18 and older, any sex, with Aspergillosis or Invasive Fungal Infections. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Crude Success Rate of Overall Outcome of Treatment Evaluated by the Data Review Committee (DRC) at Day 42, 84 and End of Treatment (EOT).Primary· Day 42, 84 and End of Treatment (EOT [Day 180])
The DRC assessed overall response based on individual clinical, mycological and radiological response assessments. Overall response outcomes were described as Success (complete or partial). Complete success was defined as a resolution of all clinical symptoms and physical findings associated with IFD. Partial success was defined as a resolution of at least some clinical symptoms and physical findings associated with IFD End of treatment (EOT) is the last day of study drug administration, with an estimated duration up to 180 days.
Day 42- Success Rate
Group
Value
95% CI
mITT - Aspergillus [Renally Impaired]
25.0
mITT - Aspergillus [Not Renally Impaired]
50.0
mITT - Mucorales (Primary Therapy)
14.3
mITT - Mucorales (Refractory)
9.1
mITT - Mucorales (Intolerant)
0
mITT- Other Filamentous Fungi
47.1
mITT- Other Mould Species Only
28.6
mITT- Other Dimorphic Fungi
41.4
mITT- Other Non-Candida Yeast
36.4
mITT-Other Mixed Infection
13.3
Day 84 - Success Rate
Group
Value
95% CI
mITT - Aspergillus [Renally Impaired]
30.0
mITT - Aspergillus [Not Renally Impaired]
25.0
mITT - Mucorales (Primary Therapy)
9.5
mITT - Mucorales (Refractory)
36.4
mITT - Mucorales (Intolerant)
20.0
mITT- Other Filamentous Fungi
41.2
mITT- Other Mould Species Only
28.6
mITT- Other Dimorphic Fungi
44.8
mITT- Other Non-Candida Yeast
36.4
mITT-Other Mixed Infection
13.3
End of Treatment (EOT) - Success Rate
Group
Value
95% CI
mITT - Aspergillus [Renally Impaired]
30.0
mITT - Aspergillus [Not Renally Impaired]
66.7
mITT - Mucorales (Primary Therapy)
31.6
mITT - Mucorales (Refractory)
36.4
mITT - Mucorales (Intolerant)
20.0
mITT- Other Filamentous Fungi
64.7
mITT- Other Mould Species Only
28.6
mITT- Other Dimorphic Fungi
64.3
mITT- Other Non-Candida Yeast
72.7
mITT-Other Mixed Infection
14.3
Crude Success Rate of Clinical Response to Treatment Evaluated by the Data Review Committee (DRC) at Day 42, 84 and EOTSecondary· Day 42, 84 and End of Treatment (EOT [Day 180])
The DRC evaluated clinical response to treatment at day 42, day 84 and EOT. Clinical response outcomes were described as Success \[Resolution of all attributable clinical symptoms and physical findings and Partial resolution of attributable clinical symptoms and physical findings\]. End of treatment (EOT) is the last day of study drug administration, with an estimated duration up to 180 days.
