Breathable antifungal could boost pneumonia recovery
NCT ID NCT06892951
First seen Oct 09, 2026 · Last updated Oct 09, 2026
Summary
Researchers test whether adding daily inhaled caspofungin to standard antifungal therapy helps adults with Pneumocystis pneumonia recover faster. The trial enrolls 100 adults receiving oxygen or breathing support and standard antifungal drugs. Participants receive either the inhaled drug or a placebo for up to seven days, and researchers track safety and clinical improvement.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- caspofungin, an antifungal drug delivered as a breathable mist
- What this could lead to
- If it works, adding inhaled caspofungin could help more people recover from Pneumocystis pneumonia and might support a larger phase III trial.
- What could go wrong
- This is an early-phase trial with 100 participants, so it may not show a clear benefit or may reveal side effects from the inhaled drug. Results might not apply to all patients with this infection.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2025
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion criteria: * Male and female ≥18 years * Medical management of Pneumocystis pneumonia based on : * Microbiological diagnosis of Pneumocystis pneumonia * Respiratory support (oxygen therapy or ventilatory assistance) * Systemic co-trimoxazole therapy or systemic second-line anti-Pneumocystis salvage therapy (switch to another anti-Pneumocystis drug is possible, but should be notified) (initiated within 48 hours or less before enrolment) * Person affiliated to a French social security system or equivalent * Written informed consent obtained from the participant or, if the patient is not able to give consent from representative (trusted person, family member) or if the delay in obtaining the consent is assumed not compatible with the enrollment requirements, a temporary approval can be obtained from the investigator. In all cases, the patient's written informed consent will have to be obtained as soon as possible. Non-inclusion criteria: * Persons covered by articles L1121-5 to L1121-8 of the CSP (corresponding to all protected persons: pregnant women, parturients, nursing mothers, persons deprived of their liberty by judicial or administrative decision, minors, and persons subject to a legal protection measure: guardianship or trusteeship). Pregnancy test to be performed in all women from 15 to 45 years old who have not had an ovariectomy. * Other indication(s) for systemic administration of an echinocandin drug * Known allergy to echinocandin drugs * Absolute contraindication to aerosol therapy * Concomitant co-infection at time of diagnosis (except HIV infection) * Severe liver impairment (i.e. documented severe liver cirrhosis (Child C), or Factor-V protein \< 50% and/or INR for prothrombin time of blood coagulation \> 1.5) * history of toxic epidermal necrosis (TEN) and Steven-Johnson syndrome (SJS) * Participation in other pharmacological study that focuses on echinocandins and/or anti-infectious aerosol therapy or other anti-pneumocystis treatment * Participation in a trial with an investigational product known to have pulmonary toxicity or of which the safety is not known
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
3 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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CHRU Tours
RECRUITINGTours, France
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CHU Orléans
RECRUITINGOrléans, France
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CHU Tours
NOT_YET_RECRUITINGTours, 37000, France
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