CClinicalTrials.gg
CompletedNCT03583164FORMULA-OLSUpdated Jul 10, 2024Results posted

Evaluate F901318 (Olorofim) Treatment of Invasive Fungal Infections in Participants Lacking Treatment Options

A Phase 2 interventional study of Olorofim in Invasive Fungal Infections, sponsored by F2G Biotech GmbH. Completed at 82 sites in 17 countries. Open to participants aged 16 Years and older. Per ClinicalTrials.gov, last updated 2024-07-10.

Sponsored by F2G Biotech GmbH · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
203
Allocation
Not applicable
Ages
16 Years and older
Sex
All
01

Study summary

A study to evaluate olorofim (F901318) for the treatment of invasive fungal infections in participants lacking suitable alternative treatment options.

Read the detailed description

An open label, single arm Phase IIb study of olorofim (F901318) in participants with invasive fungal infections with limited treatment options. Participants received study treatment for up to 12 weeks in the main phase of the study. At the Investigator's request and after discussion with the medical monitor, open-label treatment with F901318 could be continued in patients judged by the Investigator to need therapy beyond 84 days and considered likely to continue to benefit from extended treatment.

02

Conditions studied

  • Invasive Fungal Infections

Keywords

  • Anti fungal
  • Invasive aspergillosis
  • Rare moulds
  • Coccidioidomycosis
03

In context

Infections

6,687 studies on the registry are indexed under Infections; 807 are open to participants now.

This study's enrollment of 203 is above the median of 120 across 4,200 interventional studies indexed under Infections.

Browse Infections studies →

Lead sponsor

F2G Biotech GmbH is the lead sponsor of 20 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
16 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male and female aged at least 18 years, or male and female aged 16 years or 17 years and who weigh at least 40 kg whom have given informed consent
  • Ability and willingness to comply with the protocol.
  • Able to take oral medication
  • Females must be non-lactating and at no risk of pregnancy
  • Male with female partners of childbearing potential must either abstain from sexual intercourse or use a highly effective means of contraception
  • Participants with invasive fungal disease
  • Participants who have limited alternative treatment options

Exclusion criteria

Exclusion Criteria:

  • Women who are pregnant or breastfeeding.
  • Known history of allergy, hypersensitivity, or any serious reaction to any component of the study drug.
  • Participants with chronic aspergillosis, aspergilloma or allergic bronchopulmonary aspergillosis.
  • Human Immunodeficiency Virus (HIV) infection but not currently receiving antiretroviral therapy.
  • Participants with a medical condition that may jeopardize adherence to the protocol or may cause unacceptable additional risk to the participant
  • Previously enrolled participants or participants enrolled in any clinical trial within the last 30 days
  • Participants receiving treatment limited to supportive care due to predicted short survival time.
  • Prohibited concomitant medications.
  • Any exclusion criteria required by local regulatory authorities.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
203 participants (actual)

Study arms

  • Experimental
    Olorofim (F901318)

    Olorofim (F901318) was given orally for up to 90 days in the Main Study Phase and could be continued for those participants entering the Extended Treatment Phase. Patients received fixed doses comprising of a 1-day loading dose of 150 mg of olorofim twice a day followed by a maintenance dose of 90 mg of olorofim twice a day. Up until Protocol Amendment 06, 58 patients received a weight-based olorofim dosing consisting of a 1-day loading dose of 4 mg/kg/day on Day 1, then a maintenance dose of 2.5 mg/kg/day (divided into 2 or 3 doses). The dose was then adjusted based on plasma levels of olorofim with the maximum total daily dose of 300 mg.

    Drug: Olorofim

Interventions

  • DrugOlorofim

    30mg oral tablets

    Also known as: F901318

06

What researchers measure

Primary outcomes

  1. Data Review Committee (DRC) Adjudicated Overall Response at Day 42

    The primary efficacy variable was the DRC-adjudicated overall response at the Day 42 Study Visit, as determined by an independent DRC using a combination of clinical, mycological, and radiological results based on European Organization for Research and Treatment of Cancer/Invasive Fungal Infections Cooperative Group and the National Institute of Allergy and Infectious Diseases Mycoses Study Group (EORTC/MSG) criteria. For the primary statistical analysis of overall response rate, values were assigned to the DRC adjudicated overall response as follows: Success (Success-Complete, Success-Partial); Failure (Failure-Stable, Failure-Progression, Death, and participants for whom data at the Day 42 Study Visit could not be collected or participants who were considered not evaluable at the Day 42 Study Visit).

    Time frame: Day 42 in the Main Phase of study treatment

Secondary outcomes

  1. DRC Adjudicated Overall Response at Day 42 for All Aspergillus

    The primary efficacy variable was the DRC-adjudicated overall response at the Day 42 Study Visit, as determined by an independent DRC using a combination of clinical, mycological, and radiological results based on EORTC/MSG criteria. This was also presented by each of the 5 major infections as adjudicated by the DRC at baseline. The Aspergillus- All category is a combination of participants with Aspergillus proven and Aspergillus probable (invasive aspergillosis lower respiratory tract disease) baseline disease category. Overall success is defined as a Complete or Partial Response.

