Trial Outcomes & Findings for Pilot Study of Posaconazole in Crohn's Disease (NCT NCT04966585)
NCT ID: NCT04966585
Last Updated: 2026-02-24
Results Overview
Defined as ≥ 50% reduction from baseline in Simple Endoscopic Score for Crohn's Disease (SES-CD). The SES-CD evaluates 4 endoscopic variables: ulcer size, ulcerated surface, affected surface, and presence of narrowings. The total SES-CD is calculated as the sum of the 4 variables for the 5 bowel segments: rectum, left colon, transverse colon, right colon, and ileum. Scores range from 0 to 60, with higher scores indicating more severe disease.
TERMINATED
PHASE4
10 participants
Week 12
2026-02-24
Participant Flow
Participant milestones
| Measure |
Placebo
Subjects administered three matching placebo tablets twice daily for 1 day followed by three tablets daily for 12 weeks
Matching Placebo Tablet: Three matching placebo tablets twice a day on the first day, then three tablets once a day, starting on the second day. Duration of therapy will be 12 weeks.
|
Posaconazole
Subjects administered posaconazole (Noxafil®, Merck) 300mg twice daily for 1 day followed by 300mg daily for 12 weeks
Posaconazole Delayed Release Oral Tablet: Three 100mg delayed-release tablets twice a day on the first day, then three 100mg delayed-release tablets once a day, starting on the second day. Duration of therapy will be 12 weeks.
|
|---|---|---|
|
Overall Study
STARTED
|
3
|
3
|
|
Overall Study
COMPLETED
|
3
|
2
|
|
Overall Study
NOT COMPLETED
|
0
|
1
|
Reasons for withdrawal
| Measure |
Placebo
Subjects administered three matching placebo tablets twice daily for 1 day followed by three tablets daily for 12 weeks
Matching Placebo Tablet: Three matching placebo tablets twice a day on the first day, then three tablets once a day, starting on the second day. Duration of therapy will be 12 weeks.
|
Posaconazole
Subjects administered posaconazole (Noxafil®, Merck) 300mg twice daily for 1 day followed by 300mg daily for 12 weeks
Posaconazole Delayed Release Oral Tablet: Three 100mg delayed-release tablets twice a day on the first day, then three 100mg delayed-release tablets once a day, starting on the second day. Duration of therapy will be 12 weeks.
|
|---|---|---|
|
Overall Study
Withdrawal by Subject
|
0
|
1
|
Baseline Characteristics
Pilot Study of Posaconazole in Crohn's Disease
Baseline characteristics by cohort
| Measure |
Placebo
n=3 Participants
Subjects administered three matching placebo tablets twice daily for 1 day followed by three tablets daily for 12 weeks
Matching Placebo Tablet: Three matching placebo tablets twice a day on the first day, then three tablets once a day, starting on the second day. Duration of therapy will be 12 weeks.
|
Posaconazole
n=3 Participants
Subjects administered posaconazole (Noxafil®, Merck) 300mg twice daily for 1 day followed by 300mg daily for 12 weeks
Posaconazole Delayed Release Oral Tablet: Three 100mg delayed-release tablets twice a day on the first day, then three 100mg delayed-release tablets once a day, starting on the second day. Duration of therapy will be 12 weeks.
