An Interventional Phase 3, Open-label, Two-cohort Study to Investigate the Efficacy and Safety of Fosmanogepix in Adult Patients With Invasive Mold Infections Caused by Aspergillus Spp., Fusarium Spp., Lomentospora Prolificans, Mucorales Fungi, or Other Multidrug Resistant Molds
Sponsor study identifier
Secondary identifiers
OTHER_GRANT · BARDA
CTIS
interventional
234
15 countries
90
Study Start
August 26, 2025
Actual (reported)Primary Completion
February 2028
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
February 2028
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
The purpose of this study is to evaluate the efficacy and safety of fosmanogepix (administered IV or oral) for the treatment of adult patients with invasive mold infections. The study is looking for patients who have been diagnosed with invasive mold infections. The maximum study duration will be approximately 8 months, including a target study treatment duration of 84 days which can be extended up to 180 days and follow-up period. The patient will be assigned to one of two treatment cohorts: Cohort A (primary therapy): Patients will receive either the study drug or institutional standard of care antifungal treatment. Cohort B (salvage treatment; i.e. treatment given after patients did not respond to previous treatments or did not tolerate them): Patients will receive the study drug The primary aim is to compare the all cause mortality with a fixed threshold at Day 42.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
February 2028
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
March 27, 2025
Actual (reported)April 13, 2025
Actual (reported)August 26, 2025
Actual (reported)February 2028
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
February 2028
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Day 42 all-cause mortality rate
Day 42
Proportion of patients with overall response of treatment success
Day 42, Day 84 and up to 180 days
Proportion of patients with clinical response of treatment success
Day 42, Day 84 and up to 180 days
Proportion of patients with mycological response of eradication or presumed eradication
Patients will receive the study drug. Fosmanogepix will be administered as an Intravenous (IV) infusion or in oral form.
Best available therapy (BAT) administered as IV or orally per standard guidelines.
Fosmanogepix will be administered IV
Standard of care antifungal therapy will be administered in accordance with their respective product labels and/or standard practice guidelines
These entries preserve how the registry describes the intervention. Their treatment roles are shown separately from molecular identities.
Formulated product
Fosmanogepix
The registry describes a specific formulation. Its exact chemical ingredients and approval status require separate evidence.
SOLUTION FOR INFUSION
View registry recordFormulated product
Fosmanogepix
The registry describes a specific formulation. Its exact chemical ingredients and approval status require separate evidence.
TABLET
View registry recordFormulated product
Fosmanogepix oral tablet
The registry describes a specific formulation. Its exact chemical ingredients and approval status require separate evidence.
View registry recordThe registry names these ingredients. The formulation’s exact chemical form has not been confirmed.
Fosmanogepix
Named ingredient: Fosmanogepix
View registry recordFosmanogepix
Named ingredient: Fosmanogepix
View registry recordFosmanogepix oral tablet
Named ingredient: Fosmanogepix
View registry recordUniversity of Alabama at Birmingham School of Medicine, Department of Medicine
Birmingham, Alabama, 35294-0006, United States
City of Hope
Duarte, California, 91010, United States
David Geffen School of Medicine at UCLA
Los Angeles, California, 90095-1690, United States
UC Davis Medical Center
Alison Kuchta, MD
Basilea Pharmaceutica International Ltd, Allschwil
First Submitted
March 27, 2025
First Posted
April 13, 2025
Study Start
August 26, 2025
Actual (reported)Primary Completion
February 2028
Day 42, Day 84 and up to 180 days
Proportion of patients with radiological response of complete response or partial response
Day 42, Day 84 and up to 180 days
All-cause mortality rate at Day 84
Day 84
Patients will receive the study drug. Fosmanogepix will be administered as an Intravenous (IV) infusion or in oral form.
Fosmanogepix will be administered orally.
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Contact the study team to confirm eligibility.
