search
Back to results

Platform Study to Evaluate the Efficacy and Safety of Anti-malarial Agents in Patients With Uncomplicated Plasmodium Falciparum Malaria (PLATINUM)

Primary Purpose

Uncomplicated Plasmodium Falciparum Malaria

Status
Not yet recruiting
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
INE963
KAE609 (Cipargamin)
SoC (Coartem)
KLU156
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Uncomplicated Plasmodium Falciparum Malaria focused on measuring malaria, uncomplicated malaria, Plasmodium falciparum, platform study, PLATINUM

Eligibility Criteria

12 Years - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Male and female patients ≥18 years of age for Part A and ≥12 years of age for Part B at screening. Patients must have acute uncomplicated P. falciparum malaria mono infection at screening confirmed by a parasite count between 5,000 to 150,000 asexual parasite count/μl of blood for P. falciparum for Part A and between 1,000 to 150,000 asexual parasite count/μl of blood for Part B Patients in Part A must weigh between 40 kg and 90 kg. Patients in Part B must weigh between 35 kg and 90 kg at screening. Exclusion Criteria: Patients with signs and symptoms of severe/complicated malaria at screening or mixed Plasmodium infection (i.e., infection with more than one malaria species) at screening Moderate to severe anemia, chronic hemoglobinopathy (Hemoglobin level < 8 g/dL), or known chronic underlying disease such as sickle cell disease at screening Known clinically significant liver disease (e.g., chronic hepatitis, liver cirrhosis (compensated or decompensated), history of hepatitis B or C, hepatitis A or B vaccination in the last 3 months, known gallbladder or bile duct disease, acute or chronic pancreatitis. Clinical or laboratory evidence of any of the following at screening: AST/ALT > 3 x the upper limit of normal range (ULN), regardless of the level of total bilirubin AST/ALT > 1.5 and ≤ 2 x ULN and total bilirubin is > ULN Total bilirubin > 2 x ULN, regardless of the level of AST/ALT Any known/suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection at screening. Pregnant or nursing (lactating) women, women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using methods of effective contraception, and sexually active patients not willing to practice effective contraception. History or current diagnosis of ECG abnormalities indicating significant risk of safety for patients participating in the study such as: Concomitant clinically significant cardiac arrhythmias, e.g., sustained ventricular tachycardia, and clinically significant second or third degree AV block without a pacemaker History of familial long QT syndrome or known family history of Torsades de Pointe. Resting heart rate (physical exam or 12 lead ECG) < 60 bpm Other protocol-defined inclusion/exclusion criteria may apply.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm 6

    Arm 7

    Arm Type

    Experimental

    Experimental

    Experimental

    Experimental

    Active Comparator

    Experimental

    Active Comparator

    Arm Label

    Cohort A1: Dose Level 1 INE963

    Cohort A1: Dose Level 2 INE963

    Cohort A1: Dose Level 3 INE963

    Cohort B1: KAE609 + INE963

    Cohort B1: SoC (Coartem)

    Cohort B2: KAE609 + KLU156

    Cohort B2: SoC (Coartem)

    Arm Description

    Cohort A1: Dose Level 1 INE963

    Cohort A1: Dose Level 2 INE963

    Cohort A1: Dose Level 3 INE963

    Cohort B1: KAE609 + INE963

    Cohort B1: SoC (Coartem)

    Cohort B2: KAE609 + KLU156

    Cohort B2: SoC (Coartem)

    Outcomes

    Primary Outcome Measures

    Part A: parasite clearance time (PCT)
    Part A: To assess the parasite clearance time (PCT) of oral doses of an anti-malarial agent administered as monotherapy in patients with uncomplicated P. falciparum malaria. PCT is defined as the time from the first positive blood slide at inclusion to the time of the first negative slide followed by two consecutive slides.
    Part B: polymerase chain reaction (PCR) corrected adequate clinical and parasitological response (ACPR)
    Part B: To assess the 28-day cure rate of an anti malarial agent administered orally as combination therapy versus the standard of care (SoC) in patients with uncomplicated P. falciparum malaria. ACPR is defined as the absence of parasitemia on Study Day 29 irrespective of axillary temperature, without previously meeting any of the criteria of Early Treatment Failure (ETF) or Late Clinical Failure (LCF) or Late Parasitological Failure (LPF).

