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.

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

10 participants

Primary outcome timeframe

Week 12

Results posted on

2026-02-24

Participant Flow

Participant milestones

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

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

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 12

Population: 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

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 12

Population: 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

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 12

Outcome measures

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.
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 12

Defined 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

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

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Posaconazole

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

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

Gil Y. Melmed, MD

Cedars-Sinai

Phone: 310-423-4100

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place