Drugs / Posaconazole
last change Jun 2026 re-read 9 days ago

Posaconazole

Small molecule targets CYP3A4 via inhibition

Developed for
fungal infectious disease · acute myeloid leukemia · myelodysplastic syndrome · aspergillosis · invasive aspergillosis · aplastic anemia · Chagas disease · chronic granulomatous disease
+18 more · hematopoietic and lymphoid cell neoplasm · infectious disease · oral candidiasis · tinea unguium · acute graft versus host disease · adult glioblastoma · brain glioblastoma · brain glioma · breast cancer · candidiasis · coccidioidomycosis · Crohn disease · disease related to hematopoietic stem cell transplant · fungal lung infectious disease · fusariosis · hematopoietic and lymphoid system neoplasm · histoplasmosis · systemic mycosis
Investigated by
Merck Sharp & Dohme LLC · Radboud University Medical Center · Schering-Plough · Universitaire Ziekenhuizen KU Leuven · F2G Ltd · Hoffmann-La Roche
+52 more · M.D. Anderson Cancer Center · Post Graduate Institute of Medical Education and Research, Chandigarh · AbbVie · Amphista Therapeutics Ltd · Astellas Pharma US, Inc. · Bambino Gesù Hospital and Research Institute · BeOne Medicines · Bio-Kinetic Europe, Ltd. · Bochud Pierre-Yves · Cedars-Sinai Medical Center · Children's Mercy Hospital Kansas City · Ciceri Fabio · Consorzio per Valutazioni Biologiche e Farmacologiche · Enzon Pharmaceuticals, Inc. · Federal University of Health Science of Porto Alegre · Federal University of Rio de Janeiro · Fujian Medical University · Genentech, Inc. · GlaxoSmithKline · Guangdong Provincial People's Hospital · Hospices Civils de Lyon · Hospital Universitari Vall d'Hebron Research Institute · Hospital Vall d'Hebron · Institutul Clinic Fundeni · International Health Unit Metropolitana Nord. Santa Coloma. · JSS Medical Research Inc. · KU Leuven · King's College Hospital NHS Trust · Klinik für Hämatologie, Aachen · Melbourne Health · Memorial Sloan Kettering Cancer Center · Milton S. Hershey Medical Center · Nantes University Hospital · National Cancer Institute (NCI) · National Institute of Allergy and Infectious Diseases (NIAID) · National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) · Novartis Pharmaceuticals · Royal Brisbane and Women's Hospital · Seoul National University Hospital · Shandong Cancer Hospital and Institute · St. Antonius Hospital · Swiss National Science Foundation · Taichung Veterans General Hospital · The Clinical Trials Centre Cologne · The University of Queensland · Tropical Medicine and International Health Unit Drassanes. Barcelona · University Health Network, Toronto · University of Exeter · University of Minnesota · University of Pittsburgh · Wuerzburg University Hospital · Zhujiang Hospital

Regulatory milestones approvals, filings & regulatory actions · 8 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansions (2) US (FDA) NOXAFIL — 2021-05-31 – 2026-01-27 fda.gov ↗
Filed EU (EMA) NOXAFIL — 2013-11-18

“Merck also announced that it has filed a marketing authorization application for NOXAFIL IV solution with the European Medicines Agency (EMA)” ligand.com ↗

“The company also has filed a marketing authorization application for NOXAFIL IV solution with the European Medicines Agency (EMA)” merck.com ↗

Filed US (FDA) NOXAFIL — 2013-11-18

“intravenous (IV) solution formulation of the company’s antifungal agent, NOXAFIL ® (posaconazole), has been accepted for priority review by the U.S.” merck.com ↗

“New Drug Application for the intravenous (IV) formulation of NOXAFIL® (posaconazole) had been accepted for Priority Review by the FDA.” ligand.com ↗

Filed EU (EMA) NOXAFIL — 2013-04-10

“In April, Merck announced that it had filed new drug applications for an investigational, tablet formulation of NOXAFIL with both the FDA and EMA.” merck.com ↗

“The company has filed a marketing authorization application for NOXAFIL tablets with the European Medicines Agency (EMA)” merck.com ↗

Filed US (FDA) NOXAFIL — 2013-04-10

“In April, Merck announced that it had filed new drug applications for an investigational, tablet formulation of NOXAFIL with both the FDA and EMA.” merck.com ↗

Approved US (FDA) NOXAFIL — 2006-09-15 fda.gov ↗
Approved EU (EMA) Noxafil — 2005-10-25 europa.eu ↗

