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

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