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Olorofim

Phase 3

Invasive Aspergillosis | Small molecule | Other |IQVIA Holdings, Inc.|Last Updated: Jan 6, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment225
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05101187Olorofim Aspergillus Infection StudyPHASE3 ACTIVE NOT_RECRUITING 225Mar 31, 2022Nov 1, 2026Jan 6, 2026140 United States, Australia +18
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Study Endpoints
Primary Endpoints
All-cause mortality
Treatment Day 42

To compare all-cause mortality (ACM) at Day 42 following treatment with olorofim versus treatment with AmBisome® followed by standard of care (SOC) in the intent-to-treat (ITT) population of patients with Invasive Fungal Disease (IFD) caused by proven Invasive Aspergillosis (IA) at any site or probable lower respiratory tract disease (LRTD) Aspergillus species (invasive aspergillosis, IA).

Secondary Endpoints
Adjudicated Assessment of Overall outcome
Day 42, Day 84, and End of Treatment (anytime during the study between first administration and Day 84)
Investigator-assessed overall response
Day 14, Day 28, Day 42, Day 84, EOT (End of Treatment - Maximum Treatment 84 days [± 7 Days]), and 4-week Follow-up (FU).
To compare the effects of treatment with olorofim versus treatment with AmBisome® followed by SOC on Galactomannan index.
Day 14, Day 28, Day 42, Day 84, EOT (End of Treatment - Maximum Treatment 84 days [± 7 Days]) and 4-week Follow-up (FU)
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Study Design & Arms
AllocationRANDOMIZED
MaskingSINGLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
OlorofimACTIVE_COMPARATOROlorofim versus AmBisome followed by Standard of Care (SOC)
AmBisomeACTIVE_COMPARATOROlorofim versus AmBisome followed by Standard of Care (SOC)
Interventions
NameTypeDescription
OlorofimDRUGLoading Dose: 5 tablets (150 mg) to be taken twice daily at a 12-hour (± 1 hour) interval on Day 1 Maintenance Dose: 3 tablets (90 mg) to be taken twice daily at 12-hour (± 1 hour) intervals from Day 2 until Day 84 (± 7 days)
AmBisome®DRUGInitial course of at least 10 days of AmBisome® administered daily at a dose of 3 mg/kg by IV infusion over a 30- to 60-minute period or according to local guidelines Administration of SOC will follow international, national, or local guidelines and product labelling.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites140

Inclusion Criteria: 1. Male and female patients ages over 18 years and weighing more than 30 kg 2. Patients with proven IA at any site or probable LRTD IA per EORTC/MSG 2019 criteria as adapted for this study and where the duration of specific therapy for this episode of IA has been ≤ 28 days. For ...

Countries:United StatesAustraliaBelgiumBrazilCanadaChinaFranceGermanyIsraelItalyJapanNetherlandsNew ZealandSingaporeSouth KoreaSpainTaiwanThailandTurkey (Türkiye)United Kingdom
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Recent Changes (Last 90 Days)
LOWMay 24, 2026NCT05101187studyFirstPostDate: changed