Trial Outcomes & Findings for CAMB/MAT2203 in Patients With Mucocutaneous Candidiasis (NCT NCT02629419)

NCT ID: NCT02629419

Last Updated: 2024-08-07

Results Overview

Number of subjects with a clinical response of clinical cure or improvement. Clinical cure was defined as absence of signs or symptoms of infection. Clinical improvement was defined as follows: * OPC or EC: partial resolution defined as greater than or equal to 50% of Baseline signs or symptoms * VVC: reduction of greater than or equal to 50% of clinical severity score from Baseline Severity of each symptom was graded on a scale from zero (absence of symptoms) to 3 (severe symptoms). The sum of all scores for all symptoms was used as the clinical severity score. Higher scores mean worse outcomes.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

4 participants

Primary outcome timeframe

14-days at highest titrated dose

Results posted on

2024-08-07

Participant Flow

Participant milestones

Participant milestones
Measure
MAT2203 (Previously Referred to as Encochleated Oral Amphotericin B [CAMB])
MAT2203 (200 mg, 400 mg, 800 mg) Oral lipid nanocrystal formulation of amphotericin B
Overall Study
STARTED
4
Overall Study
COMPLETED
4
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

CAMB/MAT2203 in Patients With Mucocutaneous Candidiasis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
MAT2203 (Previously Referred to as Encochleated Oral Amphotericin B [CAMB])
n=4 Participants
MAT2203 (200 mg, 400 mg, 800 mg) Oral lipid nanocrystal formulation of amphotericin B
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
4 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
4 participants
n=5 Participants
Chronic Mucocutaneous Candidiasis (CMC) Infection Type
Oropharyngeal candidiasis (OPC)
3 participants
n=5 Participants
Chronic Mucocutaneous Candidiasis (CMC) Infection Type
Esophageal candidiasis (EC)
1 participants
n=5 Participants
Chronic Mucocutaneous Candidiasis (CMC) Infection Type
Vulvovaginal candidiasis (VVC)
1 participants
n=5 Participants

PRIMARY outcome

Timeframe: 14-days at highest titrated dose

Number of subjects with a clinical response of clinical cure or improvement. Clinical cure was defined as absence of signs or symptoms of infection. Clinical improvement was defined as follows: * OPC or EC: partial resolution defined as greater than or equal to 50% of Baseline signs or symptoms * VVC: reduction of greater than or equal to 50% of clinical severity score from Baseline Severity of each symptom was graded on a scale from zero (absence of symptoms) to 3 (severe symptoms). The sum of all scores for all symptoms was used as the clinical severity score. Higher scores mean worse outcomes.

Outcome measures

Outcome measures
Measure
MAT2203 (Previously Referred to as Encochleated Oral Amphotericin B [CAMB])
n=4 Participants
MAT2203 (200 mg, 400 mg, 800 mg) Oral lipid nanocrystal formulation of amphotericin B
Clinical Response to Treatment of Mucocutaneous Candidiasis
4 Participants

SECONDARY outcome

Timeframe: Single and Multiple Doses (14-days)

Population: 2 participants were not included in the analysis

Drug concentration in plasma collected at 0, 1, 2, 4, 8, 10, 12, and 24 hours post-dose

Outcome measures

Outcome measures
Measure
MAT2203 (Previously Referred to as Encochleated Oral Amphotericin B [CAMB])
n=2 Participants
MAT2203 (200 mg, 400 mg, 800 mg) Oral lipid nanocrystal formulation of amphotericin B
Area Under the Concentration Versus Time Curve From Time 0 to 24 Hours Postdose
606 ng x h/mL
Interval 435.18 to 777.17

SECONDARY outcome

Timeframe: Single and Multiple Doses (14-days)

Plasma concentration was measured at 0, 1, 2, 4, 8, 10, 12, and 24 hours post-dose

Outcome measures

Outcome measures
Measure
MAT2203 (Previously Referred to as Encochleated Oral Amphotericin B [CAMB])
n=4 Participants
MAT2203 (200 mg, 400 mg, 800 mg) Oral lipid nanocrystal formulation of amphotericin B
Maximum Plasma Concentration (Cmax)
28.4 ng/mL
Interval 27.02 to 52.6