    Secondary Outcome Measures

    Part A: PCR-corrected and uncorrected ACPR
    Part A: To assess the 28-day cure rate of an anti malarial agent administered orally as monotherapy in patients with uncomplicated P. falciparum malaria
    Part B: PCT
    Part B: To assess the parasite clearance time (PCT) of oral combinations of anti malarial agents versus the standard of care (SoC) in patients with uncomplicated P. falciparum malaria
    Part B: PCR-uncorrected ACPR
    Part B: To assess the 28-day cure rate of an anti malarial agent administered orally as combination therapy versus the SoC in patients with uncomplicated P. falciparum malaria
    Area under the concentration-time curve from time zero to the last measurable concentration sampling time (AUClast) of the anti-malarial agents
    To characterize the pharmacokinetics (PK) of each anti-malarial agent administered orally as monotherapy [Part A] and/or as combination therapy [Part B] in patients with uncomplicated P. falciparum malaria. AUClast is the area under the curve (AUC) from time zero to the last measurable concentration sample time (tlast)
    Area under the concentration-time curve from time zero to infinity (AUCinf) of the anti-malarial agents
    To characterize PK of each anti-malarial agent administered orally as monotherapy [Part A] and/or as combination therapy [Part B] in patients with uncomplicated P. falciparum malaria. AUCinf is the AUC from time zero to infinity.
    Maximum observed concentration (Cmax) of the anti-malarial agents
    To characterize PK of each anti-malarial agent administered orally as monotherapy [Part A] and/or as combination therapy [Part B] in patients with uncomplicated P. falciparum malaria. Cmax is the maximum (peak) observed plasma, blood, serum, or other blood fluid drug concentration after single dose administration.
    Time to reach maximum observed concentration (Tmax)
    To characterize PK of each anti-malarial agent administered orally as monotherapy [Part A] and/or as combination therapy [Part B] in patients with uncomplicated P. falciparum malaria. Tmax is the time to reach maximum (peak) plasma, blood, serum, or other body fluid drug concentration after single dose administration.
    Elimination half-life (T1/2) of the anti-malarial agents
    To characterize PK of each anti-malarial agent administered orally as monotherapy [Part A] and/or as combination therapy [Part B] in patients with uncomplicated P. falciparum malaria. T1/2 is the elimination half-life associated with the terminal slope of a semi-logarithmic concentration-time curve.
    Total body clearance (CL/F) of the anti-malarial agents
    To characterize PK of each anti-malarial agent administered orally as monotherapy [Part A] and/or as combination therapy [Part B] in patients with uncomplicated P. falciparum malaria. Cl/F is the total body clearance of drug from the plasma.
    Apparent volume of distribution (Vz/F) of the anti-malarial agents
    To characterize PK of each anti-malarial agent administered orally as monotherapy [Part A] and/or as combination therapy [Part B] in patients with uncomplicated P. falciparum malaria. Vz/F is the apparent volume of distribution during terminal phase.
    Incidence and severity of Adverse Events (AEs) and Serious Adverse Events (SAEs)
    Incidence and severity of AEs and SAEs by treatment group, including changes in vital signs, electrocardiograms (ECGs), and laboratory results qualifying and reported as AEs.

    Full Information

    First Posted
    February 17, 2023
    Last Updated
    October 23, 2023
    Sponsor
    Novartis Pharmaceuticals
    search

    1. Study Identification

    Unique Protocol Identification Number
    NCT05750628
    Brief Title
    Platform Study to Evaluate the Efficacy and Safety of Anti-malarial Agents in Patients With Uncomplicated Plasmodium Falciparum Malaria
    Acronym
    PLATINUM
    Official Title
    A Multi-part, Multi-center PLATform Study to Assess the Efficacy, Safety, Tolerability and Pharmacokinetics of Anti-malarial Agents Administered as Monotherapy and/or Combination Therapy IN Patients With Uncomplicated Plasmodium Falciparum Malaria
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    November 30, 2023 (Anticipated)
    Primary Completion Date
    September 30, 2025 (Anticipated)
    Study Completion Date
    October 15, 2025 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Novartis Pharmaceuticals

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    Platform study to evaluate the efficacy and safety of anti-malarial agents in patients with uncomplicated Plasmodium falciparum malaria
    Detailed Description
    The purpose of this platform study is to evaluate the parasiticidal effect and potential for cure with different anti-malarial agents administered as monotherapy and/or in combination therapy with other anti-malarial agents in adult and adolescent patients with uncomplicated Plasmodium falciparum malaria. Additionally, the safety, tolerability, and pharmacokinetics of these anti-malarial agents will be evaluated for dose selection for future studies.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Uncomplicated Plasmodium Falciparum Malaria
    Keywords
    malaria, uncomplicated malaria, Plasmodium falciparum, platform study, PLATINUM

