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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02543086
Registration number
NCT02543086
Ethics application status
Date submitted
23/07/2015
Date registered
7/09/2015
Date last updated
23/07/2019
Titles & IDs
Public title
Effectiveness of KAE609 in Reducing Asexual & Sexual Blood-stage P.Falciparum Infection & Infectivity to Mosquitos
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Scientific title
A Phase1 Interventional Sequential Single Site Study to Characterize the Effectiveness of Oral KAE609 in Reducing Asexual & Sexual Blood-stage P. Falciparum Following Inoculation in Healthy-volunteers & Subsequent Infectivity to Mosquitoes
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Secondary ID [1]
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CKAE609A2109
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Plasmodium Falciparum Malaria
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Condition category
Condition code
Infection
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Other infectious diseases
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Infection
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Studies of infection and infectious agents
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - KAE609
Treatment: Drugs - Piperaquine Phosphate
Experimental: Multiple Sequential Cohort - This study is divided in 2 parts (Part A and part B). Each participant in each of the cohorts will be inoculated with viable parasites of Plasmodium falciparum-infected human erythrocytes administered intravenously. For Part A \& Part B, commencement of treatment will be determined by Quantitative-Polymerase Chain Reaction results.
The First cohort of Part A (A1) will be dosed with a single dose of KAE609. During Part A, an additional second single-dose of KAE609 may be tested (\~15 days after first dose of KAE609 but may vary) if sexual parasitemia is identified. Subsequent cohorts of part A (An) will be dosed based on the results of first cohort (A1).
Subjects enrolled in Cohort B will receive a pre-treatment with Piperaquine followed by KAE609 (\~15 days).
Treatment: Drugs: KAE609
Study drug
Treatment: Drugs: Piperaquine Phosphate
Pre-administration of Piperaquine Phosphate will be done to eliminate the asexual form of the parasite and induce gametocytaemia before characterizing the activity of KAE609 in clearing sexual blood stage parasites from the blood of healthy subjects in the Induced Blood Stage Malaria Challenge model in Part B of study
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Parasitic count in blood by Polymerase Chain Reaction
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Assessment method [1]
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Clearance of Plasmodium falciparum asexual and sexual blood stage parasites from the blood of healthy subjects in the Induced Blood Stage Malaria Challenge model
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Timepoint [1]
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36 days
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Secondary outcome [1]
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Plasma Pharmacokinetics (PK) of KAE609: Area Under the Plasma Concentration-time Curve (AUC)
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Assessment method [1]
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It will be measured by Area Under the Concentration-Time Curve (AUC) from the time of dosing to the last quantifiable concentration
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Timepoint [1]
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Day 1: 0, 1, 2, 3, 4, 8, 12, 16 hours, then 24, 36, 48, 72, 96 and 120 hours post dose Days 2 to 6, Day 15 0, 12 hours post dose then 24, 48, 72, 96 and 120 hours post dose Day 16 to Day 20
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Secondary outcome [2]
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Safety and Tolerability as measured by adverse events (including serious) for incidence, KAE609 (and inoculum) relatedness and severity
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Assessment method [2]
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Adverse events (including serious) will be recorded during the study and will be rated according to incidence, relation to study drug (inoculum) and severity
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Timepoint [2]
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From day of screening until end of study (day 36)
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Eligibility
Key inclusion criteria
1. Written informed consent must be obtained before any assessment is performed.
2. Male and females participants between 18 and 55 years of age. Female participants between 18 and 55 years of age have to be of non-child bearing potential.
3. Body weight, minimum 50.0 kg, body mass index (BMI) between 18.0 and 32.0 kg/m2, inclusive.
4. Certified as healthy by a comprehensive clinical assessment.
5. Normal standard 12-lead electrocardiogram (ECG).
6. Laboratory parameters within the normal range.
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Minimum age
18
Years
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Maximum age
55
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1. Any history of malaria or participation to a previous malaria challenge study
2. Spent more than four weeks in a malaria-endemic country during the past 12 months or planned travel to a malaria endemic area during the course of the study
3. Has evidence of increased cardiovascular disease risk
4. History of splenectomy
5. Presence or history of drug hypersensitivity, or allergic disease diagnosed
6. Presence of current or suspected serious chronic diseases
7. History of malignancy of any organ system
8. Presence of acute infectious disease or fever (e.g., sub-lingual temperature
* 38.5°C) within the five days prior to inoculation with malaria parasites.
9. Participation in any investigational product study within the 12 weeks preceding the study.
10. Participant who has ever received a blood transfusion.
11. History or presence of alcohol abuse
12. Any vaccination within the last 28 days.
13. Any corticosteroids, anti-inflammatory drugs, immunomodulators or anticoagulants.
14. Any recent (< 1 month) or current systemic therapy with an antibiotic or drug with potential antimalarial activity (including chloroquine, piperaquine, tetracycline, azithromycin, clindamycin, hydroxychloroquine,).
15. Medicinal products that are known to prolong the QTc interval.
16. Positive result on any of the following tests: hepatitis B surface (HBs Ag) antigen, antihepatitis B core antibodies (anti-HBc Ab), anti-hepatitis C virus (anti-HCV) antibodies, anti-human immunodeficiency virus 1 and 2 antibodies (anti-HIV1 and anti HIV2 Ab).
17. Known severe reaction to mosquito bites other than local itching and redness
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/07/2015
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/09/2015
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Sample size
Target
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Accrual to date
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Final
8
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
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Novartis Investigative Site - Brisbane
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Recruitment postcode(s) [1]
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4006 - Brisbane
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Novartis Pharmaceuticals
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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Medicine for Malaria Venture
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a single-center open label study conducted in multiple sequential cohorts using Induced Blood Stage Malaria infection in healthy volunteers to characterize the effectiveness of KAE609 against sexual and asexual blood stage forms of Plasmodium falciparum. This study is divided in 2 parts (Part A and part B). A total of 8 healthy volunteers per cohort will be enrolled. Based on the results of Part A, Part B will be undertaken to evaluate the effect of KAE609 following pretreatment with Piperaquine on sexual stage/gametocytemia and its activity as an inhibitor of onward transmission to mosquito vectors using experimental mosquito feeding assays.
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Trial website
https://clinicaltrials.gov/study/NCT02543086
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Trial related presentations / publications
McCarthy JS, Abd-Rahman AN, Collins KA, Marquart L, Griffin P, Kummel A, Fuchs A, Winnips C, Mishra V, Csermak-Renner K, Jain JP, Gandhi P. Defining the Antimalarial Activity of Cipargamin in Healthy Volunteers Experimentally Infected with Blood-Stage Plasmodium falciparum. Antimicrob Agents Chemother. 2021 Jan 20;65(2):e01423-20. doi: 10.1128/AAC.01423-20. Print 2021 Jan 20.
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Public notes
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Contacts
Principal investigator
Name
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James McCarthy, MD FRACP
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Address
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Q-Pharm Pty Limited
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02543086
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