Day 42- Success Rate
Group
Value
95% CI
mITT - Aspergillus [Renally Impaired]
55.0
mITT - Aspergillus [Not Renally Impaired]
75.0
mITT - Mucorales (Primary Therapy)
50.0
mITT - Mucorales (Refractory)
33.3
mITT - Mucorales (Intolerant)
50.0
mITT-Other Filamentous Fungi
68.8
mITT- Other Mould Species Only
71.4
mITT- Other Dimorphic Fungi
79.3
mITT- Other Non-Candida Yeast
70.0
mITT-Other Mixed Infection
42.9
Day 84 - Success Rate
Group
Value
95% CI
mITT - Aspergillus [Renally Impaired]
45.0
mITT - Aspergillus [Not Renally Impaired]
25.0
mITT - Mucorales (Primary Therapy)
40.0
mITT - Mucorales (Refractory)
22.2
mITT - Mucorales (Intolerant)
50.0
mITT-Other Filamentous Fungi
62.5
mITT- Other Mould Species Only
42.9
mITT- Other Dimorphic Fungi
82.8
mITT- Other Non-Candida Yeast
70.0
mITT-Other Mixed Infection
35.7
End of Treatment (EOT) - Success Rate
Group
Value
95% CI
mITT - Aspergillus [Renally Impaired]
55.0
mITT - Aspergillus [Not Renally Impaired]
66.7
mITT - Mucorales (Primary Therapy)
55.6
mITT - Mucorales (Refractory)
22.2
mITT - Mucorales (Intolerant)
50.0
mITT-Other Filamentous Fungi
81.3
mITT- Other Mould Species Only
85.7
mITT- Other Dimorphic Fungi
82.1
mITT- Other Non-Candida Yeast
70.0
mITT-Other Mixed Infection
38.5
Crude Success Rate of Mycological Response to Treatment Evaluated by the Data Review Committee (DRC) at Day 42, 84 and EOTSecondary· Day 42, 84 and End of Treatment (EOT [Day 180])
The DRC evaluated mycological response to treatment at day 42, day 84 and EOT. Mycological response outcomes were described as Success \[Eradication and Presumed eradication\]. End of treatment (EOT) is the last day of study drug administration, with an estimated duration up to 180 days.
Day 42- Success Rate
Group
Value
95% CI
mITT - Aspergillus [Renally Impaired]
30.0
mITT - Aspergillus [Not Renally Impaired]
50.0
mITT - Mucorales (Primary Therapy)
4.8
mITT - Mucorales (Refractory)
0
mITT - Mucorales (Intolerant)
0
mITT-Other Filamentous Fungi
29.4
mITT- Other Mould Species Only
28.6
mITT- Other Dimorphic Fungi
27.6
mITT- Other Non-Candida Yeast
45.5
mITT-Other Mixed Infection
13.3
Day 84 - Success Rate
Group
Value
95% CI
mITT - Aspergillus [Renally Impaired]
35.0
mITT - Aspergillus [Not Renally Impaired]
25.0
mITT - Mucorales (Primary Therapy)
9.5
mITT - Mucorales (Refractory)
27.3
mITT - Mucorales (Intolerant)
40.0
mITT-Other Filamentous Fungi
35.3
mITT- Other Mould Species Only
28.6
mITT- Other Dimorphic Fungi
27.6
mITT- Other Non-Candida Yeast
45.5
mITT-Other Mixed Infection
13.3
End of Treatment (EOT) - Success Rate
Group
Value
95% CI
mITT - Aspergillus [Renally Impaired]
35.0
mITT - Aspergillus [Not Renally Impaired]
66.7
mITT - Mucorales (Primary Therapy)
31.6
mITT - Mucorales (Refractory)
36.4
mITT - Mucorales (Intolerant)
40.0
mITT-Other Filamentous Fungi
70.6
mITT- Other Mould Species Only
28.6
mITT- Other Dimorphic Fungi
53.6
mITT- Other Non-Candida Yeast
81.8
mITT-Other Mixed Infection
14.3
Crude Success Rate of Radiological Response to Treatment Evaluated by the Data Review Committee (DRC) at Day 42, 84 and EOTSecondary· Day 42, 84 and End of Treatment (EOT [Day 180])
The DRC evaluated radiological response to treatment at at day 42, day 84 and EOT. Radiological response outcomes were described as Success \[Improvement of at least 25% from baseline for invasive aspergillosis and other filamentous mold infections\], \[Improvement of at least 50% from baseline for invasive aspergillosis and other filamentous mold infections\]; and \[Improvement of at least 25% from baseline if EOT occurs prior to day 42 and at least 50% improvement from baseline if EOT occurs after day 42 for invasive aspergillosis and other filamentous mold infections\]. End of treatment (EO
