Trial Outcomes & Findings for Ibrexafungerp for the Treatment of Complicated Vulvovaginal Candidiasis (NCT NCT05399641)

NCT ID: NCT05399641

Last Updated: 2024-07-10

Results Overview

Percentage of participants with complete resolution of signs and symptoms (total VSS score of 0) with no additional antifungal therapy required. The vulvovaginal signs and symptom (VSS) scale ranges from 0 to 18, with higher scores being worse.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

150 participants

Primary outcome timeframe

14 days post-Baseline - Test-Of-Cure (TOC)

Results posted on

2024-07-10

Participant Flow

Participant milestones

Participant milestones
Measure
Group A
Single day dosing, 300mg Ibrexafungerp BID for a total of 600mg a day. Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Group B (3 Day Dosing)
Three day dosing, 300 mg Ibrexafungerp BID for a total of 600mg a day. Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Group B (7 Day Dosing)
Seven day dosing, 300mg Ibrexafungerp BID for a total of 600mg a day Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Overall Study
STARTED
27
62
61
Overall Study
COMPLETED
18
40
42
Overall Study
NOT COMPLETED
9
22
19

Reasons for withdrawal

Reasons for withdrawal
Measure
Group A
Single day dosing, 300mg Ibrexafungerp BID for a total of 600mg a day. Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Group B (3 Day Dosing)
Three day dosing, 300 mg Ibrexafungerp BID for a total of 600mg a day. Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Group B (7 Day Dosing)
Seven day dosing, 300mg Ibrexafungerp BID for a total of 600mg a day Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Overall Study
Adverse Event
0
1
1
Overall Study
Lost to Follow-up
1
2
2
Overall Study
Physician Decision
1
3
3
Overall Study
Withdrawal by Subject
4
11
7
Overall Study
Reason not defined
3
5
6

Baseline Characteristics

Ibrexafungerp for the Treatment of Complicated Vulvovaginal Candidiasis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group A
n=27 Participants
Single day dosing, 300mg Ibrexafungerp BID for a total of 600mg a day. Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Group B (3 Day Dosing)
n=62 Participants
Three day dosing, 300 mg Ibrexafungerp BID for a total of 600mg a day. Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Group B (7 Day Dosing)
n=61 Participants
Seven day dosing, 300mg Ibrexafungerp BID for a total of 600mg a day Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Total
n=150 Participants
Total of all reporting groups
Age, Continuous
40.2 years
STANDARD_DEVIATION 14.80 • n=5 Participants
39.6 years
STANDARD_DEVIATION 13.50 • n=7 Participants
39.3 years
STANDARD_DEVIATION 11.43 • n=5 Participants
39.6 years
STANDARD_DEVIATION 12.87 • n=4 Participants
Sex: Female, Male
Female
27 Participants
n=5 Participants
62 Participants
n=7 Participants
61 Participants
n=5 Participants
150 Participants
n=4 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
6 Participants
n=5 Participants
14 Participants
n=7 Participants
18 Participants
n=5 Participants
38 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
21 Participants
n=5 Participants
48 Participants
n=7 Participants
43 Participants
n=5 Participants
112 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
3 Participants
n=7 Participants
0 Participants
n=5 Participants
4 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
11 Participants
n=5 Participants
15 Participants
n=7 Participants
14 Participants
n=5 Participants
40 Participants
n=4 Participants
Race (NIH/OMB)
White
13 Participants
n=5 Participants
42 Participants
n=7 Participants
45 Participants
n=5 Participants
100 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
5 Participants
n=4 Participants

PRIMARY outcome

Timeframe: 14 days post-Baseline - Test-Of-Cure (TOC)

Population: Modified Intent-to-Treat (mITT): all treated participants who have a positive culture for candida species at screening

Percentage of participants with complete resolution of signs and symptoms (total VSS score of 0) with no additional antifungal therapy required. The vulvovaginal signs and symptom (VSS) scale ranges from 0 to 18, with higher scores being worse.

