Phase 2
N=38
Phase IIa Proof of Concept Study of M5717-Pyronaridine in Adults and Adolescents With Acute Uncomplicated Plasmodium Falciparum Malaria (CAPTURE 1)
Acute Malaria
Bottom Line
View on ClinicalTrials.gov: NCT05689047 ↗Enrolled (actual)
38
Serious AEs
0.0%
Results posted
Aug 2025
Primary outcome: Primary: Cohort A: Number of Participants With Treatment-emergent Adverse Events (TEAEs), Serious TEAEs and Related TEAEs — 9; 0; 1 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- M5717 330 mg (Drug); M5717 500 mg (Drug); M5717 660 mg (Drug); Pyronaridine 360 mg (Drug); Pyronaridine 540 mg (Drug); Pyronaridine 720 mg (Drug)
- Age
- Pediatric, Adult · 12+ yrs
- Sex
- All
- Sponsor
- Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany
- Primary completion
- May 2024
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Cohort A: Number of Participants With Treatment-emergent Adverse Events (TEAEs), Serious TEAEs and Related TEAEs |
9; 0; 1 | — |
| PRIMARY Cohort A: Number of Participants With Clinically Significant Change From Baseline in Safety Laboratory Parameters |
— | — |
| PRIMARY Cohort A: Number of Participants With Clinically Significant Change From Baseline in 12-lead Electrocardiogram (ECG) Findings |
— | — |
| PRIMARY Cohort A: Number of Participants With Clinically Significant Change From Baseline in Vital Signs |
— | — |
| PRIMARY Cohort B0: Percentage of Participants With Polymerase Chain Reaction (PCR)-Adjusted Adequate Clinical and Parasitological Response (ACPR) |
92.3 | — |
| SECONDARY Cohort A and Cohort B0: Area Under Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of M5717 and Pyronaridine |
11194.723; 33307.278; 33756.087; 4397.819; 8557.596; 5899.378 | — |
| SECONDARY Cohort A and Cohort B0: Area Under Plasma Concentration-Time Curve From Time Zero to 24 Hours (AUC0-24) of M5717 and Pyronaridine |
3663.092; 13063.782; 12038.002; 1206.579; 2113.426; 1603.917 | — |
| SECONDARY Cohort A and Cohort B0: Area Under Plasma Concentration-Time Curve From Time Zero to the Last Sampling Time (AUC0-tlast) of M5717 and Pyronaridine |
9877.195; 32747.057; 33275.071; 4397.819; 8557.596; 5899.378 | — |
| SECONDARY Cohort A and Cohort B0: Apparent Total Clearance (CL/F) of M5717 and Pyronaridine |
29.478; 15.012; 19.552; 81.859; 63.102; 122.047 | — |
| SECONDARY Cohort A and Cohort B0: Maximum Plasma Concentration (Cmax) of M5717 and Pyronaridine |
269.358; 956.145; 991.144; 125.600; 191.000; 138.000 | — |
| SECONDARY Cohort A and Cohort B0: Apparent Terminal Half-Life of M5717 and Pyronaridine |
74.523; 65.638; 84.202; 174.918; 228.509; 229.264 | — |
| SECONDARY Cohort A and Cohort B0: Time to Reach Maximum Plasma Concentration (Tmax) of M5717 and Pyronaridine |
3.179; 2.784; 3.196; 2.778; 3.394; 4.444 | — |
| SECONDARY Cohort A and Cohort B0: Apparent Volume of Distribution (Vz/F) of M5717 and Pyronaridine |
3169.306; 1421.536; 2375.135; 20657.284; 20802.718; 40368.007 | — |
| SECONDARY Cohort A and Cohort B0: Dose Normalized Area Under the Curve From Time Zero to 24 Hours Post Dose (AUC0-24h/Dose) of M5717 and Pyronaridine |
11.100; 26.128; 18.239; 3.352; 3.914; 2.228 | — |
| SECONDARY Cohort A and Cohort B0: Dose Normalized Area Under the Curve From Time Zero to the Last Sampling Time (AUC0-tlast/Dose) of M5717 and Pyronaridine |
29.931; 65.494; 50.417; 11.033; 14.792; 7.639 | — |
| SECONDARY Cohort A and Cohort B0: Dose Normalized Area Under the Curve From Time Zero Extrapolated to Infinity (AUC0-∞/Dose) of M5717 and Pyronaridine |
33.923; 66.615; 51.146; 12.216; 15.847; 8.194 | — |
| SECONDARY Cohort A and Cohort B0: Terminal Elimination Rate Constant (Lambda z) of M5717 and Pyronaridine |
