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A Study to Investigate the Safety, Tolerability and Pharmacokinetics of OZ439 in Healthy Male and Female Subjects

Primary Purpose

Malaria Falciparum, Malaria Vivax, Healthy Volunteers

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
OZ439 50mg API capsules
OZ439 200mg API capsules
OZ439 400mg aqueous dispersion
OZ439 800mg aqueous dispersion
OZ439 100mg API capsules
OZ439 400mg API capsules
OZ439 1600mg aqueous dispersion
OZ439 800mg API capsules
OZ439 1200mg API capsules
Placebo
OZ439 200mg aqueous dispersion
Sponsored by
Medicines for Malaria Venture
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Malaria Falciparum focused on measuring Phase I, Safety and tolerability, Pharmacokinetic, synthetic peroxide, trioxolane, treatment of erythrocytic stages of malaria

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy male//female subjects between 18- 55 years of age (inclusive).
  2. Body mass Index (BMI) between 18 - 30 kg/m2, inclusive; and a total body weight >60 kg (132 lbs).
  3. Healthy as determined by pre-study medical history, PE, 12 Lead ECG.
  4. Females of childbearing potential must use 1 of birth control methods throughout study and for 30 days after last dose of study drug:

    1. Surgically sterile (bilateral tubal ligation, hysterectomy, bilateral oophorectomy) 6 months minimum prior to first dose of study drug.
    2. Intrauterine device (IUD) in place for at least 3 months prior to first dose of study drug.
    3. Barrier methods (condom or diaphragm) with spermicide starting at least 14 days prior to first dose of study drug through 30 days after last dose of study drug.
    4. Surgical sterilization of the partner(s) (vasectomy with zero sperm count for 6 months minimum prior to the first dose of study drug).
    5. Hormonal contraceptives starting at least 3 months prior to first dose of study drug. In addition, subjects must agree to use a barrier method (condom or diaphragm) with spermicide at least 14 days prior to first dose of study drug through 30 days after the last dose of study drug.
  5. Post-menopausal women with amenorrhea for at least 1 year will be eligible confirmed by FSH.
  6. Male subjects must agree to use double barrier method of contraception, from time of first dose of study drug through 90 days after last dose of study drug and must also agree to not donate sperm for 90 days after last dose of study drug. Clinical laboratory tests within the reference ranges.
  7. Able/willing to give written informed consent.
  8. Willing/to adhere to lifestyle guideline restrictions outlined in protocol.
  9. Willing and able to be confined to Clinical Research Unit as required by the protocol.

Exclusion Criteria:

  1. Evidence/history of clinically significant oncologic, pulmonary, hepatic, cardiovascular, hematologic, metabolic, neurological, immunologic, nephrologic, endocrine, psychiatric disease, current infection.
  2. Evidence/history of clinically significant gastrointestinal (some exclusions exist) disease, current infection.
  3. Any condition that affecting drug absorption, e.g., gastrectomy.
  4. History of post-antibiotic colitis.
  5. Breast feeding.
  6. QTc greater than 450 msec for males and 470 msec for females as corrected by the Bazett formula.
  7. History of drug or alcohol abuse within the past 2 years prior to Screening.
  8. Tobacco users
  9. Received investigational drug/ participated in another research study within 30 days of first dose of study drug in any part of study.
  10. Use of prescription drugs within 14 days prior to the first dose of study drug in Period 1, or need for any antibiotic during study.
  11. Received any non prescription meds, vitamins, herbal/dietary supplements within 7 days of administration of first dose of study drug in Period 1 (exceptions exist)
  12. Consumed alcohol within 72 hours of Day -1 in any part of study, or have a positive alcohol screen at screening or each admission to Clinical Research Unit (CRU).
  13. Consumed grapefruit juice or juices containing grapefruit or ate grapefruit within 7 days prior to first dose of study drug in any part of study.
  14. Positive serum pregnancy test at the Screening Visit or on Day -1 prior to inclusion in any part of the study.
  15. Positive test for HIV-1, HBsAg,HCV.
  16. Positive urine drug screen at Screening or admission to CRU.
  17. History of intolerance/ hypersensitivity to artemisinins.
  18. Likelihood of requiring treatment during study period with drugs not permitted by protocol.
  19. Subjects who have donated blood or experienced significant blood loss within 60 days of screening for study.
  20. Subjects whose hemoglobin is <12.5 g/dL for males/ <11.5 g/dL for females.
  21. Any concern by investigator regarding safe participation of the subject in study or for any other reason investigator considers subject inappropriate for participation in study.

