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RADIANT: CD101 vs Standard of Care in Subjects With Acute Vaginal Yeast Infections

Primary Purpose

Candidiasis, Vulvovaginal, Mycoses, Yeast Infection

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
CD101 Vaginal Gel (3%)
CD101 External gel (1%)
CD101 Vaginal Ointment (6%)
CD101 External ointment (1%)
Fluconazole
Sponsored by
Cidara Therapeutics Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Candidiasis, Vulvovaginal

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • moderate to severe acute vulvovaginal candidiasis (severity score >7)
  • positive potassium hydroxide wet preparation for pseudohyphae or budding yeast or positive Becton Dickinson Affirm test or positive vaginal culture for Candida species
  • vaginal pH <4.5 for subjects with positive potassium hydroxide wet preparation
  • able to give written informed consent

Exclusion Criteria:

  • receipt of intravaginal or systemic antifungal therapy within 7 days of randomization
  • known or suspected infectious causes of vulvovaginitis other than candidiasis
  • history of genital herpes
  • planned treatment or surgery during the study period for cervical intraepithelial neoplasia or cervical carcinoma
  • need for non-protocol systemic or vaginal antifungal therapy
  • history of hypersensitivity or allergic reaction to echinocandins, azoles, or their excipients
  • pregnant females
  • females who are breast feeding
  • women intending to become pregnant during the study period
  • recent use of an investigational medicinal product within 28 days or presence of an investigational device at the time of screening
  • subjects who use or anticipate use of intravaginal products
  • have any condition that the Investigator believes would put the subject at risk for participation or would confound the results of the study

Sites / Locations

  • University of Alabama at Birmingham
  • Precision Trials AZ LLC
  • The Women's Clinical, P.A.
  • Women's Health Care Research Corp
  • Olympian Clinical Research
  • Women's Medical Research
  • Altus Research Inc
  • New Age Medical Research Corporation
  • Augusta University
  • Clinical Trials Management LLC
  • Tolan Park Clinic
  • Saginaw Valley Medical Research Group LLC
  • Alliance Women's Research Group LLC
  • Lawrence OB GYN Clinical Research LLC
  • ProHEALTH Care Associates, LLP
  • Eastern Carolina Women's Center
  • Hawthorne Medical Research Inc
  • Unified Women's Clinical Research - Hickory
  • Aventiv Research Inc
  • Drexel University College of Medicine
  • TMC Life Research Inc.
  • Clinical Trials of Texas Inc
  • Tidewater Clinical Research, Inc
  • Seattle Women's Health, Research, Gynecology

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

Cohort 1

Cohort 2

Cohort 3

Arm Description

CD101 Vaginal Gel (3%) topically self-administered intravaginally as a single dose on days 1 and 2 and for symptomatic relief CD101 External Gel (1%)topically self-applied to external vulva up to twice per day over 72 hours.

CD101 Vaginal Ointment (6%) topically self-administered intravaginally as a single dose on day 1 and for symptomatic relief CD101 External Ointment (1%) topically self-applied to external vulva up to twice per day over 72 hours.

Oral fluconazole (150mg) administered on day 1.

Outcomes

Primary Outcome Measures

Number of Subjects with Incidence of Treatment Emergent Adverse Events [Safety and Tolerability]
adverse events, clinical chemistry and hematology, pelvic exams

Secondary Outcome Measures

Change in Vulvovaginal Scoring System
Change in clinical signs and subject symptoms of VVC
Change in Vulvovaginal Scoring System
Change in clinical signs and subject symptoms of VVC
Change in Vulvovaginal Scoring System
Change in clinical signs and subject symptoms of VVC
Mycological Culture
Culture negative for Candida
Mycological Culture
Culture negative Candida
Mycological Culture
Culture negative Candida

