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Encochleated Amphotericin B

Phase 3

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

Encochleated Amphotericin B development status

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

Encochleated Amphotericin B target and mechanism

ModalitySmall molecule

Also known as Oral Encochleated Amphotericin B (CAMB), Amphotericin B, CAMB, MAT2203

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials3
Total Enrollment319

FDA Designations

No designations recorded

Encochleated Amphotericin B clinical trials

Encochleated 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 Encochleated Amphotericin B

What is encochleated amphotericin B?

Encochleated amphotericin B is an oral small molecule antifungal being developed by Matinas Biopharma Holdings, Inc. (ticker MTNB). It is also known as oral encochleated amphotericin B, or CAMB. It is under development for vulvovaginitis, including vulvovaginal candidiasis, in the infectious disease therapeutic area.

What is encochleated amphotericin B used for?

Encochleated amphotericin B is being developed for vulvovaginitis, specifically vulvovaginal candidiasis, a vaginal yeast infection. The clinical program has studied it in adult women aged 18 years and older in the United States. It is an investigational therapy and has not been established as a marketed treatment.

Who makes encochleated amphotericin B?

Encochleated amphotericin B is being developed by Matinas Biopharma Holdings, Inc., which trades under the ticker MTNB. The company is the sponsor of the clinical program for the oral formulation, also referred to as CAMB or MAT2203.

What phase is encochleated amphotericin B in?

Encochleated amphotericin B is in Phase 2 development. Its single clinical trial, NCT02971007, was a Phase 2 study that has been completed. The drug remains investigational and is not approved for commercial use.

What clinical trials is encochleated amphotericin B in?

Encochleated amphotericin B has been studied in one clinical trial, NCT02971007, titled Safety and Efficacy of Oral Encochleated Amphotericin B (CAMB/MAT2203) in the Treatment of Vulvovaginal Candidiasis (VVC). The Phase 2 trial enrolled 137 participants, was randomized and active controlled, and has been completed.

Is encochleated amphotericin B the same as CAMB?

Yes. Encochleated amphotericin B is also known as oral encochleated amphotericin B, or CAMB, and is referred to as MAT2203 in its clinical program. These names describe the same oral antifungal candidate developed by Matinas Biopharma Holdings, Inc. for vulvovaginal candidiasis.