Clinical Trials

Numerous clinical trials evaluate caspofungin across Phase 1 through Phase 4, alongside observational and pharmacokinetic studies, for indications including candidiasis, aspergillosis, septic shock, peritonitis, and fungal prophylaxis in liver transplantation or hematological malignancies. Conducted by industry sponsors such as Merck Sharp & Dohme LLC and academic institutions like the European Organisation for Research and Treatment of Cancer and European university hospitals, these studies encompass completed, recruiting, terminated, withdrawn, and not yet recruiting statuses.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07788586 NOT_YET_RECRUITING
Candidemia; Invasive Candidiasis
Oliver Cornely, MD
2026-09 PHASE4
NCT05421858 RECRUITING
Candidemia; Candidiasis, Invasive
Basilea Pharmaceutica
2024-12-11 PHASE3
NCT06194201 UNKNOWN
Patients With Candidemia and/or Invasive Candidiasis
Fujian Shengdi Pharmaceutical Co., Ltd.
2024-04-27 PHASE2
NCT06892951 NOT_YET_RECRUITING
Pneumocystis Pneumonia; Pneumocystis Jirovecii Infection; Pneumocystis Infections
University Hospital, Tours
2025-06 PHASE1; PHASE2
NCT04728971 UNKNOWN
Liver Transplantation
Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine
2022-10-01 PHASE4
NCT03580733 UNKNOWN
ICU Yeast Intra-abdominal Infection
Centre Hospitalier Universitaire, Amiens
2019-01-01 PHASE3
NCT03978559 UNKNOWN
Pneumocystis Pneumonia
Bin Du
2019-08-14 PHASE4
NCT03667690 COMPLETED
Candidemia; Mycoses; Fungal Infection; Invasive Candidiases
Cidara Therapeutics Inc., a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA)
2018-10-07 PHASE3
NCT02603575 UNKNOWN
Pneumocystis Pneumonia
Beijing Chao Yang Hospital
2015-11
NCT03857399 COMPLETED
Fungal Infection
Cttq
2018-09-17 PHASE2
NCT01503515 COMPLETED
Fungal Infection; Hematopoietic and Lymphoid Cell Neoplasm
Children's Oncology Group
2013-03-21 PHASE3
NCT02734862 COMPLETED
Candidemia; Mycoses; Fungal Infection; Fungemia; Invasive Candidiasis
Cidara Therapeutics Inc., a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA)
2016-07-26 PHASE2
NCT01288378 COMPLETED
Fungal Infection; Leukemia; Myelodysplastic Syndromes
European Organisation for Research and Treatment of Cancer - EORTC
2012-03 PHASE3
NCT04674657 Unknown status
Critical Illness|Extracorporeal Membrane Oxygenation Complication|Infection
Royal Brompton & Harefield NHS Foundation Trust
2018-09-03 --
NCT01307579 COMPLETED
Acute Myeloid Leukemia; Adult Acute Monoblastic Leukemia; Adult Acute Monocytic Leukemia; Adult Acute Myeloid Leukemia in Remission; Adult Acute Myeloid Leukemia With Inv(16)(p13.1q22); CBFB-MYH11; Adult Acute Myeloid Leukemia With Maturation; Adult Acute Myeloid Leukemia With Minimal Differentiation; Adult Acute Myeloid Leukemia With t(16;16)(p13.1;q22); CBFB-MYH11; Adult Acute Myeloid Leukemia With t(8;21); (q22; q22.1); RUNX1-RUNX1T1; Adult Acute Myeloid Leukemia With t(9;11)(p22.3;q23.3); MLLT3-KMT2A; Adult Acute Myeloid Leukemia Without Maturation; Adult Acute Myelomonocytic Leukemia; Alkylating Agent-Related Acute Myeloid Leukemia; Childhood Acute Monoblastic Leukemia; Childhood Acute Monocytic Leukemia; Childhood Acute Myeloid Leukemia in Remission; Childhood Acute Myeloid Leukemia With Maturation; Childhood Acute Myeloid Leukemia With Minimal Differentiation; Childhood Acute Myeloid Leukemia Without Maturation; Childhood Acute Myelomonocytic Leukemia; Fungal Infection; Myeloid Neoplasm; Neutropenia; Recurrent Adult Acute Myeloid Leukemia; Recurrent Childhood Acute Myeloid Leukemia; Secondary Acute Myeloid Leukemia; Untreated Adult Acute Myeloid Leukemia; Untreated Childhood Myeloid Neoplasm
Children's Oncology Group
2011-04-04 PHASE3
NCT02895529 TERMINATED
Hematologic Neoplasms
Xian-Janssen Pharmaceutical Ltd.
