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Azole Antifungal

Posaconazole for Fungal Infection

Phase 2
Recruiting
Research Sponsored by Merck Sharp & Dohme Corp.
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Has a central line (eg, central venous catheter, peripherally-inserted central catheter) in place or planned to be in place before beginning IV study intervention
If enrolled with a proven IFI diagnosis, sampling of normally sterile tissue has shown fungal elements by cytology or microscopy, or sampling of normally sterile tissue or blood has yielded a positive culture for a fungal pathogen
Timeline
Screening 3 weeks
Treatment Varies
Follow Up predose and 0.25 post-infusion on day 1; weeks 1, 2, 4, 6, 9, and 12
Awards & highlights

Study Summary

This trial will study how a drug called posaconazole works in young children with a fungal infection.

Who is the study for?
This trial is for children under 2 years old with invasive fungal infections. They must have symptoms of an acute IFI episode, weigh at least 500g, and have a central line in place. Kids can't join if they've had posaconazole recently, cystic fibrosis, certain metabolic disorders, active COVID-19, liver dysfunction or known severe reactions to similar antifungals.Check my eligibility
What is being tested?
The study tests how the body processes two forms of posaconazole: intravenous (IV) and oral suspension (PFS), in young kids with fungal infections. It aims to understand the appropriate dosing by observing how the drug moves through their bodies.See study design
What are the potential side effects?
Posaconazole may cause side effects like headache, nausea, vomiting, diarrhea, abdominal pain and can affect liver enzymes. Rare but serious effects include heart rhythm problems and allergic reactions.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I have or will have a central line placed for IV treatments.
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I have a confirmed fungal infection diagnosed through tissue or blood tests.
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My body weight is at least 500 grams.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~predose and 0.25 post-infusion on day 1; weeks 1, 2, 4, 6, 9, and 12
This trial's timeline: 3 weeks for screening, Varies for treatment, and predose and 0.25 post-infusion on day 1; weeks 1, 2, 4, 6, 9, and 12 for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
AUC0-24 of multiple-dose IV POS (Panel B)
AUC0-24 of multiple-dose PFSPOS (Panel B)
Area under the plasma concentration-time curve from dosing to 24 hours postdose (AUC0-24) of single-dose IV POS (Panel A)
+11 more
Secondary outcome measures
Cavg of IV POS in neonates and infants <2 years of age compared to adults and older pediatric populations (Panel B)
Percentage of participants who discontinued study therapy due to an AE (Panels A and B)
Percentage of participants with a drug-related AE (Panels A and B)
+3 more

Trial Design

3Treatment groups
Experimental Treatment
Group I: Panel B: POS PFSExperimental Treatment1 Intervention
Following a minimum of 7 days IV dosing, participants as clinically able will be transitioned from POS IV to POS PFS nominal 6 mg/kg body weight based on weight bands administered on Day 8, once daily to a maximum 84 days.
Group II: Panel B: POS IVExperimental Treatment1 Intervention
Posaconazole 6 mg/kg body weight administered twice daily by IV infusion on Day 1, and then once daily from Day 2 to a maximum 84 days.
Group III: Panel A: POS IVExperimental Treatment1 Intervention
Posaconazole 6 mg/kg body weight administered in a single dose by IV infusion on Day 1.

Find a Location

Who is running the clinical trial?

Merck Sharp & Dohme Corp.Lead Sponsor
2,286 Previous Clinical Trials
4,582,243 Total Patients Enrolled
Merck Sharp & Dohme LLCLead Sponsor
3,888 Previous Clinical Trials
5,055,043 Total Patients Enrolled
Medical DirectorStudy DirectorMerck Sharp & Dohme LLC
2,777 Previous Clinical Trials
8,063,848 Total Patients Enrolled

Media Library

Posaconazole (Azole Antifungal) Clinical Trial Eligibility Overview. Trial Name: NCT04665037 — Phase 2
Fungal Infection Research Study Groups: Panel B: POS PFS, Panel B: POS IV, Panel A: POS IV
Fungal Infection Clinical Trial 2023: Posaconazole Highlights & Side Effects. Trial Name: NCT04665037 — Phase 2
Posaconazole (Azole Antifungal) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04665037 — Phase 2

Frequently Asked Questions

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

What results are anticipated from the execution of this clinical experiment?

"According to Merck Sharp & Dohme LLC, the primary outcome of this trial that will be observed from Pre-dose and 0.25 Post-infusion on Day 1; Weeks 1, 2, 4 6 9 12 is Cavg of multiple dose PFS POS (Panel B). In addition to this key measure, researchers will also review secondary metrics such as Percentage of participants with all cause mortality (ACM) [Panel B], Percentage of participants presenting a drug related Adverse Event (AE), and the portion of individuals who discontinue study therapy due to AE's postulated by investigators."

Answered by AI

What is the participation size of this trial?

"Right. The clinical trial posted on February 22nd 2022 is still seeking participants, as indicated on the information available from clinicaltrials.gov. Forty patients need to be recruited across 5 locations and this data was last updated on November 17th 2022."

Answered by AI

Is there current availability for participants to join this trial?

"Per the details hosted on clinicaltrials.gov, this trial is presently scouting for participants and was first posted back in February of 2022 with its most recent update occuring mid-November."

Answered by AI

What does Posaconazole IV 6 mg/kg typically resolve?

"Posaconazole IV 6 mg/kg is the standard of care for HIV, and can be prescribed to treat candidiasis or immunocompromised patients as a prophylaxis against further fungal infections."

Answered by AI

Am I qualified to participate in this research project?

"In order to be eligible to participate in this medical experiment, prospective patients must have a confirmed case of invasive fungal infection and fall between the ages of one day old and two years. The research team is hoping to recruit approximately 40 individuals."

Answered by AI

Are there any further investigations into the efficacy of Posaconazole IV 6 mg/kg?

"Initially tested in 2018 at Centre Hospitalier Lyon Sud, hematology department, posaconazole IV 6 mg/kg has since been studied 37 times. Currently 9 studies are operational with a large number of them based in San Diego, California."

Answered by AI

What potential hazard is associated with administrating Posaconazole IV 6 mg/kg to individuals?

"Although Phase 2 trials lack evidence of the efficacy, our team at Power allocated Posaconazole IV 6 mg/kg a score of two due to existing safety data."

Answered by AI

Is this particular research endeavor enrolling elderly individuals?

"This research project has determined that eligible patients must be between 1 day old and 2 years of age. Additionally, there are 209 clinical trials for minors and 659 studies targeting older adults who exceed 65 years in age."

Answered by AI

How many venues are facilitating this experiment?

"Apart from Rady Children's Hospital-San Diego (Site 2101) in San Diego, California, Nicklaus Children's Hospital ( Site 2109) in Miami, Florida and Driscoll Children's Hospital ( Site 2113) in Corpus Christi, Texas; this trial is also recruiting patients at five other medical centres."

Answered by AI

Who else is applying?

What state do they live in?
California
What site did they apply to?
Rady Children's Hospital-San Diego ( Site 2101)
What portion of applicants met pre-screening criteria?
Did not meet criteria
How many prior treatments have patients received?
3+

Why did patients apply to this trial?

~17 spots leftby Dec 2025