ClinicalTrials.gg
CompletedNCT07093203REAREZUpdated Oct 2, 2026

Rezafungin Peritoneal Diffusion for Intra-abdominal Candidiasis

An observational study in Intra-Abdominal Infection, Candida and Abdominal Surgery Patients, sponsored by Central Hospital, Nancy, France. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-02.

Sponsored by Central Hospital, Nancy, France · Observational

Updated Oct 2, 2026Now CompletedPrimary completion moved+2 moreGo to Updates ↓

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
18
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 20 studies in Intraabdominal Infections with a site in France — 1 open to participants now, 1 under way, none of them phase 3. Intraabdominal Infections · France.

Started
2025
with 2 others
Observational
9 of 20
1 open now
Registered
19th of 20
by date
Lead sponsor
5 of 20
Central Hospital, Nancy, France

Among the 20 studies in Intraabdominal Infections with a site in France, this one is one of 3 that started in 2025, is one of 9 observational ones, and was the 19th registered.

Intraabdominal Infections

129 studies on the registry are indexed under Intraabdominal Infections; 15 are open to participants now.

Browse Intraabdominal Infections studies →

Open to participants now

1 of the 20 studies in Intraabdominal Infections with a site in France is open now. Recruiting first, the newest first:

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

Who these studies take

Of the 10 Intraabdominal Infections studies recruiting now, 6 (60%) set no upper age limit and 3 (30%) stop at 75 or younger; 2 take children under 18; 2 take healthy volunteers.

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

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02

Study summary

ntra-abdominal candidiasis is a serious infection common in critically ill patients, often leading to high mortality if not treated quickly. Standard antifungal treatments may be less effective due to growing resistance and poor drug penetration into the abdominal cavity. In critically ill patients, drug levels can vary widely due to factors like surgery, inflammation, fluid resuscitation, or extracorporeal support, increasing the risk of underdosing. Rezafungin is a new antifungal agent with a long half-life and broad activity against Candida species, offering potential advantages in this setting. However, there is currently no data on its concentration or effectiveness in the peritoneal fluid of patients with intra-abdominal sepsis. Its long half-life, coupled with repeated pharmacokinetic variations in critical care settings and the risk of insufficient concentrations, may hinder its use in this population.

03

Conditions studied

  • Intra-Abdominal Infection
  • Candida
  • Abdominal Surgery Patients
  • Critically Ill Intensive Care Unit Patients

Keywords

  • candida
  • intra-abdominal candidiasis
  • abdominal surgery
  • pharmacokinetics
  • pharmacodynamics
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

This is a prospective PK study of critically ill adult patients with proven or suspected intra-abdominal candidiasis who are admitted to the surgical ICU at the university hospital of Nancy (France).

Adult critically ill patients with suspected intra-abdominal candidiasis requiring abdominal surgery and administration of rezafungin as first-line empirical antifungal treatment just before the abdominal surgery, abdominal drain for at least 2 days after the surgery.

Intra-abdominal candidiasis is defined following the 2024 consensus of FUNDICU

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • age > 18 years
  • with a suspected intra-abdominal candidiasis requiring abdominal surgery
  • and receiving the administration of rezafungin as empirical antifungal treatment just before or within 1 hour the abdominal surgery
  • and having abdominal drain for at least 2 days after the surgery

Exclusion criteria

Exclusion Criteria:

  • death expected within 24h
  • decline to participate
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
18 participants (actual)
Patient registry
No

Groups and cohorts

  • Adult critically ill patients with suspected or confirmed intra-abdominal candidiasis
06

What researchers measure

Primary outcomes

  1. Peritoneal/Plasma Penetration Ratio of Rezafungin

    Penetration ratio of rezafungin will be calculated as the ratio of the area under the concentration-time curve from 0 to 3 hours (AUC₀-₃h) in peritoneal fluid compared to plasma in critically ill patients undergoing abdominal surgery for suspected or proven intra-abdominal candidiasis

    Time frame: From 0 to 3 hours after rezafungin administration

Secondary outcomes

  1. Plasma Concentration-Time Profile of Rezafungin

    Area under the concentration-time curve (AUC) of rezafungin in plasma will be calculated over three time intervals: AUC₀-₂₄h, AUC₀-₄₈h, and AUC₀-₁₆₈h to describe the evolution of plasma concentrations during treatment

    Time frame: From 0 to 168 hours after the first rezafungin administration

  2. Peritoneal Concentration-Time Profile of Rezafungin

    Area under the concentration-time curve (AUC) of rezafungin in peritoneal fluid will be calculated over two time intervals: AUC₀-₂₄h and AUC₀-₄₈h to describe the evolution of peritoneal concentrations during treatment.

