Trial Outcomes & Findings for Open Label Pharmacokinetic Study of OZ439 and Piperaquine on Administration of OZ439+TPGS Granules for Oral Suspension Alone or With Either Piperaquine Phosphate Tablets or Granules for Oral Solution in Healthy Volunteers (NCT NCT01958619)

NCT ID: NCT01958619

Last Updated: 2015-05-08

Results Overview

OZ439 observed maximum drug plasma concentration

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

55 participants

Primary outcome timeframe

Days 1 pre-dose and post-dose at 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 16 and 24 hours (Day 2), and, 48 (Day 3), 72 (Day 4), 96 (Day 5) and 168 (Day 8) hours post-dose. Sampling will also be done on Day 11, 15, 29 and 43.

Results posted on

2015-05-08

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment A: 1440mg PQP Tablets & 800mg OZ439 + TPGS
Piperaquine phosphate tablets (1440mg) and OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Treatment B: 960mg PQP Tablets & 800mg OZ439 + TPGS
Piperaquine phosphate tablets (960mg) and OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Treatment C: 960mg PQP Granules & 800mg OZ439 + TPGS
Piperaquine phosphate granules for oral solution (960mg) and OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Treatment D: 800mg OZ439 + TPGS
OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Overall Study
STARTED
15
14
14
12
Overall Study
COMPLETED
13
14
13
12
Overall Study
NOT COMPLETED
2
0
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment A: 1440mg PQP Tablets & 800mg OZ439 + TPGS
Piperaquine phosphate tablets (1440mg) and OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Treatment B: 960mg PQP Tablets & 800mg OZ439 + TPGS
Piperaquine phosphate tablets (960mg) and OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Treatment C: 960mg PQP Granules & 800mg OZ439 + TPGS
Piperaquine phosphate granules for oral solution (960mg) and OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Treatment D: 800mg OZ439 + TPGS
OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Overall Study
Protocol Violation
2
0
1
0

Baseline Characteristics

Open Label Pharmacokinetic Study of OZ439 and Piperaquine on Administration of OZ439+TPGS Granules for Oral Suspension Alone or With Either Piperaquine Phosphate Tablets or Granules for Oral Solution in Healthy Volunteers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment A: 1440mg PQP Tablets & 800mg OZ439 + TPGS
n=15 Participants
Piperaquine phosphate tablets (1440mg) and OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Treatment B: 960mg PQP Tablets & 800mg OZ439 + TPGS
n=14 Participants
Piperaquine phosphate tablets (960mg) and OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Treatment C: 960mg PQP Granules & 800mg OZ439 + TPGS
n=14 Participants
Piperaquine phosphate granules for oral solution (960mg) and OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Treatment D: 800mg OZ439 + TPGS
n=12 Participants
OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Total
n=55 Participants
Total of all reporting groups
Age, Continuous
27.0 years
STANDARD_DEVIATION 9.40 • n=5 Participants
31.8 years
STANDARD_DEVIATION 9.70 • n=7 Participants
26.9 years
STANDARD_DEVIATION 5.66 • n=5 Participants
28.6 years
STANDARD_DEVIATION 9.54 • n=4 Participants
28.5 years
STANDARD_DEVIATION 8.71 • n=21 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
2 Participants
n=21 Participants
Sex: Female, Male
Male
14 Participants
n=5 Participants
14 Participants
n=7 Participants
14 Participants
n=5 Participants
11 Participants
n=4 Participants
53 Participants
n=21 Participants
Region of Enrollment
United Kingdom
15 participants
n=5 Participants
14 participants
n=7 Participants
14 participants
n=5 Participants
12 participants
n=4 Participants
55 participants
n=21 Participants

PRIMARY outcome

Timeframe: Days 1 pre-dose and post-dose at 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 16 and 24 hours (Day 2), and, 48 (Day 3), 72 (Day 4), 96 (Day 5) and 168 (Day 8) hours post-dose. Sampling will also be done on Day 11, 15, 29 and 43.

