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A Phase 3, Multicenter, Prospective, Randomized, Double-blind Study of Two Treatment Regimens for Candidemia and/or Invasive Candidiasis: Intravenous Echinocandin followed by Oral Ibrexafungerp versus Intravenous Echinocandin followed by Oral Fluconazole (MARIO)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2024-511755-18-00
Acronym
SCY-078-302
Enrollment
72
Registered
2024-06-19
Start date
2022-12-23
Completion date
2025-10-14
Last updated
2025-09-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Invasive Candidiasis/ Candidemia

Brief summary

All-cause Mortality (ACM) at Day 30 in the ITT population. The percentage of subjects with Successful Global Response, as determined by the DRC at EOT (European Union [EU] only).

Detailed description

Key secondary endpoint: The percentage of subjects with Successful Global Response, as determined by the DRC (based on clinical response as determined by the PI, mycological response and radiological response [when applicable]) at Day 14., Efficacy Endpoints: The percentage of subjects with Successful Global Response at Day 30 and EOT as determined by the PI and the DRC., Efficacy Endpoints: The percentage of subjects with Successful Clinical Response at Day 14, Day 30 and EOT as determined by the PI and the DRC., Efficacy Endpoints: The percentage of subjects with Successful Mycological Response at Day 14, Day 30 and EOT as determined by the DRC., Efficacy Endpoints: The percentage of subjects with no recurrence at 2 weeks and 6 weeks after EOT as determined by the DRC., Efficacy Endpoints: The percentage of subjects alive with Successful Global Response at EOT and no recurrence at 6 weeks after EOT as determined by the DRC., Safety Endpoints: Frequency of treatment-emergent adverse events (TEAEs), drug-related adverse events, discontinuations due to AEs, serious adverse events (SAEs), and safety laboratory assessments., PK Endpoint: Description of ibrexafungerp plasma concentrations.

Interventions

DRUGPlacebo for ibrexafungerp 250 mg (tablet)
DRUGFluconazole TEVA 200 mg harde capsules
DRUGMICAFUNGIN
DRUGVORICONAZOLE
DRUGANIDULAFUNGIN
DRUGFLUCONAZOLE
DRUGCASPOFUNGIN
DRUGFluconazol-GRY 200 mg Hartkapseln
DRUGPlacebo for fluconazole 200 mg (capsule)

Sponsors

Scynexis Inc.
Lead SponsorINDUSTRY

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Design outcomes

Primary

MeasureTime frame
All-cause Mortality (ACM) at Day 30 in the ITT population. The percentage of subjects with Successful Global Response, as determined by the DRC at EOT (European Union [EU] only).

Secondary

MeasureTime frame
Key secondary endpoint: The percentage of subjects with Successful Global Response, as determined by the DRC (based on clinical response as determined by the PI, mycological response and radiological response [when applicable]) at Day 14., Efficacy Endpoints: The percentage of subjects with Successful Global Response at Day 30 and EOT as determined by the PI and the DRC., Efficacy Endpoints: The percentage of subjects with Successful Clinical Response at Day 14, Day 30 and EOT as determined by the PI and the DRC., Efficacy Endpoints: The percentage of subjects with Successful Mycological Response at Day 14, Day 30 and EOT as determined by the DRC., Efficacy Endpoints: The percentage of subjects with no recurrence at 2 weeks and 6 weeks after EOT as determined by the DRC., Efficacy Endpoints: The percentage of subjects alive with Successful Global Response at EOT and no recurrence at 6 weeks after EOT as determined by the DRC., Safety Endpoints: Frequency of treatment-emergent adverse e

Countries

Belgium, Bulgaria, France, Germany, Greece, Italy, Spain

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 4, 2026