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Prophylactic Antimalarial Activity of DB289 in Volunteers

Primary Purpose

Prophylactic Activity Against Malaria

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
DB289
Sponsored by
Immtech Pharmaceuticals, Inc
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional prevention trial for Prophylactic Activity Against Malaria focused on measuring prophylactic, malaria, challenge

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Age between 18 and 45 years
  • BMI between 19 and 30 (Appendix IV)
  • Able to provide home address and phone number; work description, address, and phone number; and to provide the name, address, and phone number of a person willing and able to assist the investigators in making contact with the cognate volunteer during the study period
  • Able and willing to follow-up intensively for 3 months of scheduled visits
  • Post-menopausal or surgically sterilized women
  • Score of 80% or more on a written exam to test malaria knowledge and comprehension of the study
  • Serum and red cells support growth of P. falciparum in vitro (Appendix V)
  • Blood type A or O
  • Able and willing to provide written informed consent for screening, HIV testing, and study participation-

Exclusion Criteria:

  • Clinically significant abnormalities on screening examinations

    • AST, ALT, bilirubin, hemoglobin, hematocrit, prothrombin time, partial thromboplastin time, or creatinine outside the limits of normal as defined at the time of testing by the Johns Hopkins Medical Laboratories
    • laboratory evidence of HIV infection or active viral hepatitis
    • G6PD deficiency, or hemoglobin S or C
    • Significant medical illnesses requiring systemic treatment and/or hospitalization within one month of enrollment
    • History of chronic medical illnesses, significant in the investigators' judgment
    • Self-described use of tobacco
    • History of alcohol or drug abuse
    • Use of prescribed or over-the-counter medications or nutritional supplements within two weeks of enrollment (vitamins, at or below the daily recommended dose, may be taken during the study)
    • Women of childbearing potential
    • Blood or plasma donation within 2 weeks of enrollment
    • History of malaria or residence in a malaria-endemic area
    • Allergy to mosquito bites
    • Intolerance to chloroquine, Malarone, quinine, quinidine, or tetracycline
    • Taken anti-infective drugs or quinine-containing beverages in the week prior to enrollment
    • Currently participating in other clinical trials, participated in a drug trial within two weeks of enrollment, or plan to participate in another clinical trial within three months from challenge
    • Any factors for which the investigator believes that participation of the volunteer in the study is not appropriate

Sites / Locations

  • Johns Hopkins University School of Medicine

Outcomes

Primary Outcome Measures

The primary endpoint of this study is the appearance of erythrocytic parasites
(parasitemia), which indicates a prophylaxis failure. Parasitemia will be sought by
multiple means, including blood culture, polymerase chain reaction (PCR), Quantitative
Buffy Coat (QBC) analysis, and thick and thin blood smears (detailed methods,
Appendix II).

Secondary Outcome Measures

To distinguish the mechanism of prophylaxis: causal vs suppressive
To evaluate the pharmacokinetics of DB289 and DB75
To assess the safety of DB289

Full Information

First Posted
December 4, 2006
Last Updated
January 25, 2008
Sponsor
Immtech Pharmaceuticals, Inc
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1. Study Identification

Unique Protocol Identification Number
NCT00408369
Brief Title
Prophylactic Antimalarial Activity of DB289 in Volunteers
Official Title
Prophylactic Antimalarial Activity of DB289 in Volunteers Challenged With Plasmodium Falciparum
Study Type
Interventional

2. Study Status

Record Verification Date
January 2008
Overall Recruitment Status
Completed
Study Start Date
November 2006 (undefined)
Primary Completion Date
November 2007 (Actual)
Study Completion Date
November 2007 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Immtech Pharmaceuticals, Inc

4. Oversight

5. Study Description

Brief Summary
To evaluate the prophylactic activity of orally administered DB289 against Plasmodium falciparum in non-immune healthy volunteers who are challenged by the bite of five P. falciparum-infected Anopheles stephensi mosquitoes
Detailed Description
The primary endpoint of this study is the appearance of erythrocytic parasites (parasitemia), which indicates a prophylaxis failure. Parasitemia will be sought by multiple means, including blood culture, polymerase chain reaction (PCR), Quantitative Buffy Coat (QBC) analysis, and thick and thin blood smears (detailed methods,Appendix II). QBC and giemsa-stained blood smears will be analyzed in real time and a positive result in any one of them is sufficient to initiate chloroquine treatment. All positive QBC analyses or blood smears will be confirmed by two experienced observers. On smears, the location of parasites will be recorded using a stage micrometer, and slides will be archived and available for later re-examination. PCR samples will be collected and stored for later analysis; cultures will be inoculated at once and maintained for 70 days. A positive result in any one of these tests constitutes a drug failure.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Prophylactic Activity Against Malaria
Keywords
prophylactic, malaria, challenge

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
19 (Anticipated)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
DB289
Primary Outcome Measure Information:
Title
The primary endpoint of this study is the appearance of erythrocytic parasites
Title
(parasitemia), which indicates a prophylaxis failure. Parasitemia will be sought by
Title
multiple means, including blood culture, polymerase chain reaction (PCR), Quantitative
Title
Buffy Coat (QBC) analysis, and thick and thin blood smears (detailed methods,
Title
Appendix II).
Secondary Outcome Measure Information:
Title
To distinguish the mechanism of prophylaxis: causal vs suppressive
Title
To evaluate the pharmacokinetics of DB289 and DB75
Title
To assess the safety of DB289

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Age between 18 and 45 years BMI between 19 and 30 (Appendix IV) Able to provide home address and phone number; work description, address, and phone number; and to provide the name, address, and phone number of a person willing and able to assist the investigators in making contact with the cognate volunteer during the study period Able and willing to follow-up intensively for 3 months of scheduled visits Post-menopausal or surgically sterilized women Score of 80% or more on a written exam to test malaria knowledge and comprehension of the study Serum and red cells support growth of P. falciparum in vitro (Appendix V) Blood type A or O Able and willing to provide written informed consent for screening, HIV testing, and study participation- Exclusion Criteria: Clinically significant abnormalities on screening examinations AST, ALT, bilirubin, hemoglobin, hematocrit, prothrombin time, partial thromboplastin time, or creatinine outside the limits of normal as defined at the time of testing by the Johns Hopkins Medical Laboratories laboratory evidence of HIV infection or active viral hepatitis G6PD deficiency, or hemoglobin S or C Significant medical illnesses requiring systemic treatment and/or hospitalization within one month of enrollment History of chronic medical illnesses, significant in the investigators' judgment Self-described use of tobacco History of alcohol or drug abuse Use of prescribed or over-the-counter medications or nutritional supplements within two weeks of enrollment (vitamins, at or below the daily recommended dose, may be taken during the study) Women of childbearing potential Blood or plasma donation within 2 weeks of enrollment History of malaria or residence in a malaria-endemic area Allergy to mosquito bites Intolerance to chloroquine, Malarone, quinine, quinidine, or tetracycline Taken anti-infective drugs or quinine-containing beverages in the week prior to enrollment Currently participating in other clinical trials, participated in a drug trial within two weeks of enrollment, or plan to participate in another clinical trial within three months from challenge Any factors for which the investigator believes that participation of the volunteer in the study is not appropriate
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Theresa A. Shapiro, MD, PhD
Organizational Affiliation
Johns Hopkins University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Johns Hopkins University School of Medicine
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21205-2186
Country
United States

12. IPD Sharing Statement

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