2016-11-30 PHASE4
NCT02596984 COMPLETED
Shock
Centre Hospitalier Universitaire de Saint Etienne
2015-03-16
NCT03399032 Completed
Septic Shock|Fungal Infection|Critical Illness
Medical University of Lublin
2018-02-05 --
NCT01945281 TERMINATED
Candidiasis, Invasive
Merck Sharp & Dohme LLC
2014-01-15 PHASE2
NCT01501708 UNKNOWN
Leukemia; Transplantation, Hematopoietic Stem Cell
Shanghai Jiao Tong University School of Medicine
2011-12 PHASE2
NCT02856178 WITHDRAWN
Pulmonary Aspergillosis - Invasive; Acute Myeloid Leukemia
F2G Ltd
2017-04-20 PHASE1; PHASE2
NCT02805049 Completed
Septic Shock|Peritonitis
Centre Hospitalier Universitaire de Nīmes
2017-01-28 Phase 4
NCT02941068 COMPLETED
Intra-abdominal Perforation
Nanjing PLA General Hospital
2012-03 PHASE2
NCT02510053 UNKNOWN
Invasive Fungal Infection
Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
2014-07
NCT03798600 Completed
Critical Illness|Infection
Careggi Hospital
2016-01-01 --
NCT01994096 COMPLETED
Critically Ill; Suspected Invasive Candidiasis
University Medical Center Groningen
2013-11 PHASE4
NCT00413218 COMPLETED
Candidiasis, Invasive; Candidemia; Mycoses
Astellas Pharma Inc
2007-03-08 PHASE3
NCT02596984 Completed
Shock
Centre Hospitalier Universitaire de Saint Etienne|Merck Sharp & Dohme LLC
2015-03-16 Not Applicable
NCT01499433 UNKNOWN
Invasive Pulmonary Aspergillosis; Chronic Obstructive Pulmonary Disease
The First Affiliated Hospital of Guangzhou Medical University
2012-01 PHASE4
NCT01968395 COMPLETED
Bacterial Infections and Mycoses; Liver Disease
Erasme University Hospital
2013-09 PHASE4
NCT00982540 TERMINATED
Invasive Fungal Infections; Invasive Aspergillosis; Invasive Fusariosis
Universidade Federal do Rio de Janeiro
2010-02
NCT01165320 COMPLETED
Candidiasis, Esophageal; Candidiasis, Invasive; Aspergillosis
Merck Sharp & Dohme LLC
2010-07-06 PHASE2
NCT01318148 COMPLETED
Fungal Infection
Werner J. Heinz
2011-04 PHASE2
NCT01260974 UNKNOWN
Fungemia; Mycoses
Azienda Ospedaliera di Padova
2009-05 PHASE2
NCT00805740 TERMINATED
Candidiasis; Fungemia
Pfizer
2009-04 PHASE3
NCT01058174 COMPLETED
Liver Transplantation; Mycoses
Astellas Pharma Inc
2009-12-15 PHASE3
NCT01045798 TERMINATED
Invasive Candidiasis
Merck Sharp & Dohme LLC
2010-12 PHASE2
NCT00806351 TERMINATED
Fungemia; Neutropenia; Candidiasis
Pfizer
2009-08 PHASE3
NCT00635648 COMPLETED
Fungal Infection
Merck Sharp & Dohme LLC
2008-01 PHASE3
NCT01062165 COMPLETED
Obesity; Fungal Infection
Texas Tech University Health Sciences Center
2010-02 PHASE4
NCT00717860 COMPLETED
Fungal Infection
Merck Sharp & Dohme LLC
2008-08 PHASE3
NCT00839540 COMPLETED
Candidemia
Gary E. Stein, Pharm.D.