Outcome measures

Outcome measures
Measure
Group A
n=13 Participants
Single day dosing, 300mg Ibrexafungerp BID for a total of 600mg a day. Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Group B (3 Day Dosing)
n=42 Participants
Three day dosing, 300 mg Ibrexafungerp BID for a total of 600mg a day. Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Group B (7 Day Dosing)
n=46 Participants
Seven day dosing, 300mg Ibrexafungerp BID for a total of 600mg a day Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Clinical Cure
7 Participants
10 Participants
23 Participants

SECONDARY outcome

Timeframe: 14 days post-Baseline Test-Of- Cure (TOC), 14 days post-End of Treatment (EOT), 30 days post-Baseline, 30 days post-End of Treatment and 60 days post-End of Treatment

Population: Modified Intent-to-Treat (mITT): all treated participants who have a positive culture for candida species at screening

Percentage of participants with a Total Composite Score of ≤1 on the VSS Scale and a Total Composite Score of ≤2 on the VSS scale. The vulvovaginal signs and symptom (VSS) scale ranges from 0 to 18, with higher scores being worse.

Outcome measures

Outcome measures
Measure
Group A
n=13 Participants
Single day dosing, 300mg Ibrexafungerp BID for a total of 600mg a day. Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Group B (3 Day Dosing)
n=42 Participants
Three day dosing, 300 mg Ibrexafungerp BID for a total of 600mg a day. Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Group B (7 Day Dosing)
n=46 Participants
Seven day dosing, 300mg Ibrexafungerp BID for a total of 600mg a day Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Clinical Improvement
VSS Score ≤2, (TOC)
11 Participants
23 Participants
33 Participants
Clinical Improvement
VSS Score ≤1, (TOC)
10 Participants
20 Participants
29 Participants
Clinical Improvement
VSS Score ≤1, (14 days post-EOT)
3 Participants
8 Participants
22 Participants
Clinical Improvement
VSS Score ≤1, (30 days post-Baseline)
10 Participants
18 Participants
24 Participants
Clinical Improvement
VSS Score ≤1, (30 days post-EOT
3 Participants
8 Participants
20 Participants
Clinical Improvement
VSS Score ≤1, (60 days post-EOT)
8 Participants
18 Participants
21 Participants
Clinical Improvement
VSS Score ≤2, (14 days post-EOT)
3 Participants
10 Participants
26 Participants
Clinical Improvement
VSS Score ≤2, (30 days post-Baseline)
10 Participants
20 Participants
26 Participants
Clinical Improvement
VSS Score ≤2, (30 days post-EOT)
3 Participants
8 Participants
20 Participants
Clinical Improvement
VSS Score ≤2, (60 days post-EOT)
8 Participants
18 Participants
24 Participants

SECONDARY outcome

Timeframe: 14 days post-Baseline Test-Of- Cure (TOC), 14 days post-End of Treatment (EOT), 30 days post-Baseline, 30 days post-End of Treatment and 60 days post-End of Treatment.

Population: Modified Intent-to-Treat (mITT): all treated participants who have a positive culture for candida species at screening

Percentage of participants with at least 50% reduction from baseline in the total composite VSS score and no additional antifungal therapy required. The vulvovaginal signs and symptom (VSS) scale ranges from 0 to 18, with higher scores being worse.

Outcome measures

Outcome measures
Measure
Group A
n=13 Participants
Single day dosing, 300mg Ibrexafungerp BID for a total of 600mg a day. Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Group B (3 Day Dosing)
n=42 Participants
Three day dosing, 300 mg Ibrexafungerp BID for a total of 600mg a day. Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Group B (7 Day Dosing)
n=46 Participants
Seven day dosing, 300mg Ibrexafungerp BID for a total of 600mg a day Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Clinical Success
30 days post-Baseline
10 Participants
23 Participants
27 Participants
Clinical Success
TOC
11 Participants
31 Participants
39 Participants
Clinical Success
14 days post-EOT
3 Participants
12 Participants
28 Participants
Clinical Success
30 days post-EOT
3 Participants
9 Participants
22 Participants
Clinical Success
60 days post-EOT
8 Participants
18 Participants
25 Participants

SECONDARY outcome

Timeframe: 14 days post-Baseline Test-Of- Cure (TOC), 14 days post-End of Treatment (EOT), 30 days post-Baseline, 30 days post-End of Treatment and 60 days post-End of Treatment.

