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Trial · NCT03816176

A Study to Evaluate Isavuconazonium Sulfate for the Treatment of Invasive Aspergillosis (IA) or Invasive Mucormycosis (IM) in Pediatric Participants

NCT03816176, Phase 2, Completed, Astellas Pharma Global Development, Inc.; results first posted 2023-09-21

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Evaluate Isavuconazonium Sulfate for the Treatment of Invasive Aspergillosis (IA) or Invasive Mucormycosis (IM) in Pediatric Participants. Trials, record NCT03816176. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03816176

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study to Evaluate Isavuconazonium Sulfate for the Treatment of Invasive Aspergillosis (IA) or Invasive Mucormycosis (IM) in Pediatric Participants
NCT number
NCT03816176
Status
Completed
Phases
Phase 2
Enrollment
31 participants, actual
Lead sponsor
Astellas Pharma Global Development, Inc.
Conditions
Invasive Mucormycosis, Invasive Aspergillosis
Interventions
Isavuconazonium sulfate, Isavuconazonium sulfate
First posted
2019-01-25
Last updated
2024-12-05
Other registries' IDs
eudract:2018-003975-36
Results first posted
2023-09-21

Source ClinicalTrials.gov

Registered outcomes11

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants With Treatment Emergent Adverse Events (TEAEs)From first dose to 30 days after the last dose (maximum 210 Days)
An AE is any untoward medical occurrence in a participant administered a study drug, which does not have to have a causal relationship with this treatment. It can be any unfavorable sign, symptom, or disease temporally associated with the use of a medicinal product. TEAE is defined as an AE observed after starting administration of the study drug through 30 days after the last dose.
PrimaryPercentage of Participants With All - Cause Mortality Through Day 42Baseline up to 42 daysAll - Cause Mortality Through Day 42
SecondaryPercentage of Participants With All - Cause MortalityBaseline up to day 84 and end of treatment (EOT) (up to a maximum of 180 days) (Average duration of treatment: 57.7 days)
EOT was defined as anytime from "day 1 to a maximum of day 180". Data reported in the table below for each category, i.e., Day 84 represented data between Day 1 and Day 84 and for EOT, data represented between Day 1 to the EOT day for each individual. Participants who died after EOT assessment but before reaching Day 84 were included in the data for Day 84 category. Only those deaths that occurred after Day 84 would be included in EOT category if the death occurred during the treatment period (i.e. prior to the EOT).
SecondaryPercentage of Participants With Overall Response: Adjudication Committee (AC) AssessmentBaseline up to days 42, 84 and EOT (180 days)
Overall response was based on a composite of clinical, mycological, and radiological responses with success criteria assessed. Success criteria as assessed by AC in: Clinical response: * Complete: Resolution of all attributable clinical symptoms and physical findings * Partial: Resolution of at Least some of the clinical symptoms and physical findings associated with IFD Mycological response: * Eradication: No growth of the original (at baseline) causative organism on culture or identified by histology/cytology on post baseline (after day 7) cultures and/or histology/cytology * Presumed eradication: Missing post baseline documentation of eradication of the original causative organism at baseline PLUS resolution of all or some clinical symptoms/physical finding Radiological response: * Complete: ≥ 90% improvement * Partial: At least \< 25% response at day 42 and at least 50% by Day 84
SecondaryPercentage of Participants With Clinical Response: AC AssessmentBaseline up to days 42, 84 and EOT (180 days)
AC Assessed Clinical response was defined as follows: * Success: Complete (if resolution of all attributable clinical symptoms and physical findings occurs); Partial (if resolution of at least some of the clinical symptoms and physical findings associated with IFD) * Failure: Stable (if minor of no change in clinical symptoms and physical findings associated with IFD); Progression (if worsening or new clinical symptoms and physical findings associated with IFD, or if alternative systemic antifungal treatment is required) * Not Evaluable: If not assessed or no clinical signs or symptoms at baseline * No assessment: Those participants that do not fall under any of the above criteria