2008-12 PHASE4
NCT00520234 COMPLETED
Invasive Candidiasis
Mycoses Study Group
2007-08 PHASE4
NCT00748345 COMPLETED
Thermal Injury
Assistance Publique - Hôpitaux de Paris
2009-02 PHASE2; PHASE3
NCT00404092 COMPLETED
Invasive Aspergillosis
University of Cologne
2006-10 PHASE2
NCT00501098 COMPLETED
Invasive Pulmonary Aspergillosis
Northern Italy Leukemia Group
2007-01 PHASE2
NCT00238355 TERMINATED
Infection; Unspecified Adult Solid Tumor, Protocol Specific
OHSU Knight Cancer Institute
2003-08 PHASE2
NCT00110045 COMPLETED
Cancer
European Organisation for Research and Treatment of Cancer - EORTC
2005-02 PHASE2
NCT00250432 COMPLETED
Invasive Candidiasis
Merck Sharp & Dohme LLC
2006-01 PHASE3
NCT00082524 COMPLETED
Aspergillosis; Candidiasis
Merck Sharp & Dohme LLC
2004-04 PHASE2
NCT00548080 COMPLETED
Fungal Infection
Merck Sharp & Dohme LLC
2006-03 PHASE3
NCT00082537 COMPLETED
Neutropenia; Fever
Merck Sharp & Dohme LLC
2004-04 PHASE2
NCT00330395 COMPLETED
Candidiasis
Merck Sharp & Dohme LLC
2006-05 PHASE2
NCT00292071 COMPLETED
Fungal Infection
Merck Sharp & Dohme LLC
2004-05 PHASE2
NCT00379964 COMPLETED
Fungal Infection
Merck Sharp & Dohme LLC
2005-06 PHASE3
NCT00105144 COMPLETED
Candidiasis; Candidemia
Astellas Pharma Inc
2004-09 PHASE3
NCT00083343 COMPLETED
Candidiasis
Merck Sharp & Dohme LLC
2004-05 PHASE2
NCT00665639 COMPLETED
Candidiasis, Oral
Astellas Pharma Inc
2004-06 PHASE3
NCT00076869 COMPLETED
Aspergillosis
Merck Sharp & Dohme LLC
2003-01 PHASE2
NCT00008359 COMPLETED
Cancer
Memorial Sloan Kettering Cancer Center
2000-08 PHASE3
NCT00333645 UNKNOWN
Liver Transplantation; Fungal Infection
Grupo de Estudio de Infecciones en Transplantados
2003-10 PHASE2
NCT00099775 COMPLETED
Candidiasis
National Cancer Institute (NCI)
2004-12 PHASE3
NCT00334412 COMPLETED
Invasive Aspergillosis
Gilead Sciences
2004-03 PHASE4
NCT00148148 COMPLETED
Hematopoietic Stem Cell Transplantation; Fungus Diseases
University Hospital Muenster
2004-05 PHASE2
NCT00095316 TERMINATED
Candidiasis
National Institute of Allergy and Infectious Diseases (NIAID)
2004-10 PHASE3
NCT00020527 COMPLETED
Fever, Sweats, and Hot Flashes; Infection; Kidney Cancer; Leukemia; Lymphoma; Neuroblastoma; Neutropenia; Sarcoma
National Cancer Institute (NCI)
2001-03

(data from https://clinicaltrials.gov, updated on 2026-09-01)

Check the Caspofungin (MK-0991) Acetate product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Caspofungin acts as a lipopeptide echinocandin that selectively binds to and inhibits the β-1,3-glucan synthase enzyme complex, thereby blocking the synthesis of β-1,3-D-glucan, an essential structural component of fungal cell walls. This loss of structural integrity leads to osmotic instability, fungal cell lysis, and cell death, providing therapeutic efficacy in clinical trial conditions such as invasive candidiasis, esophageal candidiasis, and aspergillosis.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.