Phase 2
N=188
Safety of KAE609 in Adults With Uncomplicated Plasmodium Falciparum Malaria.
Malaria
Bottom Line
View on ClinicalTrials.gov: NCT03334747 ↗Enrolled (actual)
188
Serious AEs
2.7%
Results posted
Sep 2020
Primary outcome: Primary: Number of Participants With at Least 2 CTCAE Grades Increase From Baseline in Alanine Aminotransferase (ALT) or Aspartate Aminotransferase (AST) — 11.1; 0; 0; 0 Percentage of Participants — p=0.391
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- KAE609 (Drug); Coartem (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Novartis Pharmaceuticals
- Primary completion
- Nov 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With at Least 2 CTCAE Grades Increase From Baseline in Alanine Aminotransferase (ALT) or Aspartate Aminotransferase (AST) |
11.1; 0; 0; 0; 0; 0 | 0.391 |
| SECONDARY Percentage of Participants With Polymerase Chain Reaction (PCR)-Corrected and Uncorrected Adequate Clinical and Parasitological Response (ACPR) at Day 15 and Day 29 |
90.0; 90.0; 83.3; 95.0; 95.2; 84.2 | — |
| SECONDARY Parasite Clearance Time (PCT) |
26.8; 27.7; 14.0; 11.4; 11.1; 9.8 | — |
| SECONDARY Fever Clearance Time (FCT) |
3.9; 2.0; NA; 22.0; 2.4; 7.2 | — |
| SECONDARY Time to Recrudescence and Reinfection at Study Day 29 |
12.5; 10.0; 16.7; 10.0; 16.0; 26.3 | — |
| SECONDARY Maximum Peak Observed Concentration (Cmax) |
179; 185; 379; 503; 773; 828 | — |
| SECONDARY Tmax |
4.00; 3.92; 4.01; 4.25; 4.12; 4.12 | — |
| SECONDARY AUC0-24 |
2.77; 2.59; 5.14; 8.39; 11.6; 15.6 | — |
| SECONDARY Half-life (T^1/2) |
24.4; 18.5; 35.1; 17.4; 31.5; 32.8 | — |
Summary
KAE609 will be evaluated primarily for hepatic safety of single and multiple doses in sequential cohorts with increasing doses.This study aims to determine the maximum safe dose of the investigational drug KAE609 in malaria patients.
Eligibility Criteria
KEY Inclusion Criteria
- Male and female patients ≥ 18 years with a body weight ≥ 45 kg.
- Microscopic confirmation of acute uncomplicated P. falciparum using by Giemsa-stained thick film.
- P. falciparum parasitaemia of 500 to 50 000 parasites/µL.
- Axillary temperature ≥ 37.5ºC or oral/tympanic/rectal temperature ≥ 38.0ºC; or history of fever during the previous 24 hours.
- Written informed consent must be obtained before any study assessment is performed. If the patient is unable to write, then a witnessed consent according to local ethical standards is permitted.
KEY Exclusion Criteria
- Mixed Plasmodium infections.
- Signs and symptoms of severe malaria according to World Health Organization (WHO) 2016 criteria (WHO 2016).
- Known liver abnormalities, liver cirrhosis (compensated or decompensated), known active or history of hepatitis B or C (testing not required), known gallbladder or bile duct disease, acute or chronic pancreatitis.
- Clinical or laboratory evidence of any of the following:
- AST/ALT > 1.5 x the upper limit of normal range (ULN), regardless of the level of total bilirubin
- AST/ALT > 1.0 and ≤ 1.5 x ULN and total bilirubin is > ULN
- Total bilirubin > 2 x ULN, regardless of the level of AST/ALT
- History of photodermatitis/increased sensitivity to sun.
- Pregnant or nursing (lactating) women.
- Known disturbances of electrolyte balance, e.g. hypokalemia, hypocalcemia or hypomagnesemia.
- Moderate to severe anemia (Hemoglobin level <8 g/dL).
Other protocol-defined inclusion/exclusion criteria may apply
Data sourced from ClinicalTrials.gov (NCT03334747). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.