OZ439 observed maximum drug plasma concentration

Outcome measures

Outcome measures
Measure
Treatment A: 1440mg PQP Tablets & 800mg OZ439 + TPGS
n=13 Participants
Piperaquine phosphate tablets (1440mg) and OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Treatment B: 960mg PQP Tablets & 800mg OZ439 + TPGS
n=14 Participants
Piperaquine phosphate tablets (960mg) and OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Treatment C: 960mg PQP Granules & 800mg OZ439 + TPGS
n=13 Participants
Piperaquine phosphate granules for oral solution (960mg) and OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Treatment D: 800mg OZ439 + TPGS
n=12 Participants
OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
OZ439 Cmax
1300 ng/mL
Geometric Coefficient of Variation 34.6
1490 ng/mL
Geometric Coefficient of Variation 37.9
1240 ng/mL
Geometric Coefficient of Variation 29.2
1120 ng/mL
Geometric Coefficient of Variation 48.6

PRIMARY outcome

Timeframe: Days 1 pre-dose and post-dose at 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 16 and 24 hours (Day 2), and, 48 (Day 3), 72 (Day 4), 96 (Day 5) and 168 (Day 8) hours post-dose. Sampling will also be done on Day 11, 15, 29 and 43.

OZ439 Area under plasma concentration time curve from time zero extrapolated to infinity.

Outcome measures

Outcome measures
Measure
Treatment A: 1440mg PQP Tablets & 800mg OZ439 + TPGS
n=13 Participants
Piperaquine phosphate tablets (1440mg) and OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Treatment B: 960mg PQP Tablets & 800mg OZ439 + TPGS
n=14 Participants
Piperaquine phosphate tablets (960mg) and OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Treatment C: 960mg PQP Granules & 800mg OZ439 + TPGS
n=13 Participants
Piperaquine phosphate granules for oral solution (960mg) and OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Treatment D: 800mg OZ439 + TPGS
n=12 Participants
OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
OZ439 AUC0-∞
15000 ng*h/mL
Geometric Coefficient of Variation 26.3
16100 ng*h/mL
Geometric Coefficient of Variation 35.7
14100 ng*h/mL
Geometric Coefficient of Variation 35.9
13400 ng*h/mL
Geometric Coefficient of Variation 53.7

SECONDARY outcome

Timeframe: Days 1 pre-dose and post-dose at 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 16 and 24 hours (Day 2), and, 48 (Day 3), 72 (Day 4), 96 (Day 5) and 168 (Day 8) hours post-dose. Sampling will also be done on Day 11, 15, 29 and 43.

Piperaquine Observed maximum drug plasma concentration

Outcome measures

Outcome measures
Measure
Treatment A: 1440mg PQP Tablets & 800mg OZ439 + TPGS
n=13 Participants
Piperaquine phosphate tablets (1440mg) and OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Treatment B: 960mg PQP Tablets & 800mg OZ439 + TPGS
n=14 Participants
Piperaquine phosphate tablets (960mg) and OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Treatment C: 960mg PQP Granules & 800mg OZ439 + TPGS
n=13 Participants
Piperaquine phosphate granules for oral solution (960mg) and OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Treatment D: 800mg OZ439 + TPGS
OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Piperaquine Cmax
249 ng/mL
Geometric Coefficient of Variation 94.3
113 ng/mL
Geometric Coefficient of Variation 100.9
112 ng/mL
Geometric Coefficient of Variation 68.7

SECONDARY outcome

Timeframe: Days 1 pre-dose and post-dose at 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 16 and 24 hours (Day 2), and, 48 (Day 3), 72 (Day 4), 96 (Day 5) and 168 (Day 8) hours post-dose. Sampling will also be done on Day 11, 15, 29 and 43.

Piperaquine Area under plasma concentration time curve from time zero extrapolated to infinity.

Outcome measures

Outcome measures
Measure
Treatment A: 1440mg PQP Tablets & 800mg OZ439 + TPGS
n=13 Participants
Piperaquine phosphate tablets (1440mg) and OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Treatment B: 960mg PQP Tablets & 800mg OZ439 + TPGS
n=14 Participants
Piperaquine phosphate tablets (960mg) and OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Treatment C: 960mg PQP Granules & 800mg OZ439 + TPGS
n=13 Participants
Piperaquine phosphate granules for oral solution (960mg) and OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Treatment D: 800mg OZ439 + TPGS
OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Piperaquine AUC0-∞
18300 ng*h/mL
Geometric Coefficient of Variation 39.3
12400 ng*h/mL
Geometric Coefficient of Variation 43.2
12100 ng*h/mL
Geometric Coefficient of Variation 42.1

