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Clinical Trials in the USA / NCT06925321
Recruiting Phase 3

A Phase 3 Efficacy and Safety Study of Fosmanogepix for the Treatment of Adult Patients With Invasive Mold Infections.

NCT06925321 · tracked via the Priya Life Science USA tracker
Sponsor
Basilea Pharmaceutica
Phase
Phase 3
Started
2025-08-26
Last updated
2026-09-14

Condition(s) studied

Invasive Mold Infections

Investigational drug(s) / intervention(s)

Fosmanogepix IV infusionStandard of care antifungal therapyFosmanogepix oral tablet

Fosmanogepix IV infusion: Fosmanogepix will be administered IV

Standard of care antifungal therapy: Standard of care antifungal therapy will be administered in accordance with their respective product labels and/or standard practice guidelines

Fosmanogepix oral tablet: Fosmanogepix will be administered orally.

Study 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

Sex
ALL
Min age
18 Years
Max age
Healthy volunteers
No
Main Inclusion Criteria: 1. Diagnosis of proven or probable Invasive mold infection (IMI) defined in accordance with the Revision and Update of the Consensus Definitions of Invasive Fungal Disease from the EORTC/MSGERC as adapted for this study and caused by Aspergillus spp. (in patients with limited treatment options), Fusarium spp., Lomentospora prolificans, Mucorales fungi, or other multi-drug resistant molds. 2. Patient's condition allows for appropriate infection source control measures. Main Exclusion Critera: 1. Refractory hematologic malignancy. 2. Chronic aspergillosis, aspergilloma, or allergic bronchopulmonary aspergillosis. 3. Coronavirus disease 2019 (COVID-19) associated mucormycosis. 4. Invasive fungal disease caused by more than one fungal pathogen is not permitted in Cohort A but is permitted in Cohort B. 5. Patients with a Karnofsky Performance Status \< 20 at Screening. 6. Requirement, or anticipated requirement, for hemodialysis, peritoneal dialysis, or hemofiltration. 7. Patients with known human immunodeficiency virus infection. 8. Ongoing neurological disorders. 9. Patients receiving hospice/comfort care only. 10. Other medical or psychiatric condition. 11. Current use of any prohibited concomitant medication(s). 12. Current/ previous administration of an investigational drug within 30 days. 13. Prior enrollment in this or any previous study of fosmanogepix. 14. Moderate or severe hepatic impairment. 15. Patient who is pregnant or lactating. 16. Known hypersensitivity to fosmanogepix, manogepix, or any of their excipients.

Primary outcome measure(s)

Trial sites (84)

FacilityCityRegionStatus
University of Alabama at Birmingham School of Medicine, Department of Medicine Birmingham Alabama Recruiting
City of Hope Duarte California Recruiting
David Geffen School of Medicine at UCLA Los Angeles California Recruiting
UC Davis Medical Center Sacramento California Recruiting
Memorial Healthcare System Hollywood Florida Recruiting
Rush University Medical Center, Division of Infectious Diseases Chicago Illinois Recruiting
University of Kentucky Medical Center, Division of Infectious Diseases Lexington Kentucky Recruiting
Johns Hopkins Hospital Baltimore Maryland Recruiting
University of Michigan Health System (UMHS) - A. Alfred Taubman Health Care Center Ann Arbor Michigan Recruiting
Karmanos Cancer Institute - Detroit Detroit Michigan Terminated
University of Minnesota, M Health Fairview Medical Center Minneapolis Minnesota Recruiting
Washington University School of Medicine, Infectious Diseases Clinical Research Unit St Louis Missouri Recruiting
Weill Cornell Medical College - NewYork-Presbyterian Hospital New York New York Recruiting
David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center New York New York Recruiting
University of North Carolina at Chapel Hill Chapel Hill North Carolina Recruiting
Duke University Medical Center, Duke Infectious Diseases Durham North Carolina Recruiting
University of Pennsylvania School of Medicine Philadelphia Pennsylvania Recruiting
The University of Texas Health Science Center at Houston, Department of Internal Medicine Houston Texas Recruiting
UT MD Anderson Cancer Center Houston Texas Recruiting
University of Texas Health Science Center at San Antonio San Antonio Texas Recruiting
Monash Medical Center Clayton Clayton Australia Recruiting
The Alfred Hospital Melbourne Australia Recruiting
Peter MacCallum Cancer Center Melbourne Australia Recruiting
Royal Melbourne Hospital Parkville Australia Recruiting
Westmead Hospital Westmead Australia Recruiting
Princess Alexandra Hospital Woolloongabba Australia Recruiting
Kepler University Hospital GmbH, Department of Internal Medicine IV - Pulmonology Linz Austria Recruiting
Medical University Vienna, Department of Internal Medicine I, Clinical Department of Infections and Tropical Medicine Vienna Austria Recruiting
Charleroi Grand Hospital (GHDC) - Les Viviers Site Charleroi Belgium Recruiting
Jessa Hospital Hasselt Belgium Recruiting
University Hospitals Leuven, Campus Gasthuisberg, Department of Hematology Leuven Belgium Recruiting
UCL Mont-Godinne University Hospitals Yvoir Belgium Recruiting
HC-UFPR Curitiba Paraná Recruiting
Hospital Our Lady of Grace Curitiba Paraná Recruiting
Paulista School of Medicine at Federal University of Sao Paulo, UNIFESP São Paulo São Paulo Recruiting
Porto Alegre Clinical Hospital (HCPA) Porto Alegre Brazil Recruiting
Hospital A.C.Camargo ("Antonio Prudente" Foundation) São Paulo Brazil Recruiting
"Santa Marcelina" Hospital São Paulo Brazil Recruiting
University of Alberta Edmonton Alberta Recruiting
Juravinski Hospital - Hamilton Health Sciences Hamilton Ontario Recruiting

+ 44 more sites — see the full list on the official registry below.

More Basilea Pharmaceutica trials in the USA

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06925321 on ClinicalTrials.gov ↗ ← All trials in the USA