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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)

14 juli 2026 uppdaterad av: F2G Ltd

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

The purpose of this study is to test measurement tools (questionnaire about symptoms and a questionnaire about quality of life) to assess usability in the assessment of treatment effectiveness for people with disseminated coccidioidomycosis (DCM).

Studieöversikt

Status

Har inte rekryterat ännu

Betingelser

Intervention / Behandling

Detaljerad beskrivning

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).

Studietyp

Interventionell

Inskrivning (Beräknad)

50

Fas

  • Fas 2

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

  • Namn: Angela Wardman
  • Telefonnummer: +44 (0)161 518 0401
  • E-post: awardman@f2g.com

Studera Kontakt Backup

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Vuxen
  • Äldre vuxen

Tar emot friska volontärer

Nej

Beskrivning

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:

    1. Are receiving antiretroviral therapy AND
    2. 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.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Övrig
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Fyrdubbla

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Aktiv komparator: Arm A (olorofim, plus Standard of Care)
Arm A: receives oral olorofim + Standard of Care
Läkemedel: Olorofim
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)
Placebo-jämförare: Arm B (placebo comparator, plus Standard of Care)
Arm B: receives olorofim-matched placebo + Standard of Care
Läkemedel: Placebo
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)

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Change from baseline in VF-PRO Mobility domain score
Tidsram: 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
Tidsram: Day 168
Change from baseline in VF-PRO Daily Function domain score at the Day 168 (Week 24) study visit.
Day 168

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
% of patients with a reduction in severity of at least one of their most bothersome baseline DCM-related symptoms
Tidsram: 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
Tidsram: 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.
Tidsram: 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)

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

F2G Ltd

Samarbetspartners

IQVIA RDS Inc.

Utredare

  • Huvudutredare: George R. Thompson, MD, University of California, Davis, School of Medicine

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Beräknad)

1 december 2026

Primärt slutförande (Beräknad)

1 juni 2028

Avslutad studie (Beräknad)

1 juli 2028

Studieregistreringsdatum

Först inskickad

14 juli 2026

Först inskickad som uppfyllde QC-kriterierna

14 juli 2026

Första postat (Faktisk)

17 juli 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

17 juli 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

14 juli 2026

Senast verifierad

1 juli 2026

Mer information

Termer relaterade till denna studie

Nyckelord

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • F901318/0037

Plan för individuella deltagardata (IPD)

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OBESLUTSAM

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Ja

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

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