Platform Study to Evaluate the Efficacy and Safety of Anti-malarial Agents in Participants With Uncomplicated Plasmodium Falciparum Malaria (Cohort C2)

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age2-12
SponsorNovartis Pharmaceuticals

About this trial

This was Cohort C2 of the Platform study (NCT05750628) to evaluate the efficacy and safety of Cipargamin + KLU156 in participants with uncomplicated Plasmodium falciparum malaria.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Male and female participants 2 to <12 years of age at screening.

Participants must have acute uncomplicated P. falciparum malaria mono infection at screening confirmed by a parasite count between 1,000 to 150,000 asexual parasite count/μl of blood for P. falciparum.

Participants must weigh at least 10 kg at screening.

Disqualifiers

Participants with signs and symptoms of severe/complicated malaria at screening or mixed Plasmodium infection (i.e., infection with more than one malaria species) at screening

Moderate to severe anemia, chronic hemoglobinopathy (Hemoglobin level < 8 g/dL), or known chronic underlying disease such as sickle cell disease at screening

AST/ALT > 3 x the upper limit of normal range (ULN), regardless of the level of total bilirubin

AST/ALT > 1.5 and ≤ 2 x ULN and total bilirubin is > ULN

Trial design

Design model

Parallel

Treatments tested in this trial

  • KAE609

    Drug

    oral capsules administered in combination with KLU156

  • SoC (Coartem)

    Drug

    Standard of Care

  • KLU156

    Drug

    oral sachet formulation (KAF156+LUM-SDF) administered in combination with cipargamin (KAE609)

Treatment groups

120 Participants
are divided into 2 treatment groups
Group A: Cohort C2: KLU156 + KAE609Experimental treatment 2 interventions
Group B: Cohort C2: SoC (Artemether + lumefantrine)Active comparator 1 intervention

Trial outcomes

Primary outcomes

1

Polymerase chain reaction (PCR) corrected adequate clinical and parasitological response (ACPR)

ACPR is defined as the absence of parasitemia on Study Day 29 irrespective of axillary temperature, without previously meeting any of the criteria of Early Treatment Failure (ETF) or Late Clinical Failure (LCF) or Late Parasitological Failure (LPF).

Time frame
Day 29

Secondary outcomes

1

Parasite clearance time (PCT)

To assess the parasite clearance time (PCT) of oral anti malarial agent versus the standard of care (SoC) in participants with uncomplicated P. falciparum malaria

Time frame
up to Day 7
2

PCR-uncorrected ACPR

To assess the 28-day cure rate of an anti malarial agent administered orally as combination therapy versus the SoC in participants with uncomplicated P. falciparum malaria.

Time frame
Day 29
3

Area under the concentration-time curve from time zero to the last measurable concentration sampling time (AUClast)

To characterize the pharmacokinetics (PK) of the anti-malarial agent administered orally as combination therapy.

Time frame
Day 8
4

Maximum observed concentration (Cmax)

To characterize the pharmacokinetics (PK) of the anti-malarial agent administered orally as combination therapy.

Time frame
Day 8

Other outcomes

Sponsors and contacts

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