Population: Modified Intent-to-Treat (mITT): all treated participants who have a positive culture for candida species at Screening

Percentage of participants with negative culture growth for candida or participant was asymptomatic and a culture was not done

Outcome measures

Outcome measures
Measure
Group A
n=13 Participants
Single day dosing, 300mg Ibrexafungerp BID for a total of 600mg a day. Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Group B (3 Day Dosing)
n=42 Participants
Three day dosing, 300 mg Ibrexafungerp BID for a total of 600mg a day. Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Group B (7 Day Dosing)
n=46 Participants
Seven day dosing, 300mg Ibrexafungerp BID for a total of 600mg a day Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Mycological Response
30 days post-EOT
3 Participants
9 Participants
20 Participants
Mycological Response
TOC
9 Participants
23 Participants
31 Participants
Mycological Response
14 days post-EOT
3 Participants
8 Participants
21 Participants
Mycological Response
30 days post-Baseline
7 Participants
18 Participants
25 Participants
Mycological Response
60 days post-EOT
9 Participants
19 Participants
24 Participants

SECONDARY outcome

Timeframe: 14 days post-Baseline Test-Of- Cure (TOC), 14 days post-End of Treatment (EOT), 30 days post-Baseline, 30 days post-End of Treatment and 60 days post-End of Treatment

Population: Modified Intent-to-Treat (mITT) - all treated participants who have a positive culture for candida species at Screening

The number (percentage) of participants with Clinical Cure and Mycological Response at TOC and FU Visits

Outcome measures

Outcome measures
Measure
Group A
n=13 Participants
Single day dosing, 300mg Ibrexafungerp BID for a total of 600mg a day. Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Group B (3 Day Dosing)
n=42 Participants
Three day dosing, 300 mg Ibrexafungerp BID for a total of 600mg a day. Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Group B (7 Day Dosing)
n=46 Participants
Seven day dosing, 300mg Ibrexafungerp BID for a total of 600mg a day Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Clinical Cure and Mycological Response
TOC
5 Participants
7 Participants
16 Participants
Clinical Cure and Mycological Response
14 days post-EOT
3 Participants
5 Participants
13 Participants
Clinical Cure and Mycological Response
30 days post-Baseline
7 Participants
15 Participants
20 Participants
Clinical Cure and Mycological Response
30 days post-EOT
3 Participants
8 Participants
17 Participants
Clinical Cure and Mycological Response
60 days post-EOT
8 Participants
17 Participants
20 Participants

SECONDARY outcome

Timeframe: 14 days post EOT, 30 days post-Baseline, 30 days post-EOT and 60 days post-EOT

Population: Modified Intent-to-Treat (mITT): all treated participants who have a positive culture for candida species at Screening

The number (percentage) of participants with a total composite score of 0 on the VSS scale and no additional antifungal therapy required. The vulvovaginal signs and symptom (VSS) scale ranges from 0 to 18, with higher scores being worse.

Outcome measures

Outcome measures
Measure
Group A
n=13 Participants
Single day dosing, 300mg Ibrexafungerp BID for a total of 600mg a day. Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Group B (3 Day Dosing)
n=42 Participants
Three day dosing, 300 mg Ibrexafungerp BID for a total of 600mg a day. Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Group B (7 Day Dosing)
n=46 Participants
Seven day dosing, 300mg Ibrexafungerp BID for a total of 600mg a day Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Clinical Cure at Follow-up
30 days post-EOT
3 Participants
8 Participants
17 Participants
Clinical Cure at Follow-up
14 days post-EOT
3 Participants
6 Participants
17 Participants
Clinical Cure at Follow-up
30 days post-Baseline
7 Participants
16 Participants
21 Participants
Clinical Cure at Follow-up
60 days post-EOT
8 Participants
17 Participants
20 Participants

SECONDARY outcome

Timeframe: From Baseline to 14 days post-Baseline (TOC), 14 days post-End of Treatment (EOT), 30 days post-Baseline, 30 days post-EOT and 60 days post-EOT

Population: Modified Intent-to-Treat (mITT): all treated participants who have a positive culture for candida species at Screening

The mean change in total composite vulvovaginal signs and symptom (VSS) score from Baseline to TOC and Follow-up Visits. The VSS score ranges from 0 (no signs and symptoms) to a maximum of 18, with higher scores being worse.