Sacramento, California, 95817, United States
Memorial Healthcare System
Hollywood, Florida, 33021, United States
Rush University Medical Center, Division of Infectious Diseases
Chicago, Illinois, 60612, United States
University of Kentucky Medical Center, Division of Infectious Diseases
Lexington, Kentucky, 40506, United States
Johns Hopkins Hospital
Baltimore, Maryland, 21231, United States
University of Michigan Health System (UMHS) - A. Alfred Taubman Health Care Center
Ann Arbor, Michigan, 48109-5000, United States
Karmanos Cancer Institute - Detroit
Detroit, Michigan, 48201, United States
University of Minnesota, M Health Fairview Medical Center
Minneapolis, Minnesota, 55455, United States
Washington University School of Medicine, Infectious Diseases Clinical Research Unit
St Louis, Missouri, 63110, United States
Weill Cornell Medical College - NewYork-Presbyterian Hospital
New York, New York, 10021, United States
David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center
New York, New York, 10065, United States
University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, 27514, United States
Duke University Medical Center, Duke Infectious Diseases
Durham, North Carolina, 27710, United States
University of Pennsylvania School of Medicine
Philadelphia, Pennsylvania, 19104-6243, United States
The University of Texas Health Science Center at Houston, Department of Internal Medicine
Houston, Texas, 77030, United States
UT MD Anderson Cancer Center
Houston, Texas, 77030, United States
University of Texas Health Science Center at San Antonio
San Antonio, Texas, 78229, United States
Sir Charles Gairdner Hospital
Nedlands, Western Australia, 6009, Australia
Monash Medical Center Clayton
Clayton, 3168, Australia
The Alfred Hospital
Melbourne, 3004, Australia
Peter MacCallum Cancer Center
Melbourne, 3050, Australia
Royal Melbourne Hospital
Parkville, 3050, Australia
Westmead Hospital
Westmead, 2145, Australia
Princess Alexandra Hospital
Woolloongabba, 4102, Australia
Kepler University Hospital GmbH, Department of Internal Medicine IV - Pulmonology
Linz, 4021, Austria
Medical University Vienna, Department of Internal Medicine I, Clinical Department of Infections and Tropical Medicine
Vienna, 1090, Austria
General Hospital Saint-Jan
Bruges, 8000, Belgium
Charleroi Grand Hospital (GHDC) - Les Viviers Site
Charleroi, 6000, Belgium
Jessa Hospital
Hasselt, 3500, Belgium
University Hospitals Leuven, Campus Gasthuisberg, Department of Hematology
Leuven, 3000, Belgium
UCL Mont-Godinne University Hospitals
Yvoir, 5530, Belgium
HC-UFPR
Curitiba, Paraná, 80060-900, Brazil
Hospital Our Lady of Grace
Curitiba, Paraná, 80810-040, Brazil
Paulista School of Medicine at Federal University of Sao Paulo, UNIFESP
São Paulo, São Paulo, 04023-900, Brazil
Porto Alegre Clinical Hospital (HCPA)
Porto Alegre, 90035-903, Brazil
Hospital A.C.Camargo ("Antonio Prudente" Foundation)
São Paulo, 01509-900, Brazil
"Santa Marcelina" Hospital
São Paulo, 08270-070, Brazil
University of Alberta
Edmonton, Alberta, T6G 2R3, Canada
Juravinski Hospital - Hamilton Health Sciences
Hamilton, Ontario, L8V 1C3, Canada
London Health Sciences Center - University Hospital
London, Ontario, N6A 5A5, Canada
Ottawa Hospital
Ottawa, Ontario, K1H 8L6, Canada
Toronto General Hospital, The Transplant Infectious Diseases Clinic
Toronto, Ontario, M5G 2C4, Canada
Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2M9, Canada
Vancouver Coastal Health Research Institute (VCHRI)
Vancouver, V5Z 1M9, Canada
Nantes University Hospital Center - Hotel Dieu Hospital, Department of Infectious and Tropical Diseases