Day 42- Success Rate
Group
Value
95% CI
mITT - Aspergillus [Renally Impaired]
30.0
mITT - Aspergillus [Not Renally Impaired]
25.0
mITT - Mucorales (Primary Therapy)
0
mITT - Mucorales (Refractory)
10.0
mITT - Mucorales (Intolerant)
0
mITT-Other Filamentous Fungi
25.0
mITT- Other Mould Species Only
16.7
mITT- Other Dimorphic Fungi
21.4
mITT- Other Non-Candida Yeast
0
mITT-Other Mixed Infection
7.1
Day 84 - Success Rate
Group
Value
95% CI
mITT - Aspergillus [Renally Impaired]
20.0
mITT - Aspergillus [Not Renally Impaired]
25.0
mITT - Mucorales (Primary Therapy)
4.8
mITT - Mucorales (Refractory)
20.0
mITT - Mucorales (Intolerant)
20.0
mITT-Other Filamentous Fungi
6.3
mITT- Other Mould Species Only
0
mITT- Other Dimorphic Fungi
28.6
mITT- Other Non-Candida Yeast
10.0
mITT-Other Mixed Infection
14.3
End of Treatment (EOT) - Success Rate
Group
Value
95% CI
mITT - Aspergillus [Renally Impaired]
15.0
mITT - Aspergillus [Not Renally Impaired]
66.7
mITT - Mucorales (Primary Therapy)
16.7
mITT - Mucorales (Refractory)
20.0
mITT - Mucorales (Intolerant)
20.0
mITT-Other Filamentous Fungi
50.0
mITT- Other Mould Species Only
0
mITT- Other Dimorphic Fungi
33.3
mITT- Other Non-Candida Yeast
10.0
mITT-Other Mixed Infection
7.7
Crude Success Rate of Clinical Response to Treatment Evaluated by the Investigator at Day 42, Day 84 and EOTSecondary· Day 42, Day 84 and End of Treatment (EOT [Day 180])
The Investigator evaluated clinical response to treatment at day 42, day 84 and EOT. Clinical response outcomes were described as Success \[Resolution of all attributable clinical symptoms and physical findings\] and \[Resolution of some attributable clinical symptoms and physical findings\]. End of treatment (EOT) is the last day of study drug administration, with an estimated duration up to 180 days.
Day 42
Group
Value
95% CI
mITT - Aspergillus [Renally Impaired]
60.0
mITT - Aspergillus [Not Renally Impaired]
75.0
mITT - Mucorales (Primary Therapy)
50.0
mITT - Mucorales (Refractory)
28.6
mITT - Mucorales (Intolerant)
25.0
mITT- Other Filamentous Fungi
81.3
mITT- Other Mould Species Only
85.7
mITT- Other Dimorphic Fungi
75.9
mITT- Other Non-Candida Yeast
70.0
mITT-Other Mixed Infection
50.0
Day 84
Group
Value
95% CI
mITT - Aspergillus [Renally Impaired]
55.0
mITT - Aspergillus [Not Renally Impaired]
55.0
mITT - Mucorales (Primary Therapy)
21.4
mITT - Mucorales (Refractory)
25.0
mITT - Mucorales (Intolerant)
20.0
mITT- Other Filamentous Fungi
62.5
mITT- Other Mould Species Only
42.9
mITT- Other Dimorphic Fungi
82.2
mITT- Other Non-Candida Yeast
70.0
mITT-Other Mixed Infection
35.7
End of Treatment (EOT)
Group
Value
95% CI
mITT - Aspergillus [Renally Impaired]
60.0
mITT - Aspergillus [Not Renally Impaired]
75.0
mITT - Mucorales (Primary Therapy)
42.9
mITT - Mucorales (Refractory)
28.6
mITT - Mucorales (Intolerant)
66.7
mITT- Other Filamentous Fungi
81.3
mITT- Other Mould Species Only
71.4
mITT- Other Dimorphic Fungi
79.3
mITT- Other Non-Candida Yeast
70.0
mITT-Other Mixed Infection
42.9
Crude Success Rate of Mycological Response to Treatment Evaluated by the Investigator at Day 42, Day 84 and EOTSecondary· Day 42, Day 84 and End of Treatment (EOT [Day 180])
The Investigator evaluated mycological response to treatment at day 42, day 84 and EOT. Mycological response outcomes were described as Success \[Eradication,Presumed eradication\]. End of treatment (EOT) is the last day of study drug administration, with an estimated duration up to 180 days.
