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Decision taken to halt progression of mefloquine as a potential partner for OZ439 as a single dose cure due to low probability of success
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| Name | Class |
|---|---|
| University of Cape Town | OTHER |
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OZ439 is a novel, synthetic trioxolane medicine which is related to artemisinin, but has the advantage of a longer elimination half-life so is being developed to be administered together with a potential partner drug e.g. mefloquine as a single dose cure for uncomplicated malaria. The study findings will be used to inform the dose and design of future studies. The aim of the study is to establish the safety, tolerability and pharmacokinetics of co-administered OZ439 and MQ at a range of doses up to the maximum tolerated dose, in healthy volunteers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| OZ439 100mg single dose | Experimental | OZ439 100mg single dose oral suspension |
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| OZ439 100mg plus MQ 250mg single doses | Experimental | Single dose OZ439 100mg oral suspension in combination with single dose MQ 250mg tablet |
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| OZ439 400mg single dose | Experimental | OZ439 400mg single dose oral suspension |
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| OZ439 400mg plus MQ 750mg single doses | Experimental | Single dose OZ439 400mg oral suspension in combination with single dose MQ 750mg tablets |
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| Placebo | Placebo Comparator | Placebo |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| OZ439 100mg | Drug | OZ439 100mg oral suspension, single dose |
|
| Measure | Description | Time Frame |
|---|---|---|
| OZ439 AUC0-t | Area under the plasma concentration versus time curve (AUC) of OZ439 | Up to 42 days post-dose |
| Measure | Description | Time Frame |
|---|---|---|
| OZ439 Cmax | Peak Plasma Concentration (Cmax) of OZ439 | Up to 42 days post-dose |
| MQ AUC0-t | Area under the plasma concentration versus time curve (AUC) of MQ |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Karen I Barnes | University of Cape Town | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Division of Clinical Pharmacology, University of Cape Town | Cape Town | 7925 | South Africa |
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| ID | Title | Description |
|---|---|---|
| FG000 | Cohort 1 | Period 1: OZ439 100mg single dose oral suspension Period 2: Single dose OZ439 100mg oral suspension in combination with single dose MQ 250mg tablet |
| FG001 | Cohort 2 |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Period 1 |
|
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| OZ439 400mg | Drug | OZ439 400mg oral suspension, single dose |
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| MQ 250 mg, single dose | Drug | Mefloquine 250 mg tablet, single dose |
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| MQ 750mg, single dose | Drug | Mefloquine 750mg oral tablet, single dose |
|
| Placebo | Drug |
|
| Up to 42 days post-dose |
| MQ Cmax | Peak Plasma Concentration (Cmax) of MQ | Up to 42 days post-dose |
Period 1: OZ439 400mg single dose oral suspension
Period 2: Single dose OZ439 400mg oral suspension in combination with single dose MQ 750mg tablets
| FG002 | Placebo | Placebo |
| COMPLETED |
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| NOT COMPLETED |
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| Period 2 |
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In Cohort 2, one subject withdrew consent prior to dosing and is therefore not part of the safety population.
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| ID | Title | Description |
|---|---|---|
| BG000 | Cohort 1 | Period 1: OZ439 100mg single dose oral suspension Period 2: Single dose OZ439 100mg oral suspension in combination with single dose MQ 250mg tablet |
| BG001 | Cohort 2 | Period 1: OZ439 400mg single dose oral suspension Period 2: Single dose OZ439 400mg oral suspension in combination with single dose MQ 750mg tablets |
| BG002 | Placebo | Placebo |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Region of Enrollment | Number | participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | OZ439 AUC0-t | Area under the plasma concentration versus time curve (AUC) of OZ439 | Only the subjects who completed all treatments in their respective cohort (per-protocol set) were included in the PK population. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng*h/mL | Up to 42 days post-dose |
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| ||||||||||||||||||||||||||||||||||
| Secondary | OZ439 Cmax | Peak Plasma Concentration (Cmax) of OZ439 | Only the subjects who completed all treatments in their respective cohort (per-protocol set) were included in the PK population. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | Up to 42 days post-dose |
| ||||||||||||||||||||||||||||||||||||
| Secondary | MQ AUC0-t | Area under the plasma concentration versus time curve (AUC) of MQ | Only the subjects who completed all treatments in their respective cohort (per-protocol set) were included in the PK population. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng*h/mL | Up to 42 days post-dose |
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| |||||||||||||||||||||||||||||||||||
| Secondary | MQ Cmax | Peak Plasma Concentration (Cmax) of MQ | Only the subjects who completed all treatments in their respective cohort (per-protocol set) were included in the PK population. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | Up to 42 days post-dose |
