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Olorofim

Phase 3

Invasive Aspergillosis | Small molecule | Infectious Disease |IQVIA Holdings, Inc.|Last Updated: Jul 17, 2026

Success Probability

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Trial Design

RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment225

FDA Designations

No designations recorded

Clinical trial landscape

Olorofim · 3 trials · 10 indications

Phase 3 1Phase 2 2
NCT05101187Olorofim Aspergillus Infection StudyInvasive Aspergillosis
ACTIVE NOT_RECRUITING225 Analytics
PHASE3ACTIVE NOT_RECRUITING
Olorofim Aspergillus Infection Study
Invasive AspergillosisUnlock trial analytics

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).

Data Review Committee (DRC) Adjudicated Overall Response at Day 42
Day 42 in the Main Phase of study treatment

The primary efficacy variable was the DRC-adjudicated overall response at the Day 42 Study Visit, as determined by an independent DRC using a combination of clinical, mycological, and radiological results based on European Organization for Research and Treatment of Cancer/Invasive Fungal Infections Cooperative Group and the National Institute of Allergy and Infectious Diseases Mycoses Study Group (EORTC/MSG) criteria. For the primary statistical analysis of overall response rate, values were assigned to the DRC adjudicated overall response as follows: Success (Success-Complete, Success-Partial); Failure (Failure-Stable, Failure-Progression, Death, and participants for whom data at the Day 42 Study Visit could not be collected or participants who were considered not evaluable at the Day 42 Study Visit).

Change from baseline in VF-PRO Mobility domain score
Day 168

Change from baseline in VF-PRO Mobility domain score at the Day 168 (Week 24) study visit.

Change from baseline in VF-PRO Daily Function domain score
Day 168

Change from baseline in VF-PRO Daily Function domain score at the Day 168 (Week 24) study visit.

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)
Olorofim (F901318)EXPERIMENTALOlorofim (F901318) was given orally for up to 90 days in the Main Study Phase and could be continued for those participants entering the Extended Treatment Phase. Patients received fixed doses comprising of a 1-day loading dose of 150 mg of olorofim twice a day followed by a maintenance dose of 90 mg of olorofim twice a day. Up until Protocol Amendment 06, 58 patients received a weight-based olorofim dosing consisting of a 1-day loading dose of 4 mg/kg/day on Day 1, then a maintenance dose of 2.5 mg/kg/day (divided into 2 or 3 doses). The dose was then adjusted based on plasma levels of olorofim with the maximum total daily dose of 300 mg.
Arm A (olorofim, plus Standard of Care)ACTIVE_COMPARATORArm A: receives oral olorofim + Standard of Care
Arm B (placebo comparator, plus Standard of Care)PLACEBO_COMPARATORArm B: receives olorofim-matched placebo + Standard of Care

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.
PlaceboDRUGArm B: Oral olorofim-matched placebo loading dose: 5 tablets (150 mg) to be taken twice daily at a 12-hour (± 1 hour) interval on Day 1 followed by a maintenance dose of 3 tablets (90 mg) to be taken twice daily at 12-hour (± 1 hour) intervals from Day 2 until Day 168 (± 7 days)
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Eligibility Criteria

Age Range18 Years to 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 KingdomEgyptPolandRussiaVietnam
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Frequently asked questions about Olorofim

What is Olorofim used for?

Olorofim is an investigational small molecule being studied for the treatment of invasive fungal infections, including invasive aspergillosis and coccidioidomycosis (Valley fever). It is being evaluated in patients with limited treatment options and in those with progressive or refractory disseminated coccidioidomycosis.

Who is developing Olorofim?

Olorofim is being developed by IQVIA Holdings, Inc. (ticker: IQV). The company is conducting clinical trials to evaluate the drug's safety and efficacy in treating serious fungal infections.

What phase is Olorofim in?

Olorofim is in Phase 2 and Phase 3 clinical development. It is not approved by the FDA and remains investigational. Trials include a Phase 2 study for invasive fungal infections, a Phase 3 study for invasive aspergillosis, and a Phase 2 study for coccidioidomycosis.

What clinical trials is Olorofim in?

Olorofim is being studied in three trials: NCT03583164 (Phase 2, invasive fungal infections, completed), NCT05101187 (Phase 3, invasive aspergillosis, active), and NCT07712484 (Phase 2, coccidioidomycosis, not yet recruiting). These trials are conducted across multiple countries.

Is Olorofim the same as F901318?

Yes, Olorofim is also known as F901318. The Phase 2 trial NCT03583164 is titled 'Evaluate F901318 (Olorofim) Treatment of Invasive Fungal Infections in Participants Lacking Treatment Options,' confirming that F901318 and Olorofim refer to the same drug.