    Time frame: Day 42 in the Main Phase of study treatment

  2. DRC Adjudicated Overall Response at Day 42 for Lomentospora Prolificans

    The primary efficacy variable was the DRC-adjudicated overall response at the Day 42 Study Visit, as determined by an independent Data Review Committee using a combination of clinical, mycological, and radiological results based on EORTC/MSG criteria. This was also presented by each of the 5 major infections as adjudicated by the DRC at baseline, this one is for participants with a proven infection due to Lomentospora prolificans. Success is defined as a Complete or Partial Response.

    Time frame: Day 42 in the Main Phase of study treatment Day 42 in the Main Phase of study treatment Day 42 in the Main Phase of study treatment Day 42 in the Main Phase of study treatment Day 42 in the Main Phase of study treatment

  3. DRC Adjudicated Overall Response at Day 42 for for Scedosporium Species

    The primary efficacy variable was the DRC-adjudicated overall response at the Day 42 Study Visit, as determined by an independent DRC using a combination of clinical, mycological, and radiological results based on EORTC/MSG criteria. This was also presented by each of the 5 major infections as adjudicated by the DRC at baseline, this one is for participants with a proven infection due to Scedosporium species. Success is defined as a Complete or Partial Response.

    Time frame: Day 42 in the Main Phase of study treatment

  4. DRC Adjudicated Overall Response at Day 42 for Coccidioides Species

    The primary efficacy variable was the DRC-adjudicated overall response at the Day 42 Study Visit, as determined by an independent DRC using a combination of clinical, mycological, and radiological results based on EORTC/MSG criteria. This was also presented by each of the 5 major infections as adjudicated by the DRC at baseline, this one is for participants with proven infection due to Coccidioides species. Success is defined as a Complete or Partial Response.

    Time frame: Day 42 in the Main Phase of study treatment

  5. DRC Adjudicated Overall Response at Day 42 for Other Olorofim Susceptible Fungi

    The primary efficacy variable was the DRC-adjudicated overall response at the Day 42 Study Visit, as determined by an independent DRC using a combination of clinical, mycological, and radiological results based on EORTC/MSG criteria. This was also presented by each of the 5 major infections as adjudicated by the DRC at baseline, this one is for participants with proven infection due to other olorofim susceptible fungi. Success is defined as a Complete or Partial Response.

    Time frame: Day 42 in the Main Phase of study treatment

  6. DRC Adjudicated Overall Response at Day 84

    DRC-adjudicated overall response at Day 84, as determined by an independent DRC using a combination of clinical, mycological, and radiological results based on the EORTC/MSG criteria. For the analysis of overall response rate, values were assigned to the DRC-adjudicated overall response as follows: Success (Success-Complete, Success-Partial); Failure (Failure-Stable, Failure-Progression, Death, and participants for whom data at the Study Visit could not be collected or participants who were considered not evaluable at the Study Visit).

    Time frame: Day 84 in the Main Phase of study treatment

  7. Investigator Assessed Overall Response at Day 42

    Investigator-assessed overall response (as determined by the Investigator using all available assessment results including clinical, mycological and radiologic results based on the EORTC/MSG criteria) at Day 42, categorised by the same response criteria as in the primary endpoint: Success (Success-Complete, Success-Partial), Failure (Failure-Stable, Failure-Progression, Death, participants for whom data at Day 42 could not be collected or who were considered not evaluable at the specific visit).

    Time frame: Day 42 in the Main Phase of study treatment

  8. Investigator Assessed Overall Response at Day 84

    Investigator-assessed overall response (as determined by the Investigator using all available assessment results including clinical, mycological and radiologic results based on the EORTC/MSG criteria) at Day 84, categorised by the same response criteria as in the primary endpoint: Success (Success-Complete, Success-Partial), Failure (Failure-Stable, Failure-Progression, Death, participants for whom data at Day 84 could not be collected or who were considered not evaluable at the specific visit).

    Time frame: Day 84 in the Main Phase of study treatment

  9. DRC Adjudicated Clinical Response at Day 42

    DRC adjudicated clinical response at the Day 42 Study Visit, as determined by an independent Data Review Committee using clinical response results based on EORTC/MSG criteria. Resolution is defined as a Complete or Partial Response.

    Time frame: Day 42 in the Main phase of study treatment

  10. DRC Adjudicated Clinical Response at Day 84

    DRC adjudicated clinical response at the Day 84 Study Visit, as determined by an independent DRC using clinical response results based on EORTC/MSG criteria. Resolution is defined as a Complete or Partial Response.

    Time frame: Day 84 in the Main phase of study treatment

  11. Investigator Assessed Clinical Response at Day 42

    Investigator assessed clinical response at the Day 42 Study Visit using clinical response results based on the EORTC/MSG criteria. Resolution is defined as a Complete or Partial Response.

    Time frame: Day 42 in the Main phase of study treatment

  12. Investigator Assessed Clinical Response at Day 84

    Investigator assessed clinical response at the Day 84 Study Visit using clinical response results based on the EORTC/MSG criteria. Resolution is defined as a Complete or Partial Response.

    Time frame: Day 84 in the Main Phase of study treatment

  13. DRC Adjudicated Mycological Response at Day 42

    DRC adjudicated mycological response was assessed at the Day 42 Study Visit, as determined by an independent Data Review Committee using mycological response results based on EORTC/MSG criteria. Success is defined as eradication or presumed eradication.