Sites / Locations

  • Comprehensive Phase One Miramar; 3400 Enterprise Way

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm 10

Arm 11

Arm 12

Arm 13

Arm 14

Arm 15

Arm 16

Arm 17

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Part A - 50 mg Single Dose

Part A - 100mg Single Dose

Part A - 200mg Single Dose

Part A - 400mg Single Dose

Part A - 400mg Single Dose + Food

Part A - 400mg AD Single Dose

Part A - 800mg Single Dose

Part A - 800mg AD Single Dose

Part A - 1200mg Single Dose

Part A - 1600mg AD Single Dose

Part A - Placebo

Part B - 800mg AD Single Dose Fed

Part B - 800mg AD Single Dose Fast

Part C - 200mg AD Multiple Dose

Part C - 400mg AD Multiple Dose

Part C - 800mg AD Multiple Dose

Part C - Placebo

Arm Description

OZ439 Single doses of 50mg (capsules)

OZ439 Single doses of 100mg (capsules)

OZ439 Single doses of 200mg (capsules)

OZ439 Single doses of 400mg (capsules)

OZ439 Single doses of 400mg (capsules) administered with food.

OZ439 Single doses of 400mg (aqueous dispersion)

OZ439 Single doses of 800mg (capsules)

OZ439 Single doses of 800mg (aqueous dispersion)

OZ439 Single doses of 1200mg (capsules)

OZ439 Single doses of 800mg (aqueous dispersion)

Placebo control for Single rising Part A

Single dose of OZ439 800mg aqueous dispersion administered under fed conditions

Single dose of OZ439 800mg aqueous dispersion administered under fast conditions

200mg aqueous solution OZ439 or placebo once daily for 3 days fasted

400mg aqueous solution OZ439 or placebo once daily for 3 days fasted

800mg aqueous solution OZ439 or placebo once daily for 3 days fasted

Placebo control for Multiple rising Part C

Outcomes

Primary Outcome Measures

Adverse Events
Safety/Tolerability evaluation took into account the recorded AE profile, clinical laboratory safety tests, vital signs, 12 lead and continuous (Parts A and C) ECG monitoring, audiometry/Brainstem Auditory Evoked Potentials (BAEP) parameters (Parts A and C) including any additional tests required to evaluate any safety concerns.

Secondary Outcome Measures

OZ439 AUC0-t
Area under the plasma concentration-time curve from zero to time t of the last measured concentration above the limit of quantification (AUC0-t).
OZ439 AUC0-∝
Area under the plasma concentration-time curve from zero to infinity (AUC0-∝).
OZ439 Cmax
Maximum observed plasma drug concentration (Cmax).
OZ439 Tmax
Time to maximum observed plasma drug concentration of OZ439
OZ439 t1/2
Apparent terminal half-life (t1/2)
OZ439 Rac
Accumulation index is the ratio of drug exposure observed during a dosing interval at steady-state divided by drug exposure after a single first dose, as described by the following equations: Accumulation index (Rac) = AUC0-(Day 3)/ AUC0-(Day 1)

Full Information

First Posted
June 24, 2009
Last Updated
January 7, 2015
Sponsor
Medicines for Malaria Venture
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1. Study Identification