SECONDARY outcome

Timeframe: Single and Multiple Doses (14-days)

Plasma collected at 0, 1, 2, 4, 8, 10, 12, and 24 hours post-dose

Outcome measures

Outcome measures
Measure
MAT2203 (Previously Referred to as Encochleated Oral Amphotericin B [CAMB])
n=4 Participants
MAT2203 (200 mg, 400 mg, 800 mg) Oral lipid nanocrystal formulation of amphotericin B
Time to Reach Maximum Plasma Concentration (Tmax)
16 h
Interval 4.0 to 24.0

SECONDARY outcome

Timeframe: up to 60 months

Incidence of nephrotoxicity, defined as an increase of greater than 100% of baseline serum creatinine. Incidence of hypokalemia, defined as serum potassium less than or equal to 3mmol/L during or within 3 weeks of completing treatment.

Outcome measures

Outcome measures
Measure
MAT2203 (Previously Referred to as Encochleated Oral Amphotericin B [CAMB])
n=4 Participants
MAT2203 (200 mg, 400 mg, 800 mg) Oral lipid nanocrystal formulation of amphotericin B
Long-term Adverse Events, Changes in Laboratory Parameters
0 events

Adverse Events

MAT2203 (Previously Referred to as Encochleated Oral Amphotericin B [CAMB])

Serious events: 3 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
MAT2203 (Previously Referred to as Encochleated Oral Amphotericin B [CAMB])
n=4 participants at risk
MAT2203 (200 mg, 400 mg, 800 mg) Oral lipid nanocrystal formulation of amphotericin B
Surgical and medical procedures
Colostomy closure
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Infections and infestations
Pneumonia
50.0%
2/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
General disorders
Influenza
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Musculoskeletal and connective tissue disorders
Myositis
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Endocrine disorders
Adrenal insufficiency
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Gastrointestinal disorders
Dysphagia
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Infections and infestations
Oral candidiasis
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Infections and infestations
Urinary tract infection
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Respiratory, thoracic and mediastinal disorders
Respiratory failure
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Infections and infestations
Subcutaneous abscess
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Gastrointestinal disorders
Abdominal pain
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Gastrointestinal disorders
Nausea
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Gastrointestinal disorders
Vomiting
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit

Other adverse events

Other adverse events
Measure
MAT2203 (Previously Referred to as Encochleated Oral Amphotericin B [CAMB])
n=4 participants at risk
MAT2203 (200 mg, 400 mg, 800 mg) Oral lipid nanocrystal formulation of amphotericin B
Blood and lymphatic system disorders
Neutropenia
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Ear and labyrinth disorders
Tinnutis
50.0%
2/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Ear and labyrinth disorders
Vertigo
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Eye disorders
Keratitus
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Gastrointestinal disorders
Abdominal pain
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Gastrointestinal disorders
Diarrhoea
75.0%
3/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
General disorders
Hiatus Hernia
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Gastrointestinal disorders
Nausea
75.0%
3/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Gastrointestinal disorders
Oesophageal ulcer
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Gastrointestinal disorders
Vomiting
50.0%
2/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
General disorders
Chest discomfort
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
General disorders
Chest pain
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
General disorders
Chills
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
General disorders
Fatigue
75.0%
3/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
General disorders
Malaise
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
General disorders
Oedema peripheral
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
General disorders
Pyrexia
50.0%
2/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Infections and infestations
Acute sinusitis
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Infections and infestations
Clostridium defficile infection
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Infections and infestations
Diverticulitis
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Infections and infestations
Fungal infection
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Infections and infestations
Herpes simplex
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Infections and infestations
Laryngitis
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Infections and infestations
Mucocutaneous candidiasis
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Infections and infestations
Rhinitis
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Infections and infestations
Upper respiratory tract infection
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Infections and infestations
Vulvitis
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Infections and infestations
Vulvovaginal candidiasis
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Infections and infestations
Pneumonia
75.0%
3/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Injury, poisoning and procedural complications
Fracture
50.0%
2/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Injury, poisoning and procedural complications
Injury
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Investigations
Alanine aminotransferase increased
50.0%
2/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Investigations
Aspartate aminotransferase increased
50.0%
2/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Investigations
Blood albumin decreased
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Investigations
Blood bicarbonate abnormal
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Investigations
Blood bicarbonate decreased
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Investigations
Blood cholesterol increased
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Investigations
Blood immunoglobulin E increased
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Investigations
Blood immunoglobulin G increased
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Investigations
Blood iron decreased
50.0%
2/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Investigations
Blood lactate dehydrogenase
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Investigations
Blood potassium decreased
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Investigations
Blood thyroid stimulating hormone increased
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Investigations
Body temperature increased
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Investigations
C-reactive protein increased
75.0%
3/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Investigations
Haemoglobin decreased
50.0%
2/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Investigations
N-terminal prohormone brain natriuretic peptide increased
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Investigations
Oxygen saturation abnnormal
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Investigations
White blood cell count increased
75.0%
3/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Metabolism and nutrition disorders
Decreased appetite
50.0%
2/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Metabolism and nutrition disorders
Hyperglycaemia
100.0%
4/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Metabolism and nutrition disorders
Hypernatraemia
50.0%
2/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Metabolism and nutrition disorders
Hypocalcaemia
75.0%
3/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Metabolism and nutrition disorders
Hypomagnesaemia
50.0%
2/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Metabolism and nutrition disorders
Hyponatraemia
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Metabolism and nutrition disorders
Hypophosphataemia
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Musculoskeletal and connective tissue disorders
Arthralgia
50.0%
2/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Musculoskeletal and connective tissue disorders
Back pain
50.0%
2/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Musculoskeletal and connective tissue disorders
Muscle spasms
50.0%
2/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Musculoskeletal and connective tissue disorders
Musculoskelatal chest pain
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Musculoskeletal and connective tissue disorders
Neck pain
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Musculoskeletal and connective tissue disorders
Pain in extremity
50.0%
2/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Skin papilloma
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Nervous system disorders
Aegusia
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Nervous system disorders
Cognitive disorder
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Nervous system disorders
Dizziness
50.0%
2/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Nervous system disorders
Headache
75.0%
3/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Nervous system disorders
Tremor
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Psychiatric disorders
Anxiety
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Psychiatric disorders
Insomnia
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Renal and urinary disorders
Bladder irritation
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Renal and urinary disorders
Dysuria
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Renal and urinary disorders
Haematuria
50.0%
2/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Reproductive system and breast disorders
Vaginal discharge
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Reproductive system and breast disorders
Vulvovaginal pruritis
50.0%
2/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Respiratory, thoracic and mediastinal disorders
Cough
100.0%
4/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Respiratory, thoracic and mediastinal disorders
Dyspnoea
75.0%
3/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Respiratory, thoracic and mediastinal disorders
Epistaxis
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Respiratory, thoracic and mediastinal disorders
Nasal congestion
50.0%
2/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
50.0%
2/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Respiratory, thoracic and mediastinal disorders
Pleuritic pain
50.0%
2/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Respiratory, thoracic and mediastinal disorders
Productive cough
75.0%
3/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Respiratory, thoracic and mediastinal disorders
Pulmonary congestion
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Respiratory, thoracic and mediastinal disorders
Sinus congestion
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Respiratory, thoracic and mediastinal disorders
Wheezing
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Skin and subcutaneous tissue disorders
Alopecia
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Skin and subcutaneous tissue disorders
Erythema
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Skin and subcutaneous tissue disorders
Hyperhidrosis
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Skin and subcutaneous tissue disorders
Nail disorder
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Skin and subcutaneous tissue disorders
Night sweats
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Skin and subcutaneous tissue disorders
Rash
75.0%
3/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Skin and subcutaneous tissue disorders
Skin lesion
75.0%
3/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Surgical and medical procedures
Tooth extraction
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit
Vascular disorders
Haematoma
25.0%
1/4 • Adverse events were collected over the entire study period up to 60 months
Adverse events were noted at each study visit

Additional Information

Theresa Matkovits, PhD

Matinas BioPharma

Phone: 862-812-1436

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place