Encochleated Oral Amphotericin for Cryptococcal Meningitis Trial 3

NCT ID: NCT05541107

Last Updated: 2022-09-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

270 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-31

Study Completion Date

2025-01-31

Brief Summary

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This pivotal, confirmatory trial seeks to independently verify the results observed in the EnACT Phase II Stage 2 trial (MB-70007).

Detailed Description

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Pivotal, prospective, randomized, open-label, non-inferiority trial to compare the efficacy and safety of step-down induction and consolidation therapy for the treatment of cryptococcal meningitis with oral MAT2203 plus flucytosine to standard of care therapy. Randomization will by 1:1:1 to one of two experimental arms or standard of care.

Conditions

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Cryptococcal Meningitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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MAT2203 Induction / MAT2203 Consolidation

2 days IV Amphotericin B (AMB) + flucytosine (5FC) followed by oral MAT2203 + 5FC for 12 days of induction therapy followed by MAT2203 +fluconazole for 4 weeks of consolidation therapy

Group Type EXPERIMENTAL

MAT2203

Intervention Type DRUG

oral lipid nanocrystal amphotericin B

MAT2203 Induction / SOC Consolidation

2 days IV AMB + 5FC followed by oral MAT2203 + 5FC for 12 days of induction therapy followed by 4 weeks of standard of care consolidation therapy

Group Type EXPERIMENTAL

MAT2203

Intervention Type DRUG

oral lipid nanocrystal amphotericin B

SOC Induction / SOC Consolidation

Standard of care induction therapy (IV AMB + 5FC) followed by 4 weeks of standard of care consolidation therapy (fluconazole)

Group Type ACTIVE_COMPARATOR

Amphotericin B

Intervention Type DRUG

Intravenous Amphotericin B

Interventions

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MAT2203

oral lipid nanocrystal amphotericin B

Intervention Type DRUG

Amphotericin B

Intravenous Amphotericin B

Intervention Type DRUG

Other Intervention Names

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cAMB

Eligibility Criteria

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Inclusion Criteria

* CSF cryptococcal antigen (CrAg) positive meningitis
* Ability and willingness to provide informed consent
* Willing to receive protocol-specified lumbar punctures

Exclusion Criteria

* Glasgow Coma Scale \< 15 at time of consent
* Received \>= 3 doses of amphotericin B within prior 30 days
* Inability to take enteral (oral or nasogastric) medicine
* Cannot or unlikely to attend regular clinic visits
* Receiving chemotherapy or corticosteroids
* Suspected paradoxical immune reconstitution inflammatory syndrome (IRIS)
* Pregnancy or breastfeeding
* Previous administration of MAT2203
* Any condition for which participation would not be in the best interest of the participant or that could limit protocol specified assessments
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Minnesota

OTHER

Sponsor Role collaborator

Matinas BioPharma Nanotechnologies, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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David R Boulware, MD

Role: PRINCIPAL_INVESTIGATOR

University of Minnesota

David B Meya, MBChB

Role: PRINCIPAL_INVESTIGATOR

Infectious Diseases Institute

Central Contacts

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Theresa Matkovits, PhD

Role: CONTACT

908-505-0975

Other Identifiers

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CTA 0217

Identifier Type: OTHER

Identifier Source: secondary_id

MB-70018

Identifier Type: -

Identifier Source: org_study_id

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