Day 42
Group
Value
95% CI
mITT - Aspergillus [Renally Impaired]
46.7
mITT - Aspergillus [Not Renally Impaired]
66.7
mITT - Mucorales (Primary Therapy)
50.0
mITT - Mucorales (Refractory)
28.6
mITT - Mucorales (Intolerant)
25.0
mITT- Other Filamentous Fungi
69.2
mITT- Other Mould Species Only
83.3
mITT- Other Dimorphic Fungi
70.6
mITT- Other Non-Candida Yeast
50.0
mITT-Other Mixed Infection
18.2
Day 84
Group
Value
95% CI
mITT - Aspergillus [Renally Impaired]
44.4
mITT - Aspergillus [Not Renally Impaired]
50.0
mITT - Mucorales (Primary Therapy)
21.4
mITT - Mucorales (Refractory)
25.0
mITT - Mucorales (Intolerant)
20.0
mITT- Other Filamentous Fungi
64.3
mITT- Other Mould Species Only
42.9
mITT- Other Dimorphic Fungi
80.0
mITT- Other Non-Candida Yeast
25.0
mITT-Other Mixed Infection
33.3
End of Treatment (EOT)
Group
Value
95% CI
mITT - Aspergillus [Renally Impaired]
50.0
mITT - Aspergillus [Not Renally Impaired]
66.7
mITT - Mucorales (Primary Therapy)
42.9
mITT - Mucorales (Refractory)
28.6
mITT - Mucorales (Intolerant)
66.7
mITT- Other Filamentous Fungi
78.6
mITT- Other Mould Species Only
66.7
mITT- Other Dimorphic Fungi
76.9
mITT- Other Non-Candida Yeast
50.0
mITT-Other Mixed Infection
25.0
Crude Success Rate of Radiological Response to Treatment Evaluated by the Investigator at Day 42, Day 84 and EOTSecondary· Day 42, Day 84 and End of Treatment (EOT [Day 180])
The Investigator evaluated radiological response to treatment at day 42, day 84 and EOT. Radiological response outcomes were described as Success \[≥ 90% improvement,≥ 50% to \< 90% improvement and ≥ 25% to \< 50% improvement (for day 42 and EOT, if EOT occurs prior to day 42)\]. End of treatment (EOT) is the last day of study drug administration, with an estimated duration up to 180 days.
Day 42
Group
Value
95% CI
mITT - Aspergillus [Renally Impaired]
35.0
mITT - Aspergillus [Not Renally Impaired]
75.0
mITT - Mucorales (Primary Therapy)
40.0
mITT - Mucorales (Refractory)
0
mITT - Mucorales (Intolerant)
40.0
mITT- Other Filamentous Fungi
46.7
mITT- Other Mould Species Only
20.0
mITT- Other Dimorphic Fungi
32.1
mITT- Other Non-Candida Yeast
9.1
mITT-Other Mixed Infection
28.6
Day 84
Group
Value
95% CI
mITT - Aspergillus [Renally Impaired]
40.0
mITT - Aspergillus [Not Renally Impaired]
50.0
mITT - Mucorales (Primary Therapy)
25.0
mITT - Mucorales (Refractory)
11.1
mITT - Mucorales (Intolerant)
40.0
mITT- Other Filamentous Fungi
40.0
mITT- Other Mould Species Only
20.0
mITT- Other Dimorphic Fungi
37.0
mITT- Other Non-Candida Yeast
0
mITT-Other Mixed Infection
7.1
End of Treatment (EOT)
Group
Value
95% CI
mITT - Aspergillus [Renally Impaired]
35.0
mITT - Aspergillus [Not Renally Impaired]
50.0
mITT - Mucorales (Primary Therapy)
30.0
mITT - Mucorales (Refractory)
22.2
mITT - Mucorales (Intolerant)
20.0
mITT- Other Filamentous Fungi
33.3
mITT- Other Mould Species Only
40.0
mITT- Other Dimorphic Fungi
55.6
mITT- Other Non-Candida Yeast
10.0
mITT-Other Mixed Infection
14.3
All-cause Mortality Through Day 42 and Day 84Secondary· Baseline to End of Treatment (EOT [Day 180])
All-cause Mortality was assessed through Day 42 and Day 84 and summarized for ITT population End of treatment (EOT) is the last day of study drug administration, with an estimated duration up to 180 days.