    Time frame: Day 42 in the Main Phase of study treatment

  14. DRC Adjudicated Mycological Response at Day 84

    DRC adjudicated mycological response was assessed at the Day 84 Study Visit, as determined by an independent DRC using mycological response results based on EORTC/MSG criteria. Success is defined as eradication or presumed eradication.

    Time frame: Day 84 in the Main phase of study treatment

  15. Investigator Assessed Mycological Response at Day 42

    Mycological response was assessed by the Investigator at the Day 42 Study Visit using mycological response results based on EORTC/MSG criteria. Success is defined as eradication or presumed eradication.

    Time frame: Day 42 in the Main Phase of study treatment

  16. Investigator Assessed Mycological Response at Day 84

    Mycological response was assessed by the Investigator at the Day 84 Study Visit using mycological response results based on EORTC/MSG criteria. Success is defined as eradication or presumed eradication.

    Time frame: Day 84 in the Main Phase of study treatment

  17. DRC Adjudicated Radiological Response at Day 42

    In participants for whom radiology formed a part of their diagnosis, radiology evaluations were required on Day 42 and were adjudicated by an independent DRC. Radiological responses were assigned as per EORTC/MSG criteria.

    Time frame: Day 42 in the Main phase of study treatment

  18. DRC Adjudicated Radiological Response at Day 84

    In participants for whom radiology formed a part of their diagnosis, radiology evaluations were required on Day 84 and were adjudicated by an independent DRC. Radiological responses were assigned as per EORTC/MSG criteria.

    Time frame: Day 84 in the Main Phase of study treatment

  19. Investigator Assessed Radiological Response at Day 42

    In participants for whom radiology formed a part of their diagnosis, radiology evaluations were required on Day 42. Radiological responses were assessed by the Investigator using EORTC/MSG criteria.

    Time frame: Day 42 in the Main Phase of study treatment

  20. Investigator Assessed Radiological Response at Day 84

    In participants for whom radiology formed a part of their diagnosis, radiology evaluations were required on Day 84. Radiological responses were assessed by the Investigator using EORTC/MSG criteria.

    Time frame: Day 84 in the Main Phase of study treatment

  21. All Cause Mortality Rate at Day 42

    The all cause mortality rate at Day 42 uses the survival status that was entered at the study visit (which employs a window around each nominal study day).

    Time frame: Day 42 in the Main Phase of study treatment

  22. All Cause Mortality Rate at Day 84

    The all cause mortality rate at Day 84 uses the survival status that was entered at the study visit (which employs a window around each nominal study day).

    Time frame: Day 84 in the Main Phase of study treatment

07

Results

Posted Jul 10, 2024

Participant flow

This study planned to enrol approximately 200 patients at approximately 100 centres globally over at least 60 months. The first patient was enrolled into the study on 06 June 2018 and the Last subject last visit date was 10 February 2023 (for the Extended Treatment Phase).

Participant flow — Overall Study
MilestoneOlorofim (F901318)
Started203
Completed126
Not completed77
Withdrew: Death in main phase35
Withdrew: Lost to follow up in main phase1
Withdrew: Lost to follow up in extended phase3
Withdrew: Clinically significant lab value in main phase2
Withdrew: Clinically significant lab value in extended phase4
Withdrew: Physician decision in main phase1
Withdrew: Physician decision in extended phase2
Withdrew: Death in extended phase13
Withdrew: Intolerable adverse event in main phase3
Withdrew: Intolerable adverse event in extended phase1
Withdrew: Lack of compliance in extended phase2
Withdrew: Treatment failure in main phase2
Withdrew: Treatment failure in extended phase4
Withdrew: Withdrawal of consent in extended phase2
Withdrew: Other not specified reason in main phase2

Outcome measures

PrimaryData Review Committee (DRC) Adjudicated Overall Response at Day 42

The primary efficacy variable was the DRC-adjudicated overall response at the Day 42 Study Visit, as determined by an independent DRC using a combination of clinical, mycological, and radiological results based on European Organization for Research and Treatment of Cancer/Invasive Fungal Infections Cooperative Group and the National Institute of Allergy and Infectious Diseases Mycoses Study Group (EORTC/MSG) criteria. For the primary statistical analysis of overall response rate, values were assigned to the DRC adjudicated overall response as follows: Success (Success-Complete, Success-Partial); Failure (Failure-Stable, Failure-Progression, Death, and participants for whom data at the Day 42 Study Visit could not be collected or participants who were considered not evaluable at the Day 42 Study Visit).

Time frame:
Day 42 in the Main Phase of study treatment
Reported as:
Number · Response rate percentage
Data Review Committee (DRC) Adjudicated Overall Response at Day 42
Response rate percentageOlorofim (F901318)
Data Review Committee (DRC) Adjudicated Overall Response at Day 4228.7 (22.6 to 35.5)
SecondaryDRC Adjudicated Overall Response at Day 42 for All Aspergillus

The primary efficacy variable was the DRC-adjudicated overall response at the Day 42 Study Visit, as determined by an independent DRC using a combination of clinical, mycological, and radiological results based on EORTC/MSG criteria. This was also presented by each of the 5 major infections as adjudicated by the DRC at baseline. The Aspergillus- All category is a combination of participants with Aspergillus proven and Aspergillus probable (invasive aspergillosis lower respiratory tract disease) baseline disease category. Overall success is defined as a Complete or Partial Response.

