Status:

RECRUITING

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

Lead Sponsor:

Basilea Pharmaceutica

Collaborating Sponsors:

Biomedical Advanced Research and Development Authority

Conditions:

Invasive Mold Infections

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief 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 p...

Eligibility Criteria

Inclusion

  • Main Inclusion Criteria:
  • 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.
  • Patient's condition allows for appropriate infection source control measures.
  • Main Exclusion Critera:
  • Refractory hematologic malignancy.
  • Chronic aspergillosis, aspergilloma, or allergic bronchopulmonary aspergillosis.
  • COVID-19 associated mucormycosis.
  • Invasive fungal disease caused by more than one fungal pathogen is not permitted in Cohort A but is permitted in Cohort B.
  • Patients with a Karnofsky Performance Status \< 20 at Screening.
  • Requirement, or anticipated requirement, for hemodialysis, peritoneal dialysis, or hemofiltration.
  • Patients with known human immunodeficiency virus infection.
  • Ongoing neurological disorders.
  • Patients receiving hospice/comfort care only.
  • Other medical or psychiatric condition.
  • Current use of any prohibited concomitant medication(s).
  • Current/ previous administration of an investigational drug within 30 days.
  • Prior enrollment in this or any previous study of fosmanogepix.
  • Moderate or severe hepatic impairment.
  • Patient who is pregnant or lactating.
  • Known hypersensitivity to fosmanogepix, manogepix, or any of their excipients.

Exclusion

    Key Trial Info

    Start Date :

    August 26 2025

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    February 1 2028

    Estimated Enrollment :

    219 Patients enrolled

    Trial Details

    Trial ID

    NCT06925321

    Start Date

    August 26 2025

    End Date

    February 1 2028

    Last Update

    December 22 2025

    Active Locations (13)

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    Page 1 of 4 (13 locations)

    1

    University of Alabama at Birmingham School of Medicine, Department of Medicine

    Birmingham, Alabama, United States, 35294-0006

    2

    David Geffen School of Medicine at UCLA

    Los Angeles, California, United States, 90095-1690

    3

    Karmanos Cancer Institute - Detroit

    Detroit, Michigan, United States, 48201

    4

    University of Minnesota, M Health Fairview Medical Center

    Minneapolis, Minnesota, United States, 55455