Unique Protocol Identification Number
NCT00928083
Brief Title
A Study to Investigate the Safety, Tolerability and Pharmacokinetics of OZ439 in Healthy Male and Female Subjects
Official Title
A Phase I Study To Investigate The Safety, Tolerability And Pharmacokinetic Profile Of OZ439 In Healthy Male and Female Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
January 2015
Overall Recruitment Status
Completed
Study Start Date
April 2009 (undefined)
Primary Completion Date
October 2009 (Actual)
Study Completion Date
December 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Medicines for Malaria Venture

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
OZ439 is a synthetic trioxolane that has potential value as a peroxide antimalarial agent. This was a Phase I, single-centre, multi-component, double-blind, randomised, placebo-controlled study in healthy male and female subjects. The study was conducted in 3 parts: Part A investigated the safety, tolerability and pharmacokinetics (PK) of single oral escalating doses of OZ439. Up to 6 dose levels will be investigated to estimate dose proportionality. Part B, the effect of food on a single oral dose of OZ439 was investigated in a 2-way crossover design. Part C investigated the safety, tolerability and PK profile of multiple oral doses of OZ439. The starting oral dose was 50 mg and the maximum single dose to be administered did not exceed 1600 mg per subject. The maximum duration of dosing proposed was 3 days.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Malaria Falciparum, Malaria Vivax, Healthy Volunteers
Keywords
Phase I, Safety and tolerability, Pharmacokinetic, synthetic peroxide, trioxolane, treatment of erythrocytic stages of malaria