Adverse Events

Treatment A: 1440mg PQP Tablets & 800mg OZ439 + TPGS

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Treatment B: 960mg PQP Tablets & 800mg OZ439 + TPGS

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Treatment C: 960mg PQP Granules & 800mg OZ439 + TPGS

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Treatment D: 800mg OZ439 + TPGS

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Treatment A: 1440mg PQP Tablets & 800mg OZ439 + TPGS
n=15 participants at risk
Piperaquine phosphate tablets (1440mg) and OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Treatment B: 960mg PQP Tablets & 800mg OZ439 + TPGS
n=14 participants at risk
Piperaquine phosphate tablets (960mg) and OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Treatment C: 960mg PQP Granules & 800mg OZ439 + TPGS
n=14 participants at risk
Piperaquine phosphate granules for oral solution (960mg) and OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Treatment D: 800mg OZ439 + TPGS
n=12 participants at risk
OZ439 (800mg) + TPGS granules for oral suspension under fasted conditions.
Infections and infestations
Nasopharyngitis
0.00%
0/15 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
7.1%
1/14 • Number of events 1 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
0.00%
0/14 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
0.00%
0/12 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
Psychiatric disorders
Insomnia
0.00%
0/15 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
0.00%
0/14 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
7.1%
1/14 • Number of events 1 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
0.00%
0/12 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
Nervous system disorders
Headache
6.7%
1/15 • Number of events 1 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
0.00%
0/14 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
7.1%
1/14 • Number of events 1 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
8.3%
1/12 • Number of events 1 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
Nervous system disorders
Dizziness
0.00%
0/15 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
7.1%
1/14 • Number of events 1 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
0.00%
0/14 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
0.00%
0/12 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
Gastrointestinal disorders
Nausea
46.7%
7/15 • Number of events 7 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
21.4%
3/14 • Number of events 3 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
35.7%
5/14 • Number of events 5 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
41.7%
5/12 • Number of events 5 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
Gastrointestinal disorders
Diarrhoea
6.7%
1/15 • Number of events 1 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
0.00%
0/14 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
14.3%
2/14 • Number of events 2 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
16.7%
2/12 • Number of events 2 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
Gastrointestinal disorders
Abdominal distension
6.7%
1/15 • Number of events 1 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
0.00%
0/14 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
7.1%
1/14 • Number of events 1 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
0.00%
0/12 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
Gastrointestinal disorders
Abdominal Pain
6.7%
1/15 • Number of events 1 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
0.00%
0/14 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
0.00%
0/14 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
8.3%
1/12 • Number of events 1 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
Gastrointestinal disorders
Abdominal Discomfort
0.00%
0/15 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
0.00%
0/14 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
0.00%
0/14 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
8.3%
1/12 • Number of events 1 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
Gastrointestinal disorders
Abdominal Pain Upper
6.7%
1/15 • Number of events 1 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
0.00%
0/14 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
0.00%
0/14 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
0.00%
0/12 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
Gastrointestinal disorders
Constipation
0.00%
0/15 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
0.00%
0/14 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
7.1%
1/14 • Number of events 1 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
0.00%
0/12 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
Gastrointestinal disorders
Vomiting
0.00%
0/15 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
0.00%
0/14 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
0.00%
0/14 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
8.3%
1/12 • Number of events 1 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
Skin and subcutaneous tissue disorders
Psoriasis
0.00%
0/15 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
7.1%
1/14 • Number of events 1 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
0.00%
0/14 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
0.00%
0/12 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
General disorders
Feeling Hot
0.00%
0/15 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
0.00%
0/14 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
7.1%
1/14 • Number of events 1 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population
0.00%
0/12 • Up to Day 50 post-dose.
All 55 subjects received one dose of OZ439 alone or in combination with PQP were included in the safety analysis population

Additional Information

Dr Thomas Rueckle PhD

Medicines for Malaria Venture (MMV)

Phone: +41 22 799 4567

Results disclosure agreements

  • Principal investigator is a sponsor employee After completion of the study, the Investigator may prepare a joint publication with MMV. The Investigator must undertake not to submit any part of the individual data from this protocol for publication without prior consent of MMV at a mutually agreed time. The confidentiality obligation applies to all personnel involved at the investigational site.
  • Publication restrictions are in place

Restriction type: OTHER