Time frame:
Day 42 in the Main Phase of study treatment
Reported as:
Number · Response rate percentage
DRC Adjudicated Overall Response at Day 42 for All Aspergillus
Response rate percentageOlorofim (F901318)
DRC Adjudicated Overall Response at Day 42 for All Aspergillus34.7 (25.5 to 44.8)
SecondaryDRC Adjudicated Overall Response at Day 42 for Lomentospora Prolificans

The primary efficacy variable was the DRC-adjudicated overall response at the Day 42 Study Visit, as determined by an independent Data Review Committee using a combination of clinical, mycological, and radiological results based on EORTC/MSG criteria. This was also presented by each of the 5 major infections as adjudicated by the DRC at baseline, this one is for participants with a proven infection due to Lomentospora prolificans. Success is defined as a Complete or Partial Response.

Time frame:
Day 42 in the Main Phase of study treatment Day 42 in the Main Phase of study treatment Day 42 in the Main Phase of study treatment Day 42 in the Main Phase of study treatment Day 42 in the Main Phase of study treatment
Reported as:
Number · Response rate percentage
DRC Adjudicated Overall Response at Day 42 for Lomentospora Prolificans
Response rate percentageOlorofim (F901318)
DRC Adjudicated Overall Response at Day 42 for Lomentospora Prolificans42.3 (23.4 to 63.1)
SecondaryDRC Adjudicated Overall Response at Day 42 for for Scedosporium Species

The primary efficacy variable was the DRC-adjudicated overall response at the Day 42 Study Visit, as determined by an independent DRC using a combination of clinical, mycological, and radiological results based on EORTC/MSG criteria. This was also presented by each of the 5 major infections as adjudicated by the DRC at baseline, this one is for participants with a proven infection due to Scedosporium species. Success is defined as a Complete or Partial Response.

Time frame:
Day 42 in the Main Phase of study treatment
Reported as:
Number · Response rate percentage
DRC Adjudicated Overall Response at Day 42 for for Scedosporium Species
Response rate percentageOlorofim (F901318)
DRC Adjudicated Overall Response at Day 42 for for Scedosporium Species36.4 (17.2 to 59.3)
SecondaryDRC Adjudicated Overall Response at Day 42 for Coccidioides Species

The primary efficacy variable was the DRC-adjudicated overall response at the Day 42 Study Visit, as determined by an independent DRC using a combination of clinical, mycological, and radiological results based on EORTC/MSG criteria. This was also presented by each of the 5 major infections as adjudicated by the DRC at baseline, this one is for participants with proven infection due to Coccidioides species. Success is defined as a Complete or Partial Response.

Time frame:
Day 42 in the Main Phase of study treatment
Reported as:
Number · Response rate percentage
DRC Adjudicated Overall Response at Day 42 for Coccidioides Species
Response rate percentageOlorofim (F901318)
DRC Adjudicated Overall Response at Day 42 for Coccidioides Species0.0 (0.0 to 8.6)
SecondaryDRC Adjudicated Overall Response at Day 42 for Other Olorofim Susceptible Fungi

The primary efficacy variable was the DRC-adjudicated overall response at the Day 42 Study Visit, as determined by an independent DRC using a combination of clinical, mycological, and radiological results based on EORTC/MSG criteria. This was also presented by each of the 5 major infections as adjudicated by the DRC at baseline, this one is for participants with proven infection due to other olorofim susceptible fungi. Success is defined as a Complete or Partial Response.

Time frame:
Day 42 in the Main Phase of study treatment
Reported as:
Number · Response rate percentage
DRC Adjudicated Overall Response at Day 42 for Other Olorofim Susceptible Fungi
Response rate percentageOlorofim (F901318)
DRC Adjudicated Overall Response at Day 42 for Other Olorofim Susceptible Fungi33.3 (9.9 to 65.1)
SecondaryDRC Adjudicated Overall Response at Day 84

DRC-adjudicated overall response at Day 84, as determined by an independent DRC using a combination of clinical, mycological, and radiological results based on the EORTC/MSG criteria. For the analysis of overall response rate, values were assigned to the DRC-adjudicated overall response as follows: Success (Success-Complete, Success-Partial); Failure (Failure-Stable, Failure-Progression, Death, and participants for whom data at the Study Visit could not be collected or participants who were considered not evaluable at the Study Visit).

Time frame:
Day 84 in the Main Phase of study treatment
Reported as:
Number · Response rate percentage
DRC Adjudicated Overall Response at Day 84
Response rate percentageOlorofim (F901318)
DRC Adjudicated Overall Response at Day 8427.2 (21.2 to 33.9)
SecondaryInvestigator Assessed Overall Response at Day 42

Investigator-assessed overall response (as determined by the Investigator using all available assessment results including clinical, mycological and radiologic results based on the EORTC/MSG criteria) at Day 42, categorised by the same response criteria as in the primary endpoint: Success (Success-Complete, Success-Partial), Failure (Failure-Stable, Failure-Progression, Death, participants for whom data at Day 42 could not be collected or who were considered not evaluable at the specific visit).

