Trial Outcomes & Findings for Phase I Study of Ascending Doses of MMV390048 in Healthy Adult Volunteers (NCT NCT02230579)

NCT ID: NCT02230579

Last Updated: 2019-07-17

Results Overview

Subject will be in-house up to D3, and then have a follow up visit at the site on D5, 7, 10, 14, 19, 26, 29 or longer according to half life

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

48 participants

Primary outcome timeframe

up to D29 or longer according to half life

Results posted on

2019-07-17

Participant Flow

For the purposes of this study, subjects that were re-used in SAD6 were treated as separate subjects, i.e. the entire trial population comprised 48 subjects, eight subjects in 6 cohorts.

Participant milestones

Participant milestones
Measure
Cohort SAD1 Fasted
5mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose Placebo: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD2 Fasted
20mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose Placebo: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD3 Fasted
40mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose Placebo: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD4 Fasted
80mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose Placebo: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD5 Fasted
120mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose Placebo: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD6 Fed
Reusing volunteers from one of the previous cohorts, will receive a single dose in a fed state to evaluate the effect of food on the pharmacokinetics and tolerability. 40mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose Placebo: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Placebo
Placebo to match MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose Two volunteers within each cohort (SAD1 to SAD6) were scheduled to receive placebo in a double blind manner.
Overall Study
STARTED
6
6
6
6
6
6
12
Overall Study
COMPLETED
6
6
6
6
6
6
12
Overall Study
NOT COMPLETED
0
0
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Phase I Study of Ascending Doses of MMV390048 in Healthy Adult Volunteers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort SAD1 Fasted
n=6 Participants
5mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD2 Fasted
n=6 Participants
20mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD3 Fasted
n=6 Participants
40mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD4 Fasted
n=6 Participants
80mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD5 Fasted
n=6 Participants
120mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD6 Fed
n=6 Participants
Cohort SAD6, reusing volunteers from previous cohorts, will receive a single dose in a fed state to evaluate the effect of food on the pharmacokinetics and tolerability 40mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Placebo
n=12 Participants
Placebo to match MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose Two volunteers within each cohort (SAD1 to SAD6) were scheduled to receive placebo in a double blind manner.
Total
n=48 Participants
Total of all reporting groups
Age, Continuous
29.3 years
n=5 Participants
34 years
n=7 Participants
37 years
n=5 Participants
30 years
n=4 Participants
23.7 years
n=21 Participants
34 years
n=8 Participants
32.7 years
n=8 Participants
31.7 years
n=24 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
1 Participants
n=4 Participants
0 Participants
n=21 Participants
2 Participants
n=8 Participants
1 Participants
n=8 Participants
8 Participants
n=24 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
5 Participants
n=4 Participants
6 Participants
n=21 Participants
4 Participants
n=8 Participants
11 Participants
n=8 Participants
40 Participants
n=24 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=24 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=24 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=24 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
4 Participants
n=4 Participants
6 Participants
n=21 Participants
4 Participants
n=8 Participants
9 Participants
n=8 Participants
35 Participants
n=24 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
1 Participants
n=8 Participants
1 Participants
n=24 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=24 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
0 Participants
n=21 Participants
2 Participants
n=8 Participants
2 Participants
n=8 Participants
12 Participants
n=24 Participants

PRIMARY outcome

Timeframe: up to D29 or longer according to half life

Subject will be in-house up to D3, and then have a follow up visit at the site on D5, 7, 10, 14, 19, 26, 29 or longer according to half life

Outcome measures

Outcome measures
Measure
Cohort SAD1 Fasted
n=6 Participants
5mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD2 Fasted
n=6 Participants
20mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD3 Fasted
n=6 Participants
40mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD4 Fasted
n=6 Participants
80mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD5 Fasted
n=6 Participants
120mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD6 Fed
n=6 Participants
Cohort SAD6, reusing volunteers from previous cohorts, will receive a single dose in a fed state to evaluate the effect of food on the pharmacokinetics and tolerability 40mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Placebo
n=12 Participants
Placebo to match MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose Two volunteers within each cohort (SAD1 to SAD6) were scheduled to receive placebo in a double blind manner.
Number of Participants With Adverse Events
4 Participants
5 Participants
5 Participants
6 Participants
6 Participants
6 Participants
11 Participants

PRIMARY outcome

Timeframe: 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 48, 96, 144, 216, 312, 432, 600, 672 hours post-dose

Population: One subject (SAD5 120 mg) was excluded from the PK analysis population due to concomitant use of prohibited medications known to produce drug-drug interactions with pharmacokinetic consequences.

