This study aims to confirm the efficacy, safety and tolerability of KLU156, a fixed dose combination of ganaplacide (KAF156) and a solid dispersion formulation of lumefantrine (lumefantrine-SDF), when administered once daily for three days in adults and children ≥ 10 kg of body weight suffering from uncomplicated P. falciparum malaria (with or without other Plasmodium spp. co-infection). In the Extension phase, the safety, tolerability and efficacy of repeated treatment with KLU156 will be assessed for a maximum of two years in patients who did not experience early treatment failure (ETF), who did not experience any study treatment-related SAE (Serious Adverse Event) previously and who gave informed consent to participate in the Extension phase.
The purpose of this study is to confirm the efficacy, safety and tolerability of KLU156 in patients with uncomplicated P. falciparum malaria (with or without other Plasmodium spp. co-infection) by demonstrating that KLU156 is non-inferior to Coartem. * The study duration will be 43 days (Core phase) plus up to 24 months (Extension phase). * The treatment duration will be 3 days for each malaria episode. * The visit frequency will be Days 1-3 (hospitalized) and 5 follow-up visits (Days 4, 8, 22, 29 and 43) in the Core phase and Days 1-3 (hospitalized) and 3 follow-up visits (Days 4, 8 and 29) in the Extension phase. This study has two different primary outcomes depending on the submission (US New Drug Application (NDA) or non-US submissions).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
1,720
Novartis Investigative Site
Banfora, Burkina Faso
Novartis Investigative Site
Bobo-Dioulasso, Burkina Faso
Novartis Investigative Site
Nanoro, Burkina Faso
Novartis Investigative Site
Ouagadougou, Burkina Faso
Novartis Investigative Site
Sabou, Burkina Faso
Novartis Investigative Site
PCR-corrected adequate clinical and parasitological response (ACPR)
To confirm the efficacy of KLU156 in adults and children ≥ 10 kg of body weight suffering from uncomplicated malaria caused by P. falciparum (with or without other Plasmodium spp. co-infection) by demonstrating that KLU156 is non-inferior to Coartem (non-inferiority margin = 5%) based on the PCR-corrected ACPR at Day 29. This primary outcome is applicable to non-US submission.
Time frame: Day 29 (i.e., 28 days post-first dose administration)
Uncorrected ACPR (US NDA submission)
To further confirm the efficacy of KLU156 by demonstrating non-inferiority of KLU156 to Coartem (NI margin 7.5%) based on the uncorrected ACPR at Day 29. This primary outcome is applicable to US New Drug Application (NDA) submission.
Time frame: Day 29
Uncorrected ACPR
To further confirm the efficacy of KLU156 by demonstrating non-inferiority of KLU156 to Coartem (NI margin 7.5%) based on the uncorrected ACPR at Day 29
Time frame: Day 29
PCR-corrected and uncorrected ACPR
To confirm the efficacy of KLU156 by assessing uncorrected and PCR-corrected ACPR at additional time points
Time frame: Days 22 and 43 (i.e., 21 and 42 days post-first dose administration)
Incidence rate of recrudescence and new infection
Proportion of patients with recrudescence and new infections between the two treatment arms
Time frame: Days 22, 29 and 43
Fever Clearance Time
To confirm the efficacy of KLU156 by assessing fever clearance between the two treatment arms
Time frame: Up to Day 3
Parasite Clearance Time
To assess parasite clearance time between the two treatment arms
Time frame: Up to Day 3
Gametocyte Clearance Time
To confirm the efficacy of KLU156 by assessing gametocyte clearance between the two treatment arms
Time frame: Up to Day 3
Proportion of patients with parasitemia
For the parasitemia assessment, blood sampling can be done by means of a finger prick except when the timing for parasitology assessments coincides with time for clinical laboratory tests, in which case, blood sample can be taken from the venous blood collected for clinical laboratory analyses.
Time frame: 12, 24, 48 and 72 hours after treatment
Gametocytemia
Disappearance or development of gametocytemia in patients with or without gametocytemia at baseline (pre-first dose administration), respectively
Time frame: From baseline up to Day 43
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.
Time frame: Day 43
Extension phase: PCR-corrected and uncorrected ACPR
To evaluate efficacy over repeated treatment with KLU156 in adults and children ≥ 10 kg of body weight suffering from uncomplicated malaria caused by P. falciparum (with or without other Plasmodium spp. co-infection) for a maximum of 2 years
Time frame: Day 29 of malaria episode
Extension phase: KLU156-related AE/SAE incidence and severity by malaria episode
To assess the safety and tolerability over repeated treatment with KLU156 in adults and children ≥ 10 kg of body weight suffering from uncomplicated malaria caused by P. falciparum (with or without other Plasmodium spp. co-infection) for a maximum of 2 years
Time frame: Up to 2 years
Extension phase: Gametocyte carriage over time
To assess gametocyte carriage over time by malaria episode in the extension phase
Time frame: Up to 2 years
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Abidjan, Côte d’Ivoire
Novartis Investigative Site
Agboville, Côte d’Ivoire
Novartis Investigative Site
Azaguié, Côte d’Ivoire
Novartis Investigative Site
Kimpese, Bas-Congo Province, Democratic Republic of the Congo
Novartis Investigative Site
Kisantu, Bas-Congo Province, Democratic Republic of the Congo
...and 23 more locations