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Efficacy and Safety of Oral Ibrexafungerp (SCY-078) vs. Placebo in Subjects With Acute Vulvovaginal Candidiasis

Phase 3
Completed
Conditions
Candida Vulvovaginitis
Interventions
Drug: Placebo
Registration Number
NCT03987620
Lead Sponsor
Scynexis, Inc.
Brief Summary

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

Detailed Description

Subjects who meet all of the inclusion and none of the exclusion criteria will be enrolled into the study and will be randomized in a 2:1 ratio to either oral ibrexafungerp or ibrexafungerp matching placebo, as follows:

* Oral ibrexafungerp 300-mg dose BID (bis in die) for 1 day

* Oral ibrexafungerp matching placebo BID for 1 day

This is a randomized, double-blind study.

Approximately 366 eligible subjects will be enrolled and randomized in a 2:1 ratio to one of the two study treatment groups. Subjects will be followed for assessments of efficacy and safety for approximately one month after study drug administration. The design of this study is identical to VANISH 303 Study: NCT03734991

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
455
Inclusion Criteria
  • Subject is a postmenarchal female subject 12 years and older
  • Subject has a diagnosis of symptomatic AVVC at baseline including a positive microscopic examination with 10% Potassium Hydroxide (KOH) in a vaginal sample revealing yeast forms (hyphae/pseudohyphae) or budding yeasts, and vaginal pH (≤4.5)
Exclusion Criteria
  • Subject has any vaginal condition other than AVVC that may interfere with the diagnosis or evaluation of response to therapy, such as suspected or confirmed concurrent causes of vulvovaginitis and/or cervicitis (mixed infection)
  • Need for systemic and/or topical (vaginal) anti fungal treatment, including prescription or over-the-counter products during the study and treatment for vulvovaginal candidiasis (VVC) 28 days prior to randomization.
  • Subject has uncontrolled diabetes mellitus.
  • Subject has a vaginal sample with pH >4.5.
  • Subject has a history of or an active cervical/vaginal cancer.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboMatching Placebo
Ibrexafungerp (SCY-078)Ibrexafungerp300 mg BID for one day
Primary Outcome Measures
NameTimeMethod
Clinical Cure (Complete Resolution of Signs and Symptoms)Day 8-14

The percentage of subjects with clinical cure (complete resolution of signs and symptoms) at the test-of-cure (TOC) visit

Secondary Outcome Measures
NameTimeMethod
Complete Clinical Response at Follow-upDay 25

The percentage of subjects with complete resolution of signs and symptoms at the Follow-up (FU) visit

Mycological Eradication (Negative Culture for Growth of Yeast)Day 8-14

The percentage of subjects with mycological eradication (negative culture for growth of Candida species) at the TOC visit

Clinical Cure and Mycological Eradication (Responder Outcome)Day 8-14

The percentage of subjects with clinical cure and mycological eradication (responder outcome) at the TOC visit

Safety and Tolerability of IbrexafungerpUp to 29 Days

Number of subjects with treatment related adverse events

Trial Locations

Locations (40)

New Generation Medical Research

🇺🇸

Hialeah, Florida, United States

Physician Care Clinical Research LLC

🇺🇸

Sarasota, Florida, United States

Planned Parenthood Southeastern Pennsylvania The Elizabeth Blackwell Health Center

🇺🇸

Philadelphia, Pennsylvania, United States

Chattanooga Medical Research Inc

🇺🇸

Chattanooga, Tennessee, United States

Multiprofile Hospital for Active Treatment - Chirpan EOOD

🇧🇬

Chirpan, Bulgaria

Multiprofile Hospital for Active Treatment Sv. Ivan Rilski - Gorna Oryahovitsa EOOD

🇧🇬

Gorna Oryahovitsa, Bulgaria

Medical center Vip Clinic OOD

🇧🇬

Sofia, Bulgaria

Fellows Research Alliance Inc

🇺🇸

Bluffton, South Carolina, United States

Rosemark Women Care Specialists

🇺🇸

Idaho Falls, Idaho, United States

Planned Parenthood North Central Southern New Jersey (PPNCSNJ)

🇺🇸

Hackensack, New Jersey, United States

Healthcare Clinical Data Inc

🇺🇸

North Miami, Florida, United States

Praetorian Pharmaceutical Research, LLC

🇺🇸

Marrero, Louisiana, United States

Diagnostic-Consultative Center I-Gabrovo EOOD

🇧🇬

Gabrovo, Bulgaria

MHAT Puls AD - PPDS

🇧🇬

Blagoevgrad, Bulgaria

Brownstone Clinical Trials, LLC

🇺🇸

Irving, Texas, United States

Mount Vernon Clinical Research, LLC

🇺🇸

Sandy Springs, Georgia, United States

Clinical Research Center Of Nevada

🇺🇸

Las Vegas, Nevada, United States

Multiprofile Hospital For Active Treatment Dr Tota Venkova

🇧🇬

Gabrovo, Bulgaria

MHAT Stamen Iliev AD

🇧🇬

Montana, Bulgaria

Multiprofile Hospital For Active Treatment - Dr. Bratan Shukerov AD

🇧🇬

Smolyan, Bulgaria

Multiprofile Hospital for Active Treatment Trimontsium OOD

🇧🇬

Plovdiv, Bulgaria

Medical Center-1-Sevlievo EOOD

🇧🇬

Sevlievo, Bulgaria

Multiprofile Hospital for Active Treatment Shumen

🇧🇬

Shumen, Bulgaria

Multiprofile Hospital for Active Treatment - Prof. Dr. Paraskev Stoyanov AD

🇧🇬

Lovech, Bulgaria

Multiprofile Hospital for Active Treatment - Samokov EOOD

🇧🇬

Samokov, Bulgaria

Multiprofile Hospital for Active Treatment -Asenovgrad EOOD

🇧🇬

Asenovgrad, Bulgaria

Medical Center Asklepii OOD

🇧🇬

Dupnitsa, Bulgaria

Multiprofile Hospital For Active Treatment - Pazardzhik AD

🇧🇬

Pazardzhik, Bulgaria

Medical Center Excelsior OOD - PPDS

🇧🇬

Sofia, Bulgaria

Diagnostic Consultative CTR - XX - Sofia - EOOD

🇧🇬

Sofia, Bulgaria

Red Rocks OBGYN

🇺🇸

Lakewood, Colorado, United States

Mesa OB-GYN

🇺🇸

Mesa, Arizona, United States

CCT LLC - A VitaLink Company- PPDS

🇺🇸

West Palm Beach, Florida, United States

Carolina Institute for Clinical Research - M3 Wake Research

🇺🇸

Fayetteville, North Carolina, United States

North County Health Center, Planned Parenthood of the St. Louis Region and Southwest Missouri

🇺🇸

Florissant, Missouri, United States

Obstetrics and Gynecology Associates of Erie, PC

🇺🇸

Erie, Pennsylvania, United States

Signature GYN Services, PLLC

🇺🇸

Fort Worth, Texas, United States

Multiprofile Hospital for Active Treatment- Sveti Nikolay Chudotvoretz - LOM EOOD

🇧🇬

Lom, Bulgaria

Medical Center Medica Plus OOD

🇧🇬

Veliko Tarnovo, Bulgaria

Planned Parenthood Southern New England

🇺🇸

New Haven, Connecticut, United States

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