Pk blood collection - additional PK point may be planned final visit depending on emerging PK data, unnecessary PK points could be eliminated for the latter cohorts Investigate the effect of food on the pharmacokinetic and tolerability of the investigational drug in cohort 4 and 8

Outcome measures

Outcome measures
Measure
Cohort SAD1 Fasted
n=6 Participants
5mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD2 Fasted
n=6 Participants
20mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD3 Fasted
n=6 Participants
40mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD4 Fasted
n=6 Participants
80mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD5 Fasted
n=5 Participants
120mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD6 Fed
n=6 Participants
Cohort SAD6, reusing volunteers from previous cohorts, will receive a single dose in a fed state to evaluate the effect of food on the pharmacokinetics and tolerability 40mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Placebo
Placebo to match MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose Two volunteers within each cohort (SAD1 to SAD6) were scheduled to receive placebo in a double blind manner.
Area Under the Plasma Concentration Versus Time Curve (AUC) of MMV390048
2136.9 h*ng/mL
Interval 903.1 to 3718.7
32727.2 h*ng/mL
Interval 24895.2 to 38914.3
21050.7 h*ng/mL
Interval 6325.4 to 37934.6
58668.2 h*ng/mL
Interval 40246.0 to 125655.1
156036.2 h*ng/mL
Interval 13053.0 to 208989.4
29004.6 h*ng/mL
Interval 15775.1 to 72735.3
—

PRIMARY outcome

Timeframe: 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 48, 96, 144, 216, 312, 432, 600, 672 hours post-dose

Population: One subject (SAD5 120 mg) was excluded from the PK analysis population due to concomitant use of prohibited medications known to produce drug-drug interactions with pharmacokinetic consequences.

Pk blood collection Investigate the effect of food on the pharmacokinetic and tolerability of the investigational drug in cohort 4 and 8

Outcome measures

Outcome measures
Measure
Cohort SAD1 Fasted
n=6 Participants
5mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD2 Fasted
n=6 Participants
20mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD3 Fasted
n=6 Participants
40mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD4 Fasted
n=6 Participants
80mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD5 Fasted
n=5 Participants
120mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD6 Fed
n=6 Participants
Cohort SAD6, reusing volunteers from previous cohorts, will receive a single dose in a fed state to evaluate the effect of food on the pharmacokinetics and tolerability 40mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Placebo
Placebo to match MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose Two volunteers within each cohort (SAD1 to SAD6) were scheduled to receive placebo in a double blind manner.
Half-life of MMV390048
163.1 hours
Interval 86.9 to 297.0
326.1 hours
Interval 221.6 to 348.0
192.6 hours
Interval 84.2 to 486.2
200.3 hours
Interval 154.1 to 457.1
252.3 hours
Interval 132.5 to 263.5
210.8 hours
Interval 111.3 to 461.1
—

SECONDARY outcome

Timeframe: up to 144 hr post dose

Population: Samples received from the remaining participants were not processed due to the fact that they were either placebo samples, or failed to reach the pre-determined in vitro IC50 of MMV390048.

Blood collection to determine efficacy of investigational drug against parasites using an ex vivo malaria assay - this was done only for cohort 3 The experimentally obtained bioassay IC50 values were determined and compared to IC50 obtained with reference serum sample spiked with a known amount of MMV390048 titrated into the P. falciparum assay.

Outcome measures

Outcome measures
Measure
Cohort SAD1 Fasted
5mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD2 Fasted
20mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD3 Fasted
n=2 Participants
40mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD4 Fasted
80mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD5 Fasted
120mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD6 Fed
Cohort SAD6, reusing volunteers from previous cohorts, will receive a single dose in a fed state to evaluate the effect of food on the pharmacokinetics and tolerability 40mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Placebo
Placebo to match MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose Two volunteers within each cohort (SAD1 to SAD6) were scheduled to receive placebo in a double blind manner.
Determine ex Vivo Efficacy (IC50)
—
—
9.475 ng/ml
Interval 9.1 to 9.85
—
—
—
—

Adverse Events

Cohort SAD1 Fasted

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Cohort SAD2 Fasted

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

Cohort SAD3 Fasted

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

Cohort SAD4 Fasted

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Cohort SAD5 Fasted

Serious events: 1 serious events
Other events: 6 other events
Deaths: 0 deaths

Cohort SAD6 Fed

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Cohort SAD1 Fasted
n=6 participants at risk
5mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD2 Fasted
n=6 participants at risk
20mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD3 Fasted
n=6 participants at risk
40mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD4 Fasted
n=6 participants at risk
80mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD5 Fasted
n=6 participants at risk
120mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD6 Fed
n=6 participants at risk
Cohort SAD6, reusing volunteers from previous cohorts, will receive a single dose in a fed state to evaluate the effect of food on the pharmacokinetics and tolerability 40mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Placebo
n=12 participants at risk
Placebo to match MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose Two volunteers within each cohort (SAD1 to SAD6) were scheduled to receive placebo in a double blind manner.
Nervous system disorders
generalised myoclonus
0.00%
0/6
0.00%
0/6
0.00%
0/6
0.00%
0/6
16.7%
1/6
0.00%
0/6
0.00%
0/12

