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A Study to Find the Minimum Inhibitory Concentration of KAE609 in Adult Male Patients With P. Falciparum Monoinfection

Primary Purpose

Malaria

Status
Completed
Phase
Phase 2
Locations
Vietnam
Study Type
Interventional
Intervention
KAE609
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Malaria focused on measuring Malaria, KAE609

Eligibility Criteria

20 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria:

  • Monoinfection with P. falciparum confirmed by microscopy
  • Asexual P. falciparum parasitemia count of 5,000 to 50,000/µL
  • Axillary temperature ≥37.5 ºC or oral/tympanic/rectal temperature ≥38 ºC; or similar documented temperature during the previous 24 hours
  • Body weight between 40 to 90 kg

Key Exclusion Criteria:

  • Signs and symptoms of severe malaria according to World Health Organization (WHO) 2010 criteria
  • Mixed Plasmodium infection, i.e. infection with more than one species of malaria parasites
  • Use of other investigational drugs within 30 days or within 5 half-lives of enrollment, whichever is longer
  • History of antimalarial use within 2 months of screening
  • Use of any antibiotics with antimalarial activity or other prohibited medication within 14 days of screening
  • Long QT syndrome or QTc using Fridericia's formula >430 msec
  • History of malignancy of any organ system (other than localized basal cell carcinoma of the skin), treated or untreated, within the past 5 years, regardless of whether there is evidence of local recurrence or metastases
  • Hemoglobin level <10 g/dL
  • Liver disease or injury as indicated by elevated liver tests such as SGPT (ALT) or SGOT (AST) >2 times the upper limit of normal
  • Renal dysfunction as indicated by serum creatinine >2 times the upper limit of normal in the absence of dehydration; in case of dehydration, serum creatinine should be <2 times the upper limit of normal after oral or parental rehydration
  • Known to be immunocompromised (including HIV infection) or are receiving immunosuppressive therapy at the time or enrollment; HIV testing is not required
  • Known history of hepatitis B or C; testing is not required
  • Febrile condition due to diseases other than malaria (e.g. acute lower respiratory tract infection), known underlying chronic or severe disease (e.g. cardiac, hepatic, renal, gastrointestinal, neurologic, or psychiatric disease), or any condition precluding enrollment into this study according to the investigator
  • Severe vomiting defined as >3 times during the previous 24 hours or inability to tolerate oral medication; severe diarrhea defined as ≥3 watery stools during the previous 24 hours
  • Severe malnutrition defined by a body mass index (BMI) <18.5 kg/m2 or unintentional loss of weight ≥10% with evidence of suboptimal intake resulting in loss of subcutaneous fat and/or severe muscle wasting
  • Active tuberculosis or history of taking anti-tuberculosis medications within 24 months prior to screening

Sites / Locations

  • Novartis Investigative Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Dose 1: 30 mg

Dose 2: 20 mg

Dose 3: 10 mg

Dose 4: 15 mg

Arm Description

Single dose of KAE609 30 mg

Single dose of KAE609 20 mg

Single dose of KAE609 10 mg

Single dose of KAE609 15 mg

Outcomes

Primary Outcome Measures

Minimum Inhibitory Concentration (MIC) of KAE609
To observe the exposure-response (PK/PD) relationship for a single dose of KAE609. The key parameter is MIC, defined as the concentration at which the relative rate of change in parasitemia is equal to zero. Approximation of MIC will assist in identifying the optimal dose of KAE609, which will be one component of a future combination antimalarial. MIC could not be determined due to small sample size no data was collected from any participants.

Secondary Outcome Measures

Median Time to Parasite Clearance
Parasite clearance time will be estimated using thick/thin blood films.
Median Time to Fever Clearance
Fever is monitored on participants every 4 hours for the first 24 hours, then every 6 hours until negative reading obtained.
Percentage of Patients PCR-corrected Cure Rate by Day 28, Day 35 & Day 42
PCR-corrected cure rate after a single dose of KAE609 by Day 28, Day 35 & Day 42. PCR-corrected cure rate accounts for failures due to reappearance of parasites that were present in the blood before treatment (i.e. recrudescent infection) but not for failures due to a post-treatment inoculation (i.e. new infection).

Full Information

First Posted
April 17, 2013
Last Updated
September 14, 2016
Sponsor
Novartis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT01836458
Brief Title
A Study to Find the Minimum Inhibitory Concentration of KAE609 in Adult Male Patients With P. Falciparum Monoinfection
Official Title
An Open-label Study to Find the Minimum Inhibitory Concentration(MIC) of KAE609 in Adult Male Patients With Acute, Uncomplicated Malaria Due to Plasmodium Falciparum Monoinfection
Study Type
Interventional

2. Study Status

Record Verification Date
September 2016
Overall Recruitment Status
Completed
Study Start Date
January 2014 (undefined)
Primary Completion Date
March 2015 (Actual)
Study Completion Date
March 2015 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study aims to determine the Minimum Inhibitory Concentration of KAE609 in adult male patients with acute, uncomplicated malaria due to P.falciparum monoinfection after single dosing with KAE609
Detailed Description
There will be a total of approximately 45 patients recruited into this study and six doses of KAE609 and will be investigated.The dose groups will run in sequence. Patient will be given a single dose of KAE609 and be followed up for 42 days.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Malaria
Keywords
Malaria, KAE609

