Posaconazole

Mucormycosis, Coccidioidomycosis, Neutropenia + 11 more

Treatment

2 FDA approvals

20 Active Studies for Posaconazole

What is Posaconazole

Posaconazole

The Generic name of this drug

Treatment Summary

Posaconazole is a medication used to treat fungal infections in people whose immune systems are weakened. It is used to treat infections caused by Candida and Aspergillus species.

Noxafil

is the brand name

Posaconazole Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Noxafil

Posaconazole

2006

25

Approved as Treatment by the FDA

Posaconazole, also known as Noxafil, is approved by the FDA for 2 uses including Invasive bronchopulmonary aspergillosis and Bronchopulmonary Aspergillosis .

Invasive bronchopulmonary aspergillosis

Bronchopulmonary Aspergillosis

Effectiveness

How Posaconazole Affects Patients

Posaconazole is a powerful antifungal medication. It is similar to itraconazole, but has a few changes to the structure that makes it stronger and more effective. Posaconazole can either kill fungi or stop it from growing.

How Posaconazole works in the body

Posaconazole is a triazole antifungal drug that works by blocking the cytochrome P-450 enzyme in fungi, which is essential for producing ergosterol. Without ergosterol, the fungal cell membrane can't be made, leading to the death of the fungus.

When to interrupt dosage

The measure of Posaconazole is contingent upon the determined condition, including prophylaxis of Aspergillus infection, HIV and Coccidioidomycosis. The magnitude of dosage is subject to the technique of administration (e.g. Intravenous or Solution - Intravenous) noted in the subsequent table.

Condition

Dosage

Administration

Mucormycosis

, 100.0 mg, 40.0 mg/mL, 300.0 mg, 18.0 mg/mL, 30.0 mg/mL, 200.0 mg/mL

, Oral, Suspension, Suspension - Oral, Tablet, delayed release - Oral, Tablet, delayed release, Solution, Intravenous, Solution - Intravenous, Injection, solution, concentrate - Intravenous, Injection, solution, concentrate, Tablet, coated, Tablet, coated - Oral, Powder, for suspension - Oral, Powder, for suspension

Coccidioidomycosis

, 100.0 mg, 40.0 mg/mL, 300.0 mg, 18.0 mg/mL, 30.0 mg/mL, 200.0 mg/mL

, Oral, Suspension, Suspension - Oral, Tablet, delayed release - Oral, Tablet, delayed release, Solution, Intravenous, Solution - Intravenous, Injection, solution, concentrate - Intravenous, Injection, solution, concentrate, Tablet, coated, Tablet, coated - Oral, Powder, for suspension - Oral, Powder, for suspension

prophylaxis of Aspergillus infection

, 100.0 mg, 40.0 mg/mL, 300.0 mg, 18.0 mg/mL, 30.0 mg/mL, 200.0 mg/mL

, Oral, Suspension, Suspension - Oral, Tablet, delayed release - Oral, Tablet, delayed release, Solution, Intravenous, Solution - Intravenous, Injection, solution, concentrate - Intravenous, Injection, solution, concentrate, Tablet, coated, Tablet, coated - Oral, Powder, for suspension - Oral, Powder, for suspension

Neutropenia

, 100.0 mg, 40.0 mg/mL, 300.0 mg, 18.0 mg/mL, 30.0 mg/mL, 200.0 mg/mL

, Oral, Suspension, Suspension - Oral, Tablet, delayed release - Oral, Tablet, delayed release, Solution, Intravenous, Solution - Intravenous, Injection, solution, concentrate - Intravenous, Injection, solution, concentrate, Tablet, coated, Tablet, coated - Oral, Powder, for suspension - Oral, Powder, for suspension

Neuroaspergillosis

, 100.0 mg, 40.0 mg/mL, 300.0 mg, 18.0 mg/mL, 30.0 mg/mL, 200.0 mg/mL

, Oral, Suspension, Suspension - Oral, Tablet, delayed release - Oral, Tablet, delayed release, Solution, Intravenous, Solution - Intravenous, Injection, solution, concentrate - Intravenous, Injection, solution, concentrate, Tablet, coated, Tablet, coated - Oral, Powder, for suspension - Oral, Powder, for suspension

