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A Study to Evaluate the Efficacy and Safety of SHR8008 vs. Fluconazole in Subjects With Recurrent Vulvovaginal Candidiasis

Primary Purpose

Recurrent Vulvovaginal Candidiasis

Status
Unknown status
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
SHR8008
Fluconazole
Sponsored by
Jiangsu HengRui Medicine Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Recurrent Vulvovaginal Candidiasis

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  1. Females, ≥18 and ≤75 years old.
  2. Have a history of RVVC at screening.
  3. Suitable for oral therapy and able to swallow capsules intact.
  4. Subjects of childbearing potential must use highly effective contraceptive measures throughout the study.
  5. Willing to sign the informed consent form to participate in this study.

Exclusion Criteria:

  1. Presence of concomitant vulvovaginitis caused by other pathogens.
  2. Have a history of cervical cancer, or "cervical intraepithelial neoplasia or malignancy" or "atypical squamous cells of undetermined significance (ASCUS)" as indicated by Pap test or other tests reported within 1 year before screening (not applicable to subjects with a history of total hysterectomy).
  3. Any condition that, in the opinion of the investigator, could impact drug absorption, distribution, or elimination.
  4. Moderate to severe hepatic and/or renal disorders.
  5. Significant laboratory abnormality at screening.
  6. QTc interval greater than 470 ms or other clinically significant ECG abnormality at screening.
  7. Have received systemic or vulvovaginal antifungal drugs, antibacterials, antitrichomonal, CYP3A4 substrates or inducers or inhibitors, and vulvovaginal corticosteroids within 7 days prior to randomization.
  8. Have received any estrogen replacement therapy or vaginal topical products.
  9. Have received systemic corticosteroid therapy within 30 days or systemic immunosuppressant therapy within 90 days prior to randomization;
  10. Have planned surgery or other medical procedures that may impact compliance with the protocol;
  11. Known history of hypersensitivity or intolerance to azole antifungal drugs.
  12. History of narcotic or drug abuse or alcoholism, or any other medical, psychiatric or social condition that in the investigator's opinion could preclude compliance with the protocol.
  13. Women who are pregnant or lactating, or planning to become pregnant during the study period.
  14. Have received VT-1161 study medication in a previous study or received any investigational medicinal product (IMP) in a clinical study within 5 half-lives of that IMP prior to screening (if the half-life is unknown, 60 days prior to screening);
  15. other conditions unsuitable for participation in the study.

Sites / Locations

  • Peking Union Medical College HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

SHR8008

Fluconazole

Arm Description

Outcomes

Primary Outcome Measures

The proportion of subjects with one or more culture-verified VVC episodes during the study.

Secondary Outcome Measures

The proportion of subjects with resolved VVC episode (clinical signs and symptoms score of < 3) during induction phase
The proportion of subjects with 2 culture-verified VVC episodes during the study.
The proportion of subjects with ≥ 3 culture-verified VVC episodes during the study.
The proportion of subjects with one or more culture-verified VVC episodes during the maintenance phase and follow-up phase.
Time to first recurrence of a culture-verified VVC episode during the maintenance phase and follow-up phase.
The proportion of subjects with at least one positive culture for Candida species during the maintenance phase and follow-up phase
The proportion of subjects receiving rescue treatment during the maintenance phase and follow-up phase.
The proportion of subjects with clinical cure (defined as the absence of all signs and symptoms of VVC) at the end of induction phase .
The proportion of subjects with mycological cure (defined as vaginal swab culture negative for growth of Candida species) at the end of induction phase.
The proportion of subjects with therapeutic cure (clinical cure plus mycological cure) at the end of induction phase.
The proportion of subjects with therapeutic cure, clinical cure, and mycological cure during the maintenance phase.
The proportion of subjects with one or more culture-verified VVC episode during the maintenance phase
The proportion of subjects with at least one positive culture for Candida species during the maintenance phase
The proportion of subjects with one or more culture-verified VVC episode during the maintenance phase
The proportion of subjects with at least one positive culture for Candida species during the maintenance phase
The proportion of subjects with one or more culture-verified VVC episodes during the follow-up phase.
The proportion of subjects with at least one positive culture for Candida species during the follow-up phase

Full Information

First Posted
September 29, 2021
Last Updated
September 29, 2021
Sponsor
Jiangsu HengRui Medicine Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05074602
Brief Title
A Study to Evaluate the Efficacy and Safety of SHR8008 vs. Fluconazole in Subjects With Recurrent Vulvovaginal Candidiasis
Official Title
A Randomized, Double-Blind, Double-Dummy, Parallel Fluconazole Controlled, Multicenter Phase III Clinical Study to Evaluate the Efficacy and Safety of SHR8008 vs. Fluconazole in Subjects With Recurrent Vulvovaginal Candidiasis (RVVC)
Study Type
Interventional

2. Study Status

Record Verification Date
September 2021
Overall Recruitment Status
Unknown status
Study Start Date
September 14, 2021 (Actual)
Primary Completion Date
September 30, 2023 (Anticipated)
Study Completion Date
September 30, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Jiangsu HengRui Medicine Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the Efficacy and Safety of SHR8008 capsule In Subjects With Recurrent Vulvovaginal Candidiasis

