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Anidulafungin

Phase 4FDA approved

Candidemia | Small molecule | Infectious Disease |Pfizer, Inc.|Trials Updated: Apr 4, 2019

Anidulafungin development status

FDA approval on record Feb 17, 2006 as Eraxis
Approval holderPfizer
ApplicationNDA021948
Highest phase Phase 4 (NCT00620074)
Phase scored for PFEPhase 3
Registered trials 13 across 1 sponsor since May 2002

Anidulafungin target and mechanism

ModalitySmall molecule

Also known as Eraxis

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMC
Total Trials8
Total Enrollment779

FDA Designations

No designations recorded

Anidulafungin clinical trials

Anidulafungin · 8 trials · 5 indications

Phase 3 4Phase 2 3Phase 1 1
NCT00761267Study To Assess Pharmacokinetics, Safety & Efficacy of Anidulafungin When Treating Children With Invasive CandidiasisCandidemia
COMPLETED70 Analytics
NCT00689338Anidulafungin Candidemia/Invasive Candidiasis Intensive Care StudyInvasive Candidiasis
COMPLETED216 Analytics
NCT00537329Anidulafungin In Treatment Of Candidemia In Asian SubjectsCandidemia
COMPLETED43 Analytics
NCT00056368The Safety and Efficacy of Anidulafungin Versus Comparator in Patients With Candidemia and Invasive CandidiasisCandidiasis
COMPLETED256 Analytics
PHASE3COMPLETED
Study To Assess Pharmacokinetics, Safety & Efficacy of Anidulafungin When Treating Children With Invasive Candidiasis
CandidemiaUnlock trial analytics
PHASE3COMPLETED
Anidulafungin Candidemia/Invasive Candidiasis Intensive Care Study
Invasive CandidiasisUnlock trial analytics
PHASE3COMPLETED
Anidulafungin In Treatment Of Candidemia In Asian Subjects
CandidemiaUnlock trial analytics
PHASE3COMPLETED
The Safety and Efficacy of Anidulafungin Versus Comparator in Patients With Candidemia and Invasive Candidiasis
CandidiasisUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Baseline up to 6 weeks after EOT (up to 91 days)

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 6 weeks after end of treatment (EOT) (up to 91 days) that were absent before treatment or that worsened relative to pretreatment state. AEs included both SAEs and non-SAEs. EOT visit defined as last day of study treatment (IV or oral).

Number of Participants With Laboratory Abnormalities
Baseline up to 6 weeks after EOT (up to 91 days)

Criteria for laboratory abnormalities: Hematology parameters: red blood cell count: \<0.8\*lower limit of normal (LLN); reticulocytes count (absolute or percent): \<0.5\*LLN or greater than (\>) 1.5\*upper limit of normal (ULN); Platelets: \<0.5\*LLN or \>1.75\*ULN; white blood cell count: \<0.6\*LLN or \>1.5\*ULN; neutrophils (absolute or percent): \<0.8\*LLN or \>1.2\*ULN; basophils (absolute or percent): \>1.2\*ULN; lymphocytes (absolute or percent): \<0.8\*LLN or \>1.2\*ULN; monocytes (absolute or percent): \>1.2\*ULN. Serum Chemistry parameters: sodium: \<0.95\*LLN or \>1.05\*ULN, potassium, chloride, bicarbonate, calcium: \<0.9\*LLN or \>1.1\*ULN; magnesium: \>1.1\*ULN or \<0.9\*LLN; BUN (blood urea nitrogen): \>1.3\* ULN, creatinine: \>1.3\*ULN; aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase : \>3.0\*ULN ; total bilirubin: \>1.5\*ULN; albumin: \<0.8\*LLN or \>1.2\*ULN and glucose: \<0.6\*LLN or \>1.5\*ULN.EOT visit defined as last day of study treatment (IV or oral).

Percentage of Participants With Global Treatment Response Success at End of Treatment
End of Treatment (Day 14 to Day 56)

Global response based on combination of clinical and microbiological outcomes; success defined as clinical response of cure (resolution of signs and symptoms of Candida infection) or improvement (significant, but incomplete resolution of signs and symptoms of Candida infection) in conjunction with microbiological eradication (follow-up culture negative for Candida species) or presumed eradication (follow-up culture not available and clinical response of success).

