MedPath

Posaconazole

Generic Name
Posaconazole
Brand Names
Noxafil, Posanol, Posaconazole Accord, Posaconazole AHCL
Drug Type
Small Molecule
Chemical Formula
C37H42F2N8O4
CAS Number
171228-49-2
Unique Ingredient Identifier
6TK1G07BHZ
Background

Posaconazole is a triazole antifungal drug that is used to treat invasive infections by Candida species and Aspergillus species in severely immunocompromised patients.

Indication

For prophylaxis of invasive Aspergillus and Candida infections in patients, 13 years of age and older, who are at high risk of developing these infections due to being severely immunocompromised as a result of procedures such as hematopoietic stem cell transplant (HSCT) recipients with graft-versus-host disease (GVHD), or due to hematologic malignancies with prolonged neutropenia from chemotherapy. Also for the treatment of oropharyngeal candidiasis, including oropharyngeal candidiasis refractory to itraconazole and/or fluconazole. Posaconazole is used as an alternative treatment for invasive aspergillosis, Fusarium infections, and zygomycosis in patients who are intolerant of, or whose disease is refractory to, other antifungals.

Associated Conditions
Candidiasis, Coccidioidomycosis, Esophageal Candidiasis, Fungal Infections, Invasive Aspergillosis, Invasive bronchopulmonary aspergillosis, Mucormycosis, Oropharyngeal Candidiasis, Prophylaxis of Aspergillus infection, Pulmonary cryptococcosis infection

King's Invasive Aspergillosis Study II

Phase 4
Completed
Conditions
Aplastic Anemia
Myelodysplastic Syndromes
Leukemia, Myeloid, Acute
Bone Marrow Transplantation
Interventions
First Posted Date
2016-08-23
Last Posted Date
2020-04-02
Lead Sponsor
King's College Hospital NHS Trust
Target Recruit Count
120
Registration Number
NCT02875743
Locations
🇬🇧

King's College Hospital NHS Foundation Trust, London, United Kingdom

Pharmacokinetics of Posaconazole (Noxafil®) as Prophylaxis for Invasive Fungal Infections

Phase 4
Completed
Conditions
Acute Myeloid Leucaemia
Myelo Dysplastic Syndrome
Allogeneic Stem Cell Transplant
Acute Graft Versus Host Disease
Interventions
First Posted Date
2016-06-20
Last Posted Date
2019-12-16
Lead Sponsor
Radboud University Medical Center
Target Recruit Count
21
Registration Number
NCT02805946
Locations
🇳🇱

Radboudumc, Nijmegen, Netherlands

🇧🇪

Universitaire Ziekenhuizen Leuven, Leuven, Belgium

Effect of Inflammation on Pharmacokinetics of Posaconazole

Completed
Conditions
Mycoses
Interventions
First Posted Date
2015-07-09
Last Posted Date
2019-08-06
Lead Sponsor
University Medical Center Groningen
Target Recruit Count
64
Registration Number
NCT02492802
Locations
🇳🇱

University Medical Center Groningen, Groningen, Netherlands

Safety and Pharmacokinetics of Intravenous and Oral Posaconazole in Immunocompromised Children (MK-5592-097)

Phase 1
Completed
Conditions
Neutropenia
Interventions
First Posted Date
2015-05-22
Last Posted Date
2019-07-26
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
118
Registration Number
NCT02452034

Pharmacokinetics and Safety of Oral Posaconazole (MK-5592)Tablets in Chinese Participants at High Risk for Invasive Fungal Infections (MK-5592-117)

Phase 1
Completed
Conditions
Fungal Infection
Interventions
First Posted Date
2015-03-13
Last Posted Date
2018-10-09
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
65
Registration Number
NCT02387983

A New Dosing Regimen for Posaconazole Prophylaxis in Children Based on Body Surface Area

Phase 4
Completed
Conditions
Hematological Malignancy
Interventions
First Posted Date
2015-02-26
Last Posted Date
2015-03-03
Lead Sponsor
Universitaire Ziekenhuizen KU Leuven
Target Recruit Count
14
Registration Number
NCT02372357
Locations
🇧🇪

Catholic University Leuven - Department of Pharmaceutical and Pharmacological Sciences, Leuven, Vlaams-Brabant, Belgium

🇷🇴

Institutul Clinic Fundeni, Bucharest, Sector 2, Romania

Genetic Variation and Variability in Posaconazole Pharmacokinetics in Children

Phase 1
Completed
Conditions
Fungal Infections
Interventions
First Posted Date
2015-02-09
Last Posted Date
2020-12-22
Lead Sponsor
Children's Mercy Hospital Kansas City
Target Recruit Count
31
Registration Number
NCT02358499
Locations
🇺🇸

Children's Mercy Hospital Kansas City, Kansas City, Missouri, United States

Study of ABT-199 (GDC-0199) in Combination With Azacitidine or Decitabine (Chemo Combo) in Subjects With Acute Myelogenous Leukemia (AML)

Phase 1
Terminated
Conditions
Acute Myelogenous Leukemia
Myelogenous Leukemia
Treatment Naive AML
Interventions
First Posted Date
2014-07-30
Last Posted Date
2023-05-16
Lead Sponsor
AbbVie
Target Recruit Count
212
Registration Number
NCT02203773
Locations
🇺🇸

Johns Hopkins University /ID# 129699, Baltimore, Maryland, United States

🇺🇸

Northwestern University Feinberg School of Medicine /ID# 128741, Chicago, Illinois, United States

🇺🇸

Dana-Farber Cancer Institute /ID# 127857, Boston, Massachusetts, United States

and more 20 locations

Assessing the Safety and Efficacy of MK-5592 (Posaconazole) in Japanese Participants With Fungal Infection (MK-5592-101)

Phase 3
Completed
Conditions
Aspergillosis
Interventions
First Posted Date
2014-07-02
Last Posted Date
2021-01-28
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
116
Registration Number
NCT02180165

Posaconazole as Salvage Therapy for Aspergillus Pulmonary Infection.

Phase 4
Withdrawn
Conditions
Clinical Infection
Interventions
First Posted Date
2013-12-24
Last Posted Date
2014-12-12
Lead Sponsor
Taichung Veterans General Hospital
Registration Number
NCT02020213
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