Clinical trial • Phase IV • Infectious Disease
Rezafungin acetate for Invasive candidiasis | Candidemia
Phase IV trial of Rezafungin acetate for Invasive candidiasis | Candidemia. open-label, none/not specified-controlled. 30 participants.
Overview
- Trial Therapeutic Area
- Infectious Disease
- Trial Disease
- Invasive candidiasis | Candidemia
- Trial Stage
- Phase IV
- Drug Modality
- Peptide/protein/enzyme
- Orphan Drug
- Yes
Key dates
- Initial CTIS Submission Date
- 19-12-2024
- First CTIS Authorization Date
- 14-04-2025
Trial design
open-label, none/not specified-controlled Phase IV trial in Austria.
- Open Label
- Yes
- Comparator
- None/Not specified
- Target Sample Size
- 30
- Trial Duration For Participant
- 28
Eligibility
Recruits 30 Vulnerable population selected. The protocol states: "Prior written informed consent (IC) in counscious patients; in inconscious patients the IC will be obtained after arousal." There are specific ICF/SIS documents for capable subjects, incapacitated subjects and legal designated representatives (documents titled for incapacitated subjects and legal designated representative), indicating consent by legal representative where appropriate and deferred consent for unconscious/incapacitated patients..
- Pregnancy Exclusion
- Pregnant or breastfeeding
- Vulnerable Population
- Vulnerable population selected. The protocol states: "Prior written informed consent (IC) in counscious patients; in inconscious patients the IC will be obtained after arousal." There are specific ICF/SIS documents for capable subjects, incapacitated subjects and legal designated representatives (documents titled for incapacitated subjects and legal designated representative), indicating consent by legal representative where appropriate and deferred consent for unconscious/incapacitated patients.
Inclusion criteria
- {"criterion_text":"- ICU patient with ≥18 years of age"}
- {"criterion_text":"- ECMO support (iLA active or others) or Critically ill patients receiving Rezafungin for treatment of invasive fungal infection without extracorporeal treatments will be recruited by study team members and data will be used for comparative analysis ± RRT"}
- {"criterion_text":"- Rezafungin administration"}
- {"criterion_text":"- Prior written informed consent (IC) in counscious patients; in inconscious patients the IC will be obtained after arousal."}
Exclusion criteria
- {"criterion_text":"- Known hypersensitivity to Rezafungin or other echinocandins"}
- {"criterion_text":"- Pregnant or breastfeeding"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Clearance (CL)","definition_or_measurement_approach":"Assessment of Rezafungin plasma concentrations (pharmacokinetic analysis)"}
- {"endpoint_text":"- Volume of Distribution (Vd)","definition_or_measurement_approach":"Assessment of Rezafungin plasma concentrations (pharmacokinetic analysis)"}
- {"endpoint_text":"- Half-Life (t½)","definition_or_measurement_approach":"Assessment of Rezafungin plasma concentrations (pharmacokinetic analysis)"}
- {"endpoint_text":"- Absorption Rate Constant (Ka)","definition_or_measurement_approach":"Assessment of Rezafungin plasma concentrations (pharmacokinetic analysis)"}
- {"endpoint_text":"- Bioavailability (F)","definition_or_measurement_approach":"Assessment of Rezafungin plasma concentrations (pharmacokinetic analysis)"}
- {"endpoint_text":"- Maximum Concentration (Cmax)","definition_or_measurement_approach":"Assessment of Rezafungin plasma concentrations (pharmacokinetic analysis)"}
- {"endpoint_text":"- Time to Maximum Concentration (Tmax)","definition_or_measurement_approach":"Assessment of Rezafungin plasma concentrations (pharmacokinetic analysis)"}
- {"endpoint_text":"- Area Under the Curve (AUC)","definition_or_measurement_approach":"Assessment of Rezafungin plasma concentrations (pharmacokinetic analysis)"}
- {"endpoint_text":"- Elimination Rate Constant (Ke)","definition_or_measurement_approach":"Assessment of Rezafungin plasma concentrations (pharmacokinetic analysis)"}
Secondary endpoints
- {"endpoint_text":"- Difference in Rezafunding plasma concentration according to additional extracorporal circuits (RRT, Hemoperfusion)","definition_or_measurement_approach":"Comparison of Rezafungin plasma concentrations between subgroups with different extracorporeal circuits (pharmacokinetic subgroup analysis)"}
- {"endpoint_text":"- Difference of Rezafunding plasma concentration according to body-mass index and gender","definition_or_measurement_approach":"Comparison of Rezafungin plasma concentrations by BMI and sex (pharmacokinetic subgroup analysis)"}
- {"endpoint_text":"- Side effects of Rezafungin treatment (As defined by the treating physician)","definition_or_measurement_approach":"Recording and reporting of adverse events/side effects as assessed by treating physicians"}
- {"endpoint_text":"- Rate of Rezafungin discontinuation and reasons for cessation","definition_or_measurement_approach":"Collection of treatment discontinuation events and documented reasons"}
Recruitment
- Planned Sample Size
- 30
- Recruitment Window Months
- 39
- Consent Approach
- Prior written informed consent from conscious patients. For unconscious/incapacitated patients, informed consent will be obtained after arousal (deferred consent). Specific subject information sheets and informed consent forms are available for capable subjects, incapacitated subjects, and legal designated representatives.
Methods
- Site-based recruitment: critically ill patients receiving Rezafungin and ECMO patients will be recruited by study team members at participating sites (Austria site listed).
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 30
Austria
- Earliest CTIS Part Ii Submission Date
- 26-02-2025
- Latest Decision Or Authorization Date
- 26-01-2026
- Processing Time Days
- 334
- Number Of Sites
- 1
- Number Of Participants
- 30
Sites
- Site Name
- Medical University Of Graz
- Department Name
- Department of Internal Medicine
- Contact Person Name
- Robert Krause
- Contact Person Email
- robert.krause@medunigraz.at
- Number Of Participants
- 30
Sponsor
Primary sponsor
- Full Name
- Medical University Of Graz
- Organisation Type
- Educational Institution
- Country Of Registered Address
- Austria
Third parties
- {"country":"","full_name":"Mundipharma GmbH","duties_or_roles":"Monetary support","organisation_type":""}
Investigational products
- Investigational Product Name
- REZZAYO 200 mg powder for concentrate for solution for infusion
- Active Substance
- Rezafungin acetate
- Modality
- Peptide/protein/enzyme
- Routes Of Administration
- Intravenous
- Route
- Intravenous
- Authorisation Status
- Authorised (EU marketing authorisation number EU/1/23/1775/001)
- Orphan Designation
- Yes
- Maximum Dose
- 1000 mg
Related trials
Other published trials that may interest you.
- Conditioned medium from a co-culture of M2-macrophages and fat-derived mesenchymal cells for Acute respiratory distress syndrome (ARDS) | SARS-CoV-2 infection | Influenza A infection | Influenza B infection | Respiratory syncytial virus (RSV) infection
- ACICLOVIR for Recurrent herpes labialis | Herpes simplex labialis
- AMIKACIN SULFATE for Sepsis | Neutropenia
- LENACAPAVIR, ISLATRAVIR for HIV-1 infection
- piperacillin sodium, tazobactam sodium for Extended-spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae severe infection