A Multicenter, Randomized, Evaluator Blinded, Active-Controlled Study to Evaluate the Safety and Efficacy of Oral Ibrexafungerp (SCY-078) vs. Oral Fluconazole in Subjects With Vulvovaginal Candidiasis
Overview
- Phase
- Phase 2
- Intervention
- Fluconazole
- Conditions
- Vulvovaginal Candidiasis
- Sponsor
- Scynexis, Inc.
- Enrollment
- 96
- Locations
- 2
- Primary Endpoint
- Proportion of subjects achieving therapeutic cure at the test of cure visit (Day 24 +/-3)
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
This is a randomized, multicenter, evaluator blinded study to evaluate the safety, tolerability, efficacy and pharmacokinetics of SCY-078 compared to Fluconazole in adult patients with moderate to severe Vulvovaginal Candidiasis (VVC) and a history of frequent episodes of VVC. Approximately 90 subjects, meeting the inclusion criteria will be enrolled and randomized in a 1:1:1 ratio to one of the 3 treatment arms: Oral SCY-078 in 2 dose regimens or oral Fluconazole. After enrollment, subjects will be evaluated on Day-5 (end of treatment visit), Day-24 (test of cure visit), Day-60, Day 90 and Day 120 (end of observation period visit) or at any time that a recurrence or clinical failure is suspected, up to the end of observation period.
Detailed Description
This is a randomized, multicenter, evaluator blinded study to evaluate the safety, tolerability, efficacy and pharmacokinetics of SCY-078 compared to Fluconazole in adult patients, from 18 to 65 years of age, with moderate to severe Vulvovaginal Candidiasis (VVC) and a history of frequent episodes of VVC. Approximately 90 subjects, meeting the inclusion criteria will be enrolled and randomized in a 1:1:1 ratio to one of the 3 treatment arms: oral SCY-078 does regimen 1, or oral SCY-078 does regimen 2, or oral Fluconazole. After enrollment, subjects will be evaluated on Day-5 (end of treatment visit), Day-24 (test of cure visit), Day-60, Day 90 and Day 120 (end of observation period visit) or at any time that a recurrence or clinical failure is suspected, up to the end of observation period. Primary Objectives: \* To evaluate the safety and efficacy of 2 dosing regimens of Oral SCY-078 in subjects with moderate to severe Vulvovaginal Candidiasis (VVC) Secondary Objectives: \* To estimate the effect of Oral SCY-078 therapy in the rate and time to recurrence in subjects with a history of frequent episodes of VVC
Investigators
Eligibility Criteria
Inclusion Criteria
- •Subjects must fulfill all of the following criteria to be eligible for study admission:
- •Female subjects from 18 to 65 years of age in good general health
- •Diagnosis of symptomatic moderate to severe vulvovaginal candidiasis
- •The ability to understand and sign a written informed consent form (ICF), which must be obtained prior to treatment and any study-related procedures.
- •The ability 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).
- •The ability to understand and follow all study-related procedures including study drug administration.
- •Females of childbearing potential must agree to use a medically acceptable method of contraception while receiving protocol-assigned product.
Exclusion Criteria
- •A subject will be excluded from participation in the study if she meets any of the following exclusion criteria:
- •Any vaginal condition other than VVC that may interfere with the diagnosis or evaluation of response to therapy.
- •Prior use of any prohibited medication(s) or procedure(s) within the protocol specified timeframe including:
- •a. Systemic and/or topical (vaginal) antifungal treatment, prescription or over the counter, within 30 days of the baseline visit.
- •Subjects with history of renal impairment, hepatic impairment or cervical cancer.
- •4 Subjects with known hypersensitivity to enfumafungin derivatives, fluconazole or any of the components of the formulation.
- •HIV infection, chemotherapy or illness serious enough to induce an immune deficiency.
Arms & Interventions
Treatment Group 1 (Fluconazole)
Fluconazole
Intervention: Fluconazole
Treatment Group 2: (SCY-078)
Dose regimen 1
Intervention: SCY-078
Treatment Group 3 (SCY-078)
Dose regimen 2
Intervention: SCY-078
Outcomes
Primary Outcomes
Proportion of subjects achieving therapeutic cure at the test of cure visit (Day 24 +/-3)
Time Frame: Day 24 +/- 3
Therapeutic Cure defined as achieving both a Clinical Cure (resolution of signs and symptoms) and a Mycological Eradication (negative culture).
Secondary Outcomes
- Proportion of subjects with recurrence of VVC during the observation period(4-month observation period)