Trials 66 · started per year

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PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 02 trials
Phase 0 NCT03763396 Jun 2024 → Jun 2025 overdue brain glioma University Health Network, Toronto Not yet recruiting No outcome recorded
Phase 0 NCT04825275 May 2022 → Nov 2024 adult glioblastoma, brain glioblastoma Milton S. Hershey Medical Center Terminated No outcome recorded Stop: Enrollment
Phase 113 trials · 1 met primary
Phase 1 NCT07723703 Oct 2026 → Dec 2028 expected acute myeloid leukemia, myelodysplastic syndrome Amphista Therapeutics Ltd Recruiting No outcome recorded
Phase 1 NCT03336502 Dec 2017 → Nov 2018 fungal infectious disease Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 1 NCT03095547 May → Jul 2017 invasive aspergillosis F2G Ltd Withdrawn No outcome recorded
Phase 1 NCT02452034 Sep 2015 → Jun 2018 neutropenia Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 1 NCT02387983 May 2015 → May 2016 fungal infectious disease Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 1 NCT02358499 Jan 2015 → Dec 2018 fungal infectious disease Children's Mercy Hospital Kansas City Completed No outcome recorded
Phase 1 NCT02203773 Oct 2014 → Jun 2022 acute myeloid leukemia AbbVie Terminated No outcome recorded Stop: Business
Phase 1 NCT01984229 Dec 2013 → Mar 2014 — Hoffmann-La Roche Completed Met primary
Phase 1 NCT01901172 Aug 2013 → Jun 2015 neoplasm Hoffmann-La Roche Completed No outcome recorded
Phase 1 NCT01075984 Feb 2010 → Nov 2012 fungal infectious disease Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 1/24 trials
Phase 1/2 NCT04771130 May 2021 → Aug 2028 expected acute myeloid leukemia, myelodysplastic syndrome, myelodysplastic/myeloproliferative neoplasm BeOne Medicines Recruiting No outcome recorded
Phase 1/2 NCT03760445 Nov 2019 → Jul 2021 acute myeloid leukemia Novartis Pharmaceuticals Withdrawn No outcome recorded
Phase 1/2 NCT04194086 Nov 2018 → Jul 2021 acute leukemia Zhujiang Hospital Completed No outcome recorded
Phase 1/2 NCT03036046 Mar → Sep 2017 acute myeloid leukemia F2G Ltd Withdrawn No outcome recorded
Phase 215 trials · 1 met primary · 1 missed
Phase 2 NCT06802757 May 2025 → Jun 2026 overdue breast cancer Shandong Cancer Hospital and Institute Recruiting No outcome recorded
Phase 2 NCT06541067 Nov 2024 → Jan 2027 expected hematopoietic and lymphoid cell neoplasm Nantes University Hospital Recruiting No outcome recorded
Phase 2 NCT05468372 Jul 2022 → Feb 2026 fungal lung infectious disease Post Graduate Institute of Medical Education and Research, Chandigarh Completed No outcome recorded
Phase 2 NCT04665037 Feb 2022 → Dec 2026 expected fungal infectious disease Merck Sharp & Dohme LLC Recruiting No outcome recorded
Phase 2 NCT04218851 Jul 2020 → Dec 2023 invasive aspergillosis Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 2 NCT03434704 Jun 2018 → Oct 2019 acute leukemia, fungal infectious disease, graft versus host disease, myelodysplastic syndrome Ciceri Fabio Completed No outcome recorded
Phase 2 NCT03318159 Apr 2018 → Jul 2023 aplastic anemia, fungal infectious disease, myelodysplastic syndrome Seoul National University Hospital Completed No outcome recorded
Phase 2 NCT01377480 Jul 2011 → Jul 2014 Chagas disease Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 2 NCT01162967 Sep 2010 → Dec 2012 Chagas disease Hospital Universitari Vall d'Hebron Research Institute Completed Missed primary
Phase 2 NCT00936117 Sep 2009 → Sep 2013 fungal infectious disease, leukemia M.D. Anderson Cancer Center Completed No outcome recorded
Phase 2/32 trials
Phase 2/3 NCT04966234 Apr 2021 → Apr 2023 aspergillosis, cystic fibrosis Bambino Gesù Hospital and Research Institute Unknown No outcome recorded
Phase 2/3 NCT03631602 Oct 2017 → Oct 2019 disease related to hematopoietic stem cell transplant Fujian Medical University Unknown No outcome recorded
Phase 312 trials · 2 met primary
Phase 3 NCT07261150 Nov 2026 → Dec 2030 expected histoplasmosis University of Minnesota Not yet recruiting No outcome recorded