Time frame:
Day 42 in the Main Phase of study treatment
Reported as:
Number · Response rate percentage
Investigator Assessed Overall Response at Day 42
Response rate percentageOlorofim (F901318)
Investigator Assessed Overall Response at Day 4224.8 (19.0 to 31.3)
SecondaryInvestigator Assessed Overall Response at Day 84

Investigator-assessed overall response (as determined by the Investigator using all available assessment results including clinical, mycological and radiologic results based on the EORTC/MSG criteria) at Day 84, categorised by the same response criteria as in the primary endpoint: Success (Success-Complete, Success-Partial), Failure (Failure-Stable, Failure-Progression, Death, participants for whom data at Day 84 could not be collected or who were considered not evaluable at the specific visit).

Time frame:
Day 84 in the Main Phase of study treatment
Reported as:
Number · Response rate percentage
Investigator Assessed Overall Response at Day 84
Response rate percentageOlorofim (F901318)
Investigator Assessed Overall Response at Day 8429.7 (23.5 to 36.5)
SecondaryDRC Adjudicated Clinical Response at Day 42

DRC adjudicated clinical response at the Day 42 Study Visit, as determined by an independent Data Review Committee using clinical response results based on EORTC/MSG criteria. Resolution is defined as a Complete or Partial Response.

Time frame:
Day 42 in the Main phase of study treatment
Reported as:
Number · Response rate percentage
DRC Adjudicated Clinical Response at Day 42
Response rate percentageOlorofim (F901318)
DRC Adjudicated Clinical Response at Day 4259.9 (52.8 to 66.7)
SecondaryDRC Adjudicated Clinical Response at Day 84

DRC adjudicated clinical response at the Day 84 Study Visit, as determined by an independent DRC using clinical response results based on EORTC/MSG criteria. Resolution is defined as a Complete or Partial Response.

Time frame:
Day 84 in the Main phase of study treatment
Reported as:
Number · Response rate percentage
DRC Adjudicated Clinical Response at Day 84
Response rate percentageOlorofim (F901318)
DRC Adjudicated Clinical Response at Day 8454.0 (46.8 to 61.0)
SecondaryInvestigator Assessed Clinical Response at Day 42

Investigator assessed clinical response at the Day 42 Study Visit using clinical response results based on the EORTC/MSG criteria. Resolution is defined as a Complete or Partial Response.

Time frame:
Day 42 in the Main phase of study treatment
Reported as:
Number · Response rate percentage
Investigator Assessed Clinical Response at Day 42
Response rate percentageOlorofim (F901318)
Investigator Assessed Clinical Response at Day 4253.5 (46.3 to 60.5)
SecondaryInvestigator Assessed Clinical Response at Day 84

Investigator assessed clinical response at the Day 84 Study Visit using clinical response results based on the EORTC/MSG criteria. Resolution is defined as a Complete or Partial Response.

Time frame:
Day 84 in the Main Phase of study treatment
Reported as:
Number · Response rate percentage
Investigator Assessed Clinical Response at Day 84
Response rate percentageOlorofim (F901318)
Investigator Assessed Clinical Response at Day 8456.4 (49.3 to 63.4)
SecondaryDRC Adjudicated Mycological Response at Day 42

DRC adjudicated mycological response was assessed at the Day 42 Study Visit, as determined by an independent Data Review Committee using mycological response results based on EORTC/MSG criteria. Success is defined as eradication or presumed eradication.

Time frame:
Day 42 in the Main Phase of study treatment
Reported as:
Number · Response rate percentage
DRC Adjudicated Mycological Response at Day 42
Response rate percentageOlorofim (F901318)
DRC Adjudicated Mycological Response at Day 4218.3 (13.1 to 24.4)
SecondaryDRC Adjudicated Mycological Response at Day 84

DRC adjudicated mycological response was assessed at the Day 84 Study Visit, as determined by an independent DRC using mycological response results based on EORTC/MSG criteria. Success is defined as eradication or presumed eradication.

Time frame:
Day 84 in the Main phase of study treatment
Reported as:
Number · Response rate percentage
DRC Adjudicated Mycological Response at Day 84
Response rate percentageOlorofim (F901318)
DRC Adjudicated Mycological Response at Day 8422.5 (16.9 to 28.9)
SecondaryInvestigator Assessed Mycological Response at Day 42

Mycological response was assessed by the Investigator at the Day 42 Study Visit using mycological response results based on EORTC/MSG criteria. Success is defined as eradication or presumed eradication.

Time frame:
Day 42 in the Main Phase of study treatment
Reported as:
Number · Response rate percentage
Investigator Assessed Mycological Response at Day 42
Response rate percentageOlorofim (F901318)
Investigator Assessed Mycological Response at Day 4225.7 (19.9 to 32.3)
SecondaryInvestigator Assessed Mycological Response at Day 84

Mycological response was assessed by the Investigator at the Day 84 Study Visit using mycological response results based on EORTC/MSG criteria. Success is defined as eradication or presumed eradication.

