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Phase 3 Study of Oral Ibrexafungerp (SCY-078) Vs. Placebo in Subjects With Recurrent Vulvovaginal Candidiasis (VVC)

Phase 3
Completed
Conditions
Recurrent Vulvovaginal Candidiasis
Interventions
Registration Number
NCT04029116
Lead Sponsor
Scynexis, Inc.
Brief Summary

This study is a Phase 3, multicenter, randomized, double-blind, placebo-controlled study to evaluate the efficacy and safety of oral ibrexafungerp (formerly "SCY-078") compared to placebo in female subjects 12 years and older with recurrent VVC (RVVC).

Detailed Description

This study is a Phase 3, multicenter, randomized, double-blind study to evaluate the efficacy and safety of oral ibrexafungerp (formerly "SCY-078") compared to placebo in female subjects 12 years and older with RVVC. The primary objective of the study is to evaluate the efficacy of oral ibrexafungerp in preventing recurrences of VVC in subjects with RVVC based on Clinical Success. Approximately 320 subjects are planned to be enrolled into the study. All subjects will receive treatment with oral fluconazole for their acute episode present at screening. Subjects who respond to fluconazole for their acute episode will be enrolled in the prevention of recurrence phase of the study and randomized to ibrexafungerp or placebo.

Subjects who fail treatment with fluconazole for their acute episode will be included in a nested open label Sub-Study, in which they will be offered one-day oral ibrexafungerp for their unresolved acute episode.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
440
Inclusion Criteria
  • Diagnosis of symptomatic VVC with microscopic examination with KOH positive for yeast and normal vaginal pH.
  • History of 3 or more episodes of VVC in the past 12 months.
  • Culture confirmation and resolution of the signs and symptoms of the initial VVC episode (with treatment).
  • Able to take oral tablets and capsules.

Key exclusion Criteria:

  • Vaginal conditions other than recurrent VVC that may interfere with the diagnosis or evaluation of response to therapy.
  • Recent use of systemic and/or topical vaginal antifungal products.
  • Pregnant.
  • History of major system organ disease.
Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboFluconazole TabletOral Fluconazole 150 mg every 72 hours for 3 doses followed by Oral Placebo BID (one day) every 4 weeks for a total of 6 dosing days
PlaceboPlacebo oral tabletOral Fluconazole 150 mg every 72 hours for 3 doses followed by Oral Placebo BID (one day) every 4 weeks for a total of 6 dosing days
IbrexafungerpFluconazole TabletOral Fluconazole 150 mg every 72 hours for 3 doses followed by Oral Ibrexafungerp 300 mg BID (one day) every 4 weeks for a total of 6 dosing days
IbrexafungerpIBREXAFUNGERPOral Fluconazole 150 mg every 72 hours for 3 doses followed by Oral Ibrexafungerp 300 mg BID (one day) every 4 weeks for a total of 6 dosing days
Primary Outcome Measures
NameTimeMethod
Clinical SuccessWeek 24

Efficacy as measured by the percentage of subjects with documented Clinical Success.

Secondary Outcome Measures
NameTimeMethod
The Percentage of Subjects With no Mycologically Proven RecurrenceWeek 24

Efficacy as measured by the percentage of subjects with no Mycologically Proven Recurrence

Safety and TolerabilityWeek 24

Safety as measured by the number of subjects who discontinue due to treatment related adverse events.

Trial Locations

Locations (25)

Chattanooga Medical Research Inc

🇺🇸

Chattanooga, Tennessee, United States

Clinical Research Prime - ClinEdge - PPDS

🇺🇸

Idaho Falls, Idaho, United States

Women's Healthcare Research Corp

🇺🇸

San Diego, California, United States

Precision Trials LLC

🇺🇸

Phoenix, Arizona, United States

Wayne State University

🇺🇸

Detroit, Michigan, United States

Carolina Women's Research and Wellness Center

🇺🇸

Durham, North Carolina, United States

Altus Research - Hunt - PPDS

🇺🇸

Lake Worth, Florida, United States

New Age Medical Research Corporation

🇺🇸

Miami, Florida, United States

Healthcare Clinical Data Inc

🇺🇸

North Miami, Florida, United States

Women Under Study, LLC

🇺🇸

New Orleans, Louisiana, United States

Center For Women's Health and Wellness LLC

🇺🇸

Lawrenceville, New Jersey, United States

Bosque Women's Care

🇺🇸

Albuquerque, New Mexico, United States

Unified Women's Clinical Research Raleigh

🇺🇸

Raleigh, North Carolina, United States

M3 Wake Research, Inc

🇺🇸

Raleigh, North Carolina, United States

Lyndhurst Clinical Research

🇺🇸

Winston-Salem, North Carolina, United States

Cleveland Clinic

🇺🇸

Cleveland, Ohio, United States

Obstetrics and Gynecology Associates of Erie, PC

🇺🇸

Erie, Pennsylvania, United States

Jefferson University Hospital

🇺🇸

Philadelphia, Pennsylvania, United States

TMC Life Research Inc

🇺🇸

Houston, Texas, United States

Unified Womens CLinical Research

🇺🇸

Greensboro, North Carolina, United States

Clinical Trials Management

🇺🇸

Covington, Louisiana, United States

Lawrence Obstetrics Gynecology Clinical Research LLC

🇺🇸

Lawrenceville, New Jersey, United States

Medical Research Center of Memphis, LLC

🇺🇸

Memphis, Tennessee, United States

Unified Women's Clinical Research

🇺🇸

Hagerstown, Maryland, United States

Group For Women

🇺🇸

Winston-Salem, North Carolina, United States

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