
Study groupRoleWhat they receive
Fosmanogepix IV/oralExperimentalFosmanogepix will be administered as an Intravenous (IV) infusion given directly into a vein. There is an option to switch from the IV infusion to the oral form of fosmanogepix which is taken by mouth. Matching placebos for caspofungin and fluconazole will also be administered (a placebo does not have any medicine in it but looks just like the caspofungin and fluconazole).
Receives: Drug: Fosmanogepix; Drug: Placebo
Caspofungin IV/ Fluconazole oralActive comparatorCaspofungin will be administered as an intravenous (IV) infusion given directly into a vein. There is an option to switch from the IV infusion to oral fluconazole which is taken by mouth. Matching placebos for fosmanogepix will also be administered (a placebo does not have any medicine in it but looks just like the medicine fosmanogepix being studied).
Receives: Drug: Caspofungin; Drug: Fluconazole; Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Proportion of patients alive at Day 30

    Measured: Day 30

  2. Proportion of patients with an overall response of treatment success at end of study treatment (EOST)

    Measured: EOST (up to Day 42)

Secondary outcomes (12)
  1. Proportion of patients with an overall response of treatment success at Day 7

    Measured: Day 7

  2. Proportion of patients with an overall response of treatment success at Day 14

    Measured: Day 14

  3. Proportion of patients with an overall response of treatment success at end of IV treatment (EOIV)

    Measured: up to Day 42

  4. Proportion of patients with an overall response of treatment success (sustained) at follow-up 6 weeks after EOST

    Measured: approximately up to 12,5 weeks

  5. Proportion of patients with clinical response of success at Day 7, 14, EOIV, EOST, Follow-up 6- weeks after EOST

    Measured: Day 14, EOIV (up to Day 42), EOST (up to Day 42), Follow-up 6-weeks after EOST]

  6. Proportion of patients with mycological response of eradication or presumed eradication at Day 7, 14, EOIV, EOST, Follow-up 6-weeks after EOST

    Measured: Day 14, EOIV (up to Day 42), EOST (up to Day 42), Follow-up 6-weeks after EOST

  7. Time to first negative blood culture in patients on fosmanogepix compared to caspofungin/fluconazole

    Measured: Baseline up to follow-up 6-weeks after EOST (approximately up to 12,5 weeks)

  8. Incidence of treatment-emergent adverse event (TEAEs), serious adverse events (SAEs), treatment-related adverse events (AEs), adverse events of special interest (AESI)and AEs leading to discontinuation

    Measured: Screening up to follow-up 6-weeks after EOST (approximately up to 12,5 weeks)

  9. Number of patients with clinically significant laboratory abnormalities

    Measured: Baseline up to follow-up 6-weeks after EOST (approximately up to 12,5 weeks)

  10. Number of patients with abnormal neurological examination findings

    Measured: Baseline up to follow-up 6-weeks after EOST (approximately up to 12,5 weeks)

  11. Assessment of 12-lead electrocardiogram (ECGs)

    Measured: Baseline up to follow-up 6-weeks after EOST (approximately up to 12,5 weeks)

  12. Plasma concentrations versus time of fosmanogepix (prodrug) and manogepix (active moiety)

    Measured: Day 3: 0, 3, 6, 9 and 24 hours post-dose; Day 7, 14, 21, 28, 35; EOST: 72 and 192 hours post-dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Jun 2022
  2. Study start11 Dec 2024
  3. Primary completion30 Jan 2028 (estimated)
  4. Study completion30 Jan 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
450 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05421858
Sponsor's protocol ID
FMGX-CS-301
Other IDs
75A50124C00033, 2022-500455-23-00
Status last verified
Oct 2026
First submitted
7 Jun 2022
Last updated
19 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No
Expanded access
Available

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