    Time frame: From 0 to 48 hours after the first rezafungin administration

  3. Pharmacokinetic target attainment of rezafungin concentration in plasma at the time of surgery

    Proportion of patients achieving the predefined pharmacokinetic target at H3, defined as a plasma rezafungin concentration ≥1 mg/L, assessed using both total and free plasma concentrations

    Time frame: At the time of abdominal surgery (within the first 3 hours after rezafungin administration)

  4. Pharmacokinetic target attainment of rezafungin concentration in plasma during the postoperative period

    Proportion of patients achieving the predefined pharmakinetic target at H3, H6, H12, H24 and H48, defined as a plasma rezafungin concentration ≥1 mg/L, assessed using both total and free plasma concentrations

    Time frame: From 0 to 168 hours after the first rezafungin administration

  5. To identify pharmacokinetic factors associated with the attainment of rezafungin target concentrations in plasma

    Association between clinical, biological and treatment-related factors and attainment of the predefined rezafungin pharmacodynamic target at H24 and H48

    Time frame: From 0 to 48 hours after the first rezafungin administration

  6. Association Between Pharmacodynamic Target Attainment and Day-28 In-Hospital Mortality

    In-hospital mortality at Day 28 according to attainment or non-attainment of the predefined pharmacodynamic targets during treatment (H3, H6, H12, H24 and H48), and at H168 according to Candida species

    Time frame: From rezafungin administration to Day 28 post-treatment

07

Study locations

1 site
  • CHRU de Nancy
    Vandœuvre-lès-Nancy, Lorraine 54500, France
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2025 to primary completion in Sep 2026, 10 months.

Of 24 observational studies under Intraabdominal Infections, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 35. This study's 10 months is below that.

Primary completion moved once since we started tracking on Sep 25, 2026: Jul 2026 → Sep 2026, on Oct 2, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Jul 22, 2025
First posted
Jul 30, 2025
StartActual
Nov 14, 2025
Primary completionActual
Sep 24, 2026was Jul 2026
CompletionActual
Sep 24, 2026
Last update
Oct 2, 2026
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.
Status
Recruiting→Completed
changed Oct 2, 2026
Primary completion
Jul 1, 2026→Sep 24, 2026 (actual)
Oct 2, 2026
Study completion
Sep 1, 2026→Sep 24, 2026 (actual)
Oct 2, 2026
Enrollment
20 (estimated)→18 (actual)
Oct 2, 2026
Secondary outcomes
1 edited, 2 added, 2 removed, 1 description edited
What changed in the outcomes
  • EditedTarget AttainmentPharmacokinetic target attainment of rezafungin concentration in Peritoneal Fluidplasma at the Timetime of SurgerysurgeryTime frame: At the time of abdominal surgery (within the first 3 hours after rezafungin administration)
  • AddedPharmacokinetic target attainment of rezafungin concentration in plasma during the postoperative periodTime frame: From 0 to 168 hours after the first rezafungin administration
  • AddedTo identify pharmacokinetic factors associated with the attainment of rezafungin target concentrations in plasmaTime frame: From 0 to 48 hours after the first rezafungin administration
  • RemovedPostoperative Target Attainment in PlasmaTime frame: From 0 to 168 hours after the first rezafungin administration
  • RemovedFactors Associated with Target Attainment in Peritoneal FluidTime frame: From 0 to 48 hours after the first rezafungin administration
  • DescriptionAssociation Between Pharmacodynamic Target Attainment and Day-28 In-Hospital Mortality: how it is measured was reworded
Oct 2, 2026
Show all 1 update
  1. Oct 2, 2026
    Recruiting→Completed
    Primary completion Jul 1, 2026→Sep 24, 2026 (now actual)
    Study completion Sep 1, 2026→Sep 24, 2026 (now actual)
    Enrollment 20 (estimated)→18 (actual)
    Secondary outcomes 1 edited, 2 added, 2 removed, 1 description edited
    What changed in the outcomes
    • EditedTarget AttainmentPharmacokinetic target attainment of rezafungin concentration in Peritoneal Fluidplasma at the Timetime of SurgerysurgeryTime frame: At the time of abdominal surgery (within the first 3 hours after rezafungin administration)
    • AddedPharmacokinetic target attainment of rezafungin concentration in plasma during the postoperative periodTime frame: From 0 to 168 hours after the first rezafungin administration
    • AddedTo identify pharmacokinetic factors associated with the attainment of rezafungin target concentrations in plasmaTime frame: From 0 to 48 hours after the first rezafungin administration
    • RemovedPostoperative Target Attainment in PlasmaTime frame: From 0 to 168 hours after the first rezafungin administration
    • RemovedFactors Associated with Target Attainment in Peritoneal FluidTime frame: From 0 to 48 hours after the first rezafungin administration
    • DescriptionAssociation Between Pharmacodynamic Target Attainment and Day-28 In-Hospital Mortality: how it is measured was reworded
    + 3 other changes: verification date, contact details and site details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07093203
Responsible party
Sponsor
First posted
Jul 30, 2025
Start date
Nov 14, 2025
Primary completion
Sep 24, 2026
Completion
Sep 24, 2026
Last update
Oct 2, 2026

Oversight

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

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This study is completed, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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