Outcome measures

Outcome measures
Measure
Group A
n=13 Participants
Single day dosing, 300mg Ibrexafungerp BID for a total of 600mg a day. Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Group B (3 Day Dosing)
n=42 Participants
Three day dosing, 300 mg Ibrexafungerp BID for a total of 600mg a day. Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Group B (7 Day Dosing)
n=46 Participants
Seven day dosing, 300mg Ibrexafungerp BID for a total of 600mg a day Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Change in Total Composite Vulvovaginal Signs and Symptom Score From Baseline
TOC
-7.2 Score on a scale
Interval -15.0 to 0.0
-6.3 Score on a scale
Interval -13.0 to 4.0
-8.1 Score on a scale
Interval -16.0 to 2.0
Change in Total Composite Vulvovaginal Signs and Symptom Score From Baseline
14 days post-EOT
-10.0 Score on a scale
Interval -11.0 to -8.0
-6.7 Score on a scale
Interval -14.0 to 2.0
-7.8 Score on a scale
Interval -16.0 to 4.0
Change in Total Composite Vulvovaginal Signs and Symptom Score From Baseline
30 days post-Baseline
-7.0 Score on a scale
Interval -17.0 to 9.0
-7.1 Score on a scale
Interval -13.0 to 3.0
-8.3 Score on a scale
Interval -17.0 to 5.0
Change in Total Composite Vulvovaginal Signs and Symptom Score From Baseline
30 days post-EOT
-10.7 Score on a scale
Interval -11.0 to -10.0
-7.6 Score on a scale
Interval -13.0 to 0.0
-8.0 Score on a scale
Interval -16.0 to 9.0
Change in Total Composite Vulvovaginal Signs and Symptom Score From Baseline
60 days post-EOT
-8.3 Score on a scale
Interval -17.0 to -3.0
-8.2 Score on a scale
Interval -16.0 to 2.0
-8.5 Score on a scale
Interval -16.0 to 2.0

SECONDARY outcome

Timeframe: 14 days post-Baseline Test-Of- Cure (TOC), 14 days post-End of Treatment, 30 days post-Baseline, 30 days post-End of Treatment and 60 days post- End of Treatment

Population: Modified Intent-to-Treat (mITT): all treated participants who have a positive culture for candida species at Screening

Percentage of subjects with a Total Composite Score of 2 on the VSS Scale or a composite score of 1 on the VSS scale. The vulvovaginal signs and symptom (VSS) scale ranges from 0 to 18, with higher scores being worse.

Outcome measures

Outcome measures
Measure
Group A
n=13 Participants
Single day dosing, 300mg Ibrexafungerp BID for a total of 600mg a day. Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Group B (3 Day Dosing)
n=42 Participants
Three day dosing, 300 mg Ibrexafungerp BID for a total of 600mg a day. Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Group B (7 Day Dosing)
n=46 Participants
Seven day dosing, 300mg Ibrexafungerp BID for a total of 600mg a day Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Clinical Improvement - 2
VSS Score of 1 at TOC
3 Participants
10 Participants
6 Participants
Clinical Improvement - 2
VSS Score of 1 at 14 days post-EOT
0 Participants
2 Participants
5 Participants
Clinical Improvement - 2
VSS Score of 2 at 30 days post-EOT
0 Participants
0 Participants
0 Participants
Clinical Improvement - 2
VSS Score of 1 at 30 days post-Baseline
3 Participants
2 Participants
3 Participants
Clinical Improvement - 2
VSS Score of 1 at 30 days post-EOT
0 Participants
0 Participants
3 Participants
Clinical Improvement - 2
VSS Score of 1 at 60 days post-EOT
0 Participants
1 Participants
1 Participants
Clinical Improvement - 2
VSS Score of 2 at TOC
1 Participants
3 Participants
4 Participants
Clinical Improvement - 2
VSS Score of 2 at 14 days post-EOT
0 Participants
2 Participants
4 Participants
Clinical Improvement - 2
VSS Score of 2 at 30 days post-Baseline
0 Participants
2 Participants
2 Participants
Clinical Improvement - 2
VSS Score of 2 at 60 days post-EOT
0 Participants
0 Participants
3 Participants