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Masking Description
    This study is open-label
    Allocation
    Randomized
    Enrollment
    180 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Cohort A1: Dose Level 1 INE963
    Arm Type
    Experimental
    Arm Description
    Cohort A1: Dose Level 1 INE963
    Arm Title
    Cohort A1: Dose Level 2 INE963
    Arm Type
    Experimental
    Arm Description
    Cohort A1: Dose Level 2 INE963
    Arm Title
    Cohort A1: Dose Level 3 INE963
    Arm Type
    Experimental
    Arm Description
    Cohort A1: Dose Level 3 INE963
    Arm Title
    Cohort B1: KAE609 + INE963
    Arm Type
    Experimental
    Arm Description
    Cohort B1: KAE609 + INE963
    Arm Title
    Cohort B1: SoC (Coartem)
    Arm Type
    Active Comparator
    Arm Description
    Cohort B1: SoC (Coartem)
    Arm Title
    Cohort B2: KAE609 + KLU156
    Arm Type
    Experimental
    Arm Description
    Cohort B2: KAE609 + KLU156
    Arm Title
    Cohort B2: SoC (Coartem)
    Arm Type
    Active Comparator
    Arm Description
    Cohort B2: SoC (Coartem)
    Intervention Type
    Drug
    Intervention Name(s)
    INE963
    Intervention Description
    oral INE963
    Intervention Type
    Drug
    Intervention Name(s)
    KAE609 (Cipargamin)
    Intervention Description
    oral KAE609 (Cipargamin)
    Intervention Type
    Drug
    Intervention Name(s)
    SoC (Coartem)
    Intervention Description
    SoC (Coartem)
    Intervention Type
    Drug
    Intervention Name(s)
    KLU156
    Intervention Description
    oral sachet KLU156 (KAF156 + lumefantrine)
    Primary Outcome Measure Information:
    Title
    Part A: parasite clearance time (PCT)
    Description
    Part A: To assess the parasite clearance time (PCT) of oral doses of an anti-malarial agent administered as monotherapy in patients with uncomplicated P. falciparum malaria. PCT is defined as the time from the first positive blood slide at inclusion to the time of the first negative slide followed by two consecutive slides.
    Time Frame
    up to Day 7
    Title
    Part B: polymerase chain reaction (PCR) corrected adequate clinical and parasitological response (ACPR)
    Description
    Part B: To assess the 28-day cure rate of an anti malarial agent administered orally as combination therapy versus the standard of care (SoC) in patients with uncomplicated P. falciparum malaria. ACPR is defined as the absence of parasitemia on Study Day 29 irrespective of axillary temperature, without previously meeting any of the criteria of Early Treatment Failure (ETF) or Late Clinical Failure (LCF) or Late Parasitological Failure (LPF).
    Time Frame
    Day 29
    Secondary Outcome Measure Information:
    Title
    Part A: PCR-corrected and uncorrected ACPR
    Description
    Part A: To assess the 28-day cure rate of an anti malarial agent administered orally as monotherapy in patients with uncomplicated P. falciparum malaria
    Time Frame
    Day 29
    Title
    Part B: PCT
    Description
    Part B: To assess the parasite clearance time (PCT) of oral combinations of anti malarial agents versus the standard of care (SoC) in patients with uncomplicated P. falciparum malaria
    Time Frame
    up to Day 7
    Title
    Part B: PCR-uncorrected ACPR
    Description
    Part B: To assess the 28-day cure rate of an anti malarial agent administered orally as combination therapy versus the SoC in patients with uncomplicated P. falciparum malaria
    Time Frame
    Day 29
    Title
    Area under the concentration-time curve from time zero to the last measurable concentration sampling time (AUClast) of the anti-malarial agents
    Description
    To characterize the pharmacokinetics (PK) of each anti-malarial agent administered orally as monotherapy [Part A] and/or as combination therapy [Part B] in patients with uncomplicated P. falciparum malaria. AUClast is the area under the curve (AUC) from time zero to the last measurable concentration sample time (tlast)
    Time Frame
    Day 22
    Title
    Area under the concentration-time curve from time zero to infinity (AUCinf) of the anti-malarial agents
    Description
    To characterize PK of each anti-malarial agent administered orally as monotherapy [Part A] and/or as combination therapy [Part B] in patients with uncomplicated P. falciparum malaria. AUCinf is the AUC from time zero to infinity.
    Time Frame
    Day 22
    Title
    Maximum observed concentration (Cmax) of the anti-malarial agents
    Description
    To characterize PK of each anti-malarial agent administered orally as monotherapy [Part A] and/or as combination therapy [Part B] in patients with uncomplicated P. falciparum malaria. Cmax is the maximum (peak) observed plasma, blood, serum, or other blood fluid drug concentration after single dose administration.
    Time Frame
    Day 22
    Title
    Time to reach maximum observed concentration (Tmax)
    Description
    To characterize PK of each anti-malarial agent administered orally as monotherapy [Part A] and/or as combination therapy [Part B] in patients with uncomplicated P. falciparum malaria. Tmax is the time to reach maximum (peak) plasma, blood, serum, or other body fluid drug concentration after single dose administration.
    Time Frame
    Day 22
    Title
    Elimination half-life (T1/2) of the anti-malarial agents
    Description
    To characterize PK of each anti-malarial agent administered orally as monotherapy [Part A] and/or as combination therapy [Part B] in patients with uncomplicated P. falciparum malaria. T1/2 is the elimination half-life associated with the terminal slope of a semi-logarithmic concentration-time curve.
    Time Frame
    Day 22
    Title
    Total body clearance (CL/F) of the anti-malarial agents
    Description
    To characterize PK of each anti-malarial agent administered orally as monotherapy [Part A] and/or as combination therapy [Part B] in patients with uncomplicated P. falciparum malaria. Cl/F is the total body clearance of drug from the plasma.
    Time Frame
    Day 22
    Title
    Apparent volume of distribution (Vz/F) of the anti-malarial agents
    Description
    To characterize PK of each anti-malarial agent administered orally as monotherapy [Part A] and/or as combination therapy [Part B] in patients with uncomplicated P. falciparum malaria. Vz/F is the apparent volume of distribution during terminal phase.
    Time Frame
    Day 22
    Title
    Incidence and severity of Adverse Events (AEs) and Serious Adverse Events (SAEs)
    Description
    Incidence and severity of AEs and SAEs by treatment group, including changes in vital signs, electrocardiograms (ECGs), and laboratory results qualifying and reported as AEs.
    Time Frame
    Day 43