Phase 3 NCT07825259 Nov 2026 → Dec 2029 expected aspergillosis Post Graduate Institute of Medical Education and Research, Chandigarh Not yet recruiting No outcome recorded
Phase 3 NCT02180165 Jul 2014 → Jan 2018 aspergillosis Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 3 NCT00811642 Nov 2008 → Mar 2010 fungal infectious disease Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 3 NCT00750737 Jun 2008 → Jun 2012 fungal infectious disease, hematopoietic and lymphoid system neoplasm M.D. Anderson Cancer Center Completed No outcome recorded
Phase 3 NCT00423267 May 2007 → May 2009 coccidioidomycosis Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 3 NCT00044486 Jul 2002 → Dec 2004 acute myeloid leukemia, myelodysplastic syndrome, neutropenia Merck Sharp & Dohme LLC Completed Met primary
Phase 3 NCT00033982 Apr 2002 → Feb 2007 chronic granulomatous disease, infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 3 NCT00034632 Apr 2001 → Mar 2007 fungal infectious disease Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 3 NCT00034645 Jan 1999 → Feb 2003 fungal infectious disease Merck Sharp & Dohme LLC Completed Met primary
Phase 413 trials · 1 missed
Phase 4 NCT04966585 Aug 2022 → Jan 2025 Crohn disease Cedars-Sinai Medical Center Terminated No outcome recorded Stop: Enrollment
Phase 4 NCT03717623 Aug 2019 → Dec 2025 overdue candidiasis, invasive, invasive aspergillosis Melbourne Health Recruiting No outcome recorded
Phase 4 NCT03378479 Dec 2017 → Mar 2020 invasive aspergillosis Universitaire Ziekenhuizen KU Leuven Completed Missed primary
Phase 4 NCT03246386 Nov 2017 → Sep 2018 morbid obesity Radboud University Medical Center Completed No outcome recorded
Phase 4 NCT02805946 Apr 2017 → Jul 2019 acute graft versus host disease, acute myeloid leukemia, myelodysplastic syndrome Radboud University Medical Center Completed No outcome recorded
Phase 4 NCT02968134 Jan → May 2017 systemic mycosis Royal Brisbane and Women's Hospital Completed No outcome recorded
Phase 4 NCT02875743 Dec 2016 → Oct 2018 acute myeloid leukemia, aplastic anemia, myelodysplastic syndrome King's College Hospital NHS Trust Completed No outcome recorded
Phase 4 NCT02020213 Dec 2013 → Dec 2014 infectious disease Taichung Veterans General Hospital Withdrawn No outcome recorded
Phase 4 NCT01667107 Jan 2013 → Jan 2014 fungal infectious disease Merck Sharp & Dohme LLC Terminated No outcome recorded
Phase 4 NCT02372357 Feb 2012 → Aug 2014 hematopoietic and lymphoid cell neoplasm Universitaire Ziekenhuizen KU Leuven Completed No outcome recorded
Phase not applicable4 trials
— NCT03828773 Feb 2019 → Nov 2027 expected acute myeloid leukemia, aspergillosis, candidiasis Bochud Pierre-Yves Recruiting No outcome recorded
— NCT03796533 Dec 2018 → Apr 2023 acute myeloid leukemia Hospices Civils de Lyon Unknown No outcome recorded
— NCT02048345 Jan → Dec 2014 — KU Leuven Unknown No outcome recorded
— NCT02714504 Aug 2008 → Dec 2014 fusariosis, tinea unguium Federal University of Rio de Janeiro Completed No outcome recorded
Phase not stated1 trial
— NCT00686621 — fungal infectious disease Merck Sharp & Dohme LLC Approved for marketing No outcome recorded
Comparator or background therapy8 trials
Phase 0 NCT05528354 Background Jun 2022 → Dec 2025 disease related to hematopoietic stem cell transplant Zhejiang University Unknown No outcome recorded
Phase 0 NCT03614455 Background Jul → Oct 2018 — Daiichi Sankyo Completed No outcome recorded
Phase 1/2 NCT07155226 Background Jan 2026 → Feb 2029 expected acute lymphoblastic leukemia, acute myeloid leukemia, myelodysplastic syndrome AstraZeneca Recruiting No outcome recorded
Phase 1/2 NCT04988555 Background Feb 2022 → Jun 2027 expected acute lymphoblastic leukemia, acute myeloid leukemia, myelodysplastic syndrome, plasma cell myeloma Sumitomo Pharma America, Inc. Recruiting No outcome recorded
Phase 2 NCT04294641 Background May 2021 → Jun 2024 chronic graft versus host disease National Cancer Institute (NCI) Completed No outcome recorded