Time frame:
Day 84 in the Main Phase of study treatment
Reported as:
Number · Response rate percentage
Investigator Assessed Mycological Response at Day 84
Response rate percentageOlorofim (F901318)
Investigator Assessed Mycological Response at Day 8431.7 (25.3 to 38.6)
SecondaryDRC Adjudicated Radiological Response at Day 42

In participants for whom radiology formed a part of their diagnosis, radiology evaluations were required on Day 42 and were adjudicated by an independent DRC. Radiological responses were assigned as per EORTC/MSG criteria.

Time frame:
Day 42 in the Main phase of study treatment
Reported as:
Count of participants · Participants
DRC Adjudicated Radiological Response at Day 42
ParticipantsOlorofim (F901318)
At least 90 percent improvement11
At least 50 to less than 90 percent improvement10
At least 25 to less than 50 percent improvement12
Stable findings (0 to less than 25 percent improvement)55
Worsening response6
No signs on Radiological images at Screening7
Not evaluable75
Not relevant2
Missing0
Death (from any cause)24
SecondaryDRC Adjudicated Radiological Response at Day 84

In participants for whom radiology formed a part of their diagnosis, radiology evaluations were required on Day 84 and were adjudicated by an independent DRC. Radiological responses were assigned as per EORTC/MSG criteria.

Time frame:
Day 84 in the Main Phase of study treatment
Reported as:
Count of participants · Participants
DRC Adjudicated Radiological Response at Day 84
ParticipantsOlorofim (F901318)
At least 90 percent improvement14
At least 50 to less than 90 percent improvement11
At least 25 to less than 50 percent improvement5
Stable findings (0 to less than 25 percent improvement)36
Worsening response6
No signs on Radiological images at Screening5
Not evaluable71
Not relevant2
Missing21
Death (from any cause)31
SecondaryInvestigator Assessed Radiological Response at Day 42

In participants for whom radiology formed a part of their diagnosis, radiology evaluations were required on Day 42. Radiological responses were assessed by the Investigator using EORTC/MSG criteria.

Time frame:
Day 42 in the Main Phase of study treatment
Reported as:
Count of participants · Participants
Investigator Assessed Radiological Response at Day 42
ParticipantsOlorofim (F901318)
At least 90 percent improvement10
At least 50 to less than 90 percent improvement20
At least 25 to less than 50 percent improvement20
Stable findings (0 to less than 25 percent improvement)29
Worsening response11
No signs on Radiological images at Screening3
Not evaluable69
Missing16
Death (from any cause)24
SecondaryInvestigator Assessed Radiological Response at Day 84

In participants for whom radiology formed a part of their diagnosis, radiology evaluations were required on Day 84. Radiological responses were assessed by the Investigator using EORTC/MSG criteria.

Time frame:
Day 84 in the Main Phase of study treatment
Reported as:
Count of participants · Participants
Investigator Assessed Radiological Response at Day 84
ParticipantsOlorofim (F901318)
At least 90 percent improvement23
At least 50 to less than 90 percent improvement16
At least 25 to less than 50 percent improvement16
Stable findings (0 to less than 25 percent improvement)26
Worsening response10
No signs on Radiological images at Screening4
Not evaluable52
Missing24
Death (from any cause)31
SecondaryAll Cause Mortality Rate at Day 42

The all cause mortality rate at Day 42 uses the survival status that was entered at the study visit (which employs a window around each nominal study day).

Time frame:
Day 42 in the Main Phase of study treatment
Reported as:
Number · Mortality rate percentage
All Cause Mortality Rate at Day 42
Mortality rate percentageOlorofim (F901318)
All Cause Mortality Rate at Day 4211.9 (7.8 to 17.2)
SecondaryAll Cause Mortality Rate at Day 84

The all cause mortality rate at Day 84 uses the survival status that was entered at the study visit (which employs a window around each nominal study day).

Time frame:
Day 84 in the Main Phase of study treatment
Reported as:
Number · Mortality rate percentage
All Cause Mortality Rate at Day 84
Mortality rate percentageOlorofim (F901318)
All Cause Mortality Rate at Day 8416.3 (11.5 to 22.2)

Adverse events

Collected over Adverse events (AEs) were reported from the time of Informed consent through study completion, up to and including 4-week post-treatment follow-up. For patients in the main treatment phase of the study only, the median duration of study treatment was 84 days. For those entering the extended treatment phase, the median duration of study treatment was 308 days (approximately 10 months).. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Olorofim (F901318)50/203 (24.6%)132/203 (65%)186/203 (91.6%)
Most frequent serious events
Showing 10 of 194
Most frequent serious events
EventOlorofim (F901318)
PneumoniaInfections and infestations13/203
PyrexiaGeneral disorders9/203
COVID-19Infections and infestations8/203
Respiratory failureRespiratory, thoracic and mediastinal disorders8/203
Hepatic enzyme increasedInvestigations7/203
Liver function test increasedInvestigations7/203
DyspnoeaRespiratory, thoracic and mediastinal disorders5/203
Meningitis coccidioidesInfections and infestations5/203
Acute respiratory failureRespiratory, thoracic and mediastinal disorders4/203
Aspergillus infectionInfections and infestations4/203
Most frequent other events
Showing 10 of 28
Most frequent other events
EventOlorofim (F901318)
DiarrhoeaGastrointestinal disorders42/203
NauseaGastrointestinal disorders40/203
VomitingGastrointestinal disorders40/203
HeadacheNervous system disorders32/203
PyrexiaGeneral disorders29/203
Liver function test increasedInvestigations22/203
CoughRespiratory, thoracic and mediastinal disorders19/203
Oedema peripheralGeneral disorders19/203
COVID-19Infections and infestations18/203
FatigueGeneral disorders18/203

