Trial Outcomes & Findings for Effectiveness of OZ439 Against Early Plasmodium Falciparum Blood Stage Infection in Healthy Volunteers (NCT NCT02453581)

NCT ID: NCT02453581

Last Updated: 2015-08-17

Results Overview

PRR estimates the efficacy of an anti-malarial treatment and is the ratio of the parasite density between admission and 48 hours post-treatment. Individual subject PRR and corresponding 95% CI were calculated using the slope and corresponding standard error of mean (SE) of the optimal regression model.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

24 participants

Primary outcome timeframe

48 hours

Results posted on

2015-08-17

Participant Flow

Participant milestones

Participant milestones
Measure
OZ439 100mg
OZ439 100mg Powder for Oral Suspension
OZ439 200mg
OZ439 200mg Powder for Oral Suspension
OZ439 500mg
OZ439 500mg Powder for Oral Suspension
Overall Study
STARTED
8
8
8
Overall Study
COMPLETED
8
8
8
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effectiveness of OZ439 Against Early Plasmodium Falciparum Blood Stage Infection in Healthy Volunteers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Randomised Participants
n=24 Participants
Twenty-four male and female subjects were enrolled in the study.
Age, Customized
18 - 30 Years
21 participants
n=5 Participants
Age, Customized
31 - 40 Years
3 participants
n=5 Participants
Age, Customized
41 - 45 Years
0 participants
n=5 Participants
Sex: Female, Male
Female
12 Participants
n=5 Participants
Sex: Female, Male
Male
12 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
24 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
Australia
24 participants
n=5 Participants

PRIMARY outcome

Timeframe: 48 hours

Population: As the doses of 100 mg and 200 mg of OZ439 in Cohorts 1 and 2 were inadequate to eliminate the parasites and regrowth occurred, PRR calculations were only undertaken for subjects receiving 500mg of OZ439 in Cohort 3.

PRR estimates the efficacy of an anti-malarial treatment and is the ratio of the parasite density between admission and 48 hours post-treatment. Individual subject PRR and corresponding 95% CI were calculated using the slope and corresponding standard error of mean (SE) of the optimal regression model.

Outcome measures

Outcome measures
Measure
OZ439 500mg - R017
n=1 Participants
Cohort 3 - OZ439 500mg - Subject R017
OZ439 500mg - R018
n=1 Participants
Cohort 3 - OZ439 500mg - Subject R018
OZ439 500mg - R019
n=1 Participants
Cohort 3 - OZ439 500mg - Subject R019
OZ439 500mg - R020
n=1 Participants
Cohort 3 - OZ439 500mg - Subject R020
OZ439 500mg - R021
n=1 Participants
Cohort 3 - OZ439 500mg - Subject R021
OZ439 500mg - R022
n=1 Participants
Cohort 3 - OZ439 500mg - Subject R022
OZ439 500mg - R023
n=1 Participants
Cohort 3 - OZ439 500mg - Subject R023
OZ439 500mg - R024
n=1 Participants
Cohort 3 - OZ439 500mg - Subject R024
Individual Parasite Reduction Ratio (PRR)
1132 none (ratio)
Interval 357.0 to 3587.0
217646 none (ratio)
Interval 21471.0 to 2206216.0
314040 none (ratio)
Interval 42823.0 to 2302975.0
8021 none (ratio)
Interval 147.0 to 438967.0
8227 none (ratio)
Interval 2665.0 to 25403.0
13557 none (ratio)
Interval 3113.0 to 59037.0
13560 none (ratio)
Interval 3320.0 to 55381.0
21924 none (ratio)
Interval 1486.0 to 323346.0

PRIMARY outcome

Timeframe: 48 hours

Population: As the doses of 100 mg and 200 mg of OZ439 in Cohorts 1 and 2 were inadequate to eliminate the parasites and regrowth occurred, PRR calculations were only undertaken for subjects receiving 500mg of OZ439 in Cohort 3. With a p value of 0.0046, Subject S036 was excluded from this calculation

OZ439 500mg individual subject PRR and corresponding 95% CI were used to calculate the OZ439 500mg cohort specific PRR and the corresponding 95% CI: the weighted average slope estimate and corresponding SE were calculated by the inverse-variance method.

Outcome measures

Outcome measures
Measure
OZ439 500mg - R017
n=7 Participants
Cohort 3 - OZ439 500mg - Subject R017
OZ439 500mg - R018
Cohort 3 - OZ439 500mg - Subject R018
OZ439 500mg - R019
Cohort 3 - OZ439 500mg - Subject R019
OZ439 500mg - R020
Cohort 3 - OZ439 500mg - Subject R020
OZ439 500mg - R021
Cohort 3 - OZ439 500mg - Subject R021
OZ439 500mg - R022
Cohort 3 - OZ439 500mg - Subject R022
OZ439 500mg - R023
Cohort 3 - OZ439 500mg - Subject R023
OZ439 500mg - R024
Cohort 3 - OZ439 500mg - Subject R024
500mg Cohort Mean Parasite Reduction Ratio (PRR)
10176 none (ratio)
Interval 5757.0 to 17986.0

SECONDARY outcome

Timeframe: Pre-dose, and 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose

Population: All 24 subjects randomized and completed the study.