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
63 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Part A - 50 mg Single Dose
Arm Type
Experimental
Arm Description
OZ439 Single doses of 50mg (capsules)
Arm Title
Part A - 100mg Single Dose
Arm Type
Experimental
Arm Description
OZ439 Single doses of 100mg (capsules)
Arm Title
Part A - 200mg Single Dose
Arm Type
Experimental
Arm Description
OZ439 Single doses of 200mg (capsules)
Arm Title
Part A - 400mg Single Dose
Arm Type
Experimental
Arm Description
OZ439 Single doses of 400mg (capsules)
Arm Title
Part A - 400mg Single Dose + Food
Arm Type
Experimental
Arm Description
OZ439 Single doses of 400mg (capsules) administered with food.
Arm Title
Part A - 400mg AD Single Dose
Arm Type
Experimental
Arm Description
OZ439 Single doses of 400mg (aqueous dispersion)
Arm Title
Part A - 800mg Single Dose
Arm Type
Experimental
Arm Description
OZ439 Single doses of 800mg (capsules)
Arm Title
Part A - 800mg AD Single Dose
Arm Type
Experimental
Arm Description
OZ439 Single doses of 800mg (aqueous dispersion)
Arm Title
Part A - 1200mg Single Dose
Arm Type
Experimental
Arm Description
OZ439 Single doses of 1200mg (capsules)
Arm Title
Part A - 1600mg AD Single Dose
Arm Type
Experimental
Arm Description
OZ439 Single doses of 800mg (aqueous dispersion)
Arm Title
Part A - Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo control for Single rising Part A
Arm Title
Part B - 800mg AD Single Dose Fed
Arm Type
Experimental
Arm Description
Single dose of OZ439 800mg aqueous dispersion administered under fed conditions
Arm Title
Part B - 800mg AD Single Dose Fast
Arm Type
Experimental
Arm Description
Single dose of OZ439 800mg aqueous dispersion administered under fast conditions
Arm Title
Part C - 200mg AD Multiple Dose
Arm Type
Experimental
Arm Description
200mg aqueous solution OZ439 or placebo once daily for 3 days fasted
Arm Title
Part C - 400mg AD Multiple Dose
Arm Type
Experimental
Arm Description
400mg aqueous solution OZ439 or placebo once daily for 3 days fasted
Arm Title
Part C - 800mg AD Multiple Dose
Arm Type
Experimental
Arm Description
800mg aqueous solution OZ439 or placebo once daily for 3 days fasted
Arm Title
Part C - Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo control for Multiple rising Part C
Intervention Type
Drug
Intervention Name(s)
OZ439 50mg API capsules
Other Intervention Name(s)
OZ439
Intervention Type
Drug
Intervention Name(s)
OZ439 200mg API capsules
Other Intervention Name(s)
OZ439
Intervention Type
Drug
Intervention Name(s)
OZ439 400mg aqueous dispersion
Intervention Type
Drug
Intervention Name(s)
OZ439 800mg aqueous dispersion
Other Intervention Name(s)
OZ439
Intervention Type
Drug
Intervention Name(s)
OZ439 100mg API capsules
Other Intervention Name(s)
OZ439
Intervention Description
OZ439 100mg (2x50mg API capsules)
Intervention Type
Drug
Intervention Name(s)
OZ439 400mg API capsules
Other Intervention Name(s)
OZ439
Intervention Description
OZ439 400mg (2x200mg API capsules)
Intervention Type
Drug
Intervention Name(s)
OZ439 1600mg aqueous dispersion
Other Intervention Name(s)
OZ439
Intervention Type
Drug
Intervention Name(s)
OZ439 800mg API capsules
Other Intervention Name(s)
OZ439
Intervention Description
OZ439 800mg (4x200 API capsules)
Intervention Type
Drug
Intervention Name(s)
OZ439 1200mg API capsules
Other Intervention Name(s)
OZ439
Intervention Description
OZ439 1200mg (6x200mg API capsules)
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Type
Drug
Intervention Name(s)
OZ439 200mg aqueous dispersion
Other Intervention Name(s)
OZ439
Primary Outcome Measure Information:
Title
Adverse Events
Description
Safety/Tolerability evaluation took into account the recorded AE profile, clinical laboratory safety tests, vital signs, 12 lead and continuous (Parts A and C) ECG monitoring, audiometry/Brainstem Auditory Evoked Potentials (BAEP) parameters (Parts A and C) including any additional tests required to evaluate any safety concerns.
Time Frame
From screening and at 10 (+/-2) days after last dose of study medication
Secondary Outcome Measure Information:
Title
OZ439 AUC0-t
Description
Area under the plasma concentration-time curve from zero to time t of the last measured concentration above the limit of quantification (AUC0-t).
Time Frame
Samples collected from Pre-dose up to 96h post dose
Title
OZ439 AUC0-∝
Description
Area under the plasma concentration-time curve from zero to infinity (AUC0-∝).
Time Frame
Samples collected from Pre-dose up to 96h post dose
Title
OZ439 Cmax
Description
Maximum observed plasma drug concentration (Cmax).
Time Frame
Samples collected from Pre-dose up to 96h post dose
Title
OZ439 Tmax
Description
Time to maximum observed plasma drug concentration of OZ439
Time Frame
Samples collected from Pre-dose up to 96h post dose
Title
OZ439 t1/2
Description
Apparent terminal half-life (t1/2)
Time Frame
Samples collected from Pre-dose up to 96h post dose
Title
OZ439 Rac
Description
Accumulation index is the ratio of drug exposure observed during a dosing interval at steady-state divided by drug exposure after a single first dose, as described by the following equations: Accumulation index (Rac) = AUC0-(Day 3)/ AUC0-(Day 1)
