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Amphotericin B

Phase 3

Candidiasis, Chronic Mucocutaneous | Small molecule | Infectious Disease |Matinas Biopharma Holdings, Inc.|Trials Updated: Aug 7, 2024

Amphotericin B development status

Highest phase Phase 3 (NCT05541107)
Phase scored for MTNBPhase 2
Registered trials 21 across 7 sponsors since Aug 2001

Amphotericin B target and mechanism

ModalitySmall molecule

Also known as Encochleated Amphotericin B, CAMB, MAT2203

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMC
Total Trials3
Total Enrollment319

FDA Designations

No designations recorded

Amphotericin B clinical trials

Amphotericin B · 3 trials · 6 indications

Phase 2 2Phase 1 1
NCT02971007Safety and Efficacy of Oral Encochleated Amphotericin B (CAMB/MAT2203) in the Treatment of Vulvovaginal Candidiasis (VVC)Vulvovaginitis
COMPLETED137 Analytics
NCT02629419CAMB/MAT2203 in Patients With Mucocutaneous CandidiasisCandidiasis, Chronic Mucocutaneous
COMPLETED4 Analytics
PHASE2COMPLETED
Safety and Efficacy of Oral Encochleated Amphotericin B (CAMB/MAT2203) in the Treatment of Vulvovaginal Candidiasis (VVC)
VulvovaginitisUnlock trial analytics
PHASE2COMPLETED
CAMB/MAT2203 in Patients With Mucocutaneous Candidiasis
Candidiasis, Chronic MucocutaneousUnlock trial analytics

Study Endpoints

Primary Endpoints

Clinical Outcome Assessed at Test of Cure Visit
12 days

Number of patients determined to be a Clinical Cure (resolution of the VVC signs and symptoms that were present at baseline without further antifungal treatment); Clinical Failure (incomplete resolution of signs and symptoms of VVC that were present at baseline or new signs and symptoms have developed and require the initiation of non-study antifungal drugs); or Clinical indeterminate (insufficient data are available to determine if the subject is a cure or failure)

Clinical Response to Treatment of Mucocutaneous Candidiasis
14-days at highest titrated dose

Number of subjects with a clinical response of clinical cure or improvement. Clinical cure was defined as absence of signs or symptoms of infection. Clinical improvement was defined as follows: * OPC or EC: partial resolution defined as greater than or equal to 50% of Baseline signs or symptoms * VVC: reduction of greater than or equal to 50% of clinical severity score from Baseline Severity of each symptom was graded on a scale from zero (absence of symptoms) to 3 (severe symptoms). The sum of all scores for all symptoms was used as the clinical severity score. Higher scores mean worse outcomes.

Highest dose tolerated without inducing vomiting
7 days

Proportion of cAMB daily dose received and tolerated without vomiting within 30 minutes.

Evidence of fungicidal activity
2 weeks

CSF early fungicidal activity (EFA) during 2-week induction therapy

Secondary Endpoints

Mycological Outcome Assessed at Test of Cure
12 days
Overall Response
12 Days
Change in Composite Clinical Cure Score
Between randomization visit (Baseline) and Day 12 visit (Test of Cure)
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Study Design & Arms

AllocationRANDOMIZED
MaskingSINGLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
CAMB 200 mgEXPERIMENTAL200 mg CAMB (MAT2203) Oral Amphotericin B
CAMB 400 mgEXPERIMENTAL400 mg CAMB (MAT2203) Oral Amphotericin B
Fluconazole 150 mgACTIVE_COMPARATORFluconazole Diflucan
CAMB (Encochleated Amphotericin B)EXPERIMENTALEncochleated Amphotericin B (200 mg, 400 mg, 800 mg)
Phase 1a single ascending dose studyEXPERIMENTALPhase IA will consist of a single ascending dose study in 9 participants to test three doses to determine the max tolerated dose.
Phase 1b multiple day dosingEXPERIMENTAL9 subjects will receive the Phase Ia 100% tolerated MAT2203 dose for 7 days.
Phase 2 safety and tolerabilityEXPERIMENTALSafety, tolerability, and microbiologic efficacy of MAT2203 among HIV-infected patients with cryptococcal meningitis compared with standard IV AMB.

Interventions

NameTypeDescription
Oral Encochleated Amphotericin B (CAMB)DRUGlipid-crystal nano-particle formulation amphotericin B
FluconazoleDRUG -
Amphotericin BDRUGOral lipid nanocrystal formulation of amphotericin B
MAT2203DRUGEncochleated amphotericin B
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Eligibility Criteria

Age Range18 Years to 65 Years
SexFEMALE
Healthy VolunteersNo
Study Sites23

Key Inclusion Criteria: Informed consent Clinical diagnosis of moderate to severe VVC Negative pregnancy test Vaginal pH less than 4.5 Key Exclusion Criteria: Has an intolerance or hypersensitivity to any amphotericin B (AMB) product, or to azole antifungal drugs Receiving antifungal therapy ...

Countries:United StatesUganda
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Frequently asked questions about Amphotericin B

What is Amphotericin B used for in Chronic Mucocutaneous Candidiasis?

Amphotericin B is being studied for the treatment of Chronic Mucocutaneous Candidiasis, a persistent fungal infection. It is an investigational small molecule in Phase 2 clinical development. The drug is being evaluated for its ability to address this condition, though it is not yet approved for this use.

Who makes Amphotericin B?

Amphotericin B is being developed by Matinas Biopharma Holdings, Inc., a biopharmaceutical company traded on the NYSE American under the ticker symbol MTNB. The company is conducting clinical research on this drug for the treatment of Chronic Mucocutaneous Candidiasis.

What phase is Amphotericin B in?

Amphotericin B is in Phase 2 clinical development for Chronic Mucocutaneous Candidiasis. It is an investigational drug, meaning it has not been approved by regulatory authorities. The Phase 2 study has been completed, and the drug remains under evaluation for this indication.

What clinical trials is Amphotericin B in?

Amphotericin B has one completed Phase 2 clinical trial registered as NCT02629419, titled "CAMB/MAT2203 in Patients With Mucocutaneous Candidiasis." The study enrolled 4 participants in the United States and was an uncontrolled, non-randomized trial. No active trials are currently listed for this drug.

Is Amphotericin B the same as MAT2203?

Amphotericin B is also known as MAT2203, as indicated by the clinical trial title. The Phase 2 study NCT02629419 refers to the drug as CAMB/MAT2203, confirming that MAT2203 is an alternative name for Amphotericin B in this development program.