MedPath

Ibrexafungerp

Generic Name
Ibrexafungerp
Brand Names
Brexafemme
Drug Type
Small Molecule
Chemical Formula
C44H67N5O4
CAS Number
1207753-03-4
Unique Ingredient Identifier
A92JFM5XNU
Background

Ibrexafungerp, also known as SCY-078 or MK-3118, is a novel enfumafungin derivative oral triterpene antifungal approved for the treatment of vulvovaginal candidiasis (VVC), also known as a vaginal yeast infection. It was developed out of a need to treat fungal infections that may have become resistant to echinocandins or azole antifungals. Ibrexafungerp is orally bioavailable compared to the echinocandins caspofungin, micafungin, and anidulafungin; which can only be administered parenterally. Similar to echinocandins, ibrexafungerp targets the fungal β-1,3-glucan synthase, which is not present in humans, limiting the chance of renal or hepatic toxicity.

Ibrexafungerp was granted FDA approval on 1 June 2021.

Indication

Ibrexafungerp is indicated in the treatment of vulvovaginal candidiasis in post-menarchal patients. It is also indicated for the reduction in the incidence of recurrent vulvovaginal candidiasis.

Associated Conditions
Recurrent Vulvovaginal Candidiasis, Vulvovaginal Candidiasis
Associated Therapies
-

ADME Study of [14^C]-Ibrexafungerp in Healthy Male Subjects

Phase 1
Completed
Conditions
Fungal Disease
Interventions
First Posted Date
2022-12-29
Last Posted Date
2023-06-28
Lead Sponsor
Scynexis, Inc.
Target Recruit Count
6
Registration Number
NCT05668429
Locations
🇬🇧

Quotient Sciences Limited, Nottingham, United Kingdom

Ibrexafungerp for the Treatment of Complicated Vulvovaginal Candidiasis

Phase 3
Completed
Conditions
Vulvovaginal Candidiasis
Interventions
First Posted Date
2022-06-01
Last Posted Date
2024-07-10
Lead Sponsor
Scynexis, Inc.
Target Recruit Count
150
Registration Number
NCT05399641
Locations
🇺🇸

Jefferson University, Philadelphia, Pennsylvania, United States

🇺🇸

Wake (Mount Vernon Clinical Research), Atlanta, Georgia, United States

🇺🇸

Women's Healthcare Research, San Diego, California, United States

and more 21 locations

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
First Posted Date
2019-07-23
Last Posted Date
2023-06-18
Lead Sponsor
Scynexis, Inc.
Target Recruit Count
440
Registration Number
NCT04029116
Locations
🇺🇸

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

and more 22 locations

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
Drug: Ibrexafungerp
First Posted Date
2019-06-17
Last Posted Date
2021-09-08
Lead Sponsor
Scynexis, Inc.
Target Recruit Count
455
Registration Number
NCT03987620
Locations
🇺🇸

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

and more 37 locations

Efficacy and Safety of Oral Ibrexafungerp (SCY-078) vs. Placebo in Subjects With Acute Vulvovaginal Candidiasis (VANISH 303)

Phase 3
Completed
Conditions
Candida Vulvovaginitis
Interventions
Drug: Placebo
Drug: Ibrexafungerp
First Posted Date
2018-11-08
Last Posted Date
2021-09-08
Lead Sponsor
Scynexis, Inc.
Target Recruit Count
376
Registration Number
NCT03734991
Locations
🇺🇸

Women's Medical Research Group, Clearwater, Florida, United States

🇺🇸

Unified Women's Clinical Research Greensboro, Greensboro, North Carolina, United States

🇺🇸

Magnolia Ob/Gyn Research Center, LLC, Myrtle Beach, South Carolina, United States

and more 21 locations

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

Phase 3
Completed
Conditions
Invasive Candidiasis
Allergic Bronchopulmonary Aspergillosis
Chronic Pulmonary Aspergillosis
Mucocutaneous Candidiasis
Coccidioidomycosis
Blastomycosis
Other Emerging Fungi
Histoplasmosis
Invasive Pulmonary Aspergillosis
Recurrent Vulvovaginal Candidiasis
Interventions
First Posted Date
2017-02-23
Last Posted Date
2024-11-20
Lead Sponsor
Scynexis, Inc.
Target Recruit Count
233
Registration Number
NCT03059992
Locations
🇺🇸

University of Minnesota, Minneapolis, Minnesota, United States

🇺🇸

University of Texas Health Science Center at Houston, Houston, Texas, United States

🇺🇸

Emory University Hospital Midtown, Atlanta, Georgia, United States

and more 34 locations
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