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CompletedNCT03253094DOVEUpdated Aug 12, 2021Results posted

Dose-Finding Study of Oral Ibrexafungep (SCY-078) vs. Oral Fluconazole in Subjects With Acute Vulvovaginal Candidiasis

A Phase 2 interventional study of Fluconazole and SCY-078 in Candida Vulvovaginitis, sponsored by Scynexis, Inc.. Completed at 25 sites in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-08-12.

Sponsored by Scynexis, Inc. · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
186
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 33 studies in Candidiasis, Vulvovaginal with a site in United States — 3 open to participants now, 4 under way, none of them phase 3. Candidiasis, Vulvovaginal · United States.

Enrollment
15th of 28
186 · median 187
Started
2017
with 1 other
Phase 2
10 of 33
1 open now
Registered
18th of 33
by date
Lead sponsor
7 of 33
Scynexis, Inc.

Among the 33 studies in Candidiasis, Vulvovaginal with a site in United States, this one is the 15th largest by enrollment of the 28 interventional ones that give a count, is one of 2 that started in 2017, is one of 10 in phase 2, and was the 18th registered.

Candidiasis, Vulvovaginal

109 studies on the registry are indexed under Candidiasis, Vulvovaginal; 14 are open to participants now.

Browse Candidiasis, Vulvovaginal studies →

Open to participants now

3 of the 33 studies in Candidiasis, Vulvovaginal with a site in United States are open now. Recruiting first, the newest first:

All 3 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 11 Candidiasis, Vulvovaginal studies recruiting now, 4 (36%) set no upper age limit and 7 (64%) stop at 75 or younger; 3 take children under 18; 4 take healthy volunteers.

This study: 18 Years and older · female · no healthy volunteers.

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02

Study summary

This is a multicenter, randomized, double-blind, double-dummy, active-controlled, dose-finding study to compare the efficacy, safety and tolerability of oral SCY-078 versus oral fluconazole in adult female subjects 18 years and older with moderate to severe Acute Vulvovaginal Candidiasis (AVVC). Approximately 180 eligible subjects (30 subjects per treatment group) will be enrolled and randomized into the study.

Read the detailed description

This is a Phase 2, multicenter, randomized, double-blind, double-dummy, active-controlled, dose-ranging study of female subjects with moderate to severe Acute Vulvovaginal Candidiasis. Subjects will be randomized to either the investigational arm (SCY-078) with 5 different dose regiments ranging from 1 to 3 days of treatment or to the active-control arm (fluconazole) for 1 day of treatment. After randomization subjects may be seen on study Day 3 (on site visit for PK subjects) , Day 10 (±2,) and Day 25 (+4).

03

Conditions studied

  • Candida Vulvovaginitis
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  1. Subject is a female of at least 18 years of age
  2. Subject has a diagnosis of symptomatic AVVC at baseline including a positive microscopic examination with 10% KOH in a vaginal sample revealing yeast forms (hyphae/pseudohyphae) or budding yeasts, and vaginal pH (≤4.5)

Key Exclusion Criteria:

  1. Subject has any vaginal condition other than AVVC that may interfere with the diagnosis or evaluation of response to therapy, such as suspected or confirmed concurrent causes of vulvovaginitis and/or cervicitis (mixed infection)
  2. Need for systemic and/or topical (vaginal) antifungal treatment, including prescription or over-the-counter products during the study and treatment for VVC 28 days prior to randomization
  3. Subject is actively menstruating at the time of the Baseline visit.
  4. Subject has uncontrolled diabetes mellitus.
  5. Subject has a vaginal sample with pH >4.5.
  6. Subject has a history of or an active cervical/vaginal cancer.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
186 participants (actual)

Study arms

  • Active comparator
    Fluconazole

    150 mg/day for 1 day

    Drug: Fluconazole

  • Experimental
    Ibrexafungerp 750mg

    750mg QD for 1 day only

    Drug: SCY-078

  • Experimental
    Ibrexafungerp 300mg

    300mg BID for 1 day only

    Drug: SCY-078

  • Experimental
    Ibrexafungerp 450mg

    450mg BID for 1 day only

    Drug: SCY-078

  • Experimental
    Ibrexafungerp 150mg

    150mg BID for 3 days

    Drug: SCY-078

  • Experimental
    Ibrexafungerp 300mg D1-D3

    300mg BID for 3 days

    Drug: SCY-078

Interventions

  • Oral Antifungal comparator

    Also known as: Diflucan, Azole antifungal

  • Investigational Antifungal

    Also known as: Ibrexafungerp

06

What researchers measure

Primary outcomes

  1. Clinical Cure (Complete Resolution of Signs and Symptoms)

    Measured by the percentage of subjects with clinical cure (complete resolution of signs and symptoms) at the test-of-cure (TOC) visit

    Time frame: 8-12 days

Secondary outcomes

  1. Co-occurrence of Clinical and Mycological Cure

    The percentage of subjects with both clinical cure and mycological eradication (negative fungal culture) the Test-of cure.