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Up to Day 42 post-dose
All subjects who received at least one dose of study drug were included in the safety analysis set. Adverse events were collected irrespective of whether or not the patients had received OZ439 alone or in combination with MQ.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Cohort 1 | Period 1: OZ439 100mg single dose oral suspension Period 2: Single dose OZ439 100mg oral suspension in combination with single dose MQ 250mg tablet | 1 | 8 | 8 | 8 | ||
| EG001 | Cohort 2 | Period 1: OZ439 400mg single dose oral suspension Period 2: Single dose OZ439 400mg oral suspension in combination with single dose MQ 750mg tablets | 0 | 10 | 9 | 10 | ||
| EG002 | Placebo | Placebo | 0 | 6 | 5 | 6 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Gun Shot wound | Injury, poisoning and procedural complications | MedDRA | Non-systematic Assessment | Apart from a single gunshot wound, assessed as unrelated to investigational product, no other serious adverse events (SAEs) were reported |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Fatigue | General disorders | MedDRA | Non-systematic Assessment |
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| Medical Device Site Reaction | General disorders | MedDRA | Non-systematic Assessment |
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| Influenza | Infections and infestations | MedDRA | Non-systematic Assessment |
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| Laryngitis Viral | Infections and infestations | MedDRA | Non-systematic Assessment |
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| Nasopharynigitis | Infections and infestations | MedDRA | Non-systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA | Non-systematic Assessment |
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| Tinea Cruris | Infections and infestations | MedDRA | Non-systematic Assessment |
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| Urinary Tract Infection | Infections and infestations | MedDRA | Non-systematic Assessment |
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| Viral Tonsilitis | Infections and infestations | MedDRA | Non-systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA | Non-systematic Assessment |
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| Headache | Nervous system disorders | MedDRA | Non-systematic Assessment |
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| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA | Non-systematic Assessment |
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| Change of bowel habit | Gastrointestinal disorders | MedDRA | Non-systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | MedDRA | Non-systematic Assessment |
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| Gastrointestinal sounds abnormal | Gastrointestinal disorders | MedDRA | Non-systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA | Non-systematic Assessment |
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| Anxiety | Psychiatric disorders | MedDRA | Non-systematic Assessment |
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| Confusional Arousal | Psychiatric disorders | MedDRA | Non-systematic Assessment |
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| Depressive Symptom | Psychiatric disorders | MedDRA | Non-systematic Assessment |
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| Insomnia | Psychiatric disorders | MedDRA | Non-systematic Assessment |
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| Nightmare | Psychiatric disorders | MedDRA | Non-systematic Assessment |
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| Blister | Skin and subcutaneous tissue disorders | MedDRA | Non-systematic Assessment |
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| Rash | Skin and subcutaneous tissue disorders | MedDRA | Non-systematic Assessment |
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| Ear Pain | Ear and labyrinth disorders | MedDRA | Non-systematic Assessment |
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| Motion Sickness | Ear and labyrinth disorders | MedDRA | Non-systematic Assessment |
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| Foreign Body | Injury, poisoning and procedural complications | MedDRA | Non-systematic Assessment |
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| ECG QT Shortened | Investigations | MedDRA | Non-systematic Assessment |
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| GGT Increased | Investigations | MedDRA | Non-systematic Assessment |
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| Palpitations | Cardiac disorders | MedDRA | Non-systematic Assessment |
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| Seasonal Conjunctivitis | Eye disorders | MedDRA | Non-systematic Assessment |
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| Seasonal Allergy | Immune system disorders | MedDRA | Non-systematic Assessment |
| |
| Muscle Fatigue | Musculoskeletal and connective tissue disorders | MedDRA | Non-systematic Assessment |
|
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Fiona Macintyre, PhD | Medicines for Malaria Venture | +41 22 555 0319 | macintyref@mmv.org |
| ID | Term |
|---|---|
| D008288 | Malaria |
| ID | Term |
|---|---|
| D011528 | Protozoan Infections |
| D010272 | Parasitic Diseases |
| D007239 | Infections |
| D000096724 | Mosquito-Borne Diseases |
| D000079426 | Vector Borne Diseases |
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| ID | Term |
|---|---|
| C558165 | artefenomel |
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| Male |
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