Nantes, 44000, France
Necker Children's Hospital, Department of Infectious and Tropical Diseases
Paris, 75015, France
Rennes University Hospital Center - Pontchaillou Site
Rennes, 35000, France
Strasbourg University Hospitals - Civil Hospital
Strasbourg, 67091, France
University Hospital Ulm, Comprehensive Infectious Diseases Center Ulm (CIDCU)
Ulm, Baden-Wurttemberg, 89081, Germany
University Hospital Cologne, Internal Medicine I - Oncology, Hematology, Clinical Infectiology, Clinical Immunology, Hemostaseology, Internal Intensive Care Medicine, Clinical Study Centre II for Infectious Diseases
Cologne, North Rhine-Westphalia, 50937, Germany
University Medical Center of Johannes Gutenberg University Mainz
Mainz, Rhineland-Palatinate, 55131, Germany
Frankfurt University Clinic
Frankfurt, 60590, Germany
"LAIKO" General Hospital
Athens, 115 27, Greece
General Hospital of Athens "Evangelismos"
Athens, PC 10676, Greece
University General Hospital "Attikon", 2nd Department of Internal Medicine, Propaedeutic, Hematology Unit
Athens, PC 12462, Greece
General Hospital of Thessaloniki "Ippokratio"
Thessaloniki, 54642, Greece
Rambam Health Care Campus, Institute of Infectious Diseases
Haifa, 3109601, Israel
Chaim Sheba Medical Center, Department of Infectious Diseases
Ramat Gan, 52621, Israel
The Tel Aviv Sourasky Medical Center, Infectious Diseases Unit
Tel Aviv, 6423906, Israel
Shamir Medical Center, Department of Infectious Diseases
Tsrifin, 7033001, Israel
IRCCS Policlinic Hospital San Martino
Genova, 16132, Italy
Maggiore Polyclinic Hospital, Foundation IRCCS Ca' Granda
Milan, 20122, Italy
University Polyclinic Hospital of Modena
Modena, 41124, Italy
Polyclinic San Matteo, IRCCS
Pavia, 27100, Italy
University Hospital of Pisa
Pisa, 56126, Italy
Giuliano Isontina University Health Authority
Trieste, 34125, Italy
Radboud University Medical Center (Radboudumc), Department of Intensive Care
Nijmegen, 6525GA, Netherlands
Erasmus Medical Center, Deoartment of Infectious Diseases
Rotterdam, 3015 GD, Netherlands
UMC Utrecht, Department of Rheumatology & Clinical Immunology
Utrecht, 3584 CX, Netherlands
University Hospital Virgen Macarena
Seville, Andalusia, 41009, Spain
Hospital del Mar, Department of Infectious Diseases
Barcelona, Catalonia, 08003, Spain
Hospital de la Santa Creu i Sant Pau
Barcelona, Catalonia, 08041, Spain
University Hospital Cruces
Barakaldo, 48903, Spain
Hospital de la Santa Creu i Sant Pau
Barcelona, 08025, Spain
University Hospital Ramon y Cajal, Department of Infectious Diseases
Madrid, 28034, Spain
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 807377, Taiwan
Kaohsiung Chang Gung Memorial Hospital
Kaohsiung City, 833401, Taiwan
China Medical University Hospital
Taichung, 404327, Taiwan
Taichung Veterans General Hospital
Taichung, 407219, Taiwan
National Taiwan University Hospital
Taipei, 100226, Taiwan
Taipei Medical University Hospital
Taipei, 110301, Taiwan
Taipei Veterans General Hospital
Taipei, 112201, Taiwan
Linkou Chang Gung Memorial Hospital
Taoyuan, 333, Taiwan
Faculty of Medicine, Siriraj Hospital
Bangkok, 10700, Thailand
Maharaj Nakorn Chiang Mai Hospital
Chiang Mai, 50200, Thailand
Songklanagarind Hospital
Hat Yai, 90110, Thailand
Srinagarind Hospital
Khon Kaen, 40002, Thailand
Planned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
February 2028
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Last Updated
October 28, 2026
Record last verified: 2026-10
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Source: ClinicalTrials.gov.
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