OZ439 Maximum concentration (Cmax)

Outcome measures

Outcome measures
Measure
OZ439 500mg - R017
n=8 Participants
Cohort 3 - OZ439 500mg - Subject R017
OZ439 500mg - R018
n=8 Participants
Cohort 3 - OZ439 500mg - Subject R018
OZ439 500mg - R019
n=8 Participants
Cohort 3 - OZ439 500mg - Subject R019
OZ439 500mg - R020
Cohort 3 - OZ439 500mg - Subject R020
OZ439 500mg - R021
Cohort 3 - OZ439 500mg - Subject R021
OZ439 500mg - R022
Cohort 3 - OZ439 500mg - Subject R022
OZ439 500mg - R023
Cohort 3 - OZ439 500mg - Subject R023
OZ439 500mg - R024
Cohort 3 - OZ439 500mg - Subject R024
OZ439 Cmax
164 ng/mL
Geometric Coefficient of Variation 20
448 ng/mL
Geometric Coefficient of Variation 33
1263 ng/mL
Geometric Coefficient of Variation 47

SECONDARY outcome

Timeframe: Pre-dose, and 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose

Population: All 24 subjects randomized and completed the study.

OZ439 Area under the curve to 144 hours

Outcome measures

Outcome measures
Measure
OZ439 500mg - R017
n=8 Participants
Cohort 3 - OZ439 500mg - Subject R017
OZ439 500mg - R018
n=8 Participants
Cohort 3 - OZ439 500mg - Subject R018
OZ439 500mg - R019
n=8 Participants
Cohort 3 - OZ439 500mg - Subject R019
OZ439 500mg - R020
Cohort 3 - OZ439 500mg - Subject R020
OZ439 500mg - R021
Cohort 3 - OZ439 500mg - Subject R021
OZ439 500mg - R022
Cohort 3 - OZ439 500mg - Subject R022
OZ439 500mg - R023
Cohort 3 - OZ439 500mg - Subject R023
OZ439 500mg - R024
Cohort 3 - OZ439 500mg - Subject R024
OZ439 AUC(0-144)
1056 ng*h/mL
Geometric Coefficient of Variation 23
3182 ng*h/mL
Geometric Coefficient of Variation 21
10755 ng*h/mL
Geometric Coefficient of Variation 40

Adverse Events

OZ439 100mg

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

OZ439 200mg

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

OZ439 500mg

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
OZ439 100mg
n=8 participants at risk
OZ439 100mg Powder for Oral Suspension
OZ439 200mg
n=8 participants at risk
OZ439 200mg Powder for Oral Suspension
OZ439 500mg
n=8 participants at risk
OZ439 500mg Powder for Oral Suspension
Gastrointestinal disorders
Nausea
0.00%
0/8 • 144 hours
24 subjects who participated in the study.
12.5%
1/8 • Number of events 1 • 144 hours
24 subjects who participated in the study.
0.00%
0/8 • 144 hours
24 subjects who participated in the study.
Nervous system disorders
Headache
0.00%
0/8 • 144 hours
24 subjects who participated in the study.
12.5%
1/8 • Number of events 1 • 144 hours
24 subjects who participated in the study.
12.5%
1/8 • Number of events 2 • 144 hours
24 subjects who participated in the study.
Cardiac disorders
Rapid Regular Heart Rate
12.5%
1/8 • Number of events 1 • 144 hours
24 subjects who participated in the study.
0.00%
0/8 • 144 hours
24 subjects who participated in the study.
0.00%
0/8 • 144 hours
24 subjects who participated in the study.
Psychiatric disorders
Difficulty Focusing
0.00%
0/8 • 144 hours
24 subjects who participated in the study.
12.5%
1/8 • Number of events 1 • 144 hours
24 subjects who participated in the study.
0.00%
0/8 • 144 hours
24 subjects who participated in the study.
Skin and subcutaneous tissue disorders
Photosensitivity
0.00%
0/8 • 144 hours
24 subjects who participated in the study.
12.5%
1/8 • Number of events 1 • 144 hours
24 subjects who participated in the study.
0.00%
0/8 • 144 hours
24 subjects who participated in the study.

Additional Information

Dr James McCarthy

Qeensland Institute of Medical Research

Phone: +61 7 3845 3796

Results disclosure agreements

  • Principal investigator is a sponsor employee Publication and reporting of results and outcomes of this trial will be accurate and honest, undertaken with integrity and transparency and in accordance with QIMR's Policy on Criteria for Authorship. Publication of results will be subjected to fair peer-review. Data will not be released publicly until the manuscript is accepted for publication.
  • Publication restrictions are in place

Restriction type: OTHER