Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The purpose of this study is to determine the bioavailability of nanoparticulate OZ439 delivered to the proximal small bowel (PSB) via the Enterion™ capsule relative to oral OZ439 suspension (current "powder in bottle" [PIB]) and oral nanoparticulate OZ439.
The study will also characterise the plasma concentration time profile of OZ439 when delivered via Enterion capsule to the PSB in comparison with OZ439 PIB formulation delivered orally and nanoparticulate OZ439 delivered orally Safety and tolerability of OZ439 formulations will be determined following delivery to the PSB and administered orally
Previous clinical studies with OZ439 have shown variable PK and a food effect. One hypothesis is that this may be related to a 'common ion effect' leading to precipitation of the drug as a less soluble hydrochloride salt in the stomach, resulting in variable absorption of the drug. This study is designed to investigate the possibility of improving the PK profile by delivering the drug directly to the PSB, thereby bypassing the stomach. The study will compare a previously dosed PIB formulation with oral delivery of a nanoparticulate as a caplet formulation. The same caplet formulation containing nanoparticulate will be administered to the PSB via the Enterion capsule.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Regimen A - 120mg OZ439 PIB | Active Comparator | 120mg single dose of OZ439 as powder in bottle (PIB) formulation |
|
| Regimen B - 120 mg OZ439 IR caplet | Experimental | 120 mg single dose of OZ439 immediate release (IR) caplet formulation containing nanoparticulate, administered directly via the oral route |
|
| Regimen C - 120 mg OZ439 caplet via Enterion capsule | Experimental | 120 mg single dose of OZ439 caplet formulation containing nanoparticulate, administered orally via the Enterion capsule and delivered to the proximal small bowel |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| OZ439 120mg PIB | Drug | 120mg dose (as free base) of OZ439 as a solution made up from powder in bottle (PIB) |
|
| Measure | Description | Time Frame |
|---|---|---|
| OZ439 AUC0-∞ | Area under the plasma concentration-time curve from zero to infinity (AUC0-∞) | pre dose, 2, 4, 6, 8, 12, 16, 24, 36 and 48 hours post dose |
| OZ439 Cmax | The maximum observed plasma drug concentrations (Cmax) | pre dose, 2, 4, 6, 8, 12, 16, 24, 36 and 48 hours post dose |
| Measure | Description | Time Frame |
|---|---|---|
| OZ439 Tmax | Time of maximum observed plasma drug concentrations (Tmax) | pre dose, 2, 4, 6, 8, 12, 16, 24, 36 and 48 hours post dose |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Fiona Macintyre, PhD | Medicines for Malaria Venture | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Quotient Clinical | Nottingham | Nottingham | NG11 6JS | United Kingdom |
Not provided
Not provided
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | Sequence 1 | Subjects received a single dose of 120 mg OZ439 PIB oral suspension (Regimen A), then 120 mg OZ439 IR caplet (Regimen B); then 120 mg OZ439 caplet formulation containing nanoparticulate delivered to the PSB via Enterion capsule (Regimen C) |
| FG001 | Sequence 2 |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| First Intervention (7 Days) |
|
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| 120 mg OZ439 caplet | Drug | 120 mg (as free base) of OZ439 immediate-release (IR) caplet formulation containing nanoparticulate, administered directly via the oral route |
|
|
| 120mg OZ439 caplet via Enterion capsule | Drug | 120 mg OZ439 (as free base) in an immediate release (IR) caplet formulation containing nanoparticulate,administered orally via the Enterion capsule and delivered directly to the proximal small bowel (PSB) |
|
|
Subjects received a single dose of 120 mg OZ439 IR caplet (Regimen B); then 120 mg OZ439 caplet formulation containing nanoparticulate delivered to the PSB via Enterion capsule (Regimen C); then 120 mg OZ439 PIB oral suspension (Regimen A). |
| FG002 | Sequence 3 | Subjects received a single dose of 120 mg OZ439 caplet formulation containing nanoparticulate delivered to the PSB via Enterion capsule (Regimen C); then 120 mg OZ439 PIB oral suspension (Regimen A); then 120 mg OZ439 IR caplet (Regimen B). |
| COMPLETED |
|
| NOT COMPLETED |
|
|
| Second Intervention (7 Days) |
|
| Third Intervention (7 Days) |
|
cross over design so each regimen is represented in each sequence once
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Sequence 1 | Subjects received a single dose of 120 mg OZ439 PIB oral suspension (Regimen A), then 120 mg OZ439 IR caplet (Regimen B); then 120 mg OZ439 caplet formulation containing nanoparticulate delivered to the PSB via Enterion capsule (Regimen C) |
