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

Offene Rekrutierung
Die Details der klinischen Studie sind hauptsächlich auf Englisch verfügbar. Trial Radar KI kann jedoch helfen! Klicken Sie einfach auf 'Studie erklären', um die Informationen zur Studie in der ausgewählten Sprache anzuzeigen und zu besprechen.
Die klinische Studie NCT05750628 (PLATINUM) untersucht Behandlung im Zusammenhang mit Unkomplizierte Plasmodium-falciparum-Malaria. Diese interventionsstudie der Phase 2 hat den Status offene rekrutierung und startete am 23. Januar 2024. Es ist geplant, 327 Teilnehmer aufzunehmen. Durchgeführt von Novartis wird der Abschluss für 23. Juni 2026 erwartet. Die Daten von ClinicalTrials.gov wurden zuletzt am 30. Juli 2025 aktualisiert.
Kurzbeschreibung
Platform study to evaluate the efficacy and safety of anti-malarial agents in patients with uncomplicated Plasmodium falciparum malaria
Ausführliche Beschreibung
The purpose of this platform study is to evaluate the parasiticidal effect and potential for cure with different anti-malarial agents administered as monotherapy and/or in combination therapy with other anti-malarial agents in adults, adolescents, and children with uncomplicated Plasmodium falciparum malaria. Additionally, the safety, tolerability, and pharmacokinetics of these anti-malarial agents will be evaluated for dose selection for future studies.
Offizieller Titel

A Multi-part, Multi-center PLATform Study to Assess the Efficacy, Safety, Tolerability and Pharmacokinetics of Anti-malarial Agents Administered as Monotherapy and/or Combination Therapy IN Patients With Uncomplicated Plasmodium Falciparum Malaria