Other adverse events

Other adverse events
Measure
Cohort SAD1 Fasted
n=6 participants at risk
5mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD2 Fasted
n=6 participants at risk
20mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD3 Fasted
n=6 participants at risk
40mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD4 Fasted
n=6 participants at risk
80mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD5 Fasted
n=6 participants at risk
120mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Cohort SAD6 Fed
n=6 participants at risk
Cohort SAD6, reusing volunteers from previous cohorts, will receive a single dose in a fed state to evaluate the effect of food on the pharmacokinetics and tolerability 40mg of MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose
Placebo
n=12 participants at risk
Placebo to match MMV390048: Single administration, supplied as "powder in bottle" formulation for reconstitution pre-dose Two volunteers within each cohort (SAD1 to SAD6) were scheduled to receive placebo in a double blind manner.
Investigations
Neutrophil count decreased
0.00%
0/6
0.00%
0/6
16.7%
1/6
0.00%
0/6
0.00%
0/6
16.7%
1/6
0.00%
0/12
Nervous system disorders
Diziness
0.00%
0/6
0.00%
0/6
33.3%
2/6
0.00%
0/6
0.00%
0/6
0.00%
0/6
0.00%
0/12
Gastrointestinal disorders
Diarrhoea
0.00%
0/6
16.7%
1/6
16.7%
1/6
16.7%
1/6
0.00%
0/6
33.3%
2/6
8.3%
1/12
Skin and subcutaneous tissue disorders
Urticaria
0.00%
0/6
16.7%
1/6
0.00%
0/6
0.00%
0/6
0.00%
0/6
16.7%
1/6
0.00%
0/12
Cardiac disorders
Palpitation
0.00%
0/6
0.00%
0/6
16.7%
1/6
0.00%
0/6
0.00%
0/6
0.00%
0/6
8.3%
1/12
Infections and infestations
Medical device site reaction
50.0%
3/6
0.00%
0/6
16.7%
1/6
83.3%
5/6
50.0%
3/6
83.3%
5/6
41.7%
5/12
General disorders
Influenza like illness
0.00%
0/6
33.3%
2/6
33.3%
2/6
33.3%
2/6
0.00%
0/6
16.7%
1/6
16.7%
2/12
General disorders
Headache
0.00%
0/6
16.7%
1/6
33.3%
2/6
16.7%
1/6
16.7%
1/6
16.7%
1/6
8.3%
1/12
Blood and lymphatic system disorders
Blood CK increased
0.00%
0/6
0.00%
0/6
50.0%
3/6
16.7%
1/6
33.3%
2/6
0.00%
0/6
0.00%
0/12
Gastrointestinal disorders
Constipation
0.00%
0/6
0.00%
0/6
16.7%
1/6
16.7%
1/6
0.00%
0/6
0.00%
0/6
8.3%
1/12
General disorders
Contusion
50.0%
3/6
0.00%
0/6
0.00%
0/6
0.00%
0/6
0.00%
0/6
0.00%
0/6
0.00%
0/12
Respiratory, thoracic and mediastinal disorders
Upper respiratory tract infection
0.00%
0/6
16.7%
1/6
16.7%
1/6
16.7%
1/6
0.00%
0/6
0.00%
0/6
0.00%
0/12
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/6
0.00%
0/6
0.00%
0/6
0.00%
0/6
0.00%
0/6
16.7%
1/6
8.3%
1/12
General disorders
Fatigue
0.00%
0/6
0.00%
0/6
0.00%
0/6
0.00%
0/6
0.00%
0/6
0.00%
0/6
16.7%
2/12
Skin and subcutaneous tissue disorders
Furuncle
16.7%
1/6
0.00%
0/6
0.00%
0/6
16.7%
1/6
0.00%
0/6
0.00%
0/6
0.00%
0/12
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
16.7%
1/6
16.7%
1/6
0.00%
0/6
0.00%
0/6
0.00%
0/6
0.00%
0/6
0.00%
0/12
Skin and subcutaneous tissue disorders
Thermal burn
0.00%
0/6
0.00%
0/6
0.00%
0/6
0.00%
0/6
0.00%
0/6
33.3%
2/6
0.00%
0/12
Infections and infestations
Urinary tract infection
0.00%
0/6
16.7%
1/6
0.00%
0/6
0.00%
0/6
0.00%
0/6
0.00%
0/6
8.3%
1/12

Additional Information

Dr Cristina Donini - Associate Director

Medicines for Malaria Venture

Phone: 00 41 22 555 03 12

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place