A Phase 3 Efficacy and Safety Study of Fosmanogepix for the Treatment of Adult Patients With Invasive Mold Infections.
Start Date
8/26/2025
Completion Date
2/1/2028
Summary
The purpose of this study is to evaluate the efficacy and safety of fosmanogepix (administered IV or oral) for the treatment of adult patients with invasive mold infections. The study is looking for patients who have been diagnosed with invasive mold infections. The maximum study duration will be approximately 8 months, including a target study treatment duration of 84 days which can be extended up to 180 days and follow-up period. The patient will be assigned to one of two treatment cohorts: Cohort A (primary therapy): Patients will receive either the study drug or institutional standard of care antifungal treatment. Cohort B (salvage treatment; i.e. treatment given after patients did not respond to previous treatments or did not tolerate them): Patients will receive the study drug The primary aim is to compare the all cause mortality with a fixed threshold at Day 42.
Eligibility Criteria
Age Range: 18 years to No maximum
Interventions
Fosmanogepix IV infusion
Standard of care antifungal therapy
Fosmanogepix oral tablet
Conditions
Locations
University of Alabama at Birmingham School of Medicine, Department of Medicine
Birmingham, Alabama 35294-0006
United States
City of Hope
Duarte, California 91010
United States
David Geffen School of Medicine at UCLA
Los Angeles, California 90095-1690
United States
UC Davis Medical Center
Sacramento, California 95817
United States
Memorial Healthcare System
Hollywood, Florida 33021
United States
Rush University Medical Center, Division of Infectious Diseases
Chicago, Illinois 60612
United States
University of Kentucky Medical Center, Division of Infectious Diseases
Lexington, Kentucky 40506
United States
Johns Hopkins Hospital
Baltimore, Maryland 21231
United States
University of Michigan Health System (UMHS) - A. Alfred Taubman Health Care Center
Ann Arbor, Michigan 48109-5000
United States
Karmanos Cancer Institute - Detroit
Detroit, Michigan 48201
United States
University of Minnesota, M Health Fairview Medical Center
Minneapolis, Minnesota 55455
United States
Washington University School of Medicine, Infectious Diseases Clinical Research Unit
St Louis, Missouri 63110
United States
David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center
New York, New York 10065
United States
University of North Carolina at Chapel Hill
Chapel Hill, North Carolina 27514
United States
Duke University Medical Center, Duke Infectious Diseases
Durham, North Carolina 27710
United States
University of Pennsylvania School of Medicine
Philadelphia, Pennsylvania 19104-6243
United States
The University of Texas Health Science Center at Houston, Department of Internal Medicine
Houston, Texas 77030
United States
UT MD Anderson Cancer Center
Houston, Texas 77030
United States
University of Texas Health Science Center at San Antonio
San Antonio, Texas 78229
United States
Monash Medical Center Clayton
Clayton, 3168
Australia
The Alfred Hospital
Melbourne, 3004
Australia
Peter MacCallum Cancer Center
Melbourne, 3050
Australia
Royal Melbourne Hospital
Parkville, 3050
Australia
Westmead Hospital
Westmead, 2145
Australia
Princess Alexandra Hospital
Woolloongabba, 4102
Australia
Kepler University Hospital GmbH, Department of Internal Medicine IV - Pulmonology
Linz, 4021
Austria
Medical University Vienna, Department of Internal Medicine I, Clinical Department of Infections and Tropical Medicine
Vienna, 1090
Austria
Charleroi Grand Hospital (GHDC) - Les Viviers Site