|
Total
n=6 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Categorical
<=18 years
|
0 Participants
n=58 Participants
|
0 Participants
|
0 Participants
n=1 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
3 Participants
n=58 Participants
|
3 Participants
|
6 Participants
n=1 Participants
|
|
Age, Categorical
>=65 years
|
0 Participants
n=58 Participants
|
0 Participants
|
0 Participants
n=1 Participants
|
|
Age, Continuous
|
55.0 Years
STANDARD_DEVIATION 6.2 • n=58 Participants
|
41.7 Years
STANDARD_DEVIATION 11.0
|
48.3 Years
STANDARD_DEVIATION 10.8 • n=1 Participants
|
|
Sex: Female, Male
Female
|
1 Participants
n=58 Participants
|
1 Participants
|
2 Participants
n=1 Participants
|
|
Sex: Female, Male
Male
|
2 Participants
n=58 Participants
|
2 Participants
|
4 Participants
n=1 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
0 Participants
n=58 Participants
|
0 Participants
|
0 Participants
n=1 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
3 Participants
n=58 Participants
|
3 Participants
|
6 Participants
n=1 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=58 Participants
|
0 Participants
|
0 Participants
n=1 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=58 Participants
|
0 Participants
|
0 Participants
n=1 Participants
|
|
Race (NIH/OMB)
Asian
|
0 Participants
n=58 Participants
|
0 Participants
|
0 Participants
n=1 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=58 Participants
|
0 Participants
|
0 Participants
n=1 Participants
|
|
Race (NIH/OMB)
Black or African American
|
0 Participants
n=58 Participants
|
0 Participants
|
0 Participants
n=1 Participants
|
|
Race (NIH/OMB)
White
|
3 Participants
n=58 Participants
|
3 Participants
|
6 Participants
n=1 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=58 Participants
|
0 Participants
|
0 Participants
n=1 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=58 Participants
|
0 Participants
|
0 Participants
n=1 Participants
|
|
Region of Enrollment
United States
|
3 participants
n=58 Participants
|
3 participants
|
6 participants
n=1 Participants
|
PRIMARY outcome
Timeframe: Week 12Population: Intent to treat population.
Defined as ≥ 50% reduction from baseline in Simple Endoscopic Score for Crohn's Disease (SES-CD). The SES-CD evaluates 4 endoscopic variables: ulcer size, ulcerated surface, affected surface, and presence of narrowings. The total SES-CD is calculated as the sum of the 4 variables for the 5 bowel segments: rectum, left colon, transverse colon, right colon, and ileum. Scores range from 0 to 60, with higher scores indicating more severe disease.
Outcome measures
| Measure |
Placebo
n=3 Participants
Subjects administered three matching placebo tablets twice daily for 1 day followed by three tablets daily for 12 weeks
Matching Placebo Tablet: Three matching placebo tablets twice a day on the first day, then three tablets once a day, starting on the second day. Duration of therapy will be 12 weeks.
|
Posaconazole
n=2 Participants
Subjects administered posaconazole (Noxafil®, Merck) 300mg twice daily for 1 day followed by 300mg daily for 12 weeks
Posaconazole Delayed Release Oral Tablet: Three 100mg delayed-release tablets twice a day on the first day, then three 100mg delayed-release tablets once a day, starting on the second day. Duration of therapy will be 12 weeks.
|
|---|---|---|
|
Number of Subjects With Medically Defined Endoscopic Response
|
0 Participants
|
0 Participants
|
SECONDARY outcome
Timeframe: Week 12Population: Last observation carried forward.
Defined as Patient-Reported Outcome (PRO2) abdominal pain score ≤1 AND stool frequency ≤3, and Crohn's Disease Activity Index (CDAI) (\<150). PRO2 is the weighted average of the 2 variables of frequency of liquid or very soft stool and abdominal pain, based on 7-day participant diary data. The PRO2 score has a minimum score of 0 and has no upper bound, with a higher score indicating more frequent stools and more severe abdominal pain. The CDAI is a weighted, composite index of 8 disease variables (stool frequency, severity of abdominal pain, degree of general well-being, presence or absence of extra-intestinal manifestations or fistula, use or non-use of antidiarrheal agents, presence or absence of an abdominal mass, hematocrit, and body weight). Scores range from approximately 0 to 600, with a higher score indicating more-severe disease activity.