HIV

, 100.0 mg, 40.0 mg/mL, 300.0 mg, 18.0 mg/mL, 30.0 mg/mL, 200.0 mg/mL

, Oral, Suspension, Suspension - Oral, Tablet, delayed release - Oral, Tablet, delayed release, Solution, Intravenous, Solution - Intravenous, Injection, solution, concentrate - Intravenous, Injection, solution, concentrate, Tablet, coated, Tablet, coated - Oral, Powder, for suspension - Oral, Powder, for suspension

Cryptococcosis

, 100.0 mg, 40.0 mg/mL, 300.0 mg, 18.0 mg/mL, 30.0 mg/mL, 200.0 mg/mL

, Oral, Suspension, Suspension - Oral, Tablet, delayed release - Oral, Tablet, delayed release, Solution, Intravenous, Solution - Intravenous, Injection, solution, concentrate - Intravenous, Injection, solution, concentrate, Tablet, coated, Tablet, coated - Oral, Powder, for suspension - Oral, Powder, for suspension

prophylaxis of Candida Infections

, 100.0 mg, 40.0 mg/mL, 300.0 mg, 18.0 mg/mL, 30.0 mg/mL, 200.0 mg/mL

, Oral, Suspension, Suspension - Oral, Tablet, delayed release - Oral, Tablet, delayed release, Solution, Intravenous, Solution - Intravenous, Injection, solution, concentrate - Intravenous, Injection, solution, concentrate, Tablet, coated, Tablet, coated - Oral, Powder, for suspension - Oral, Powder, for suspension

Esophageal Candidiasis

, 100.0 mg, 40.0 mg/mL, 300.0 mg, 18.0 mg/mL, 30.0 mg/mL, 200.0 mg/mL

, Oral, Suspension, Suspension - Oral, Tablet, delayed release - Oral, Tablet, delayed release, Solution, Intravenous, Solution - Intravenous, Injection, solution, concentrate - Intravenous, Injection, solution, concentrate, Tablet, coated, Tablet, coated - Oral, Powder, for suspension - Oral, Powder, for suspension

Immunocompromised

, 100.0 mg, 40.0 mg/mL, 300.0 mg, 18.0 mg/mL, 30.0 mg/mL, 200.0 mg/mL

, Oral, Suspension, Suspension - Oral, Tablet, delayed release - Oral, Tablet, delayed release, Solution, Intravenous, Solution - Intravenous, Injection, solution, concentrate - Intravenous, Injection, solution, concentrate, Tablet, coated, Tablet, coated - Oral, Powder, for suspension - Oral, Powder, for suspension

Yeast Infection

, 100.0 mg, 40.0 mg/mL, 300.0 mg, 18.0 mg/mL, 30.0 mg/mL, 200.0 mg/mL

, Oral, Suspension, Suspension - Oral, Tablet, delayed release - Oral, Tablet, delayed release, Solution, Intravenous, Solution - Intravenous, Injection, solution, concentrate - Intravenous, Injection, solution, concentrate, Tablet, coated, Tablet, coated - Oral, Powder, for suspension - Oral, Powder, for suspension

Bronchopulmonary Aspergillosis

, 100.0 mg, 40.0 mg/mL, 300.0 mg, 18.0 mg/mL, 30.0 mg/mL, 200.0 mg/mL

, Oral, Suspension, Suspension - Oral, Tablet, delayed release - Oral, Tablet, delayed release, Solution, Intravenous, Solution - Intravenous, Injection, solution, concentrate - Intravenous, Injection, solution, concentrate, Tablet, coated, Tablet, coated - Oral, Powder, for suspension - Oral, Powder, for suspension

Oropharyngeal Candidiasis

, 100.0 mg, 40.0 mg/mL, 300.0 mg, 18.0 mg/mL, 30.0 mg/mL, 200.0 mg/mL

, Oral, Suspension, Suspension - Oral, Tablet, delayed release - Oral, Tablet, delayed release, Solution, Intravenous, Solution - Intravenous, Injection, solution, concentrate - Intravenous, Injection, solution, concentrate, Tablet, coated, Tablet, coated - Oral, Powder, for suspension - Oral, Powder, for suspension