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    12 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Male and female patients ≥18 years of age for Part A and ≥12 years of age for Part B at screening. Patients must have acute uncomplicated P. falciparum malaria mono infection at screening confirmed by a parasite count between 5,000 to 150,000 asexual parasite count/μl of blood for P. falciparum for Part A and between 1,000 to 150,000 asexual parasite count/μl of blood for Part B Patients in Part A must weigh between 40 kg and 90 kg. Patients in Part B must weigh between 35 kg and 90 kg at screening. Exclusion Criteria: Patients with signs and symptoms of severe/complicated malaria at screening or mixed Plasmodium infection (i.e., infection with more than one malaria species) at screening Moderate to severe anemia, chronic hemoglobinopathy (Hemoglobin level < 8 g/dL), or known chronic underlying disease such as sickle cell disease at screening Known clinically significant liver disease (e.g., chronic hepatitis, liver cirrhosis (compensated or decompensated), history of hepatitis B or C, hepatitis A or B vaccination in the last 3 months, known gallbladder or bile duct disease, acute or chronic pancreatitis. Clinical or laboratory evidence of any of the following at screening: AST/ALT > 3 x the upper limit of normal range (ULN), regardless of the level of total bilirubin AST/ALT > 1.5 and ≤ 2 x ULN and total bilirubin is > ULN Total bilirubin > 2 x ULN, regardless of the level of AST/ALT Any known/suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection at screening. Pregnant or nursing (lactating) women, women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using methods of effective contraception, and sexually active patients not willing to practice effective contraception. History or current diagnosis of ECG abnormalities indicating significant risk of safety for patients participating in the study such as: Concomitant clinically significant cardiac arrhythmias, e.g., sustained ventricular tachycardia, and clinically significant second or third degree AV block without a pacemaker History of familial long QT syndrome or known family history of Torsades de Pointe. Resting heart rate (physical exam or 12 lead ECG) < 60 bpm Other protocol-defined inclusion/exclusion criteria may apply.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Novartis Pharmaceuticals
    Phone
    +41613241111
    Email
    novartis.email@novartis.com
    First Name & Middle Initial & Last Name or Official Title & Degree
    Novartis Pharmaceuticals

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com.

    Learn more about this trial

    Platform Study to Evaluate the Efficacy and Safety of Anti-malarial Agents in Patients With Uncomplicated Plasmodium Falciparum Malaria

    We'll reach out to this number within 24 hrs