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Recurrent Vulvovaginal Candidiasis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Model Description
A Randomized, Double-Blind, active controlled, parallel groups, Multicenter Phase III Clinical Study
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
196 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
SHR8008
Arm Type
Experimental
Arm Title
Fluconazole
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
SHR8008
Intervention Description
Dosing frequency: During Part 1, administered orally once daily for 2 days. During Part 2, administered orally once weekly for 11 weeks starting from Week 3, Route of administration: oral
Intervention Type
Drug
Intervention Name(s)
Fluconazole
Intervention Description
Dosing frequency: During Part 1, administered orally 3 sequential doses (every 72 hours), During Part 2, administered orally once weekly for 6 Months starting from Week 3. Route of administration: oral
Primary Outcome Measure Information:
Title
The proportion of subjects with one or more culture-verified VVC episodes during the study.
Time Frame
50 weeks
Secondary Outcome Measure Information:
Title
The proportion of subjects with resolved VVC episode (clinical signs and symptoms score of < 3) during induction phase
Time Frame
Day 14
Title
The proportion of subjects with 2 culture-verified VVC episodes during the study.
Time Frame
week 50
Title
The proportion of subjects with ≥ 3 culture-verified VVC episodes during the study.
Time Frame
week 50
Title
The proportion of subjects with one or more culture-verified VVC episodes during the maintenance phase and follow-up phase.
Time Frame
Week 3 through Week 50
Title
Time to first recurrence of a culture-verified VVC episode during the maintenance phase and follow-up phase.
Time Frame
Week 3 through Week 50
Title
The proportion of subjects with at least one positive culture for Candida species during the maintenance phase and follow-up phase
Time Frame
Week 3 through Week 50
Title
The proportion of subjects receiving rescue treatment during the maintenance phase and follow-up phase.
Time Frame
Week 3 through Week 50
Title
The proportion of subjects with clinical cure (defined as the absence of all signs and symptoms of VVC) at the end of induction phase .
Time Frame
Day 14
Title
The proportion of subjects with mycological cure (defined as vaginal swab culture negative for growth of Candida species) at the end of induction phase.
Time Frame
Day 14
Title
The proportion of subjects with therapeutic cure (clinical cure plus mycological cure) at the end of induction phase.
Time Frame
Day 14
Title
The proportion of subjects with therapeutic cure, clinical cure, and mycological cure during the maintenance phase.
Time Frame
Day 14
Title
The proportion of subjects with one or more culture-verified VVC episode during the maintenance phase
Time Frame
Week 3 through Week 13
Title
The proportion of subjects with at least one positive culture for Candida species during the maintenance phase
Time Frame
Week 3 through Week 13
Title
The proportion of subjects with one or more culture-verified VVC episode during the maintenance phase
Time Frame
Week 3 through Week 26
Title
The proportion of subjects with at least one positive culture for Candida species during the maintenance phase
Time Frame
Week 3 through Week 26
Title
The proportion of subjects with one or more culture-verified VVC episodes during the follow-up phase.
Time Frame
Week 27 through Week 50
Title
The proportion of subjects with at least one positive culture for Candida species during the follow-up phase
Time Frame
Week 27 through Week 50

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Females, ≥18 and ≤75 years old. Have a history of RVVC at screening. Suitable for oral therapy and able to swallow capsules intact. Subjects of childbearing potential must use highly effective contraceptive measures throughout the study. Willing to sign the informed consent form to participate in this study. Exclusion Criteria: Presence of concomitant vulvovaginitis caused by other pathogens. Have a history of cervical cancer, or "cervical intraepithelial neoplasia or malignancy" or "atypical squamous cells of undetermined significance (ASCUS)" as indicated by Pap test or other tests reported within 1 year before screening (not applicable to subjects with a history of total hysterectomy). Any condition that, in the opinion of the investigator, could impact drug absorption, distribution, or elimination. Moderate to severe hepatic and/or renal disorders. Significant laboratory abnormality at screening. QTc interval greater than 470 ms or other clinically significant ECG abnormality at screening. Have received systemic or vulvovaginal antifungal drugs, antibacterials, antitrichomonal, CYP3A4 substrates or inducers or inhibitors, and vulvovaginal corticosteroids within 7 days prior to randomization. Have received any estrogen replacement therapy or vaginal topical products. Have received systemic corticosteroid therapy within 30 days or systemic immunosuppressant therapy within 90 days prior to randomization; Have planned surgery or other medical procedures that may impact compliance with the protocol; Known history of hypersensitivity or intolerance to azole antifungal drugs. History of narcotic or drug abuse or alcoholism, or any other medical, psychiatric or social condition that in the investigator's opinion could preclude compliance with the protocol. Women who are pregnant or lactating, or planning to become pregnant during the study period. Have received VT-1161 study medication in a previous study or received any investigational medicinal product (IMP) in a clinical study within 5 half-lives of that IMP prior to screening (if the half-life is unknown, 60 days prior to screening); other conditions unsuitable for participation in the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Yong Cao, M.D
Phone
+0518-81220121
Email
yong.cao@hengrui.com
Facility Information:
Facility Name
Peking Union Medical College Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100005
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jinghe Lang, Bachelor
Phone
+86-10-69156699
Email
langjh@hotmail.com

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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A Study to Evaluate the Efficacy and Safety of SHR8008 vs. Fluconazole in Subjects With Recurrent Vulvovaginal Candidiasis

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