Chronic Graft Versus Host Disease

, 100.0 mg, 40.0 mg/mL, 300.0 mg, 18.0 mg/mL, 30.0 mg/mL, 200.0 mg/mL

, Oral, Suspension, Suspension - Oral, Tablet, delayed release - Oral, Tablet, delayed release, Solution, Intravenous, Solution - Intravenous, Injection, solution, concentrate - Intravenous, Injection, solution, concentrate, Tablet, coated, Tablet, coated - Oral, Powder, for suspension - Oral, Powder, for suspension

Warnings

Posaconazole has three identified contraindications, so it should not be utilized while confronting any of the conditions in the following table.

Posaconazole Contraindications

Condition

Risk Level

Notes

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

There are 20 known major drug interactions with Posaconazole.

Common Posaconazole Drug Interactions

Drug Name

Risk Level

Description

(R)-warfarin

Major

The metabolism of (R)-warfarin can be decreased when combined with Posaconazole.

(S)-Warfarin

Major

The metabolism of (S)-Warfarin can be decreased when combined with Posaconazole.

1,2-Benzodiazepine

Major

The metabolism of 1,2-Benzodiazepine can be decreased when combined with Posaconazole.

3,5-diiodothyropropionic acid

Major

The metabolism of 3,5-diiodothyropropionic acid can be decreased when combined with Posaconazole.

5-androstenedione

Major

The metabolism of 5-androstenedione can be decreased when combined with Posaconazole.

Posaconazole Toxicity & Overdose Risk

In clinical trials, patients were given up to 1600mg/day of posaconazole with no adverse effects. One patient did accidentally take 1200mg twice a day for 3 days, but there were no noticeable side effects from the overdose.

Posaconazole Novel Uses: Which Conditions Have a Clinical Trial Featuring Posaconazole?

187 active studies are underway to evaluate the potential of Posaconazole to provide prophylaxis against Aspergillus infection, Candida Infections and HIV.

Condition

Clinical Trials

Trial Phases

Immunocompromised

3 Actively Recruiting

Not Applicable, Phase 1

Bronchopulmonary Aspergillosis

0 Actively Recruiting

Neutropenia

5 Actively Recruiting

Phase 1, Phase 2, Phase 4, Phase 3

Cryptococcosis

0 Actively Recruiting

Neuroaspergillosis

0 Actively Recruiting

Mucormycosis

0 Actively Recruiting

Coccidioidomycosis

0 Actively Recruiting

prophylaxis of Aspergillus infection

0 Actively Recruiting

prophylaxis of Candida Infections

0 Actively Recruiting

Yeast Infection

0 Actively Recruiting

Esophageal Candidiasis

0 Actively Recruiting

Oropharyngeal Candidiasis

0 Actively Recruiting

Chronic Graft Versus Host Disease

24 Actively Recruiting

Phase 4, Phase 1, Phase 2, Not Applicable, Phase 3

HIV

155 Actively Recruiting

Phase 2, Phase 1, Phase 3, Not Applicable, Phase 4, Early Phase 1

Posaconazole Reviews: What are patients saying about Posaconazole?

5

Patient Review

1/2/2008

Posaconazole for Prevention of Invasive Pulmonary Aspergillosis

I'm a heart transplant patient who developed aspergillosis pneumonia, as well as mucormyosis. The typical treatment was destroying my kidneys, but doctors tried this new medication when it was just released from the ADA. That was a year ago and my "spot" in my lungs has all but disappeared. The infectious disease doctors at the University of Michigan are all amazed.

4.3

Patient Review

4/26/2011

Posaconazole for Prevention of Invasive Pulmonary Aspergillosis

This medication had few side effects and I was able to tolerate it well.

3

Patient Review

3/16/2010

Posaconazole for Osteoporosis

This treatment is great. I love how it helps me feel better.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about posaconazole

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is posaconazole used for?

"The tablets, suspension, and delayed-release suspension of posaconazole are used to prevent certain fungal infections, such as Aspergillus or Candida, in patients with a weakened immune system."