Erkrankungen
Unkomplizierte Plasmodium-falciparum-Malaria
Weitere Studien-IDs
  • PLATINUM
  • CADPT13A12201
NCT-Nummer
Studienbeginn (tatsächlich)
2024-01-23
Zuletzt aktualisiert
2025-07-30
Studienende (vorauss.)
2026-06-23
Geplante Rekrutierung
327
Studientyp
Interventionsstudie
PHASE
Phase 2
Status
Offene Rekrutierung
Stichwörter
malaria
uncomplicated malaria
Plasmodium falciparum
platform study
PLATINUM
Primäres Ziel
Behandlung
Zuteilungsmethode
Randomisiert
Interventionsmodell
Parallel
Verblindung
Keine (offene Studie)
Studienarme/Interventionen
Teilnehmergruppe/StudienarmIntervention/Behandlung
ExperimentellCohort A1: Dose Level 1 INE963
Cohort A1: Dose Level 1 INE963
INE963
oral INE963
ExperimentellCohort A1: Dose Level 2 INE963
Cohort A1: Dose Level 2 INE963
INE963
oral INE963
ExperimentellCohort A1: Dose Level 3 INE963
Cohort A1: Dose Level 3 INE963
INE963
oral INE963
ExperimentellCohort B1: Cipargamin + INE963
Cohort B1: Cipargamin + INE963
KAE609 (Cipargamin)
oral KAE609 (Cipargamin)
Aktives VergleichspräparatCohort B1: SoC (Coartem)
Cohort B1: SoC (Coartem)
Soc (Coartem)
SoC (Coartem)
ExperimentellCohort B2: Cipargamin + KLU156
Cohort B2: Cipargamin + KLU156
KAE609 (Cipargamin)
oral KAE609 (Cipargamin)
KLU156
oral sachet KLU156 (KAF156 + lumefantrine)
Aktives VergleichspräparatCohort B2: SoC (Coartem)
Cohort B2: SoC (Coartem)
Soc (Coartem)
SoC (Coartem)
ExperimentellCohort C2: Cipargamin + KLU156
Cohort C2: Cipargamin + KLU156
KAE609 (Cipargamin)
oral KAE609 (Cipargamin)
KLU156
oral sachet KLU156 (KAF156 + lumefantrine)
Aktives VergleichspräparatCohort C2: SoC (Coartem)
Cohort C2: SoC (Coartem)
Soc (Coartem)
SoC (Coartem)
ExperimentellCohort A1: Dose Level 4 INE963
Cohort A1: Dose level 4 INE963
INE963
oral INE963
Hauptergebnismessungen
ErgebnismessungBeschreibung der MessungZeitrahmen
Part A: parasite clearance time (PCT)
Part A: To assess the parasite clearance time (PCT) of oral doses of an anti-malarial agent administered as monotherapy in patients with uncomplicated P. falciparum malaria. PCT is defined as the time from the first positive blood slide at inclusion to the time of the first negative slide followed by two consecutive slides.
up to Day 7
Part B and C: polymerase chain reaction (PCR) corrected adequate clinical and parasitological response (ACPR)
Part B and C: To assess the 28-day cure rate of an anti malarial agent administered orally as combination therapy versus the standard of care (SoC) in patients with uncomplicated P. falciparum malaria. 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).
Day 29
Nebenergebnismessungen
ErgebnismessungBeschreibung der MessungZeitrahmen
Part A: PCR-corrected and uncorrected ACPR
Part A: To assess the 28-day cure rate of an anti malarial agent administered orally as monotherapy in patients with uncomplicated P. falciparum malaria
Day 29
Parts B and C: PCT
Part B and C: To assess the parasite clearance time (PCT) of oral combinations of anti malarial agents versus the standard of care (SoC) in patients with uncomplicated P. falciparum malaria
up to Day 7
Parts B and C: PCR-uncorrected ACPR
Part B and C: To assess the 28-day cure rate of an anti malarial agent administered orally as combination therapy versus the SoC in patients with uncomplicated P. falciparum malaria
Day 29
Area under the concentration-time curve from time zero to the last measurable concentration sampling time (AUClast) of the anti-malarial agents (wherever possible)
To characterize the pharmacokinetics (PK) of each anti-malarial agent administered orally as monotherapy \[Part A\] and/or as combination therapy \[Parts B and C\] in patients with uncomplicated P. falciparum malaria. AUClast is the area under the curve (AUC) from time zero to the last measurable concentration sample time (tlast)
Day 22
Area under the concentration-time curve from time zero to infinity (AUCinf) of the anti-malarial agents (wherever possible)
To characterize PK of each anti-malarial agent administered orally as monotherapy \[Part A\] and/or as combination therapy \[Parts B and C\] in patients with uncomplicated P. falciparum malaria. AUCinf is the AUC from time zero to infinity.
Day 22
Maximum observed concentration (Cmax) of the anti-malarial agents
To characterize PK of each anti-malarial agent administered orally as monotherapy \[Part A\] and/or as combination therapy \[Parts B and C\] in patients with uncomplicated P. falciparum malaria. Cmax is the maximum (peak) observed plasma, blood, serum, or other blood fluid drug concentration after single dose administration.
Day 22
Time to reach maximum observed concentration (Tmax)
To characterize PK of each anti-malarial agent administered orally as monotherapy \[Part A\] and/or as combination therapy \[Parts B and C\] in patients with uncomplicated P. falciparum malaria. Tmax is the time to reach maximum (peak) plasma, blood, serum, or other body fluid drug concentration after single dose administration.
Day 22
Elimination half-life (T1/2) of the anti-malarial agents (wherever possible)
To characterize PK of each anti-malarial agent administered orally as monotherapy \[Part A\] and/or as combination therapy \[Parts B and C\] in patients with uncomplicated P. falciparum malaria. T1/2 is the elimination half-life associated with the terminal slope of a semi-logarithmic concentration-time curve.
Day 22
Total body clearance (CL/F) of the anti-malarial agents (wherever possible)
To characterize PK of each anti-malarial agent administered orally as monotherapy \[Part A\] and/or as combination therapy \[Parts B and C\] in patients with uncomplicated P. falciparum malaria. Cl/F is the total body clearance of drug from the plasma.
Day 22
Apparent volume of distribution (V/F) of the anti-malarial agents (wherever possible)
To characterize PK of each anti-malarial agent administered orally as monotherapy \[Part A\] and/or as combination therapy \[Parts B and C\] in patients with uncomplicated P. falciparum malaria. V/F is the apparent volume of distribution during terminal phase.
Day 22
Incidence and severity of Adverse Events (AEs) and Serious Adverse Events (SAEs)
Incidence and severity of AEs and SAEs by treatment group, including changes in vital signs, electrocardiograms (ECGs), and laboratory results qualifying and reported as AEs.
Day 43
Eignungskriterien

