A Phase 2A Study of a Novel Antimalarial Pyrrolidinamide in Adult Patients With Uncomplicated P. Falciparum Malaria

Trial statusNot yet recruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-65
SponsorGlaxoSmithKline

About this trial

The study will evaluate the safety and efficacy of a new antimalarial drug GSK3772701 (a pyrrolidinamide), using different doses and treatment durations, in adult participants with uncomplicated Plasmodium (P.) falciparum malaria.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Male and female patients aged 18 to 65 years.

Fever, as defined by axillary temperature >=37.5°C or oral/tympanic temperature >=38°C and,

Microscopically confirmed P. falciparum malaria parasite mono-infection,

A parasite count between 2,000 to 60,000 asexual parasite count/µL of blood for P. falciparum.

Disqualifiers

Patients with signs and symptoms of severe/complicated malaria according to the WHO 2024 Criteria.

Mixed Plasmodium infection, i.e., infection with more than one malaria (plasmodium) species (by microscopy; participant to be withdrawn from study treatment if PCR subsequently indicates presence of mixed infection).

Abnormal values: QTcF >450 msec or QTcF >480 msec for patients with bundle branch block.

Any clinically significant ECG abnormalities at Screening unrelated to malaria (including but not limited to, second degree AV block (Mobitz Type 2), complete heart block, ST changes, atrial fibrillation, atrial flutter, supraventricular tachycardia, ventricular tachycardia, prolonged QT interval.

Trial design

Design model

Sequential

Treatments tested in this trial

  • GSK3772701 600 mg

    Drug

    A 600 mg dose of GSK3772701 administered orally, as 4 capsules of 150 mg.

  • GSK3772701 900 mg

    Drug

    A 900 mg dose of GSK3772701 administered orally, as 6 capsules of 150 mg.

  • GSK3772701 150 mg

    Drug

    A daily 150 mg dose of GSK3772701 administered orally on Day 1 and Day 2, as 1 capsule.

  • GSK3772701 400 mg

    Drug

    A daily 400 mg dose of GSK3772701 administered orally on Day 1 and Day 2, as 2 capsules of 150 mg and 1 capsule of 100 mg.

  • GSK3772701 50 mg

    Drug

    A daily 50 mg dose of GSK3772701 administered orally on Day 1, Day 2 and Day 3, as 1 capsule.

Treatment groups

70 Participants
are divided into 5 treatment groups
Group A: Cohort 1_Single DoseExperimental treatment 1 intervention
Group B: Cohort 2_ Single DoseExperimental treatment 1 intervention
Group C: Cohort 3_ Repeat DoseExperimental treatment 1 intervention
Group D: Cohort 4_ Repeat DoseExperimental treatment 1 intervention
Group E: Cohort 5_ Repeat DoseExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Number of participants with serious adverse events (SAEs) overall, treatment related, and by severity

A SAE is defined as any untoward medical occurrence that, at any dose: results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study participant; abnormal pregnancy outcomes; or any other situation according to medical or scientific judgment. The intensity of SAEs is assessed as per the Division of Acquired Immunodeficiency Syndrome (DAIDS) criteria Version 2.1 where grades are defined based on numeric criteria as follows Grade 1: mild; Grade 2: moderate; Grade 3: severe; Grade 4: potentially life-threatening; Grade 5: death. A higher grade indicates greater severity. Any = occurrence of the event regardless of intensity grade and treatment relationship. Treatment related = occurrence of the event which, in the investigator's opinion, is related to the administered treatment regardless of the intensity grade.

Time frame
From the date of informed consent signing (up to 24 hours prior to Day 1) up to Day 40 (end of the follow-up period)
2

Number of participants with non-serious AEs overall, treatment related, and by severity

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. The intensity of non-serious AEs is assessed using the DAIDS criteria Version 2.1 where grades are defined based on numeric criteria as follows Grade 1: mild; Grade 2: moderate; Grade 3: severe; Grade 4: potentially life-threatening; Grade 5: death. A higher grade indicates greater severity. Any = occurrence of the event regardless of intensity grade and treatment relationship. Treatment related = occurrence of the event which, in the investigator's opinion, is related to the administered treatment regardless of the intensity grade.

Time frame
From Day 1 up to Day 40

Secondary outcomes

1

Area under the concentration (AUC) - time curve (AUC[0-t]) of GSK3772701

AUC(0-t) is defined as the area under the concentration-time curve from time zero to the time of the last evaluable concentration.

Time frame
From Day 1 to Day 7
2

AUC(0-t) extrapolated to infinity (AUC[0-inf]) of GSK3772701

AUC(0-inf) is defined as the area under the concentration-time curve extrapolated to infinity calculated as: . AUC(0-inf) = AUC(0-t) + C(t) / λz.

Time frame
From Day 1 to Day 7
3

Maximum observed concentration (Cmax) of GSK3772701

Time frame
From Day 1 to Day 7
4

Time to maximum observed drug concentration (Tmax) of GSK3772701

Tmax is defined as time to reach the Cmax.

Time frame
From Day 1 to Day 7

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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