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Completed

NCT Number: NCT03471988

Clinical Study of AK1820 (Isavuconazonium Sulfate) for the Treatment of Deep Mycosis

The objective of this study is to investigate the safety and efficacy of administering 372.6 mg of AK1820 (isavuconazonium sulfate) intravenously or orally to adult Japanese patients with deep mycosis. The primary endpoint is safety (percentage of patients with adverse events after starting the study treatment).

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Key information

Age range

20 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Research site, Nagakute, Aichi-ken, Japan

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Main Inclusion Criteria:

  • Patients must have the below proven, probable or possible deep mycosis;
  • invasive aspergillosis
  • chronic pulmonary aspergillosis
  • mucormycosis
  • cryptococcosis
  • Female patients must be non-lactating and at no risk for pregnancy.

Main Exclusion Criteria:

  • Women who are pregnant or breastfeeding.
  • Patients with hypersensitivity to any of the components of the azole class of antifungals or the investigational product.
  • Patients at high risk for QT/QTc prolongation, or patients with risk factors for torsades de pointes, or taking concomitant medications known to prolong the QT/QTc interval.
  • Patients with a history of short QT syndrome.
  • Patients with liver dysfunction at enrollment.
  • Patients with moderate to severe kidney dysfunction at enrollment.
  • Patients who receive prohibited concomitant drugs.
  • Patients with any other fungal infection other than Aspergillus species, order Mucorales, or Cryptococcus species.
  • Patients who are not expected to survive study duration.
  • Patients with an underlying disease, complication or general condition that would complicate safety and efficacy evaluations.
  • Patients with a history of taking voriconazole for deep mycosis and showing no response to this treatment.
  • Patients taking systemic antifungals who are unable to stop taking these drugs during the study, or who are showing signs of improvement in their symptoms of deep mycosis as a result of these drugs.

Treatment and study plan

AK1820

Drug

Only a switch from IV infusion (vial) to oral administration (capsule) will be permitted; a switch from oral administration to IV infusion will not be possible.

372.6 mg of AK1820 (isavuconazonium sulfate) is equivalent to 200 mg of isavuconazole.

Other Names: Cresemba, BAL8557

Voriconazole

Drug

Only a switch from IV infusion (vial) to oral administration (tablet) will be permitted; a switch from oral administration to IV infusion will not be possible.

Other Name : VFend

Primary outcomes

  1. Percentage of patients with adverse events between the first administration of investigational product and the end of Follow-up.

    Time frame: From the first study drug administration until 28 days after the last dose of study drug (up to approximately Day 112).

Secondary outcomes

  1. Percentage of participants with an overall outcome of success evaluated by the data review committee (DRC).

    Time frame: Day 42, Day 84 and End of Treatment* (maximum Day 84).*End of treatment (EOT) is defined as the last day of study drug treatment.

  2. Percentage of participants with clinical, radiological and mycological response assessed by the DRC.

    Time frame: Day 42, Day 84 and End of Treatment* (maximum Day 84).*End of treatment (EOT) is defined as the last day of study drug treatment.

  3. Percentage of participants with overall outcome, clinical, radiological and mycological response evaluated by investigator.

    Time frame: Day 42, Day 84 and End of Treatment* (maximum Day 84).*End of treatment (EOT) is defined as the last day of study drug treatment.

  4. All-cause mortality.

    Time frame: Through 28 days after the last dose of study drug (up to approximately Day 112).

Sponsors and collaborators

Lead sponsor

Asahi Kasei Therapeutics Corporation

Industry

Registry information

Official study title

A Phase 3, Multi-center, Open Label Study to Evaluate Safety and Efficacy of AK1820 for Treatment of Adult Japanese Patients With Deep Mycosis

Important dates

Study start
2018
Primary completion
2021
Study completion
2021
First posted
Mar 21, 2018
Registry last updated
May 14, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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