Zugelassene Altersgruppen
Kind, Erwachsene, Ältere Erwachsene
Mindestalter
2 Years
Zugelassene Geschlechter
Alle
  1. Male and female patients ≥18 years of age for Part A, ≥12 years of age for Part B and 2 to <12 years of age for Part C at screening.
  2. Patients must have acute uncomplicated P. falciparum malaria mono infection at screening confirmed by a parasite count between 5,000 to 150,000 asexual parasite count/μl of blood for P. falciparum for Part A and between 1,000 to 150,000 asexual parasite count/μl of blood for Parts B and C.
  3. Patients in Part A must weigh between 40 kg and 90 kg. Patients in Part B must weigh between 35 kg and 90 kg at screening. Patients in Part C must weigh at least 10 kg at screening.
  4. Axillary temperature ≥ 37.5ºC or oral/tympanic/rectal temperature ≥ 38.0ºC; or history of fever during the previous 24 hours.

  1. Patients 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

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

  3. Known clinically significant liver disease (e.g., chronic hepatitis, liver cirrhosis (compensated or decompensated), history of hepatitis B or C, hepatitis A or B vaccination in the last 3 months, known gallbladder or bile duct disease, acute or chronic pancreatitis. Clinical or laboratory evidence of any of the following 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
    • Total bilirubin > 2 x ULN, regardless of the level of AST/ALT
  4. Any known/suspected immunosuppressive or immunodeficient condition, including human immunodeficiency virus (HIV) infection at screening.

  5. Pregnant or nursing (lactating) women, women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using methods of effective contraception, and sexually active patients not willing to practice effective contraception.

  6. History or current diagnosis of ECG abnormalities indicating significant risk of safety for patients participating in the study such as:

    • Concomitant clinically significant cardiac arrhythmias, e.g., sustained ventricular tachycardia, and clinically significant second or third degree AV block without a pacemaker
    • History of familial long QT syndrome or known family history of Torsades de Pointe.
    • Resting heart rate (physical exam or 12 lead ECG) < 50 bpm

Other protocol-defined inclusion/exclusion criteria may apply.

Zentrale Studienkontakte
Kontakt: Novartis Pharmaceuticals, +41613241111, [email protected]
Kontakt: Novartis Pharmaceuticals
12 Studienstandorte in 6 Ländern
Novartis Investigative Site, Banfora, Burkina Faso
Offene Rekrutierung
Novartis Investigative Site, Nanoro, BP 18, Burkina Faso
Offene Rekrutierung
Novartis Investigative Site, Abidjan, 13BP972, Côte d’Ivoire
Offene Rekrutierung
Novartis Investigative Site, Azaguié, BP 173, Côte d’Ivoire
Offene Rekrutierung
Novartis Investigative Site, Lambaréné, BP 242, Gabon
Offene Rekrutierung
Novartis Investigative Site, Libreville, BP 1437, Gabon
Offene Rekrutierung
Novartis Investigative Site, Kintampo, 92037, Ghana
Offene Rekrutierung
Novartis Investigative Site, Navrango, VWJ6+8WF, Ghana
Offene Rekrutierung

Kisumu County

Novartis Investigative Site, Ahero, Kisumu County, 40100, Kenya
Offene Rekrutierung
Novartis Investigative Site, Kisumu, 40100, Kenya
Offene Rekrutierung
Novartis Investigative Site, Kampala, Uganda
Offene Rekrutierung
Novartis Investigative Site, Tororo, 10102, Uganda
Offene Rekrutierung