Full Information

First Posted
March 28, 2016
Last Updated
August 21, 2020
Sponsor
Cidara Therapeutics Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02733432
Brief Title
RADIANT: CD101 vs Standard of Care in Subjects With Acute Vaginal Yeast Infections
Official Title
A Phase 2, Multicenter, Randomized, Active-controlled Study of the Safety and Tolerability of Two Formulations of CD101 Compared to Fluconazole for the Treatment of Moderate to Severe Episodes of Acute Vulvovaginal Candidiasis
Study Type
Interventional

2. Study Status

Record Verification Date
March 2018
Overall Recruitment Status
Completed
Study Start Date
June 8, 2016 (Actual)
Primary Completion Date
November 23, 2016 (Actual)
Study Completion Date
December 23, 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Cidara Therapeutics Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine if two topical formulations of CD101 are safe and effective in the treatment of acute moderate to severe vulvovaginal candidiasis (VVC) compared to oral fluconazole.
Detailed Description
This is a Phase 2, multicenter, randomized, open-label, sponsor-blind, active-controlled, dose-ranging trial of female subjects with an acute moderate to severe episode of vulvovaginal candidiasis. Subjects will be randomized to 1 of 3 treatment arms; CD101 gel, CD101 ointment, or oral fluconazole. After randomization, subjects will be seen on Day 7 (+/-2 days), Day 14 (+/- 2 days), & Day 28 (+/-7 days) to assess therapeutic cure and safety.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Candidiasis, Vulvovaginal, Mycoses, Yeast Infection, Moniliasis, Vulvovaginal, Vaginitis, Monilial

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Masking Description
Sponsor blinded
Allocation
Randomized
Enrollment
126 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
CD101 Vaginal Gel (3%) topically self-administered intravaginally as a single dose on days 1 and 2 and for symptomatic relief CD101 External Gel (1%)topically self-applied to external vulva up to twice per day over 72 hours.
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
CD101 Vaginal Ointment (6%) topically self-administered intravaginally as a single dose on day 1 and for symptomatic relief CD101 External Ointment (1%) topically self-applied to external vulva up to twice per day over 72 hours.
Arm Title
Cohort 3
Arm Type
Active Comparator
Arm Description
Oral fluconazole (150mg) administered on day 1.
Intervention Type
Drug
Intervention Name(s)
CD101 Vaginal Gel (3%)
Intervention Description
CD101 Vaginal Gel (3%) intravaginally applied topical gel on Days 1 and 2
Intervention Type
Drug
Intervention Name(s)
CD101 External gel (1%)
Intervention Description
CD101 external gel (1%) applied topically twice daily over 72 hours as needed
Intervention Type
Drug
Intervention Name(s)
CD101 Vaginal Ointment (6%)
Intervention Description
CD101 vaginal ointment (6%) intravaginally applied topical ointment on Day 1
Intervention Type
Drug
Intervention Name(s)
CD101 External ointment (1%)
Intervention Description
CD101 external ointment (1%) applied topically twice daily over 72 hours as needed
Intervention Type
Drug
Intervention Name(s)
Fluconazole
Intervention Description
oral fluconazole (150mg) on Day 1
Primary Outcome Measure Information:
Title
Number of Subjects with Incidence of Treatment Emergent Adverse Events [Safety and Tolerability]
Description
adverse events, clinical chemistry and hematology, pelvic exams
Time Frame
Day 28 - 35
Secondary Outcome Measure Information:
Title
Change in Vulvovaginal Scoring System
Description
Change in clinical signs and subject symptoms of VVC
Time Frame
Day 7 (+/- 2days)
Title
Change in Vulvovaginal Scoring System
Description
Change in clinical signs and subject symptoms of VVC
Time Frame
Day 14 (+/- 2days)
Title
Change in Vulvovaginal Scoring System
Description
Change in clinical signs and subject symptoms of VVC
Time Frame
Day 28 - 35
Title
Mycological Culture
Description
Culture negative for Candida
Time Frame
Day 7 (+/- 2days)
Title
Mycological Culture
Description
Culture negative Candida
Time Frame
Day 14 (+/- 2days)
Title
Mycological Culture
Description
Culture negative Candida
Time Frame
Day 28 -35