0.009; 0.011; 0.008; 0.004; 0.003; 0.003 | — |
| SECONDARY Cohort A and Cohort B0: Dose Normalized Maximum Concentration (Cmax/Dose) of M5717 and Pyronaridine |
0.816; 1.912; 1.502; 12.216; 15.847; 8.194 | — |
| SECONDARY Cohort A and Cohort B0: Percentage of Participants With Early Treatment Failure (ETF) |
0.0; 0.0 | — |
| SECONDARY Cohort A and Cohort B0: Percentage of Participants With Late Clinical Failure (LCF) |
0.0; 0.0 | — |
| SECONDARY Cohort A and Cohort B0: Percentage of Participants With Late Parasitological Failure (LPF) |
0.0; 0.0 | — |
| SECONDARY Cohort A: Percentage of Participants With Polymerase Chain Reaction (PCR)-Adjusted Adequate Clinical and Parasitological Response (ACPR) |
91.7; 91.7 | — |
| SECONDARY Cohort A and B0: Percentage of Participants With Crude Adequate Clinical and Parasitological Response (ACPR) |
91.7; 92.3; 91.7; 76.9 | — |
| SECONDARY Cohort A and Cohort B0: Time to Fever Clearance as Estimated by Kaplan-Meier Method |
6.0; 6.2 | — |
| SECONDARY Cohort A and Cohort B0: Parasite Clearance Time as Estimated by Kaplan-Meier Method |
4.0; 4.5 | — |
| SECONDARY Cohort B0: Number of Participants With Treatment-emergent Adverse Events (TEAEs), Serious TEAEs and Related TEAEs |
16; 0; 0 | — |
Summary
The purpose of this study was to evaluate the safety, efficacy, and pharmacokinetic of the combination M5717 plus pyronaridine in participants with acute uncomplicated Plasmodium falciparum malaria.
Eligibility Criteria
Inclusion Criteria
- Participants with microscopic confirmation of acute uncomplicated Plasmodium falciparum using Giemsa-stained thick and thin film
- P. falciparum parasitemia of 1, 000 to 50,000 asexual parasites/microliter of blood in Part A and P. falciparum parasitemia of >1,000 to = 37.5 degree Celsius or tympanic temperature >= 38.0 degree Celsius (use as per Coronavirus disease 2019 (COVID-19) protocols at the site [only at Screening]), or history of fever during the previous 24 hours (at least documented verbally)
- The Investigator confirms that each participant agrees to use appropriate contraception and barriers, if applicable
- Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the Informed Consent Form (ICF) and this protocol
- Other protocol defined inclusion criteria could apply
Exclusion Criteria
- Mixed Plasmodium infections as per thin film microscopy results
- Signs and symptoms of severe malaria according to World Health Organisation (WHO) 2021 criteria (WHO 2021)
- Known liver abnormalities, liver cirrhosis (compensated or decompensated), known active or history of hepatitis B or C (testing not required), underlying hepatic injury or known severe liver disease, known gallbladder or bile duct disease, acute or chronic pancreatitis, or severe malnutrition
- Known history or evidence of clinically significant disorders such as, cardiovascular, respiratory (including active tuberculosis), hepatic, renal, gastrointestinal, immunological [including known Human Immunodeficiency Virus-Acquired Immunodeficiency Syndrome (HIV-AIDS)], neurological (including auditory), endocrine, infectious, malignancy, psychiatric, history of convulsions, or other abnormality (including head trauma)
- Previous treatment with pyronaridine as part of a combination therapy during the last 3 months
- Prior antimalarial therapy or antibiotics with antimalarial activity within a minimum of their 5 plasma half-lives (or within 4 weeks of Screening if half-life is unknown)
- Participants taking medications prohibited by the protocol
- Other protocol defined exclusion criteria could apply
Data sourced from ClinicalTrials.gov (NCT05689047). 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.