    Time frame: 29 days

Other outcomes

  1. Incidence of Treatment Emergent Adverse Events

    The number of subjects with treatment related adverse events

    Time frame: up to 29 days

07

Results

Posted Aug 12, 2021

Participant flow

Participant flow — Overall Study
MilestoneIbrexafungerp 750-mgIbrexafungerp 300-mgIbrexafungerp 450-mgIbrexafungerp 150-mgIbrexafungerp 300-mg (3 Days)Fluconazole
Started323028323232
Subjects discontinued436454
Completed282722282728
Not completed436454
Withdrew: Adverse event200000
Withdrew: Lack of efficacy002121
Withdrew: Lost to follow-up001101
Withdrew: Physician decision100102
Withdrew: Withdrawal by subject121030
Withdrew: Other012100

Outcome measures

PrimaryClinical Cure (Complete Resolution of Signs and Symptoms)

Measured by the percentage of subjects with clinical cure (complete resolution of signs and symptoms) at the test-of-cure (TOC) visit

Time frame:
8-12 days
Reported as:
Count of participants · Participants
Clinical Cure (Complete Resolution of Signs and Symptoms)
ParticipantsIbrexafungerp 750-mgIbrexafungerp 300-mgIbrexafungerp 450-mgIbrexafungerp 150-mgIbrexafungerp 300-mg D1 to D3Fluconazole
Clinical cure91413141514
Clinical failure17138151110
SecondaryCo-occurrence of Clinical and Mycological Cure

The percentage of subjects with both clinical cure and mycological eradication (negative fungal culture) the Test-of cure.

Time frame:
29 days
Reported as:
Count of participants · Participants
Co-occurrence of Clinical and Mycological Cure
ParticipantsIbrexafungerp 750-mgIbrexafungerp 300-mgIbrexafungerp 450-mgIbrexafungerp 150-mgIbrexafungerp 300-mg D1 to D3Fluconazole
Clinical cure and Mycological Eradication4101181310
Clinical failure and/or mycological persistence221710211314
Other pre-specifiedIncidence of Treatment Emergent Adverse Events

The number of subjects with treatment related adverse events

Time frame:
up to 29 days
Reported as:
Count of participants · Participants
Incidence of Treatment Emergent Adverse Events
ParticipantsIbrexafungerp 750-mgIbrexafungerp 300-mgIbrexafungerp 450-mgIbrexafungerp 150-mgIbrexafungerp 300-mg D1 to D3Fluconazole
Treatment related Treatment-emergent adverse event20141612158
No Treatment related Treatment-emergent adverse event121612191724

Adverse events

Collected over 29 days. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Ibrexafungerp 750-mg0/32 (0%)0/32 (0%)21/32 (65.6%)
Ibrexafungerp 300-mg0/30 (0%)0/30 (0%)13/30 (43.3%)
Ibrexafungerp 450-mg0/28 (0%)0/28 (0%)15/28 (53.6%)
Ibrexafungerp 150-mg0/31 (0%)0/31 (0%)15/31 (48.4%)
Ibrexafungerp 300-mg D1 to D30/32 (0%)0/32 (0%)18/32 (56.3%)
Fluconazole0/32 (0%)0/32 (0%)10/32 (31.3%)
Most frequent other events
Showing 10 of 12
Most frequent other events
EventIbrexafungerp 750-mgIbrexafungerp 300-mgIbrexafungerp 450-mgIbrexafungerp 150-mgIbrexafungerp 300-mg D1 to D3Fluconazole
DiarrhoeaGastrointestinal disorders15/325/306/284/3113/321/32
HeadacheNervous system disorders3/323/303/289/314/322/32
NauseaGastrointestinal disorders8/323/308/286/316/322/32
Abdominal painGastrointestinal disorders5/321/302/283/310/323/32
VomitingGastrointestinal disorders1/320/304/280/312/320/32
DizzinessNervous system disorders1/322/302/283/310/320/32
Abdominal pain upperGastrointestinal disorders1/320/302/282/313/321/32
PruritusSkin and subcutaneous tissue disorders0/322/300/280/310/321/32
NasopharyngitisInfections and infestations0/322/300/280/311/320/32
Blood creatine phosphokinase increasedInvestigations2/321/300/282/310/321/32

