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A Study to Evaluate Oral VT-1161 in the Treatment of Patients With Recurrent Vaginal Candidiasis (Yeast Infection)

Phase 2
Completed
Conditions
Recurrent Vulvovaginal Candidiasis
Interventions
Drug: Placebo
Registration Number
NCT02267382
Lead Sponsor
Viamet
Brief Summary

VT-1161 is a novel, oral inhibitor of fungal lanosterol demethylase (CYP51). In vitro and in vivo pharmacology studies have demonstrated that VT-1161 is highly active against Candida albicans and also non-albicans Candida species that cause vulvovaginal candidiasis. VT-1161 is highly selective for fungal CYP51, and data suggests that it may avoid the side-effect profile that limits the use of commonly prescribed antifungal agents for the treatment of recurrent yeast infections.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
254
Inclusion Criteria

Clinical diagnosis of symptomatic acute VVC

3 or more episodes of acute VVC in the past 12 months

Positive KOH

Minimum composite vulvovaginal signs and symptoms score of ≥3 at Screening

Composite vulvovaginal signs and symptoms score of <3 at Baseline

Must be able to swallow tablets

Key

Exclusion Criteria

Evidence of major organ system disease

Presence or a history of another vaginal or vulvar condition(s)

History of cervical cancer

Poorly controlled diabetes mellitus

Pregnant

Recent use of topical or systemic antifungal drugs

Recent use of immunosuppressive or system corticosteroid therapies

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
PlaceboPlacebo2 placebo tablets once daily for 7 days, then once weekly for 23 weeks
VT-1161 Low-dose 3-monthVT-11611 VT-1161 150mg tablet and 1 placebo tablet once daily for 7 days, then once weekly for 11 weeks, followed by 2 placebo tablet once weekly for 12 weeks
VT-1161 Low-dose 6-monthVT-11611 VT-1161 150mg tablet and 1 placebo tablet once daily for 7 days, then once weekly for 23 weeks
VT-1161 High-dose 3-monthVT-11612 VT-1161 150mg tablets once daily for 7 days, then once weekly for 11 weeks, followed by 2 placebo tablet once weekly for 12 weeks
VT-1161 High-dose 24-weekVT-11612 VT-1161 150mg tablets once daily for 7 days, then once weekly for 23 weeks
Primary Outcome Measures
NameTimeMethod
The Percentage of Subjects With 1 or More Culture-verified Acute VVC Episodes Through Week 48 of the Study in the Intent-to-treat Population.48 Weeks

A culture-verified acute VVC episode was defined as a positive fungal culture for Candida species associated with a clinical signs and symptoms score of ≥3. To calculate the 'signs and symptoms' score, each vulvovaginal sign (erythema, edema, excoriation) and symptom (itching, burning, irritation) was scored using the following scale, with higher scores indicating a worse outcome.

0 = none (complete absence of any sign or symptom)

1. = mild (slight)

2. = moderate (definitely present)

3. = severe (marked, intense)

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (29)

Clinical Trials Management LLC

🇺🇸

Metairie, Louisiana, United States

New England Center for Clinical Research

🇺🇸

Fall River, Massachusetts, United States

Women's Health Research Center

🇺🇸

Plainsboro, New Jersey, United States

Clinical Research of Nevada

🇺🇸

Las Vegas, Nevada, United States

Healthcare Clinical Data

🇺🇸

Miami, Florida, United States

R. Garn Mabey, Jr. M.D. Chartered

🇺🇸

Las Vegas, Nevada, United States

Magee Women's Hospital

🇺🇸

Pittsburgh, Pennsylvania, United States

Seattle Women's Health Research Gynecology

🇺🇸

Seattle, Washington, United States

NEA Baptist Clinic

🇺🇸

Jonesboro, Arkansas, United States

Genesis Center for Clinical Research

🇺🇸

San Diego, California, United States

Axis Clinical Trials

🇺🇸

Los Angeles, California, United States

Altus Research

🇺🇸

Lake Worth, Florida, United States

OB/GYN Clinical Research

🇺🇸

Lawrenceville, New Jersey, United States

United Women's Clinical Research-Raleigh

🇺🇸

Raleigh, North Carolina, United States

TMC Life Research

🇺🇸

Houston, Texas, United States

Physician's Research Options LLC

🇺🇸

Sandy, Utah, United States

Precision Trials

🇺🇸

Phoenix, Arizona, United States

University of Alabama Birmingham

🇺🇸

Birmingham, Alabama, United States

Suffolk OB-GYN

🇺🇸

Port Jefferson, New York, United States

Community Medical Research

🇺🇸

North Miami, Florida, United States

Vision Clinical Research

🇺🇸

Palm Beach, Florida, United States

Cypress Medical Research Center

🇺🇸

Wichita, Kansas, United States

Clinical Trials of Texas

🇺🇸

San Antonio, Texas, United States

Clinical Research of West Florida

🇺🇸

Tampa, Florida, United States

Physician Care Clinical Research LLC

🇺🇸

Sarasota, Florida, United States

Drexel University College of Medicine

🇺🇸

Philadelphia, Pennsylvania, United States

Brownstone Clinical Trials

🇺🇸

Irving, Texas, United States

Lyndhurst Clinical Research

🇺🇸

Winston-Salem, North Carolina, United States

Radiant Research

🇺🇸

Akron, Ohio, United States

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