Time Frame
Samples collected from Pre-dose up to 96h post dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy male//female subjects between 18- 55 years of age (inclusive). Body mass Index (BMI) between 18 - 30 kg/m2, inclusive; and a total body weight >60 kg (132 lbs). Healthy as determined by pre-study medical history, PE, 12 Lead ECG. Females of childbearing potential must use 1 of birth control methods throughout study and for 30 days after last dose of study drug: Surgically sterile (bilateral tubal ligation, hysterectomy, bilateral oophorectomy) 6 months minimum prior to first dose of study drug. Intrauterine device (IUD) in place for at least 3 months prior to first dose of study drug. Barrier methods (condom or diaphragm) with spermicide starting at least 14 days prior to first dose of study drug through 30 days after last dose of study drug. Surgical sterilization of the partner(s) (vasectomy with zero sperm count for 6 months minimum prior to the first dose of study drug). Hormonal contraceptives starting at least 3 months prior to first dose of study drug. In addition, subjects must agree to use a barrier method (condom or diaphragm) with spermicide at least 14 days prior to first dose of study drug through 30 days after the last dose of study drug. Post-menopausal women with amenorrhea for at least 1 year will be eligible confirmed by FSH. Male subjects must agree to use double barrier method of contraception, from time of first dose of study drug through 90 days after last dose of study drug and must also agree to not donate sperm for 90 days after last dose of study drug. Clinical laboratory tests within the reference ranges. Able/willing to give written informed consent. Willing/to adhere to lifestyle guideline restrictions outlined in protocol. Willing and able to be confined to Clinical Research Unit as required by the protocol. Exclusion Criteria: Evidence/history of clinically significant oncologic, pulmonary, hepatic, cardiovascular, hematologic, metabolic, neurological, immunologic, nephrologic, endocrine, psychiatric disease, current infection. Evidence/history of clinically significant gastrointestinal (some exclusions exist) disease, current infection. Any condition that affecting drug absorption, e.g., gastrectomy. History of post-antibiotic colitis. Breast feeding. QTc greater than 450 msec for males and 470 msec for females as corrected by the Bazett formula. History of drug or alcohol abuse within the past 2 years prior to Screening. Tobacco users Received investigational drug/ participated in another research study within 30 days of first dose of study drug in any part of study. Use of prescription drugs within 14 days prior to the first dose of study drug in Period 1, or need for any antibiotic during study. Received any non prescription meds, vitamins, herbal/dietary supplements within 7 days of administration of first dose of study drug in Period 1 (exceptions exist) Consumed alcohol within 72 hours of Day -1 in any part of study, or have a positive alcohol screen at screening or each admission to Clinical Research Unit (CRU). Consumed grapefruit juice or juices containing grapefruit or ate grapefruit within 7 days prior to first dose of study drug in any part of study. Positive serum pregnancy test at the Screening Visit or on Day -1 prior to inclusion in any part of the study. Positive test for HIV-1, HBsAg,HCV. Positive urine drug screen at Screening or admission to CRU. History of intolerance/ hypersensitivity to artemisinins. Likelihood of requiring treatment during study period with drugs not permitted by protocol. Subjects who have donated blood or experienced significant blood loss within 60 days of screening for study. Subjects whose hemoglobin is <12.5 g/dL for males/ <11.5 g/dL for females. Any concern by investigator regarding safe participation of the subject in study or for any other reason investigator considers subject inappropriate for participation in study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Joerg Moehrle, PhD
Organizational Affiliation
Medicines for Malaria Venture
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Maria Gutierrez, MD
Organizational Affiliation
Comprehensive Phase One Miramar, 3400 Enterprise Way, Miramar, FL 33025
Official's Role
Principal Investigator
Facility Information:
Facility Name
Comprehensive Phase One Miramar; 3400 Enterprise Way
City
Miramar
State/Province
Florida
ZIP/Postal Code
33025
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
22759078
Citation
Moehrle JJ, Duparc S, Siethoff C, van Giersbergen PL, Craft JC, Arbe-Barnes S, Charman SA, Gutierrez M, Wittlin S, Vennerstrom JL. First-in-man safety and pharmacokinetics of synthetic ozonide OZ439 demonstrates an improved exposure profile relative to other peroxide antimalarials. Br J Clin Pharmacol. 2013 Feb;75(2):524-37. doi: 10.1111/j.1365-2125.2012.04368.x.
Results Reference
result
Links:
URL
http://www.mmv.org
Description
Medicines for Malaria Venture

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A Study to Investigate the Safety, Tolerability and Pharmacokinetics of OZ439 in Healthy Male and Female Subjects

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