Baseline characteristics

Age, Continuous
Age, Continuous(years)Ibrexafungerp 750-mgIbrexafungerp 300-mgIbrexafungerp 450-mgIbrexafungerp 150-mgIbrexafungerp 300-mg (3 Days)FluconazoleTotal
Mean34.6 ± 12.334.4 ± 11.334.5 ± 9.833.3 ± 10.532.0 ± 8.533.8 ± 10.133.7 ± 10.4
Sex: Female, Male
Sex: Female, Male(Participants)Ibrexafungerp 750-mgIbrexafungerp 300-mgIbrexafungerp 450-mgIbrexafungerp 150-mgIbrexafungerp 300-mg (3 Days)FluconazoleTotal
Female323028323232186
Male0000000
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Ibrexafungerp 750-mgIbrexafungerp 300-mgIbrexafungerp 450-mgIbrexafungerp 150-mgIbrexafungerp 300-mg (3 Days)FluconazoleTotal
Hispanic or Latino10981171156
Not Hispanic or Latino222120212521130
Unknown or Not Reported0000000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Ibrexafungerp 750-mgIbrexafungerp 300-mgIbrexafungerp 450-mgIbrexafungerp 150-mgIbrexafungerp 300-mg (3 Days)FluconazoleTotal
American Indian or Alaska Native0000000
Asian1010103
Native Hawaiian or Other Pacific Islander0000000
Black or African American9101213151372
White222014181619109
More than one race0000000
Unknown or Not Reported0011002
Region of Enrollment
Region of Enrollment(participants)Ibrexafungerp 750-mgIbrexafungerp 300-mgIbrexafungerp 450-mgIbrexafungerp 150-mgIbrexafungerp 300-mg (3 Days)FluconazoleTotal
United States323028323232186
08

Study locations

25 sites
  • UAB Personal Health Clinic
    Birmingham, Alabama 35294, United States
  • Precision Trials AZ, LLC
    Phoenix, Arizona 85032, United States
  • Women's Health Care Research Corp.
    San Diego, California 92111, United States
  • Gulf Coast Research Group, LLC
    Brandon, Florida 33510, United States
  • Altus Research, Inc.
    Lake Worth, Florida 33461, United States
  • OB-GYN Associates of Mid-Florida P.A.
    Leesburg, Florida 34748, United States
  • New Age Medical Research Corp.
    Miami, Florida 33186, United States
  • Visionary Investigators Network
    South Miami, Florida 33160, United States
  • Atlanta North Gynecology, P.C.
    Roswell, Georgia 30075, United States
  • Cypress Medical Research Center, LLC
    Wichita, Kansas 67226, United States
  • Clinical Trials Management, LLC
    Covington, Louisiana 70433, United States
  • Clinical Trials Management, LLC
    Metairie, Louisiana 70006, United States
  • Women Under Study, LLC
    New Orleans, Louisiana 70125, United States
  • Tolan Park Medical Building
    Detroit, Michigan 48201, United States
  • Consultants in Women's Healthcare, Inc.
    Saint Louis, Missouri 63131, United States
  • Lawrence OB/GYN Clinical Research, LLC
    Lawrenceville, New Jersey 08648, United States
  • Women's Health Research Center
    Plainsboro, New Jersey 08536, United States
  • Unified Women's Clinical Research - Central Carolina
    Greensboro, North Carolina 27408, United States
  • Wake Research Associates, LLC
    Raleigh, North Carolina 27612, United States
  • Drexel University
    Philadelphia, Pennsylvania 19102, United States
  • Medical Research South, LLC
    Charleston, South Carolina 29407, United States
  • WR-Medical Research Center of Memphis, LLC
    Memphis, Tennessee 38120, United States
  • Tmc Life Research, Inc.
    Houston, Texas 77054, United States
  • Clinical Trials of Texas, Inc.
    San Antonio, Texas 78229, United States
  • Seattle Women's Health, Research, Gynecology
    Seattle, Washington 98105, United States
09

References and documents

Publications

  • Nyirjesy P, Schwebke JR, Angulo DA, Harriott IA, Azie NE, Sobel JD. Phase 2 Randomized Study of Oral Ibrexafungerp Versus Fluconazole in Vulvovaginal Candidiasis. Clin Infect Dis. 2022 Jul 6;74(12):2129-2135. doi: 10.1093/cid/ciab841. PubMed 34555149 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Aug 2017 to primary completion in May 2018, 9 months.

Results were first posted in Aug 2021, 3 years 3 months after primary completion. A results delay was requested in Oct 2020.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 14, 2017
First posted
Aug 17, 2017
StartActual
Aug 1, 2017
Primary completionActual
May 4, 2018
CompletionActual
May 4, 2018
Results delay requested
Oct 20, 2020
Results first posted
Aug 12, 2021
Last update
Aug 12, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 12, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03253094
Lead sponsor
Scynexis, Inc.
Responsible party
Sponsor
First posted
Aug 17, 2017
Start date
Aug 1, 2017
Primary completion
May 4, 2018
Completion
May 4, 2018
Results posted
Aug 12, 2021
Last update
Aug 12, 2021

Study contacts

David Angulo, MD
study director · Scynexis, Inc.

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2021. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Ibrexafungerp

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