Answered by AI

Is posaconazole an antibiotic?

"This medication is used to prevent certain fungal infections in people who have a weakened immune system. It belongs to a group of drugs called azole antifungals. It works by stopping the growth of fungi."

Answered by AI

How long should posaconazole be taken?

"For adults and children 13 years of age and older, the recommended dosage is 300 milligrams (mg) (three 100 mg delayed-release tablets) 2 times a day on the first day, followed by 300 mg once a day for 6 to 12 weeks."

Answered by AI

Is posaconazole a steroid?

"Posaconazole is an antifungal drug that is used to treat invasive infections by Candida species and Aspergillus species in severely immunocompromised patients."

Answered by AI

Clinical Trials for Posaconazole

Image of Ohio State University Comprehensive Cancer Center in Columbus, United States.

Ruxolitinib for T-Cell Lymphoma

18+
All Sexes
Columbus, OH

This phase II trial tests how well ruxolitinib as a maintenance medication works to prevent relapse and graft-versus-host disease (GVHD) for patients who have undergone stem cell transplantation for T-cell lymphoma. GVHD is a common problem that may occur after a blood stem cell transplant. The "graft" is the donor blood cells that patients get during the transplant. The "host" is the person receiving the cells. GVHD is when the donor graft attacks and damages some of the transplant recipient's tissues. Ruxolitinib is a type of drug called a Janus kinase (JAK) inhibitor which works by decreasing the immune response of cells in the body. It is also a cancer growth blocker that blocks the growth factors that trigger the cancer cells to divide and grow. Ruxolitinib works by blocking a gene, called JAK2, that is important in the production of cancer cells.

Phase 2
Recruiting

Ohio State University Comprehensive Cancer Center

Jonathan Brammer, MD

Incyte Corporation

Image of New Jersey Community Research Initiative in Newark, United States.

AI-DBT for Suicide Prevention in HIV/AIDS

18+
All Sexes
Newark, NJ

One in four older persons living with HIV/AIDS (PLWHA) report at least one suicide attempt in their lifetime, and the risk for death by suicide is 100 times higher in PLWHA than in the general population. Currently, there are no behavioral interventions that specifically address suicide prevention for older PLWHA, despite their unique biopsychosocial and structural risk factors. Through this work, investigators will adapt Dialectical Behavior Therapy, an evidence-based intervention for suicide prevention, for patients with PLWHA to be delivered by an AI-powered conversational Agent developed by our industry partner, Empower Health. Investigators will then pilot test the feasibility, usability, acceptability and preliminary efficacy to improve self-efficacy to manage negative emotions in n=50 older adults living with HIV/AIDS.

Recruiting
Has No Placebo

New Jersey Community Research Initiative (+1 Sites)

Elissa Kozlov, PhD

Image of George Washington University Emergency Department in Washington D.C., United States.

Decision Support Tool for HIV Prevention

18+
All Sexes
Washington D.C., United States

This project will explore the development of a personalized decision support tool to assist with pre-exposure prophylaxis (PrEP) initiation and persistence among patients identified in the emergency department (ED) and urgent care settings as PrEP eligible. First, the investigators will use a sequence of validated implementation science methodologies to develop and validate a decision support tool designed to optimize PrEP persistence by strengthening self-efficacy by addressing the multifaceted medical and social needs of the individual patient. The investigators will then test the preliminary effectiveness of this tool through a pilot stepped wedge implementation trial in two EDs and an urgent care in Baltimore, MD and Washington, DC among 120 PrEP eligible patients to determine PrEP initiation, linkage to care, persistence, and adherence rates.

Phase 1
Waitlist Available

George Washington University Emergency Department (+1 Sites)

Image of The University of Alabama at Birmingham in Birmingham, United States.