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: moderate to severe acute vulvovaginal candidiasis (severity score >7) positive potassium hydroxide wet preparation for pseudohyphae or budding yeast or positive Becton Dickinson Affirm test or positive vaginal culture for Candida species vaginal pH <4.5 for subjects with positive potassium hydroxide wet preparation able to give written informed consent Exclusion Criteria: receipt of intravaginal or systemic antifungal therapy within 7 days of randomization known or suspected infectious causes of vulvovaginitis other than candidiasis history of genital herpes planned treatment or surgery during the study period for cervical intraepithelial neoplasia or cervical carcinoma need for non-protocol systemic or vaginal antifungal therapy history of hypersensitivity or allergic reaction to echinocandins, azoles, or their excipients pregnant females females who are breast feeding women intending to become pregnant during the study period recent use of an investigational medicinal product within 28 days or presence of an investigational device at the time of screening subjects who use or anticipate use of intravaginal products have any condition that the Investigator believes would put the subject at risk for participation or would confound the results of the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Alena Jandourek, MD
Organizational Affiliation
Cidara Therapeutics
Official's Role
Study Director
Facility Information:
Facility Name
University of Alabama at Birmingham
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35294
Country
United States
Facility Name
Precision Trials AZ LLC
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85032
Country
United States
Facility Name
The Women's Clinical, P.A.
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72205
Country
United States
Facility Name
Women's Health Care Research Corp
City
San Diego
State/Province
California
ZIP/Postal Code
92111
Country
United States
Facility Name
Olympian Clinical Research
City
Clearwater
State/Province
Florida
ZIP/Postal Code
33756
Country
United States
Facility Name
Women's Medical Research
City
Clearwater
State/Province
Florida
ZIP/Postal Code
33759
Country
United States
Facility Name
Altus Research Inc
City
Lake Worth
State/Province
Florida
ZIP/Postal Code
33461
Country
United States
Facility Name
New Age Medical Research Corporation
City
Miami
State/Province
Florida
ZIP/Postal Code
33186
Country
United States
Facility Name
Augusta University
City
Augusta
State/Province
Georgia
ZIP/Postal Code
30912
Country
United States
Facility Name
Clinical Trials Management LLC
City
Metairie
State/Province
Louisiana
ZIP/Postal Code
70006
Country
United States
Facility Name
Tolan Park Clinic
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48201
Country
United States
Facility Name
Saginaw Valley Medical Research Group LLC
City
Saginaw
State/Province
Michigan
ZIP/Postal Code
48604
Country
United States
Facility Name
Alliance Women's Research Group LLC
City
Delran
State/Province
New Jersey
ZIP/Postal Code
08075
Country
United States
Facility Name
Lawrence OB GYN Clinical Research LLC
City
Lawrenceville
State/Province
New Jersey
ZIP/Postal Code
08648
Country
United States
Facility Name
ProHEALTH Care Associates, LLP
City
Port Jefferson
State/Province
New York
ZIP/Postal Code
11777
Country
United States
Facility Name
Eastern Carolina Women's Center
City
New Bern
State/Province
North Carolina
ZIP/Postal Code
28562
Country
United States
Facility Name
Hawthorne Medical Research Inc
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27103
Country
United States
Facility Name
Unified Women's Clinical Research - Hickory
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27103
Country
United States
Facility Name
Aventiv Research Inc
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43123
Country
United States
Facility Name
Drexel University College of Medicine
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19102
Country
United States
Facility Name
TMC Life Research Inc.
City
Houston
State/Province
Texas
ZIP/Postal Code
77054
Country
United States
Facility Name
Clinical Trials of Texas Inc
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Tidewater Clinical Research, Inc
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23502
Country
United States
Facility Name
Seattle Women's Health, Research, Gynecology
City
Seattle
State/Province
Washington
ZIP/Postal Code
98105
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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RADIANT: CD101 vs Standard of Care in Subjects With Acute Vaginal Yeast Infections

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