News releases announcing trial results or a regulatory action · 8

DateIssuerRelease
2014-09-26 Ligand Pharmaceuticals Regulatory Ligand Earns Milestone Payment Triggered by EU Approval of Merck’s Captisol-enabled NOXAFIL® (posaconazole) Concentrate for Solution for Infusion ligand.com ↗
Ligand Pharmaceuticals Incorporated (NASDAQ: LGND) announces that Merck, known as MSD outside the United States and Canada, has received approval for NOXAFIL® (posaconazole) 300 mg Concentrate for Solution for Infusion from the European Medicines Agency (EMA).
2014-07-30 Merck Sharp & Dohme LLC Regulatory CHMP Issues Positive Opinion for Intravenous (IV) Formulation of Merck’s NOXAFIL® (posaconazole) merck.com ↗
Merck (NYSE: MRK), known as MSD outside the United States and Canada, today announced that the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) has adopted a positive opinion recommending approval of a new, investigational intravenous (IV) formulation of NOXAFIL ® (posaconazole).
2014-03-17 Ligand Pharmaceuticals Regulatory Ligand Earns $1 Million Milestone Payment Triggered by FDA Approval of Merck’s NOXAFIL® (posaconazole) Injection for Intravenous Use, a New Captisol-enabled Formulation ligand.com ↗
Ligand Pharmaceuticals Incorporated (NASDAQ: LGND) announces that it has earned a $1 million milestone payment as a result of the recent U.S. Food and Drug Administration (FDA) approval of Merck’s NOXAFIL® (posaconazole) injection (18 mg/mL).
2014-03-14 Merck Sharp & Dohme LLC Regulatory FDA Approves Merck’s NOXAFIL® (posaconazole) Injection (18 mg/mL) for Intravenous Use merck.com ↗
Merck (NYSE: MRK), known as MSD outside the United States and Canada, today announced that the U.S. Food and Drug Administration has approved NOXAFIL ® (posaconazole) injection (18 mg/ mL), a new formulation of NOXAFIL for intravenous (IV) use.
2014-02-28 Merck Sharp & Dohme LLC Regulatory CHMP Issues Positive Opinion for Tablet Formulation of Merck’s NOXAFIL® (posaconazole) merck.com ↗
Merck (NYSE:MRK), known as MSD outside the United States and Canada, announced today that the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) has adopted a positive opinion recommending approval of a new, investigational tablet formulation of NOXAFIL ® (posaconazole).
2013-11-26 Merck Sharp & Dohme LLC Regulatory FDA Approves Merck’s NOXAFIL® (posaconazole) Delayed-Release Tablets merck.com ↗
Merck (NYSE:MRK), known as MSD outside the United States and Canada, today announced that the U.S. Food and Drug Administration (FDA) has approved NOXAFIL ® (posaconazole) 100 mg delayed-release tablets.
2013-11-18 Merck Sharp & Dohme LLC Regulatory Merck’s New Drug Application for an Investigational Intravenous (IV) Formulation of NOXAFIL® (posaconazole) Receives FDA Priority Review merck.com ↗
its New Drug Application for an investigational intravenous (IV) solution formulation of the company’s antifungal agent, NOXAFIL ® (posaconazole), has been accepted for priority review by the U.S. Food and Drug Administration (FDA).
2013-04-10 Merck Sharp & Dohme LLC Regulatory Merck Announces FDA Acceptance of New Drug Application for an Investigational Tablet Formulation of the Antifungal NOXAFIL® (posaconazole) merck.com ↗
Merck (NYSE: MRK), known as MSD outside the United States and Canada, today announced that its New Drug Application for an investigational, tablet formulation of the company’s antifungal agent, NOXAFIL ® (posaconazole), has been accepted for review by the U.S. Food and Drug Administration (FDA).

All press releases naming this drug 11 releases

DateIssuerRelease

Evidence & citations 18 cited values

Every value below carries the sentence it was read from. 78 sources stand behind the page.