Number of Subjects With Global Response of Success at End of Treatment
End of treatment (EOT) = Day 5 up to Day 42

Number of subjects with clinician assessed global response of success; defined as cure (resolution of signs and symptoms of Candida infection) or improvement (significant but incomplete resolution of signs and symptoms of Candida infection) on the clinical response in conjunction with eradication (follow up negative culture result for Candida species \[spp\]) or presumed eradication (follow up culture was not available and clinical outcome defined as success) on the microbiological response.

Secondary Endpoints

Number of Participants With Global Response
End of intravenous treatment (EOIVT) (maximum of 35 days), EOT (maximum of 49 days), during 2 week follow-up after EOT (up to 63 days) and during 6 week follow-up after EOT (up to 91 days)
Area Under the Plasma Concentration Versus Time Curve From Time Zero to 24 Hours (AUC24) of Anidulafungin for Pharmacokinetic (PK) Subgroup
Day 2: Just prior to the start of infusion, 2 minutes before the end of infusion, 6, 12 and 24 hours after the start of infusion
Maximum Plasma Concentration (Cmax) of Anidulafungin for Pharmacokinetic (PK) Subgroup
Day 2: Just prior to the start of infusion, 2 minutes before the end of infusion, 6, 12, and 24 hours after the start of infusion
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Anidulafungin IVEXPERIMENTALAll subjects meeting screening criteria will receive IV anidulafungin.
Treatment GroupEXPERIMENTALOption to treat with oral azole therapy following treatment with anidulafungin
OpenOTHERThis is an open-label, multi-center, non-comparative 12 week study evaluating the efficacy and safety of anidulafungin in subjects with candidemia.

Interventions

NameTypeDescription
AnidulafunginDRUGDay 1: loading dose of 3 mg/kg (not to exceed 200 mg) Day 2 onwards: maintain a dose of 1.5 mg/kg (not to exceed 100 mg). Minimum total treatment duration is 14 days. Minimum IV anidulafungin treatment duration is 10 days for subjects with microbiologically confirmed ICC and 5 days for subjects at risk of candidiasis; followed by oral fluconazole 6-12 mg/kg/day (not to exceed 800mg/day). Maximum treatment duration with anidulafungin is 35 days.
FluconazoleDRUGSubjects may be switched to oral fluconazole \[6-12 mg/kg/day (not to exceed 800mg/day\] provided they meet specified criteria. Maximum total treatment duration is 49 days.
VoriconazoleDRUGOral Administration of Voriconazole
Anidulafungin, VER002DRUG -
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Eligibility Criteria

Age Range1 Month to 17 Years
SexALL
Healthy VolunteersNo
Study Sites45

Inclusion Criteria: * Subject must be either (1) at high risk for candidiasis (1 month - \< 2 years ONLY) or (2) have a definitive diagnosis of invasive candidiasis/candidemia (ICC) (All age groups) * Male and female patients from 1 month to less than 18 years of age. Exclusion Criteria: * Any pa...

Countries:United StatesBrazilCanadaGreeceItalyRussiaSouth KoreaSpainTaiwanUnited KingdomAustriaBelgiumCzechiaDenmarkFranceGermanyHungaryNetherlandsPolandPortugalRomaniaSlovakiaTurkey (Türkiye)UkraineIndiaPhilippinesThailand
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Frequently asked questions about Anidulafungin

What is anidulafungin used for?

Anidulafungin is an antifungal medicine studied for treating fungal infections including candidemia, invasive candidiasis, and aspergillosis, and it has also been evaluated in patients with neutropenia. Its clinical program has focused on candidemia and invasive candidiasis in adults and children, including patients in intensive care settings.

Who makes anidulafungin?

Anidulafungin is developed by Pfizer, Inc., which trades on the New York Stock Exchange under the ticker PFE. Pfizer is the company associated with the clinical development program for this antifungal agent.

What phase is anidulafungin in?

Anidulafungin is in Phase 2 development. It is an investigational small molecule antifungal, and the clinical program includes completed Phase 1 and Phase 3 studies in conditions such as candidemia, invasive candidiasis, and neutropenia.

What clinical trials is anidulafungin in?

Anidulafungin has been studied in completed trials including NCT00761267, a Phase 3 study of pharmacokinetics, safety, and efficacy in children with invasive candidiasis; NCT00689338, a Phase 3 candidemia and invasive candidiasis intensive care study; NCT00537329, a Phase 3 candidemia study in Asian subjects; and NCT00056381, a Phase 1 study in immunocompromised children with neutropenia.

Is anidulafungin the same as VER002?

Yes, anidulafungin is also known as VER002. Both names refer to the same antifungal small molecule developed by Pfizer, so searches for either name point to the same drug and clinical program.