Adverse Events

Group A

Serious events: 0 serious events
Other events: 12 other events
Deaths: 0 deaths

Group B (3 Day Dosing)

Serious events: 0 serious events
Other events: 35 other events
Deaths: 0 deaths

Group B (7 Day Dosing)

Serious events: 0 serious events
Other events: 39 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Group A
n=27 participants at risk
Single day dosing, 300mg Ibrexafungerp BID for a total of 600mg a day. Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Group B (3 Day Dosing)
n=62 participants at risk
Three day dosing, 300 mg Ibrexafungerp BID for a total of 600mg a day. Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Group B (7 Day Dosing)
n=61 participants at risk
Seven day dosing, 300mg Ibrexafungerp BID for a total of 600mg a day Ibrexafungerp: Each day dosing will consist of two 150mg tablets taken BID.
Gastrointestinal disorders
Diarrhoea
22.2%
6/27 • From participant Screening through to 60 post-End of Therapy Visit (approximately 69 days after Screening)
29.0%
18/62 • From participant Screening through to 60 post-End of Therapy Visit (approximately 69 days after Screening)
32.8%
20/61 • From participant Screening through to 60 post-End of Therapy Visit (approximately 69 days after Screening)
Gastrointestinal disorders
Nausea
11.1%
3/27 • From participant Screening through to 60 post-End of Therapy Visit (approximately 69 days after Screening)
25.8%
16/62 • From participant Screening through to 60 post-End of Therapy Visit (approximately 69 days after Screening)
11.5%
7/61 • From participant Screening through to 60 post-End of Therapy Visit (approximately 69 days after Screening)
Gastrointestinal disorders
Abdominal Discomfort
0.00%
0/27 • From participant Screening through to 60 post-End of Therapy Visit (approximately 69 days after Screening)
4.8%
3/62 • From participant Screening through to 60 post-End of Therapy Visit (approximately 69 days after Screening)
6.6%
4/61 • From participant Screening through to 60 post-End of Therapy Visit (approximately 69 days after Screening)
Gastrointestinal disorders
Constipation
0.00%
0/27 • From participant Screening through to 60 post-End of Therapy Visit (approximately 69 days after Screening)
1.6%
1/62 • From participant Screening through to 60 post-End of Therapy Visit (approximately 69 days after Screening)
8.2%
5/61 • From participant Screening through to 60 post-End of Therapy Visit (approximately 69 days after Screening)
Gastrointestinal disorders
Bacterial vaginosis
11.1%
3/27 • From participant Screening through to 60 post-End of Therapy Visit (approximately 69 days after Screening)
1.6%
1/62 • From participant Screening through to 60 post-End of Therapy Visit (approximately 69 days after Screening)
8.2%
5/61 • From participant Screening through to 60 post-End of Therapy Visit (approximately 69 days after Screening)
Gastrointestinal disorders
Headache
3.7%
1/27 • From participant Screening through to 60 post-End of Therapy Visit (approximately 69 days after Screening)
8.1%
5/62 • From participant Screening through to 60 post-End of Therapy Visit (approximately 69 days after Screening)
9.8%
6/61 • From participant Screening through to 60 post-End of Therapy Visit (approximately 69 days after Screening)

Additional Information

David Angulo

Scynexis

Phone: 201-884-5471

Results disclosure agreements

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