NCT03253094

Brief Summary

This is a multicenter, randomized, double-blind, double-dummy, active-controlled, dose-finding study to compare the efficacy, safety and tolerability of oral SCY-078 versus oral fluconazole in adult female subjects 18 years and older with moderate to severe Acute Vulvovaginal Candidiasis (AVVC). Approximately 180 eligible subjects (30 subjects per treatment group) will be enrolled and randomized into the study.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
186

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Aug 2017

Shorter than P25 for phase_2

Geographic Reach
1 country

25 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 14, 2017

Completed
18 days until next milestone

Study Start

First participant enrolled

August 1, 2017

Completed
16 days until next milestone

First Posted

Study publicly available on registry

August 17, 2017

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 4, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 4, 2018

Completed
3.3 years until next milestone

Results Posted

Study results publicly available

August 12, 2021

Completed
Last Updated

August 12, 2021

Status Verified

August 1, 2021

Enrollment Period

9 months

First QC Date

July 14, 2017

Results QC Date

June 30, 2021

Last Update Submit

August 11, 2021

Conditions

Outcome Measures

Primary Outcomes (1)

  • Clinical Cure (Complete Resolution of Signs and Symptoms)

    Measured by the percentage of subjects with clinical cure (complete resolution of signs and symptoms) at the test-of-cure (TOC) visit

    8-12 days

Secondary Outcomes (1)

  • Co-occurrence of Clinical and Mycological Cure

    29 days

Other Outcomes (1)

  • Incidence of Treatment Emergent Adverse Events

    up to 29 days

Study Arms (6)

Fluconazole

ACTIVE COMPARATOR

150 mg/day for 1 day

Drug: Fluconazole

Ibrexafungerp 750mg

EXPERIMENTAL

750mg QD for 1 day only

Drug: SCY-078

Ibrexafungerp 300mg

EXPERIMENTAL

300mg BID for 1 day only

Drug: SCY-078

Ibrexafungerp 450mg

EXPERIMENTAL

450mg BID for 1 day only

Drug: SCY-078

Ibrexafungerp 150mg

EXPERIMENTAL

150mg BID for 3 days

Drug: SCY-078

Ibrexafungerp 300mg D1-D3

EXPERIMENTAL

300mg BID for 3 days

Drug: SCY-078

Interventions

Oral Antifungal comparator

Also known as: Diflucan, Azole antifungal
Fluconazole

Investigational Antifungal

Also known as: Ibrexafungerp
Ibrexafungerp 150mgIbrexafungerp 300mgIbrexafungerp 300mg D1-D3Ibrexafungerp 450mgIbrexafungerp 750mg

Eligibility Criteria

Age18 Years+
Sexfemale(Gender-based eligibility)
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Subject is a female of at least 18 years of age
  • Subject has a diagnosis of symptomatic AVVC at baseline including a positive microscopic examination with 10% KOH in a vaginal sample revealing yeast forms (hyphae/pseudohyphae) or budding yeasts, and vaginal pH (≤4.5)

You may not qualify if:

  • Subject has any vaginal condition other than AVVC that may interfere with the diagnosis or evaluation of response to therapy, such as suspected or confirmed concurrent causes of vulvovaginitis and/or cervicitis (mixed infection)
  • Need for systemic and/or topical (vaginal) antifungal treatment, including prescription or over-the-counter products during the study and treatment for VVC 28 days prior to randomization
  • Subject is actively menstruating at the time of the Baseline visit.
  • Subject has uncontrolled diabetes mellitus.
  • Subject has a vaginal sample with pH \>4.5.
  • Subject has a history of or an active cervical/vaginal cancer.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (25)

UAB Personal Health Clinic

Birmingham, Alabama, 35294, United States

Location

Precision Trials AZ, LLC

Phoenix, Arizona, 85032, United States

Location

Women's Health Care Research Corp.

San Diego, California, 92111, United States

Location

Gulf Coast Research Group, LLC

Brandon, Florida, 33510, United States

Location

Altus Research, Inc.

Lake Worth, Florida, 33461, United States

Location

OB-GYN Associates of Mid-Florida P.A.

Leesburg, Florida, 34748, United States

Location

New Age Medical Research Corp.

Miami, Florida, 33186, United States

Location

Visionary Investigators Network

South Miami, Florida, 33160, United States

Location

Atlanta North Gynecology, P.C.

Roswell, Georgia, 30075, United States

Location

Cypress Medical Research Center, LLC

Wichita, Kansas, 67226, United States

Location

Clinical Trials Management, LLC

Covington, Louisiana, 70433, United States

Location

Clinical Trials Management, LLC

Metairie, Louisiana, 70006, United States

Location

Women Under Study, LLC

New Orleans, Louisiana, 70125, United States

Location

Tolan Park Medical Building

Detroit, Michigan, 48201, United States

Location

Consultants in Women's Healthcare, Inc.

St Louis, Missouri, 63131, United States

Location

Lawrence OB/GYN Clinical Research, LLC

Lawrenceville, New Jersey, 08648, United States

Location

Women's Health Research Center

Plainsboro, New Jersey, 08536, United States

Location

Unified Women's Clinical Research - Central Carolina

Greensboro, North Carolina, 27408, United States

Location

Wake Research Associates, LLC

Raleigh, North Carolina, 27612, United States

Location

Drexel University

Philadelphia, Pennsylvania, 19102, United States

Location

Medical Research South, LLC

Charleston, South Carolina, 29407, United States

Location

WR-Medical Research Center of Memphis, LLC

Memphis, Tennessee, 38120, United States

Location

Tmc Life Research, Inc.

Houston, Texas, 77054, United States

Location

Clinical Trials of Texas, Inc.

San Antonio, Texas, 78229, United States

Location

Seattle Women's Health, Research, Gynecology

Seattle, Washington, 98105, United States

Location

Related Publications (1)

  • Nyirjesy P, Schwebke JR, Angulo DA, Harriott IA, Azie NE, Sobel JD. Phase 2 Randomized Study of Oral Ibrexafungerp Versus Fluconazole in Vulvovaginal Candidiasis. Clin Infect Dis. 2022 Jul 6;74(12):2129-2135. doi: 10.1093/cid/ciab841.

MeSH Terms

Conditions

Candidiasis, Vulvovaginal

Interventions

Fluconazoleibrexafungerp

Condition Hierarchy (Ancestors)

CandidiasisMycosesBacterial Infections and MycosesInfectionsVulvovaginitisVaginitisVaginal DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesVulvitisVulvar DiseasesGenital Diseases

Intervention Hierarchy (Ancestors)

TriazolesAzolesHeterocyclic Compounds, 1-RingHeterocyclic Compounds

Results Point of Contact

Title
Dr. David Angulo
Organization
SCYNEXIS

Study Officials

  • David Angulo, MD

    Scynexis, Inc.

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: randomized, double-blind, double-dummy, active-controlled, dose-finding
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 14, 2017

First Posted

August 17, 2017

Study Start

August 1, 2017

Primary Completion

May 4, 2018

Study Completion

May 4, 2018

Last Updated

August 12, 2021

Results First Posted

August 12, 2021

Record last verified: 2021-08

Locations