ClinicalTrials.gg
Not yet recruitingNCT07712484COCCIMETRICSUpdated Sep 22, 2026

A Phase II Randomized Study to Evaluate Measures for Endpoint Derivation in Patients With Progressive or Refractory Disseminated Coccidioidomycosis Treated With Olorofim Plus Baseline Standard of Care or Placebo Plus Baseline Standard of Care

A Phase 2 interventional study of Olorofim and Placebo in Coccidioidomycosis, Disseminated Fungal Infection and Coccidioides Infection, sponsored by F2G Ltd. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-22.

Sponsored by F2G Ltd · Phase 2, Interventional, and Other

Phase
Phase 2
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to test measurement tools (questionnaire about symptoms and a questionnaire about quality of life) to assess usability in the assessment of treatment effectiveness for people with disseminated coccidioidomycosis (DCM).

Read the detailed description

Valley Fever (coccidioidomycosis) is a serious fungal infection that can cause long-lasting symptoms.

Currently marketed antifungal drugs have limitations including limited dosage forms, drug-drug interactions (DDIs), and significant adverse reactions.

Olorofim is an antifungal candidate with a novel mechanism of action offering activity against resistant organisms, differences in safety profile, along with oral route of administration, predictable and reliable pharmacokinetic (PK) profile and limited potential for DDIs.

This study tests whether the Valley Fever-Patient Reported Outcome (VF-PRO) questionnaire can reliably measure symptom impacts and changes over time in patients with severe forms of the disease (disseminated coccidioidomycosis (DCM)). The study will also assess symptoms of DCM and their severity, and whether olorofim, is safe and can help people with DCM when given together with standard antifungal medications (also known as standard-of-care or SOC).

02

Conditions studied

  • Coccidioidomycosis
  • Disseminated Fungal Infection
  • Coccidioides Infection
  • Coccidioides Immitis Infection
  • Coccidioides Posadasii Infection
  • Coccidioidomycosis Infection
  • San Joaquin Valley Fever
  • Valley Fever

Keywords

  • Cocci
  • Coccidioidomycosis
  • Disseminated coccidioidomycosis
  • Olorofim
  • Valley Fever
  • Patient-reported outcomes
  • Valley Fever Patient Reported Outcome
  • Symptom assessment
  • Endpoint development
  • Outcome measure validation
  • Quality of life
  • Fungal infection
  • Invasive fungal disease
03

In context

Coccidioidomycosis

21 studies on the registry are indexed under Coccidioidomycosis; 4 are open to participants now.

This study's planned enrollment of 50 is close to the median of 48 across 13 interventional studies indexed under Coccidioidomycosis.

Browse Coccidioidomycosis studies →

Lead sponsor

F2G Ltd is the lead sponsor of 3 studies on the registry; 2 are open to participants now.

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

04

Who can participate

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

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

  • Male and female patients, English- or Spanish-speaking, aged ≥18 years and weighing ≥40 kg.
  • Patients with progressive or disseminated coccidioidomycosis (DCM) involving extra-pulmonary sites with or without ongoing active disease in lungs.
  • Standard of Care therapy for DCM to date has included 2 different triazoles (with or without a course of intravenous amphotericin B).

Exclusion criteria

Exclusion Criteria:

  • Patients who are unconscious.
  • Women who are pregnant or breastfeeding.
  • Known history of allergy, , or any serious reaction to any component of the study drug.
  • Patients with or planned placement of indwelling CNS devices.
  • Patients receiving intrathecal amphotericin B at the time of study enrolment.
  • Coccidioidomycosis limited to fibro-cavitary pulmonary disease.
  • All bothersome DCM-related symptoms at study entry are due to irreversible damage (e.g., neurologic deficits due to stroke).
  • Other than cutaneous fungal infections treated topically and Pneumocystis jirovecii infections, patients with a second fungal infection requiring systemic antifungal treatment or prophylaxis.
  • Patients with microbiological findings or other potential conditions that are temporally related and suggest a different than study indication etiology for the clinical features.
  • Patients living with (HIV) unless for at least 6 months prior to enrollment:

