What were the phases of the ENACT trial for amphotericin B (antifungal medication) in treating cryptococcal meningitis?

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Last updated: November 14, 2025View editorial policy

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ENACT Trial Information Not Available in Provided Evidence

The provided evidence does not contain information about the ENACT trial or its clinical trial phases (Phase 1,2, or 3) for amphotericin B in cryptococcal meningitis. The evidence consists primarily of treatment guidelines and clinical trials, but none specifically reference a trial called "ENACT."

What the Evidence Does Contain

The available evidence discusses several clinical trials and treatment approaches for amphotericin B in cryptococcal meningitis, but these are not identified as the ENACT trial:

Major Clinical Trials Referenced

  • Liposomal amphotericin B dose-comparison trial - A randomized, double-blind trial comparing conventional amphotericin B deoxycholate (0.7 mg/kg/day) versus liposomal amphotericin B at two doses (3 mg/kg/day and 6 mg/kg/day) in AIDS-associated cryptococcal meningitis 1

  • Ambition trial (ISRCTN72509687) - A phase 3 randomized controlled noninferiority trial conducted in five African countries comparing single-dose liposomal amphotericin B (10 mg/kg) plus flucytosine and fluconazole versus WHO-recommended amphotericin B deoxycholate regimen 2

  • Phase 2 short-course liposomal amphotericin B trial (ISRCTN 10248064) - Examined early fungicidal activity of three short-course, high-dose liposomal amphotericin B regimens in Tanzania and Botswana 3

Treatment Guidelines Referenced

  • Multiple IDSA (Infectious Diseases Society of America) practice guidelines from 2000 for cryptococcal disease management 4

  • CDC/NIH/HIVMA recommendations from 2004 for treating opportunistic infections 4

Recommendation for Finding ENACT Trial Information

To obtain information about the ENACT trial phases, you would need to:

  • Search clinical trial registries (ClinicalTrials.gov, ISRCTN registry, EudraCT)
  • Review publications specifically naming the ENACT trial
  • Contact the trial investigators or sponsoring institution directly

The evidence provided does not allow me to answer your specific question about ENACT trial phases.

References

Research

Short-course High-dose Liposomal Amphotericin B for Human Immunodeficiency Virus-associated Cryptococcal Meningitis: A Phase 2 Randomized Controlled Trial.

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2019

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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