- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT07712484
A Phase II Randomized Study to Evaluate Measures for Endpoint Derivation in Patients With Progressive or Refractory Disseminated Coccidioidomycosis (DCM ) Treated With Olorofim Plus Baseline SOC or Placebo Plus Baseline SOC (COCCIMETRICS)
COCCIMETRICS: A Phase II, Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate Measures for Endpoint Derivation in Patients With Progressive or Refractory Disseminated Coccidioidomycosis (DCM) Treated With Olorofim Plus Baseline Standard of Care (SOC) or With Placebo Plus Baseline SOC
Panoramica dello studio
Stato
Condizioni
Intervento / Trattamento
Descrizione dettagliata
Valley Fever (coccidioidomycosis) is a serious fungal infection that can cause long-lasting symptoms.
Currently marketed antifungal drugs have limitations including limited dosage forms, drug-drug interactions (DDIs), and significant adverse reactions.
Olorofim is an antifungal candidate with a novel mechanism of action offering activity against resistant organisms, differences in safety profile, along with oral route of administration, predictable and reliable pharmacokinetic (PK) profile and limited potential for DDIs.
This study tests whether the Valley Fever-Patient Reported Outcome (VF-PRO) questionnaire can reliably measure symptom impacts and changes over time in patients with severe forms of the disease (disseminated coccidioidomycosis (DCM)). The study will also assess symptoms of DCM and their severity, and whether olorofim, is safe and can help people with DCM when given together with standard antifungal medications (also known as standard-of-care or SOC).
Tipo di studio
Iscrizione (Stimato)
Fase
- Fase 2
Contatti e Sedi
Contatto studio
- Nome: Angela Wardman
- Numero di telefono: +44 (0)161 518 0401
- Email: awardman@f2g.com
Backup dei contatti dello studio
- Nome: Julia Vassiliadou
- Numero di telefono: +44 (0)7557 290308
- Email: Julia.Vassiliadou@f2g.com
Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
Descrizione
Inclusion Criteria:
- Male and female patients, English- or Spanish-speaking, aged ≥18 years and weighing ≥40 kg.
- Patients with progressive or refractory disseminated coccidioidomycosis (DCM) involving extra-pulmonary sites with or without ongoing active disease in lungs.
- Standard of Care therapy for DCM to date has included 2 different triazoles (with or without a course of intravenous amphotericin B).
Exclusion Criteria:
- Patients who are unconscious.
- Women who are pregnant or breastfeeding.
- Known history of allergy, hypersensitivity, or any serious reaction to any component of the study drug.
- Patients with or planned placement of indwelling CNS devices.
- Patients receiving intrathecal amphotericin B at the time of study enrolment.
- Coccidioidomycosis limited to fibro-cavitary pulmonary disease.
- All bothersome DCM-related symptoms at study entry are due to irreversible damage (e.g., neurologic deficits due to stroke).
- Other than cutaneous fungal infections treated topically and Pneumocystis jirovecii infections, patients with a second fungal infection requiring systemic antifungal treatment or prophylaxis.
- Patients with microbiological findings or other potential conditions that are temporally related and suggest a different than study indication etiology for the clinical features.
Patients living with Human immunodeficiency virus (HIV) unless for at least 6 months prior to enrollment:
- Are receiving antiretroviral therapy AND
- Have no evidence of current clinical progression resulting from HIV infection.
- Patients who have received prior treatment with olorofim/F901318.
- Patients receiving treatment limited to supportive care due to predicted short survival time.
- Patients with a baseline prolongation of QT using Fridericia's Correction Formula (QTcF) ≥500 msec, or at high risk for QT/QTc prolongation.
- Evidence of hepatic dysfunction.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Altro
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Quadruplicare
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
|
Comparatore attivo: Arm A (olorofim, plus Standard of Care)
Arm A: receives oral olorofim + Standard of Care
|
Arm A: Oral olorofim loading dose: 5 tablets (150 mg) to be taken twice daily at a 12-hour (± 1 hour) interval on Day 1 followed by a maintenance dose of 3 tablets (90 mg) to be taken twice daily at 12-hour (± 1 hour) intervals from Day 2 until Day 168 (± 7 days)
|
|
Comparatore placebo: Arm B (placebo comparator, plus Standard of Care)
Arm B: receives olorofim-matched placebo + Standard of Care
|
Arm B: Oral olorofim-matched placebo loading dose: 5 tablets (150 mg) to be taken twice daily at a 12-hour (± 1 hour) interval on Day 1 followed by a maintenance dose of 3 tablets (90 mg) to be taken twice daily at 12-hour (± 1 hour) intervals from Day 2 until Day 168 (± 7 days)
|
Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Change from baseline in VF-PRO Mobility domain score
Lasso di tempo: Day 168
|
Change from baseline in VF-PRO Mobility domain score at the Day 168 (Week 24) study visit.
|
Day 168
|
|
Change from baseline in VF-PRO Daily Function domain score
Lasso di tempo: Day 168
|
Change from baseline in VF-PRO Daily Function domain score at the Day 168 (Week 24) study visit.
|
Day 168
|
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
% of patients with a reduction in severity of at least one of their most bothersome baseline DCM-related symptoms
Lasso di tempo: Day 28, Day 56, Day 84, Day 112, Day 140, Day 168
|
% of patients with a reduction in severity of at least one of their most bothersome baseline DCM-related symptoms, and no worsening of their other most bothersome baseline DCM-related symptoms, at the Day 28, Day 56, Day 84, Day 112, Day 140 and Day 168 (Weeks 4, 8, 12, 16, 20 and 24) study visits.
|
Day 28, Day 56, Day 84, Day 112, Day 140, Day 168
|
|
To monitor incidence of Adverse Events in both treatment arms
Lasso di tempo: up to the Day 168 study visit and 4-week Follow-up (FU)
|
up to the Day 168 study visit and 4-week Follow-up (FU)
|
|
|
To monitor incidence of Serious Adverse Events in both treatment arms.
Lasso di tempo: up to the Day 168 study visit and 4-week Follow-up (FU)
|
up to the Day 168 study visit and 4-week Follow-up (FU)
|
Collaboratori e investigatori
Sponsor
Collaboratori
Investigatori
- Investigatore principale: George R. Thompson, MD, University of California, Davis, School of Medicine
Studiare le date dei record
Studia le date principali
Inizio studio (Stimato)
Completamento primario (Stimato)
Completamento dello studio (Stimato)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- F901318/0037
Piano per i dati dei singoli partecipanti (IPD)
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Informazioni su farmaci e dispositivi, documenti di studio
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Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .
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