Can a gentler antifungal drug protect liver transplant patients from deadly mold without risking organ rejection?
NCT ID NCT07725874
First seen Jul 24, 2026 · Last updated Jul 24, 2026
Summary
Invasive mold infections are a major threat to liver transplant recipients, with mortality rates as high as 90%. The standard treatment, voriconazole, can interfere with anti-rejection drugs, increasing the risk of graft loss. This trial tests whether liposomal amphotericin B (AmBisome) can safely and effectively treat these infections without those dangerous drug interactions. The study will follow 60 liver transplant patients receiving AmBisome in real-world conditions, closely monitoring for side effects like kidney damage and electrolyte imbalances.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- liposomal amphotericin B (AmBisome)
- What this could lead to
- If this trial succeeds, it could provide strong evidence for using liposomal amphotericin B as a first-line treatment for invasive mold infections in liver transplant recipients, potentially reducing the risk of graft rejection compared to current alternatives.
- What could go wrong
- This is a small, single-center, real-world study with no fixed dosing, which limits the strength of conclusions. Liposomal amphotericin B can cause kidney damage, electrolyte imbalances, and infusion reactions, especially in already vulnerable transplant patients.
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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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 60 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Aug 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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12 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: Patients aged ≥12 years. Liver transplant recipients. Proven or probable invasive mold disease (IMD) according to the 2020 EORTC/MSGERC criteria. Have received at least one dose of liposomal amphotericin B (AmBisome) or voriconazole. Exclusion Criteria: History of invasive mold disease previously treated with amphotericin B for more than 5 days. Documented hypersensitivity or allergy to amphotericin B formulations. Sequential Organ Failure Assessment (SOFA) score \>15. Expected survival \<72 hours. Pregnant or breastfeeding. Patients who, in the investigator's judgment, are unable to complete the study treatment or follow the study protocol. Recipients of combined organ transplantation or multivisceral transplantation.
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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 official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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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.
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