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Olorofim (F901318)
<=18 years0
Between 18 and 65 years151
>=65 years52
Age, Continuous
Age, Continuous(years)Olorofim (F901318)
Median56.57 (18.0 to 90.4)
Sex: Female, Male
Sex: Female, Male(Participants)Olorofim (F901318)
Female79
Male124
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Olorofim (F901318)
American Indian or Alaska Native1
Asian10
Native Hawaiian or Other Pacific Islander3
Black or African American16
White160
More than one race2
Unknown or Not Reported11
Region of Enrollment
Region of Enrollment(participants)Olorofim (F901318)
United States96
Egypt1
United Kingdom3
Thailand2
Spain6
Russia3
Netherlands16
Belgium45
Israel8
Australia18
Germany5
Body Mass Index
Body Mass Index(kg/m^2)Olorofim (F901318)
Median22.954 (14.21 to 43.23)
Baseline Data Review Committee-Adjudicated Disease Category
Baseline Data Review Committee-Adjudicated Disease Category(Participants)Olorofim (F901318)
Aspergillus - All101
Lomentospora (Scedosporium) prolificans26
Scedosporium spp.22
Other Olorofim-susceptible fungi12
Coccidioides41
No DRC adjudicated baseline fungus1
Reason for Limited Treatment Options
Reason for Limited Treatment Options(Participants)Olorofim (F901318)
Known/predicted resistance to all licensed agents42
Failure of available therapy110
Intolerance to available therapy29
Inability to manage drug interactions7
Inability to produce therapeutic drug levels2
IV only option produced clinical response and standard to switch to oral azole10
Other, received Medical Monitor approval2
Missing1

1 further baseline measures are reported on the registry.