All-cause Mortality Through Day 42
Group
Value
95% CI
Renally Impaired
22.0
Not Renally Impaired
16.1
All-cause Mortality Through Day 84
Group
Value
95% CI
Renally Impaired
30.5
Not Renally Impaired
20.7
Safety - Overall Number of TEAEsSecondary· From the first study drug administration until 28 days after the last dose of study drug
A Treatment Emergent Adverse Events (TEAE) is any adverse event that starts after the first administration of study drug until 28 days after the last dose of study drug.
TEAEs
Group
Value
95% CI
Isavuconazole
139
Study Drug-Related TEAEs
Group
Value
95% CI
Isavuconazole
60
Serious TEAEs
Group
Value
95% CI
Isavuconazole
89
Study Drug-Related Serious TEAEs
Group
Value
95% CI
Isavuconazole
13
TEAEs Leading to Permanent Discontinuation of Stud
Group
Value
95% CI
Isavuconazole
19
Study Drug TEAEs Leading to Perm Discontinuation
Group
Value
95% CI
Isavuconazole
7
TEAEs Leading to Death
Group
Value
95% CI
Isavuconazole
44
Study Drug-Related TEAEs Leading to Death
Group
Value
95% CI
Isavuconazole
1
Adverse events — posted to ClinicalTrials.gov
Time frame: From the first administration of study drug until 28 days after the last dose of study drug. For the days when IV and oral doses were administered on the same day, the day was split into one-half day for each route's duration..
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
Renally Impaired (RI)
Serious: 43/59 (73%)
Deaths: —
Not Renally Impaired (NRI)
Serious: 46/87 (53%)
Deaths: —
Serious adverse events (139 terms)
Reaction
System
Renally Impaired (RI)
Not Renally Impaired (NRI)
Pneumonia
Infections and infestations
—
—
Septic shock
Infections and infestations
—
—
Renal failure acute
Renal and urinary disorders
—
—
Vomiting
Gastrointestinal disorders
—
—
Respiratory failure
Respiratory, thoracic and mediastinal disorders
—
—
Abdominal pain
Gastrointestinal disorders
—
—
Gastrointestinal haemorrhage
Gastrointestinal disorders
—
—
Bacteraemia
Infections and infestations
—
—
Acute respiratory failure
Respiratory, thoracic and mediastinal disorders
—
—
Atrial fibrillation
Cardiac disorders
—
—
Nausea
Gastrointestinal disorders
—
—
Death
General disorders
—
—
Acute graft versus host disease
Immune system disorders
—
—
Aspergillosis
Infections and infestations
—
—
Herpes zoster
Infections and infestations
—
—
Mucormycosis
Infections and infestations
—
—
Pneumonia bacterial
Infections and infestations
—
—
Pneumonia fungal
Infections and infestations
—
—
Pseudomonal sepsis
Infections and infestations
—
—
Sepsis
Infections and infestations
—
—
Zygomycosis
Infections and infestations
—
—
Dehydration
Metabolism and nutrition disorders
—
—
Musculoskeletal chest pain
Musculoskeletal and connective tissue disorders
—
—
Acute myeloid leukaemia
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
—
—
Acute myeloid leukaemia recurrent
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
The purpose of this study is to investigate the efficacy and safety of isavuconazole in the treatment of renally impaired participants with invasive fungal infections caused by Aspergillus and participants with invasive fungal disease caused by rare fungi.
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Astellas Pharma Inc
Last refreshed: 11 December 2024
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00634049.