| BG001 | Sequence 2 | Subjects received a single dose of 120 mg OZ439 IR caplet (Regimen B); then 120 mg OZ439 caplet formulation containing nanoparticulate delivered to the PSB via Enterion capsule (Regimen C); then 120 mg OZ439 PIB oral suspension (Regimen A) |
| BG002 | Sequence 3 | Subjects received a single dose of 120 mg OZ439 caplet formulation containing nanoparticulate delivered to the PSB via Enterion capsule (Regimen C); then 120 mg OZ439 PIB oral suspension (Regimen A); then 120 mg OZ439 IR caplet (Regimen B). |
| 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 |
| ||||||||||||||||
| Body Mass Index | Mean | Standard Deviation | kg/m^2 |
| |||||||||||||||
| weight | Mean | Standard Deviation | kg |
|
| 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-∞ | Area under the plasma concentration-time curve from zero to infinity (AUC0-∞) | PK population included all subjects who received at least 1 dose of IMP and who had sufficient plasma concentration data for PK parameter estimation. In addition, for Regimen C only subjects in whom the activation was performed successfully at the target site were included for this regimen. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng*h/mL | pre dose, 2, 4, 6, 8, 12, 16, 24, 36 and 48 hours post dose |
|
|
| |||||||||||||||||||||||||||||||
| Primary | OZ439 Cmax | The maximum observed plasma drug concentrations (Cmax) | PK population included all subjects who received at least 1 dose of IMP and who had sufficient plasma concentration data for PK parameter estimation. In addition, for Regimen C only subjects in whom the activation was performed successfully at the target site were included for this regimen. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | pre dose, 2, 4, 6, 8, 12, 16, 24, 36 and 48 hours post dose |
|
| ||||||||||||||||||||||||||||||||
| Secondary | OZ439 Tmax | Time of maximum observed plasma drug concentrations (Tmax) | PK population included all subjects who received at least 1 dose of IMP and who had sufficient plasma concentration data for PK parameter estimation. In addition, for Regimen C only subjects in whom the activation was performed successfully at the target site were included for this regimen. | Posted | Median | Full Range | hours | pre dose, 2, 4, 6, 8, 12, 16, 24, 36 and 48 hours post dose |
|
|
Adverse events collected from screening (up to 28 days) to follow up visit, ie up to 12 days after last OZ439 administration.
The safety population was to include all subjects who have received at least 1 dose of IMP (ie, 11 subjects). In Sequence 2, one subject dropped out after the first intervention (Regimen B) and did not receive regimen A and C. Therefore the safety population for both regimens A and C includes 10 healthy subjects.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Regimen A - 120mg OZ439 PIB | Single oral dose of 120 mg OZ439 as powder in bottle (PIB) formulation. | 0 | 10 | 2 | 10 | ||
| EG001 | Regimen B - 120 mg OZ439 IR Caplet | Single oral dose of 120 mg OZ439 Immediate release (IR) caplet formulation containing nanoparticulate | 0 | 11 | 2 | 11 | ||
| EG002 | Regimen C - 120 mg OZ439 Caplet Via Enterion Capsule | Single dose of 120 mg OZ439 caplet formulation containing nanoparticulate administered orally via the Enterion capsule | 0 | 10 | 3 | 10 |
Not provided
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| abdominal pain | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| diarrhoea | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| vomiting | Gastrointestinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| increased alanine aminotransferase | Investigations | MedDRA (15.1) | Systematic Assessment |
| |
| increased aspartate aminotransferase | Investigations | MedDRA (15.1) | Systematic Assessment |
| |
| abnormal electrocardiogram | Investigations | MedDRA (15.1) | Systematic Assessment |
| |
| abnormal urine analysis | Investigations | MedDRA (15.1) | Systematic Assessment |
| |
| headache | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| vessel puncture site haematoma | General disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA (15.1) | Systematic Assessment |
| |
| rash | Skin and subcutaneous tissue disorders | MedDRA (15.1) | Systematic Assessment |
|
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr Fiona Macintyre | MMV | +41 22 799 4060 | 4078 | macintyref@mmv.org |
| ID | Term |
|---|---|
| C558165 | artefenomel |
| C103940 | OOS-A regimen |
| C072254 | Regimen B |
Not provided
Not provided
Not provided
| Male |
|
| Counts |
|---|
| Participants |
|
|
| Participants |
|
|