08

Study locations

82 sites
  • Valley Fever Institute at Kern Medical Center
    Bakersfield, California 93306, United States
  • UC Davis Medical Center
    Sacramento, California 95817, United States
  • University of California San Diego Medical Center
    San Diego, California 92103, United States
  • Emory University
    Atlanta, Georgia 30322, United States
  • University of Chicago
    Chicago, Illinois 60637, United States
  • Johns Hopkins Hospital
    Baltimore, Maryland 21287, United States
  • Brigham and Women's Hospital
    Boston, Massachusetts 02115, United States
  • Washington University School of Medicine
    Saint Louis, Missouri 63110, United States
  • Weill Cornell Medical College
    New York, New York 10065, United States
  • Stony Brook University Medical Center
    Stony Brook, New York 11794-0001, United States
  • Duke University Health System
    Durham, North Carolina 27710, United States
  • UPMC
    Pittsburgh, Pennsylvania 15213, United States
  • University of Texas MD Anderson Cancer Center
    Houston, Texas 77030, United States
  • The University of Texas Health Science Center at San Antonio
    San Antonio, Texas 78229, United States
  • Westmead Hospital
    Westmead, New South Wales 2145, Australia
  • Royal Brisbane and Women's Hospital
    Herston, Queensland 4029, Australia
  • Peter MacCallum Centre-East Melbourne
    Melbourne, Victoria 3000, Australia
  • Royal Melbourne Hospital
    Melbourne, Victoria 3000, Australia
  • The Alfred Hospital
    Melbourne, Victoria 3004, Australia
  • Fiona Stanley Hospital
    Murdoch, Western Australia 6150, Australia
  • UZ Leuven
    Leuven, Waals-Brabant 3000, Belgium
  • Institut Jules Bordet
    Brussels, 1000, Belgium
  • Hôpital Erasme
    Bruxelles, 1070, Belgium
  • Hospital Felício Rocho
    Belo Horizonte, Minas Gerais 30110-934, Brazil
  • Santa Casa de Misericórdia de Belo Horizonte
    Belo Horizonte, Minas Gerais 30150-221, Brazil
  • HC - UFPR - Hospital de Clínicas da Universidade Federal do Paraná
    Curitiba, Paraná 80060-900, Brazil
  • Santa Casa de Misericórdia de Porto Alegre
    Porto Alegre, Rio Grande Do Sul 90020-090, Brazil
  • Hospital de Clínicas de Porto Alegre
    Porto Alegre, Rio Grande Do Sul 90035-903, Brazil
  • Hospital São Lucas da PUCRS
    Porto Alegre, Rio Grande Do Sul 90610-000, Brazil
  • Hospital da Universidade Federal de Santa Maria CEP/UFSM
    Santa Maria, Rio Grande Do Sul 97105-900, Brazil
  • Hospital Erasto Gaertner - Liga Paranaense de Combate ao Câncer
    Curitiba, 81520-060, Brazil
  • Santa Casa de Misericórdia de Passos
    Passos, 37904-020, Brazil
  • Alexandria University Hospital
    Alexandria, 21131, Egypt
  • Cairo University Hospitals
    Cairo, 11559, Egypt
  • Ain Shams University Hospital
    Cairo, 11566, Egypt
  • Air Force Specialized Hospital
    Cairo, 11566, Egypt
  • National Cancer Institute
    Cairo, 11796, Egypt
  • Nasser Institute
    Cairo, 12655, Egypt
  • Oncology Center, Mansoura University
    Mansoura, 35516, Egypt
  • CHU Strasbourg - Hôpital Hautepierre
    Strasbourg cedex, Bas Rhin 67091, France
  • CHU de Grenoble - Hôpital Albert Michallon
    Grenoble, Isere 38043, France
  • Hôpital Necker - Enfants Malades
    Paris cedex 15, Paris 75015, France
  • Hôpital Saint-Louis
    Paris cedex 10, 75475, France
  • Klinikum der Universitaet Muenchen Campus Grosshadern
    Muenchen, Bayern 81377, Germany
  • Universitaetsklinikum Koeln
    Koeln, Nordrhein Westfalen 50937, Germany
  • Charite Universitaetsmedizin Berlin - Campus Benjamin Franklin
    Berlin, 12200, Germany
  • Charite-Campus Benjamin Franklin (CBF)
    Berlin, 12200, Germany
  • Soroka University Medical Center
    Beer-Sheva, 84001, Israel
  • Rambam Health Care Campus
    Haifa, 3109601, Israel
  • Hadassah University Hospital - Ein Kerem
    Jerusalem, 9112001, Israel
  • Chaim Sheba Medical Center
    Ramat Gan, 52363, Israel
  • Tel Aviv Sourasky Medical Center
    Tel Aviv, 6423906, Israel
  • Asan Medical Center
    Seoul, 05505, Korea, Republic of
  • Samsung Medical Center
    Seoul, 06351, Korea, Republic of
  • The Catholic University of Korea, Seoul St. Mary's Hospital
    Seoul, 06591, Korea, Republic of
  • Radboudumc
    Nijmegen, 6525 GA, Netherlands
  • Erasmus Medisch Centrum
    Rotterdam, 3015 CE, Netherlands
  • UMC Utrecht
    Utrecht, 3584 CX, Netherlands
  • Uniwersyteckie Centrum Kliniczne
    Gdansk, 80-214, Poland
  • SPZOZ Szpital Uniwersytecki w Krakowie
    Krakow, 31-501, Poland
  • Wojewodzki Szpital Specjalistyczny im. J. Korczaka
    Slupsk, 76-200, Poland
  • Instytut Hematologii i Transfuzjologii
    Warszawa, 02-776, Poland
  • Leningrad Regional Clinical Hospital
    Saint Petersburg, 194291, Russian Federation
  • FBI "Scientific Research Institute of Oncology n. a. N. N. Petrov"
    Saint Petersburg, Russian Federation
  • Pavlov First Saint Petersburg State Medical University
    Saint Petersburg, Russian Federation
  • SBEIHPE "NWSMU n. a. I.I Mechnikov" of MoH and SD of RH
    Saint Petersburg, Russian Federation
  • Hospital Universitari Vall d'Hebron
    Barcelona, 08035, Spain
  • Hospital Universitario Ramon y Cajal
    Madrid, 28034, Spain
  • Hospital Universitario 12 de Octubre
    Madrid, 28041, Spain
  • Hospital Universitari i Politecnic La Fe
    Valencia, 46021, Spain
  • Siriraj Hospital
    Bangkoknoi, Bangkok 10700, Thailand
  • King Chulalongkorn Memorial Hospital
    Pathum Wan, Bangkok 10330, Thailand
  • Dicle University, Medical Faculty
    Diyarbakır, 21280, Turkey
  • Acibadem Atakent Hospital
    Istanbul, 34303, Turkey
  • Marmara University Pendik Research and Training Hospital
    Istanbul, 34899, Turkey
  • King's College Hospital
    London, Greater London SE5 9NU, United Kingdom
  • Manchester Royal Infirmary
    Manchester, Greater Manchester M13 9WL, United Kingdom
  • Wythenshawe Hospital
    Manchester, Wythenshawe M23 9LT, United Kingdom
  • Bach Mai Hospital
    Hanoi, 100000, Vietnam
  • National Lung Hospital
    Hanoi, 10000, Vietnam
  • HCMC Hospital for Tropical Diseases
    Ho Chi Minh, 00000, Vietnam
  • Blood Transfusion Hematology Hospital
    Ho Chi Minh, 0000, Vietnam
09

References and documents

Study documents

  • Study protocol · Feb 28, 2020
  • Statistical analysis plan · Apr 6, 2023

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — Individual participant data that underlie the results can be available to researchers after the primary publication of results for this study, after deidentification (text, tables, figures, appendices)

Supporting information: Study protocol, Sap

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 10, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03583164
Lead sponsor
F2G Biotech GmbH
Collaborators
Iqvia Pty Ltd
Responsible party
Sponsor
First posted
Jul 11, 2018
Start date
Jun 6, 2018
Primary completion
Feb 10, 2023
Completion
Feb 10, 2023
Results posted
Jul 10, 2024
Last update
Jul 10, 2024

Study contacts

Sharon Chen
principal investigator · Westmead Hospital

Oversight

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

Not currently enrolling

This study is completed, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

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