Charleroi, 6000
Belgium
Jessa Hospital
Hasselt, 3500
Belgium
University Hospitals Leuven, Campus Gasthuisberg, Department of Hematology
Leuven, 3000
Belgium
UCL Mont-Godinne University Hospitals
Yvoir, 5530
Belgium
Porto Alegre Clinical Hospital (HCPA)
Porto Alegre, 90035-903
Brazil
Hospital A.C.Camargo ("Antonio Prudente" Foundation)
São Paulo, 01509-900
Brazil
"Santa Marcelina" Hospital
São Paulo, 08270-070
Brazil
University of Alberta
Edmonton, Alberta T6G 2R3
Canada
Juravinski Hospital - Hamilton Health Sciences
Hamilton, Ontario L8V 1C3
Canada
Vancouver Coastal Health Research Institute (VCHRI)
Vancouver, V5Z 1M9
Canada
Nantes University Hospital Center - Hotel Dieu Hospital, Department of Infectious and Tropical Diseases
Nantes, 44000
France
Necker Children's Hospital, Department of Infectious and Tropical Diseases
Paris, 75015
France
Rennes University Hospital Center - Pontchaillou Site
Rennes, 35000
France
University Hospital Cologne, Internal Medicine I - Oncology, Hematology, Clinical Infectiology, Clinical Immunology, Hemostaseology, Internal Intensive Care Medicine, Clinical Study Centre II for Infectious Diseases
Cologne, North Rhine-Westphalia 50937
Germany
University Medical Center of Johannes Gutenberg University Mainz
Mainz, Rhineland-Palatinate 55131
Germany
Frankfurt University Clinic
Frankfurt, 60590
Germany
"LAIKO" General Hospital
Athens, 115 27
Greece
General Hospital of Athens "Evangelismos"
Athens, PC 10676
Greece
University General Hospital "Attikon", 2nd Department of Internal Medicine, Propaedeutic, Hematology Unit
Athens, PC 12462
Greece
General Hospital of Thessaloniki "Ippokratio"
Thessaloniki, 54642
Greece
Rambam Health Care Campus, Institute of Infectious Diseases
Haifa, 3109601
Israel
Chaim Sheba Medical Center, Department of Infectious Diseases
Ramat Gan, 52621
Israel
The Tel Aviv Sourasky Medical Center, Infectious Diseases Unit
Tel Aviv, 6423906
Israel
Shamir Medical Center, Department of Infectious Diseases
Ẕerifin, 7033001
Israel
IRCCS Policlinic Hospital San Martino
Genova, 16132
Italy
Maggiore Polyclinic Hospital, Foundation IRCCS Ca' Granda
Milan, 20122
Italy
University Polyclinic Hospital of Modena
Modena, 41124
Italy
Polyclinic San Matteo, IRCCS
Pavia, 27100
Italy
University Hospital of Pisa
Pisa, 56126
Italy
Giuliano Isontina University Health Authority
Trieste, 34125
Italy
Radboud University Medical Center (Radboudumc), Department of Intensive Care
Nijmegen, 6525GA
Netherlands
Erasmus Medical Center, Deoartment of Infectious Diseases
Rotterdam, 3015 GD
Netherlands
University Hospital Virgen Macarena
Seville, Andalusia 41009
Spain
Hospital del Mar, Department of Infectious Diseases
Barcelona, Catalonia 08003
Spain
Hospital de la Santa Creu i Sant Pau
Barcelona, Catalonia 08041
Spain
University Hospital Cruces
Barakaldo, 48903
Spain
Hospital de la Santa Creu i Sant Pau
Barcelona, 08025
Spain
University Hospital Ramon y Cajal, Department of Infectious Diseases
Madrid, 28034
Spain
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 807377
Taiwan
China Medical University Hospital
Taichung, 404327
Taiwan
Taichung Veterans General Hospital
Taichung, 407219
Taiwan
National Taiwan University Hospital
Taipei, 100226
Taiwan
Taipei Medical University Hospital
Taipei, 110301
Taiwan
Taipei Veterans General Hospital
Taipei, 112201
Taiwan
Linkou Chang Gung Memorial Hospital
Taoyuan, 333
Taiwan
Faculty of Medicine, Siriraj Hospital
Bangkok, 10700
Thailand
Maharaj Nakorn Chiang Mai Hospital
Chiang Mai, 50200
Thailand
Songklanagarind Hospital
Hat Yai, 90110
Thailand
Srinagarind Hospital
Khon Kaen, 40002
Thailand