FieldValueCited text
Known as Posaconazole “Posaconazole delayed-release tablet [available in 100 mg tablets]: 300 mg twice daily on the first day followed by a maintenance dose of 300 mg once a day, starting on the day...” NCT03434704 ↗
71

“Voriconazole or isavuconazole or posaconazole will be dosed according to the SPC and according to the route of administration (IV or orally) that is preferred by the treating physician.” NCT04876716 ↗

“compare the efficacy and safety of posaconazole oral suspension vs itraconazole oral solution in preventing IFD post-HSCT.” NCT03631602 ↗

“if Voriconazole or Posaconazole is used to prevent or treat fungal infections” NCT05528354 ↗

“Posaconazole, Voriconazole, or Fluconazole” NCT04988555 ↗

NCT04966585 ↗

NCT07155226 ↗

NCT00033982 ↗

NCT02805946 ↗

NCT07261150 ↗

NCT02387983 ↗

Show 61 more sources

Known as C-posaconazole ChEMBL registry synonym — accepted as the source's own label CHEMBL1397 ↗
Known as Noxafil “Posaconazole Injection [Noxafil] 300mg” NCT03246386 ↗
1

“Posaconazole 100 MG [Noxafil]” NCT04966234 ↗

Known as Noxafil powdermix kit ChEMBL registry synonym — accepted as the source's own label CHEMBL1397 ↗
Known as PCZ “Previous preclinical work has suggested a role for repurposed posaconazole (PCZ) in downregulating HK2 activity, reducing lactate and pyruvate production, interfering with...” PMID 35861778 ↗ Jul 2022
1

“We would like to translate these preclinical findings into the clinical setting by implementing a proof-of biological concept study with two azole drugs: ketoconazole (KCZ) and...” NCT03763396 ↗

Known as POS “This study aims to evaluate the pharmacokinetics of posaconazole (POS) administered intravenously (IV) or orally to immunocompromised pediatric participants.” NCT02452034 ↗
2

“Posaconazole (POS) is a potent triazole antifungal agent approved in adults for treatment and prophylaxis of invasive fungal infections (IFIs).” PMID 30913226 ↗ Mar 2019

“Posaconazole (POS) 6 mg/kg body weight by IV infusion” NCT04218851 ↗

Known as Posaconazol ChEMBL registry synonym — accepted as the source's own label CHEMBL1397 ↗
Known as Posaconazole accord ChEMBL registry synonym — accepted as the source's own label CHEMBL1397 ↗
Known as Posaconazole ahcl ChEMBL registry synonym — accepted as the source's own label CHEMBL1397 ↗
Known as Posaconazole sp ChEMBL registry synonym — accepted as the source's own label CHEMBL1397 ↗
Known as POZ “This trial is in high risk patients to determine the safety, tolerance and efficacy of posaconazole (POZ) vs. fluconazole in the prophylaxis against development of invasive...” NCT00034645 ↗
Known as PSZ “Posaconazole (PSZ) may be an attractive alternative for antifungal prophylaxis” PMID 21772229 ↗ Sep 2011
Known as SCH 56592 “The experimental treatment use protocol physician will examine the subject at regular scheduled clinical visits during this experimental treatment use protocol, to determine...” NCT00177749 ↗
6

“This study is designed to evaluate the safety, tolerance and efficacy of Posaconazole (SCH 56592) under an open label, treatment protocol for subjects with invasive fungal infections:” NCT00034632 ↗

“Phase II Study of Safety, Tolerance, Efficacy, and Pharmacokinetics of Posaconazole (SCH 56592) for the Treatment of Invasive Fungal Infections in Immunocompromised Hosts” NCT00034671 ↗

“A Randomized Controlled Trial of Posaconazole (SCH 56592) vs. Standard Azole Therapy for the Prevention of Invasive Fungal Infections Among High-Risk Neutropenic Patients” NCT00044486 ↗

“This study is designed to evaluate the safety, tolerance and efficacy of Posaconazole (SCH 56592) under an open label, treatment protocol” NCT00034658 ↗

“Oral Posaconazole (SCH 56592)” NCT00686543 ↗

NCT00491764 ↗

Known as Suspension Fasted State ClinicalTrials.gov intervention name — accepted as the source's own label NCT02048345 ↗
Action Inhibit “PSZ is known to be a CYP3A4 inhibitor” NCT00799071 ↗
Modality Small molecule “experimental triazole antifungal” NCT00033982 ↗
Route Oral “This drug will be administered orally twice daily.” NCT00033982 ↗
Target CYP3A4 “PSZ is known to be a CYP3A4 inhibitor” NCT00799071 ↗