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

Dose-Finding Study of Oral Ibrexafungep (SCY-078) vs. Oral Fluconazole in Subjects With Acute Vulvovaginal Candidiasis

Phase 2
Completed
Conditions
Candida Vulvovaginitis
Interventions
First Posted Date
2017-08-17
Last Posted Date
2021-08-12
Lead Sponsor
Scynexis, Inc.
Target Recruit Count
186
Registration Number
NCT03253094
Locations
🇺🇸

Drexel University, Philadelphia, Pennsylvania, United States

🇺🇸

Wake Research Associates, LLC, Raleigh, North Carolina, United States

🇺🇸

New Age Medical Research Corp., Miami, Florida, 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

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

Phase 2
Completed
Conditions
Vulvovaginal Candidiasis
Interventions
First Posted Date
2016-02-10
Last Posted Date
2019-07-12
Lead Sponsor
Scynexis, Inc.
Target Recruit Count
96
Registration Number
NCT02679456
Locations
🇩🇴

Hospital Dr. Francisco E. Moscoso Puello, Santo Domingo, Dominican Republic

🇩🇴

Instituto Dermatologico y Cirugia de Piel, Santo Domingo, Dominican Republic

Oral Ibrexafungerp (SCY-078) vs Standard-of-Care Following IV Echinocandin in the Treatment of Invasive Candidiasis

Phase 2
Completed
Conditions
Mycoses
Candidiasis, Invasive
Candidemia
Interventions
First Posted Date
2014-09-19
Last Posted Date
2024-06-25
Lead Sponsor
Scynexis, Inc.
Target Recruit Count
27
Registration Number
NCT02244606
Locations
🇺🇸

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

🇺🇸

University of Miami, Miami, Florida, United States

🇺🇸

South Texas Veterans Healthcare System, San Antonio, Texas, United States

and more 27 locations
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