SecondaryPercentage of Participants With Clinical Response: Investigator AssessmentBaseline up to days 42, 84 and EOT (180 days)
Investigator-assessed Clinical Response was defined as follows: * Success: if resolution of all attributable signs and symptoms or resolution of attributable clinical symptoms and physical findings * Failure: if no resolution of any attributable signs and symptoms or no resolution of any attributable signs and symptoms (no change) or worsening of any attributable signs and symptoms * Not Evaluable: if results not available /participant unevaluable or if no attributable signs and symptoms * No assessment: Those participants that do not fall under any of the above criteria
SecondaryPercentage of Participants With Radiological Response: AC AssessmentBaseline up to days 42, 84 and EOT (180 days)
AC-assessed Radiological Response was defined as follows: * Success: Complete (if ≥ 90% improvement); Partial (if at least \< 25% response at day 42 and at least 50% response by Day 84) * Failure: Stable (if minor or no change in radiographic abnormalities associated with IFD, but no signs of progression); Progression (if worsening or new radiological abnormalities associated with IRD) * Not Evaluable: if no post baseline radiology available with baseline evidence of radiolical disease Or Radiology not applicable at baseline * No assessment: Those participants that do not fall under any of the above criteria
SecondaryPercentage of Participants With Radiological Response: Investigator AssessmentBaseline up to days 42, 84 and EOT (180 days)
Investigator's assessed radiological response was defined as follows: * Success: if ≥ 90% improvement, ≥ 50% to \< 90% improvement, ≥ 25% to 50% improvement (for Day 42 only) * Failure if \< 25% improvement at any time or no signs or radiological Images * Not Evaluable if results not evaluable or no radiological data available * No assessment: Those participants that do not fall under any of the above criteria
SecondaryPercentage of Participants With Mycological Response: AC AssessmentBaseline up to days 42, 84 and EOT (180 days)
AC assessed mycological response was defined as follows: * Success: Eradicated (no growth of the original \[at baseline\] causative organism on culture or identified by histology/cytology on post baseline \[after day 7\] cultures and/or histology/cytology); Presumed Eradicated (missing post baseline documentation of eradication of the original causative organism at baseline PLUS resolution of all or some clinical symptoms/physical finding) * Failure: Persistence (persistence of the original causative organism cultured or identified by histological /cytology at baseline); Presumed Persistence (missing post baseline documentation of the persistence of the original causative organism at baseline PLUS no resolution or worsening of any clinical symptoms/physical findings) * Not Evaluable - no mycological evidence * No assessment: Those participants that do not fall under any of the above criteria
SecondaryPercentage of Participats With Mycological Response: Investigator AssessmentBaseline up to days 42, 84 and EOT (180 days)
Investigator's assessed mycological response was defined as follows: * Success: Eradicated (no growth of the original \[at baseline\] causative organism on culture or identified by histology/cytology on post baseline \[after day 7\] cultures and/or histology/cytology); Presumed Eradicated (missing post baseline documentation of eradication of the original causative organism at baseline PLUS resolution of all or some clinical symptoms/physical finding) * Failure: Persistence (persistence of the original causative organism cultured or identified by histological /cytology at baseline); Presumed Persistence (missing post baseline documentation of the persistence of the original causative organism at baseline PLUS no resolution or worsening of any clinical symptoms/physical findings) * Not Evaluable: Indeterminate/no mycological follow-up or results available * No assessment: Those participants that do not fall under any of the above criteria