Behavioral vs Mindfulness Treatments for Insomnia in HIV

50 - 99
All Sexes
Birmingham, AL

The goal of this clinical trial is to examine the effects of a telephone-delivered Brief Behavioral Treatment Insomnia (BBTI) versus a Brief Mindfulness Treatment (BMT) on cognitive and sleep outcomes in older adults with HIV. The main questions it aims to answer are: What are the effects of BBTI vs BMT on self-reported and observed sleep outcomes in older adults with HIV and insomnia up to 1-year post-intervention? What are the effects of BBTI vs BMT on self-reported and observed cognitive comes in older adults with HIV and insomnia up to 1-year post-intervention? What is the association between Alzheimer's Disease biomarkers and sleep and cognitive outcomes in older adults with HIV receiving BBTI vs BMT? Participants will: * Complete 4 weeks of telephone-delivered BBTI or BMT * Attend baseline, post-intervention, and 1-year post in-person visits for sleep and cognitive assessments * Have blood collected at all three time points

Waitlist Available
Has No Placebo

The University of Alabama at Birmingham (+1 Sites)

Dr. Shameka L Cody, PhD, AGNP-C, PMHNP-BC, FAAN

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Image of Los Angeles General Medical Center in Los Angeles, United States.

Decision Support Tool for HIV Treatment

18+
All Sexes
Los Angeles, CA

This study is testing software designed to help healthcare providers choose the best HIV treatment combinations for their patients. HIV medicines, known as antiretroviral therapy (ART), can be complex to manage because the right regimen depends on many factors-such as drug resistance, other health conditions, and medication schedules. Many people with HIV are cared for by general clinicians who may not have access to HIV specialists, which can make treatment decisions more challenging. In this study, healthcare providers will use patient cases to compare standard HIV treatment resources with a new clinical decision support tool that gives evidence-based ART recommendations at the point of care. The investigators hypothesize that using the tool will help providers select treatment plans that better match clinical guidelines, make decisions faster, reduce mental effort, and increase overall satisfaction with the prescribing process.

Waitlist Available
Has No Placebo

Los Angeles General Medical Center

Hayoun Lee, PhD

Image of University of North Carolina in Chapel Hill, United States.

MGD020 + MGD014 for HIV

18 - 65
All Sexes
Chapel Hill, NC

This research study aims to find out how safe and well tolerated the experimental study drugs are when given to persons with HIV (PWH) taking antiretroviral therapy (ART). The study treatments are MGD014 and MGD020, which are two antibodies developed specifically for HIV, and Vorinostat, an oral medication to help expose HIV in cells to the antibodies. The study will measure the impact of study treatment on non-active HIV in cells, and how long MGD014 and MGD020 stay in the body after they are given. In this study, participants will be randomly assigned to one of three groups. All participants receive MGD014 and MGD020, given sequentially as infusions through an IV for 4 doses. Participants in one group (group A) receive only MGD014 and MGD020. Participants in another group (group B) will stop taking their ART therapy for up to 8 weeks (a temporary treatment interruption (TTI)) while receiving MGD014 and MGD020. Participants in the third group (group C) receive Vorinostat in addition to MGD014 and MGD020. Total time of participation is about 8 months and involves 13 or 18 visits, depending on group assignment.

Phase 1
Recruiting

University of North Carolina

Cynthia L. Gay, MD

Image of Center on Substance Use and Health in San Francisco, United States.

CHAMPION Intervention for Pre-exposure Prophylaxis Adherence

18 - 40
Male
San Francisco, CA

The goal of this randomized controlled trial is to pilot test new mobile health (mHealth) interventions to improve PrEP adherence among HIV-negative men who have sex with men (MSM) with mild to moderate methamphetamine use disorder (MUD). The CHAMPION intervention combines two mHealth tools-PrEPAPP and CBT4CBT-to address both HIV prevention and MUD treatment needs in this population. The study's specific aims are: * To evaluate the feasibility and acceptability of the CHAMPION intervention based on treatment retention and engagement rates. * To examine the preliminary efficacy the CHAMPION intervention to improve PrEP adherence, as measured by dried blood spot (DBS) tests compared to the waitlist control group.

Waitlist Available
Has No Placebo

Center on Substance Use and Health

Glenn-Milo Santos, PhD, MPH

Have you considered Posaconazole clinical trials?

We made a collection of clinical trials featuring Posaconazole, we think they might fit your search criteria.
Go to Trials

Have you considered Posaconazole clinical trials?

We made a collection of clinical trials featuring Posaconazole, we think they might fit your search criteria.
Go to Trials