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
25 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Dose 1: 30 mg
Arm Type
Experimental
Arm Description
Single dose of KAE609 30 mg
Arm Title
Dose 2: 20 mg
Arm Type
Experimental
Arm Description
Single dose of KAE609 20 mg
Arm Title
Dose 3: 10 mg
Arm Type
Experimental
Arm Description
Single dose of KAE609 10 mg
Arm Title
Dose 4: 15 mg
Arm Type
Experimental
Arm Description
Single dose of KAE609 15 mg
Intervention Type
Drug
Intervention Name(s)
KAE609
Intervention Description
Patients will receive KAE609 single dose at a different dose level in each cohort.
Primary Outcome Measure Information:
Title
Minimum Inhibitory Concentration (MIC) of KAE609
Description
To observe the exposure-response (PK/PD) relationship for a single dose of KAE609. The key parameter is MIC, defined as the concentration at which the relative rate of change in parasitemia is equal to zero. Approximation of MIC will assist in identifying the optimal dose of KAE609, which will be one component of a future combination antimalarial. MIC could not be determined due to small sample size no data was collected from any participants.
Time Frame
Up to Day 8 after a single dose of KAE609
Secondary Outcome Measure Information:
Title
Median Time to Parasite Clearance
Description
Parasite clearance time will be estimated using thick/thin blood films.
Time Frame
pre-dose, 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 20, 24, 30, 36, 42, 48, 54, 60, 66, 72 hours post dose of KAE609
Title
Median Time to Fever Clearance
Description
Fever is monitored on participants every 4 hours for the first 24 hours, then every 6 hours until negative reading obtained.
Time Frame
Day 1 to Day 5
Title
Percentage of Patients PCR-corrected Cure Rate by Day 28, Day 35 & Day 42
Description
PCR-corrected cure rate after a single dose of KAE609 by Day 28, Day 35 & Day 42. PCR-corrected cure rate accounts for failures due to reappearance of parasites that were present in the blood before treatment (i.e. recrudescent infection) but not for failures due to a post-treatment inoculation (i.e. new infection).
Time Frame
Day 28, Day 35 & Day 42

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Monoinfection with P. falciparum confirmed by microscopy Asexual P. falciparum parasitemia count of 5,000 to 50,000/µL Axillary temperature ≥37.5 ºC or oral/tympanic/rectal temperature ≥38 ºC; or similar documented temperature during the previous 24 hours Body weight between 40 to 90 kg Key Exclusion Criteria: Signs and symptoms of severe malaria according to World Health Organization (WHO) 2010 criteria Mixed Plasmodium infection, i.e. infection with more than one species of malaria parasites Use of other investigational drugs within 30 days or within 5 half-lives of enrollment, whichever is longer History of antimalarial use within 2 months of screening Use of any antibiotics with antimalarial activity or other prohibited medication within 14 days of screening Long QT syndrome or QTc using Fridericia's formula >430 msec History of malignancy of any organ system (other than localized basal cell carcinoma of the skin), treated or untreated, within the past 5 years, regardless of whether there is evidence of local recurrence or metastases Hemoglobin level <10 g/dL Liver disease or injury as indicated by elevated liver tests such as SGPT (ALT) or SGOT (AST) >2 times the upper limit of normal Renal dysfunction as indicated by serum creatinine >2 times the upper limit of normal in the absence of dehydration; in case of dehydration, serum creatinine should be <2 times the upper limit of normal after oral or parental rehydration Known to be immunocompromised (including HIV infection) or are receiving immunosuppressive therapy at the time or enrollment; HIV testing is not required Known history of hepatitis B or C; testing is not required Febrile condition due to diseases other than malaria (e.g. acute lower respiratory tract infection), known underlying chronic or severe disease (e.g. cardiac, hepatic, renal, gastrointestinal, neurologic, or psychiatric disease), or any condition precluding enrollment into this study according to the investigator Severe vomiting defined as >3 times during the previous 24 hours or inability to tolerate oral medication; severe diarrhea defined as ≥3 watery stools during the previous 24 hours Severe malnutrition defined by a body mass index (BMI) <18.5 kg/m2 or unintentional loss of weight ≥10% with evidence of suboptimal intake resulting in loss of subcutaneous fat and/or severe muscle wasting Active tuberculosis or history of taking anti-tuberculosis medications within 24 months prior to screening
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Pharmaceuticals
Organizational Affiliation
Novartis Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Novartis Investigative Site
City
Ho Chi Minh
Country
Vietnam

12. IPD Sharing Statement

Citations:
PubMed Identifier
27872070
Citation
Hien TT, White NJ, Thuy-Nhien NT, Hoa NT, Thuan PD, Tarning J, Nosten F, Magnusson B, Jain JP, Hamed K. Estimation of the In Vivo MIC of Cipargamin in Uncomplicated Plasmodium falciparum Malaria. Antimicrob Agents Chemother. 2017 Jan 24;61(2):e01940-16. doi: 10.1128/AAC.01940-16. Print 2017 Feb.
Results Reference
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A Study to Find the Minimum Inhibitory Concentration of KAE609 in Adult Male Patients With P. Falciparum Monoinfection

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