Status:

RECRUITING

Posaconazole (MK-5592) Intravenous and Oral in Children (<2 Years) With Invasive Fungal Infection (MK-5592-127)

Lead Sponsor:

Merck Sharp & Dohme LLC

Conditions:

Invasive Fungal Infection

Eligibility:

All Genders

1-2 years

Phase:

PHASE2

Brief Summary

This study aims to estimate the pharmacokinetics (PK) of posaconazole (POS, MK-5592) intravenous (IV) and powder for oral suspension (PFS) formulations in pediatric participants \<2 years of age with ...

Detailed Description

There are 2 panels in this study. In Panel A, POS IV will be evaluated in ≥8 participants. In Panel B, both POS IV and POS PFS will be evaluated in ≥14 participants, including ≥6 who are \<3 months of...

Eligibility Criteria

Inclusion

  • Inclusion Criteria:
  • Panel A: is undergoing treatment for possible, probable, or proven IFI known or suspected to be cause by fungal pathogens against which POS has demonstrated activity (which can include candidiasis)
  • Panel B: has an investigator-assessed diagnosis of possible, probable, or proven IFI known or suspected to be cause by fungal pathogens against which POS has demonstrated activity (and cannot include candidiasis)
  • 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.
  • Has a body weight of ≥500 g
  • The participant (or legally acceptable representative) has provided documented informed consent for the study.
  • Exclusion Criteria
  • Has received POS within 30 days before Day 1
  • Has cystic fibrosis, pulmonary sarcoidosis, aspergilloma, or allergic bronchopulmonary aspergillosis
  • Has a known hereditary problem of galactose intolerance, Lapp lactase deficiency, or glucose-galactose malabsorption
  • Has known or suspected active COVID-19 infection
  • Has a known hypersensitivity or other serious adverse reaction to any azole antifungal therapy, or to any other ingredient of the study intervention used
  • Has any known history of torsade de pointes, unstable cardiac arrhythmia or proarrhythmic conditions, a history of recent myocardial infarction, congenital or acquired QT interval (QT) prolongation, or cardiomyopathy in the context of cardiac failure within 90 days of first dose of study intervention
  • Has received any listed prohibited medications within the specified timeframes before the start of study intervention
  • Has a known hereditary problem of galactose intolerance, Lapp lactase deficiency, or glucose-galactose malabsorption (Part B)
  • Has suspected/proven invasive candidiasis (Part B)
  • Has enrolled previously in the current study and been discontinued
  • Has QTc prolongation at screening \>500 msec
  • Has significant liver dysfunction
  • Is hemodynamically unstable, exhibits hemodynamic compromise, or is not expected to survive at least 5 days

Exclusion

    Key Trial Info

    Start Date :

    February 22 2022

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    December 31 2026

    Estimated Enrollment :

    40 Patients enrolled

    Trial Details

    Trial ID

    NCT04665037

    Start Date

    February 22 2022

    End Date

    December 31 2026

    Last Update

    September 18 2025

    Active Locations (26)

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    Page 1 of 7 (26 locations)

    1

    Rady Children's Hospital-San Diego ( Site 2101)

    San Diego, California, United States, 92123

    2

    Nicklaus Children's Hospital ( Site 2109)

    Miami, Florida, United States, 33155

    3

    Ann & Robert H. Lurie Children's Hospital of Chicago ( Site 2104)

    Chicago, Illinois, United States, 60611

    4

    Duke University Medical Center ( Site 2106)

    Durham, North Carolina, United States, 27710