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Antifungal

Posaconazole for Crohn's Disease

Phase 4
Recruiting
Led By Gil Y Melmed, MD
Research Sponsored by Cedars-Sinai Medical Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Have an endoscopically-confirmed active Crohn's disease with active disease defined by SES-CD > 6 (>4 if ileal only), AND active symptoms of Crohn's disease (CDAI score >220)
Homozygous for CARD9 S12N risk allele, without the protective exon 11 polymorphism
Timeline
Screening 3 weeks
Treatment Varies
Follow Up week 12
Awards & highlights

Study Summary

This trial will evaluate the effects of an oral antifungal drug on Crohn's disease activity and the amount of a certain type of fungus in patients with a certain gene. The trial will also investigate whether the changes in the patient's microbiome caused by the antifungal drug are associated with weaker immune responses in people who are genetically predisposed to strong immune responses to the fungus.

Who is the study for?
Adults aged 18-60 with Crohn's Disease affecting the ileum/colon, carrying a specific genetic risk (CARD9 S12N allele), can join this trial. They must have stable disease treatments and agree to contraception if applicable. Excluded are those allergic to azoles, with severe colitis or organ issues, recent drug/alcohol abuse, or on certain medications.Check my eligibility
What is being tested?
The study tests Posaconazole against a placebo in Crohn's patients with a genetic predisposition. It aims to see if the antifungal treatment reduces disease activity and immune responses by altering gut microbes associated with Malassezia spp.See study design
What are the potential side effects?
Posaconazole may cause headaches, nausea, stomach pain, diarrhea, fever; it might also affect liver enzymes and interact with other drugs. The exact side effects will be monitored throughout the trial.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I have active Crohn's disease confirmed by a scope test and symptoms.
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I have a specific genetic variation linked to increased disease risk.
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I have Crohn's disease affecting my ileum or colon for at least 6 months.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~week 12
This trial's timeline: 3 weeks for screening, Varies for treatment, and week 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
Endoscopic Response
Secondary outcome measures
Change in amount of concomitant medications
Incidence of adverse events
Induction of Clinical Remission
+1 more

Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: PosaconazoleExperimental Treatment1 Intervention
Subjects administered posaconazole (Noxafil®, Merck) 300mg twice daily for 1 day followed by 300mg daily for 12 weeks
Group II: PlaceboPlacebo Group1 Intervention
Subjects administered three matching placebo tablets twice daily for 1 day followed by three tablets daily for 12 weeks

Find a Location

Who is running the clinical trial?

Cedars-Sinai Medical CenterLead Sponsor
499 Previous Clinical Trials
164,833 Total Patients Enrolled
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)NIH
2,357 Previous Clinical Trials
4,315,162 Total Patients Enrolled
Gil Y Melmed, MDPrincipal InvestigatorCedars-Sinai Medical Center

Media Library

Posaconazole (Antifungal) Clinical Trial Eligibility Overview. Trial Name: NCT04966585 — Phase 4
Crohn's Disease Research Study Groups: Posaconazole, Placebo
Crohn's Disease Clinical Trial 2023: Posaconazole Highlights & Side Effects. Trial Name: NCT04966585 — Phase 4
Posaconazole (Antifungal) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04966585 — Phase 4

Frequently Asked Questions

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

What is the current enrollment figure for this investigation?

"Affirmative, the information on clinicaltrials.gov implies that this research project is currently recruiting individuals for participation. Initially uploaded on August 17th 2022 and amended a day later, 24 participants are needed to be collected from two different sites."

Answered by AI

What conditions can be remedied with Posaconazole Delayed Release Oral Tablet?

"Posaconazole Delayed Release Oral Tablet is a common treatment for HIV, as well as candidiasis, immunocompromised patients and prophylactic management of Candida infections."

Answered by AI

Does the trial have any vacancies for participants?

"As confirmed on the clinicaltrials.gov website, this trial is actively seeking qualified participants. The listing was first published on August 17th 2022 and revised the day after."

Answered by AI

Does this trial offer any inclusion criteria regarding age?

"This clinical trial requires all participants to be aged between 18 and 60, in accordance with the established eligibility criteria."

Answered by AI

Are there certain criteria for enrolment in this clinical trial?

"This clinical trial seeks 24 individuals between 18 and 60 years of age who have been diagnosed with ileocolitis. Eligible participants must possess the CARD9 SN12 risk allele, lack the exon 11 protective polymorphism, had appropriate colon cancer screening without undiscovered dysplasia, be on a stable dose of oral corticosteroids (prednisone up to 20 mg/day or budesonide up to 9 mg/day) for two weeks prior to screening, display an SES-CD score above 6 (> 4 if only affecting the ileum) along with active symptoms of Crohn's disease as indicated by C"

Answered by AI

What other research is there concerning Posaconazole Delayed Release Oral Tablet's efficacy?

"Currently, 9 active clinical trials are occurring which evaluate Posaconazole Delayed Release Oral Tablet; 2 of these studies have entered the final stage. The majority of research centres are located in Brussels, Bruxelles-Capitale Region De yet 110 different sites globally have been identified to administer this drug."

Answered by AI

Has the Food and Drug Administration verified Posaconazole Delayed Release Oral Tablet?

"Our team has given Posaconazole Delayed Release Oral Tablet a score of 3, reflecting the fact that it is an approved treatment and thus has undergone extensive safety testing."

Answered by AI
~7 spots leftby Dec 2024