Outcome measures
| Measure |
Placebo
n=3 Participants
Subjects administered three matching placebo tablets twice daily for 1 day followed by three tablets daily for 12 weeks
Matching Placebo Tablet: Three matching placebo tablets twice a day on the first day, then three tablets once a day, starting on the second day. Duration of therapy will be 12 weeks.
|
Posaconazole
n=3 Participants
Subjects administered posaconazole (Noxafil®, Merck) 300mg twice daily for 1 day followed by 300mg daily for 12 weeks
Posaconazole Delayed Release Oral Tablet: Three 100mg delayed-release tablets twice a day on the first day, then three 100mg delayed-release tablets once a day, starting on the second day. Duration of therapy will be 12 weeks.
|
|---|---|---|
|
Induction of Clinical Remission
|
1 Participants
|
0 Participants
|
SECONDARY outcome
Timeframe: Week 12Outcome measures
| Measure |
Placebo
n=3 Participants
Subjects administered three matching placebo tablets twice daily for 1 day followed by three tablets daily for 12 weeks
Matching Placebo Tablet: Three matching placebo tablets twice a day on the first day, then three tablets once a day, starting on the second day. Duration of therapy will be 12 weeks.
|
Posaconazole
n=3 Participants
Subjects administered posaconazole (Noxafil®, Merck) 300mg twice daily for 1 day followed by 300mg daily for 12 weeks
Posaconazole Delayed Release Oral Tablet: Three 100mg delayed-release tablets twice a day on the first day, then three 100mg delayed-release tablets once a day, starting on the second day. Duration of therapy will be 12 weeks.
|
|---|---|---|
|
Change in Amount of Concomitant Medications
Increase or Additional Concomitant Medications
|
0 Participants
|
0 Participants
|
|
Change in Amount of Concomitant Medications
Stable Dosing of Concomitant Medications
|
3 Participants
|
3 Participants
|
|
Change in Amount of Concomitant Medications
Decrease of Concomitant Medications
|
0 Participants
|
0 Participants
|
SECONDARY outcome
Timeframe: Week 12Defined as a Simple Endoscopic Score for Crohn's Disease (SES-CD) score of ≤3. The SES-CD evaluates 4 endoscopic variables: ulcer size, ulcerated surface, affected surface, and presence of narrowings. The total SES-CD is calculated as the sum of the 4 variables for the 5 bowel segments: rectum, left colon, transverse colon, right colon, and ileum. Scores range from 0 to 56, with higher scores indicating more severe disease.
Outcome measures
| Measure |
Placebo
n=3 Participants
Subjects administered three matching placebo tablets twice daily for 1 day followed by three tablets daily for 12 weeks
Matching Placebo Tablet: Three matching placebo tablets twice a day on the first day, then three tablets once a day, starting on the second day. Duration of therapy will be 12 weeks.
|
Posaconazole
n=2 Participants
Subjects administered posaconazole (Noxafil®, Merck) 300mg twice daily for 1 day followed by 300mg daily for 12 weeks
Posaconazole Delayed Release Oral Tablet: Three 100mg delayed-release tablets twice a day on the first day, then three 100mg delayed-release tablets once a day, starting on the second day. Duration of therapy will be 12 weeks.
|
|---|---|---|
|
Proportion of Subjects in Endoscopic Remission
|
0 Participants
|
0 Participants
|
Adverse Events
Placebo
Posaconazole
Serious adverse events
Adverse event data not reported
Other adverse events
| Measure |
Placebo
n=3 participants at risk
Subjects administered three matching placebo tablets twice daily for 1 day followed by three tablets daily for 12 weeks
Matching Placebo Tablet: Three matching placebo tablets twice a day on the first day, then three tablets once a day, starting on the second day. Duration of therapy will be 12 weeks.
|
Posaconazole
n=3 participants at risk
Subjects administered posaconazole (Noxafil®, Merck) 300mg twice daily for 1 day followed by 300mg daily for 12 weeks
Posaconazole Delayed Release Oral Tablet: Three 100mg delayed-release tablets twice a day on the first day, then three 100mg delayed-release tablets once a day, starting on the second day. Duration of therapy will be 12 weeks.
|
|---|---|---|
|
Gastrointestinal disorders
Treatment-related
|
0.00%
0/3 • From enrollment until end of follow-up, up to 12 weeks.
|
33.3%
1/3 • Number of events 3 • From enrollment until end of follow-up, up to 12 weeks.
|
|
General disorders
Other Adverse Events
|
33.3%
1/3 • Number of events 1 • From enrollment until end of follow-up, up to 12 weeks.
|
0.00%
0/3 • From enrollment until end of follow-up, up to 12 weeks.
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place