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CD101

Phase 2

Candidemia | Small molecule | Infectious Disease |Cidara Therapeutics, Inc.|Last Updated: May 22, 2024

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials1
Total Enrollment207

FDA Designations

No designations recorded

Clinical trial landscape

CD101 · 3 trials · 6 indications

Phase 2 1Phase 1 2
NCT02734862CD101 Compared to Caspofungin Followed by Oral Step Down in Subjects With Candidemia and/or Invasive Candidiasis-Bridging ExtensionCandidemia
COMPLETED207 Analytics
PHASE2COMPLETED
CD101 Compared to Caspofungin Followed by Oral Step Down in Subjects With Candidemia and/or Invasive Candidiasis-Bridging Extension
CandidemiaUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence of Treatment Emergent Adverse Events [Safety and Tolerability]
From first dose of study drug through Days 45-52 for subjects with candidemia only or Days 52-59 for subjects with IC, with or without candidemia.

Number of Subjects with Incidence of Treatment Emergent Adverse Events based on clinical chemistry, hematology and urine analysis laboratory test, vital sign, physical exams and ECG abnormalities.

Resolution of Systemic Signs Attributable to Candidemia and/or Invasive Candidiasis and Mycological Eradication [Overall Success]
Day 14 (± 1 day)

Number of subjects with mycological eradication and complete resolution of all systemic signs of candidemia and/or invasive candidiasis which were present at baseline

Safety as assessed by the number of subjects with clinically significant adverse events
Up to 2 weeks following last dose of study drug

Number of subjects with clinically significant adverse events (AEs)

Number of subjects with clinically significant adverse events (AEs)
Up to 3 weeks

Secondary Endpoints

Mycological Eradication and Resolution of Systemic Signs
Day 5, and Follow-up (FU Days 45-52 for subjects with candidemia only or Days 52-59 for subjects with IC, with or without candidemia.
Mycological Eradication
Day 5, Day 14 (±1 day), and FU (Days 45-52 for subjects with candidemia only or Days 52-59 for subjects with IC, with or without candidemia)
Clinical Cure
Day 14 (±1 day) and FU (Days 45-52 for subjects with candidemia only or Days 52-59 for subjects with IC, with or without candidemia).
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Group 1EXPERIMENTALSubjects in the CD101 IV treatment group 1 (Part A Only - up to 30 mITT subjects) will receive CD101 IV 400 mg on Day 1 and Day 8, with an optional dose of 400 mg on Day 15 (for all subjects) and an optional dose of 400 mg on Day 22 (only for subjects with IC), if needed. Daily intravenous placebo infusion when not administered CD101. Daily oral placebo as step down.
Group 3ACTIVE_COMPARATORSubjects in the caspofungin group will receive IV caspofungin (a single 70 mg loading dose on Day 1 followed by 50 mg once daily) for ≥3 days up to a maximum of 21 days for subjects with candidemia only and up to a maximum of 28 days for subjects with IC (with or without candidemia). After ≥3 days of IV therapy, subjects in the caspofungin group can be switched to oral step-down therapy of fluconazole (a loading dose of 800 mg \[4 capsules\] on the first day followed by 400 mg \[2 capsules\]/day thereafter). After switch to oral step down before Day 8, subjects in the caspofungin group will receive IV placebo on Day 8 to preserve the study blind.
Group 2EXPERIMENTALSubjects in the CD101 IV treatment group 2 (Part B Only - up to 30 mITT subjects) will receive CD101 IV 400 mg on Day 1 and Day 8, with an optional dose of 200 mg on Day 15 (for all subjects) and an optional dose of 200 mg on Day 22 (only for subjects with IC), if needed. Daily intravenous placebo infusion when not administered CD101. Daily oral placebo as step down.
CD101 IVEXPERIMENTALmultiple ascending dose intravenous infusion
PlaceboPLACEBO_COMPARATORnormal saline

Interventions

NameTypeDescription
CD101DRUGIntravenous antifungal therapy
CaspofunginDRUGIntravenous antifungal therapy
FluconazoleDRUGoral antifungal therapy
intravenous placeboDRUGnormal saline
oral placeboDRUGmicrocrystalline cellulose
CD101 IVDRUGantifungal
PlaceboDRUGNormal saline
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites63

Inclusion Criteria: * mycological diagnosis of candidemia and/or invasive candidiasis from a sample taken less than or equal to 96 hours before randomization (defined as: at least 1 blood culture positive for Candida or positive test for Candida from a sponsor approved rapid diagnostic test or posi...

Countries:United StatesBelgiumBulgariaCanadaGreeceHungaryItalyRomaniaRussiaSpain
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Frequently asked questions about CD101

What is CD101 used for?

CD101 is an investigational small molecule being developed for the treatment of candidemia and invasive candidiasis, as well as for use in healthy subjects in early-phase studies. It is being studied in infectious disease, specifically for fungal infections such as candidemia and fungemia.

What does CD101 target?

CD101 is a small molecule antifungal agent. It is being studied for its activity against Candida species that cause candidemia and invasive candidiasis. The specific molecular target has not been disclosed in the available information.

Who makes CD101?

CD101 is being developed by Cidara Therapeutics, Inc., a biopharmaceutical company. The company's stock is traded under the ticker symbol CDTX on the NASDAQ exchange.

What phase is CD101 in?

CD101 is currently in Phase 2 clinical development. It has completed Phase 1 and Phase 2 trials, with no active trials ongoing. The most advanced study is a Phase 2 trial comparing CD101 to caspofungin in patients with candidemia and/or invasive candidiasis.

What clinical trials is CD101 in?

CD101 has completed three clinical trials. Two Phase 1 studies (NCT02516904 and NCT02551549) evaluated single and multiple ascending doses in healthy subjects. A Phase 2 study (NCT02734862) compared CD101 to caspofungin in patients with candidemia and/or invasive candidiasis, with a total enrollment of 207 participants.

Is CD101 the same as rezafungin?

CD101 is also known as rezafungin. It is an investigational antifungal drug being developed by Cidara Therapeutics. The name CD101 is used in clinical trial registrations, while rezafungin is the international nonproprietary name for the compound.