A Study to Evaluate the Effectiveness and Safety of Ibrexafungerp in Patients with Fungal Diseases That Are Refractory to or Intolerant of Standard Antifungal Treatment

Overview

Información sobre este estudio

The purpose of this study is to see how well study drug works at treating people with fungal diseases that are refractory to or intolerant of Standard Antifungal Treatment.

Elegibilidad para la participación

Los requisitos de elegibilidad de los participantes incluyen la edad, el sexo, el tipo y el estadio de la enfermedad, y los problemas de salud o tratamientos previos. Las pautas difieren de un estudio a otro e identifican quiénes pueden o no pueden participar. No hay garantía de que cada persona elegible que desee participar en un ensayo se inscribirá. Comunícate con el equipo del estudio para analizar la elegibilidad del estudio y la posible participación.

Inclusion Criteria:

  • Must have a documented eligible invasive and/or severe fungal disease that is refractory or intolerant to Standard-of-Care treatment. A summary of eligible fungal diseases is listed below:
    • Acute or chronic invasive candidiasis, including candidemia;
    • Acute or chronic severe mucocutaneous candidiasis, including:
    • Esophageal candidiasis, Oropharyngeal candidiasis, Chronic mucocutaneous candidiasis, Vulvovaginal candidiasis;
    • Disseminated/invasive dimorphic fungi: Coccidioidomycosis, Histoplasmosis, Blastomycosis;
    • Chronic Pulmonary Aspergillosis;
    • Allergic Bronchopulmonary Aspergillosis;
    • Invasive Pulmonary Aspergillosis;
    • Other emerging fungi including yeasts and molds (e.g., saccharomycetes, scopulariopsis).
  • Be able to tolerate medication orally or through a nasogastric (NG) tube or  percutaneous endoscopic gastrostomy (PEG) tube.
  • Be able to understand and sign a written informed consent form (ICF), which must be obtained prior to treatment and any study-related procedures.
  • Be able to understand and sign a consent or authorization form which shall permit the use, disclosure and transfer of the subject's personal health information. (e.g., in  the U.S. HIPAA Authorization form). 
  • Be able to understand and follow all study-related procedures including study drug  administration.  
  • Agree to use a medically acceptable method of contraception while receiving  protocol-assigned product.  

Exclusion Criteria:

  • An invasive fungal disease with CNS involvement.
  • Subject has an inappropriately controlled fungal disease source (e.g., persistent  catheters that cannot be removed and are likely the source of infection).
  • Subject is hemodynamically unstable, requiring vasopressor medication for blood  pressure support.  
  • A life expectancy < 30 days.
  • Subject with abnormal liver test parameters: aspartate aminotransferase (AST), alanine  aminotransferase (ALT) > 10 x the upper limit of normal (ULN), and/or total bilirubin > 5 x ULN.
  • Subject is pregnant or lactating.
  • Subject has used an investigational drug within 30 days prior to the baseline visit.

Eligibility last updated 9/13/21. Questions regarding updates should be directed to the study team contact.

 

 

Sedes participantes de Mayo Clinic

Los estatus de los estudios cambian con frecuencia. Comunícate con el equipo del estudio para obtener la información más actualizada acerca de la posibilidad de participar.

Sede de Mayo Clinic Estatus

Rochester, Minn.

Investigador principal de Mayo Clinic

Paschalis Vergidis, M.D.

Cerrado para la inscripción

More information

Publicaciones

  • Ibrexafungerp is a novel glucan synthase inhibitor currently undergoing phase II and phase III clinical trials. This compound has demonstrated in vitro activity against clinically important fungal pathogens including Candida spp. and Aspergillus spp. It is able to retain activity against many echinocandin-resistant strains of Candida due to differential avidity for the target site compared to echinocandins. In vivo animal models have demonstrated efficacy in murine models of invasive candidiasis, aspergillosis, and pneumocystis. Due to high bioavailability, it can be administered both orally and intravenously. A favorable drug interaction and tolerability profile is observed with this compound. This review summarizes existing data that have either been published or presented at international symposia. Read More on PubMed
.
CLS-20508011

Mayo Clinic Footer