Histoplasmosis Induction and Consolidation Therapy Factorial Randomized Clinical Trial (Histo-FACT)
NCT07261150 · Status: NOT_YET_RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 664
Last updated 2026-05-08
Summary
The purpose of the study is threefold:
1. Assess the safety and efficacy of a single high-dose intravenous (LAmB 10mg/kg) compared to the SOC daily dosing (3mg/kg) of the same medication for induction therapy in moderate to severe histoplasmosis.
2. Assess the safety and efficacy of oral posaconazole 300mg delayed-release tablets three times daily for two days then once daily for consolidation therapy compared to SOC oral itraconazole 200 mg capsules three times daily for three days then twice daily in moderate to severe histoplasmosis
3. Assess the safety and efficacy of 6 months of consolidation therapy compared to the SOC 12 months of consolidation therapy in persons with HIV on appropriate antiretroviral therapy.
Conditions
- Histoplasmosis
Interventions
- DRUG
-
LAmB B
intravenous liposomal amphotericin B (10mg/kg)
- DRUG
-
Posaconazole
Posaconazole delayed-release tabs, 300mg twice daily on day 1 then once daily
- DRUG
-
World Health Organization (WHO)-recommended SOC
daily intravenous liposomal amphotericin B 3mg/kg, for 2 weeks or at least 7 days if felt stable for discharge per the clinician
- DRUG
-
WHO-recommended SOC Itraconazole
200mg capsules three times daily x 3 days then twice daily
Sponsors & Collaborators
-
Federal University of Health Science of Porto Alegre
collaborator OTHER - lead OTHER
Principal Investigators
-
Nathan Bahr, MD · University of Minnesota
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SEQUENTIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-09-15
- Primary Completion
- 2030-12-31
- Completion
- 2030-12-31
- FDA Drug
- Yes
Countries
- United States
- Brazil
Study Locations
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