    1. Are receiving antiretroviral therapy AND
    2. Have no evidence of current clinical progression resulting from HIV infection.
  • Patients who have received prior treatment with olorofim/F901318.
  • Patients receiving treatment limited to supportive care due to predicted short survival time.
  • Patients with a baseline prolongation of using Fridericia's Correction Formula (QTcF) ≥500 msec, or at high risk for QT/QTc prolongation.
  • Evidence of hepatic dysfunction.
Terms in these criteria, in plain language(4)

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.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

05

Study design

Phase
Phase 2
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
50 participants (estimated)

Study arms

  • Active comparator
    Arm A (olorofim, plus Standard of Care)

    Arm A: receives oral olorofim + Standard of Care

    Drug: Olorofim

  • Placebo comparator
    Arm B (placebo comparator, plus Standard of Care)

    Arm B: receives olorofim-matched placebo + Standard of Care

    Drug: Placebo

Interventions

  • Arm A: Oral olorofim loading dose: 5 tablets (150 mg) to be taken twice daily at a 12-hour (± 1 hour) interval on Day 1 followed by a maintenance dose of 3 tablets (90 mg) to be taken twice daily at 12-hour (± 1 hour) intervals from Day 2 until Day 168 (± 7 days)

  • DrugPlacebo

    Arm B: Oral olorofim-matched placebo loading dose: 5 tablets (150 mg) to be taken twice daily at a 12-hour (± 1 hour) interval on Day 1 followed by a maintenance dose of 3 tablets (90 mg) to be taken twice daily at 12-hour (± 1 hour) intervals from Day 2 until Day 168 (± 7 days)

06

What researchers measure

Primary outcomes

  1. Change from baseline in Valley Fever - Patient Reported Outcomes (VF-PRO) Mobility domain score

    Change from baseline in VF-PRO Mobility domain score at the Day 168 (Week 24) study visit. Minimum score: Cannot Do; Maximum score: Not at all difficult. Higher score means more able to do the activities related to Mobility.

    Time frame: Day 168

  2. Change from baseline in Valley Fever - Patient Reported Outcomes (VF-PRO) Daily Function domain score

    Change from baseline in VF-PRO Daily Function domain score at the Day 168 (Week 24) study visit. Minimum score: Cannot Do; Maximum score: Not at all difficult. Higher score means more able to do the activities related to Daily Function.

    Time frame: Day 168

Secondary outcomes

  1. % of patients with a reduction in severity of at least one of their most bothersome baseline DCM-related symptoms

    % of patients with a reduction in severity of at least one of their most bothersome baseline DCM-related symptoms, and no worsening of their other most bothersome baseline DCM-related symptoms, at the Day 28, Day 56, Day 84, Day 112, Day 140 and Day 168 (Weeks 4, 8, 12, 16, 20 and 24) study visits.

    Time frame: Day 28, Day 56, Day 84, Day 112, Day 140, Day 168

  2. To monitor incidence of Adverse Events in both treatment arms

    Time frame: up to the Day 168 study visit and 4-week Follow-up (FU)

  3. To monitor incidence of Serious Adverse Events in both treatment arms.

    Time frame: up to the Day 168 study visit and 4-week Follow-up (FU)

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07712484
Lead sponsor
F2G Ltd
Collaborators
IQVIA RDS Inc.
Responsible party
Sponsor
First posted
Jul 17, 2026
Start date
Dec 2026 (estimated)
Primary completion
Jun 2028 (estimated)
Completion
Jul 2028 (estimated)
Last update
Sep 22, 2026

Study contacts

Angela Wardman
Contact
awardman@f2g.com
+44 (0)161 518 0401
Julia Vassiliadou
Contact
Julia.Vassiliadou@f2g.com
+44 (0)7557 290308
George R. Thompson, MD
principal investigator · University of California, Davis, School of Medicine

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 not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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