NCT03840616

Brief Summary

Recurrent vulvovaginal candidiasis (RVVC), also known as recurrent yeast infections, is defined as at least 3 episodes of acute vulvovaginal candidiasis (VVC) in the past 12 months. Several properties of oteseconazole (VT-1161) suggest it might be a safer and more effective treatment of RVVC than other oral antifungal medications. This study will evaluate the effectiveness and safety of oteseconazole (VT-1161) for the treatment of acute VVC episodes in patients with RVVC and consists of 2 parts. The first part of the study is a 2-week induction phase for the treatment of the patient's current VVC episode when the patient will take either fluconazole or oteseconazole (VT-1161) according to a random assignment. The second part consists of an 11-week maintenance phase, when the patient will take either oteseconazole (VT-1161) or a placebo according to the random assignment from the first part of the study, and then a 37-week follow-up period.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
219

participants targeted

Target at P25-P50 for phase_3

Timeline
Completed

Started Mar 2019

Geographic Reach
1 country

33 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

February 11, 2019

Completed
4 days until next milestone

First Posted

Study publicly available on registry

February 15, 2019

Completed
26 days until next milestone

Study Start

First participant enrolled

March 13, 2019

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 2, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 2, 2020

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

February 4, 2022

Completed
Last Updated

February 4, 2022

Status Verified

November 1, 2021

Enrollment Period

1.7 years

First QC Date

February 11, 2019

Results QC Date

November 29, 2021

Last Update Submit

February 3, 2022

Conditions

Outcome Measures

Primary Outcomes (1)

  • Percentage of Subjects With 1 or More Culture-verified Acute VVC Episodes During the Maintenance Phase of the Study in the Intent-to-treat (ITT) Population

    The primary efficacy outcome measure was the percentage of subjects with 1 or more culture-verified acute VVC episodes during the maintenance phase (post-randomization through Week 48) in the intent-to-treat population, which includes subjects who failed to clear their initial acute VVC episode during the induction phase. An acute VVC episode during the maintenance phase (considered a recurrent episode) was defined as a positive fungal culture for Candida species and a clinical signs and symptoms score of ≥3. To calculate the signs and symptoms score, each vulvovaginal sign (erythema, edema, excoriation) and symptom (itching, burning, irritation) was scored using the following scale, with a higher score indicating a worse outcome. 0 = none (complete absence of any sign or symptom), 1 = mild (slight), 2 = moderate (definitely present), 3 = severe (marked, intense)

    48 Weeks

Study Arms (2)

Oteseconazole (VT-1161) 150mg capsule

EXPERIMENTAL

600mg oteseconazole administered on Day 1 and 450mg administered on Day 2, followed by 150mg administered once weekly for 11 weeks staring on Day 14

Drug: Oteseconazole (VT-1161) 150mg capsule

Fluconazole 150mg capsule / Placebo

ACTIVE COMPARATOR

150mg fluconazole administered every 72 hours in 3 sequential doses starting on Day 1, followed by placebo administered once weekly starting on Day 14

Drug: Fluconazole 150mg capsuleDrug: Placebo

Interventions

600mg administered on Day 1 and 450mg administered on Day 2, followed by 150mg administered once weekly for 11 weeks staring on Day 14.

Oteseconazole (VT-1161) 150mg capsule

150mg administered every 72 hours in 3 sequential doses starting on Day 1.

Fluconazole 150mg capsule / Placebo

Administered once weekly starting on Day 14.

Fluconazole 150mg capsule / Placebo

Eligibility Criteria

Age12 Years+
Sexfemale
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • or more episodes of acute VVC in the past 12 months
  • Positive KOH test
  • Total vulvovaginal signs and symptoms score of ≥3 at screening visit
  • Total vulvovaginal signs and symptoms score of \<3 at Day 14
  • Must be able to swallow pills

You may not qualify if:

  • Presence or a history of another vaginal or vulvar condition(s)
  • Evidence of major organ system disease
  • History of cervical cancer
  • Poorly controlled diabetes mellitus
  • Pregnant
  • Recent use of topical or systemic antifungal or antibacterial drugs
  • Recent use of immunosuppressive or systemic corticosteroid therapies

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (33)

34

Tucson, Arizona, 85712, United States

Location

39

Encino, California, 91436, United States

Location

25

Los Angeles, California, 90036, United States

Location

22

Englewood, Colorado, 80112, United States

Location

49

Boca Raton, Florida, 33486, United States

Location

14

Gainesville, Florida, 32607, United States

Location

13

Leesburg, Florida, 34748, United States

Location

33

Loxahatchee Groves, Florida, 33470, United States

Location

36

Miami, Florida, 33155, United States

Location

17

Savannah, Georgia, 31406, United States

Location

27

Idaho Falls, Idaho, 83404, United States

Location

10

Nampa, Idaho, 83687, United States

Location

62

Chicago, Illinois, 60643, United States

Location

41

Fort Wayne, Indiana, 46825, United States

Location

30

Marrero, Louisiana, 70072, United States

Location

50

Dearborn Heights, Michigan, 48127, United States

Location

29

Saginaw, Michigan, 48602, United States

Location

55

Traverse City, Michigan, 49686, United States

Location

32

Troy, Michigan, 48085, United States

Location

26

Kansas City, Missouri, 64111, United States

Location

42

New Brunswick, New Jersey, 08901, United States

Location

47

Ocean City, New Jersey, 07712, United States

Location

37

Charlotte, North Carolina, 28207, United States

Location

38

Fayetteville, North Carolina, 28304, United States

Location

15

Columbus, Ohio, 43213, United States

Location

18

Bluffton, South Carolina, 29910, United States

Location

48

Myrtle Beach, South Carolina, 29572, United States

Location

20

Bristol, Tennessee, 37620, United States

Location

21

Murfreesboro, Tennessee, 37130, United States

Location

24

Austin, Texas, 78705, United States

Location

23

Fort Worth, Texas, 76104, United States

Location

63

Katy, Texas, 77450, United States

Location

58

League City, Texas, 77573, United States

Location

Related Publications (1)

  • Vanreppelen G, Nysten J, Baldewijns S, Sillen M, Donders G, Van Dijck P. Oteseconazole (VIVOJA) for prevention of recurrent vulvovaginal candidiasis. Trends Pharmacol Sci. 2023 Jan;44(1):64-65. doi: 10.1016/j.tips.2022.10.004. Epub 2022 Nov 14. No abstract available.

MeSH Terms

Conditions

Candidiasis, Vulvovaginal

Interventions

VT-1161Fluconazole

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
Clinical Trial Administration
Organization
Mycovia Pharmaceuticals Inc

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 11, 2019

First Posted

February 15, 2019

Study Start

March 13, 2019

Primary Completion

December 2, 2020

Study Completion

December 2, 2020

Last Updated

February 4, 2022

Results First Posted

February 4, 2022

Record last verified: 2021-11

Locations