Core Viewpoint - SCYNEXIS, Inc. has resumed patient dosing in the Phase 3 MARIO study for oral ibrexafungerp, a potential treatment for invasive candidiasis, after the FDA lifted a clinical hold due to manufacturing concerns [1][2]. Group 1: Study Resumption and Financial Implications - The Phase 3 MARIO study aims to evaluate ibrexafungerp as a step-down therapy from IV echinocandins for invasive candidiasis, a serious infection [1]. - The resumption of dosing triggers a $10 million milestone payment from GSK, with an additional $20 million payment due six months after dosing begins; however, there is a dispute between SCYNEXIS and GSK regarding these payments [1][6]. - Approximately 25% of the projected patients have already been enrolled in the study, indicating strong interest from the scientific community [2]. Group 2: Need for New Treatment Options - There is a significant unmet need for new antifungal treatments, particularly for Candida strains resistant to existing therapies [3]. - Experts emphasize the importance of ibrexafungerp in improving outcomes for patients with life-threatening invasive fungal infections [3]. Group 3: About Ibrexafungerp and Triterpenoid Antifungals - Ibrexafungerp is the first in a new class of triterpenoid antifungals, which are glucan synthase inhibitors with both oral and IV formulations, showing broad-spectrum activity against multidrug-resistant pathogens [4]. - Ibrexafungerp is already approved in the U.S. for vulvovaginal candidiasis and is in late-stage development for invasive candidiasis [4][7].

Ibrexafungerp clinical hold lifted by the FDA. SCYNEXIS working to resolve a disagreement with GSK involving the restart of the MARIO study. GSK remains committed to the commercialization of Brexafemme.Hansoh recently received Chinese (NMPA) approval for ibrexafungerp in the treatment of acute VVC. SCYNEXIS will receive a milestone payment from Hansoh upon commercialization as well as royalties of approximately 10% on China sales.Presented positive preclinical data for its second-generation fungerp candidat ...