Outcomes11

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With Treatment Emergent Adverse Events (TEAEs)From first dose to 30 days after the last dose (maximum 210 Days)The safety analysis set (SAF) consisted of all participant who were enrolled and received at least one dose of study drug.ParticipantsNUMBER
PRIMARYPercentage of Participants With All - Cause Mortality Through Day 42Baseline up to 42 daysFAS populationPercentage of participantsNUMBER
SECONDARYPercentage of Participants With All - Cause MortalityBaseline up to day 84 and end of treatment (EOT) (up to a maximum of 180 days) (Average duration of treatment: 57.7 days)FAS populationPercentage of participantsNUMBER
SECONDARYPercentage of Participants With Overall Response: Adjudication Committee (AC) AssessmentBaseline up to days 42, 84 and EOT (180 days)FAS populationPercentage of partticipantsNUMBER
SECONDARYPercentage of Participants With Clinical Response: AC AssessmentBaseline up to days 42, 84 and EOT (180 days)FAS population. If participant did not reach Day 42 or Day 84 of therapy then the AC did not perform these assessments.Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Clinical Response: Investigator AssessmentBaseline up to days 42, 84 and EOT (180 days)FAS population. If participant did not reach Day 42 or Day 84 of therapy then the investigator did not perform these assessments.Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Radiological Response: AC AssessmentBaseline up to days 42, 84 and EOT (180 days)FAS population. If participant did not reach Day 42 or Day 84 of therapy then the AC did not perform these assessments.Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Radiological Response: Investigator AssessmentBaseline up to days 42, 84 and EOT (180 days)FAS population. If participant did not reach Day 42 or Day 84 of therapy then the investigator did not perform these assessments.Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Mycological Response: AC AssessmentBaseline up to days 42, 84 and EOT (180 days)FAS population. If participant did not reach Day 42 or Day 84 of therapy then the AC did not perform these assessments.Percentage of participantsNUMBER
SECONDARYPercentage of Participats With Mycological Response: Investigator AssessmentBaseline up to days 42, 84 and EOT (180 days)FAS population. If participant did not reach Day 42 or Day 84 of therapy then the investigator did not perform these assessments.Percentage of ParticipantsNUMBER

Results by group85

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Treatment Emergent Adverse Events (TEAEs)Isavuconazonium Sulfate29Participants
Percentage of Participants With All - Cause Mortality Through Day 42Isavuconazonium Sulfate6.595% Confidence Interval 0.79 to 21.42Percentage of participants
Percentage of Participants With All - Cause MortalityIsavuconazonium SulfateDay 849.795% Confidence Interval 2.04 to 25.75Percentage of participants
Percentage of Participants With All - Cause MortalityIsavuconazonium SulfateEOT0.0095% Confidence Interval 0.00 to 0.00Percentage of participants
Percentage of Participants With Overall Response: Adjudication Committee (AC) AssessmentIsavuconazonium SulfateDay 4229.0Percentage of partticipants
Percentage of Participants With Overall Response: Adjudication Committee (AC) AssessmentIsavuconazonium SulfateDay 8425.8Percentage of partticipants
Percentage of Participants With Overall Response: Adjudication Committee (AC) AssessmentIsavuconazonium SulfateEOT54.8Percentage of partticipants
Percentage of Participants With Clinical Response: AC AssessmentIsavuconazonium SulfateDay 42 Success0Percentage of participants
Percentage of Participants With Clinical Response: AC AssessmentIsavuconazonium SulfateDay 42 Failure0Percentage of participants
Percentage of Participants With Clinical Response: AC AssessmentIsavuconazonium SulfateDay 42 Not Evaluable58.06Percentage of participants

Participant flow3

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDIsavuconazonium Sulfate31
Overall StudyCOMPLETEDIsavuconazonium Sulfate19
Overall StudyNOT COMPLETEDIsavuconazonium Sulfate12

Adverse events85

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersIsavuconazonium Sulfate3316
otherLymphopeniaBlood and lymphatic system disordersIsavuconazonium Sulfate3313
otherNeutropeniaBlood and lymphatic system disordersIsavuconazonium Sulfate2314
otherThrombocytopeniaBlood and lymphatic system disordersIsavuconazonium Sulfate3313
otherTachycardiaCardiac disordersIsavuconazonium Sulfate3313
otherEar painEar and labyrinth disordersIsavuconazonium Sulfate2313
otherAbdominal distensionGastrointestinal disordersIsavuconazonium Sulfate3313
otherAbdominal painGastrointestinal disordersIsavuconazonium Sulfate3313
otherAphthous ulcerGastrointestinal disordersIsavuconazonium Sulfate4317
otherConstipationGastrointestinal disordersIsavuconazonium Sulfate3313

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityIsavuconazonium Sulfate331
Total, other adverse eventsIsavuconazonium Sulfate2831
Total, serious adverse eventsIsavuconazonium Sulfate1831

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
39540734DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03816176

GET https://conductscience.org/api/trials/v1/NCT03816176/results?page=2