Chemoprophylactic Activity of M5717 in PfSPZ Challenge Model

NCT ID: NCT04250363

Last Updated: 2024-05-01

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

39 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-02-17

Study Completion Date

2021-08-18

Brief Summary

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The main purpose of this study was to assess the chemoprophylactic activity and dose-exposure-response relationship of single oral dose of M5717 administered after direct intravenous inoculation (DVI) of Plasmodium falciparum sporozoite (PfSPZ) challenge in healthy participants.

Detailed Description

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Conditions

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Healthy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Early liver stage: Pooled Placebo

Participants received single dose of placebo matched to M5717 capsule on Day 1 after 2 hours of Plasmodium falciparum Sporozoite (PfSPZ) (3200 sporozoites per injection) intravenous (IV) inoculation administration on Day 1.

Group Type PLACEBO_COMPARATOR

PfSPZ Challenge

Intervention Type BIOLOGICAL

Participants received 3200 units of Plasmodium falciparum sporozoites by DVI on Day 1.

Palcebo

Intervention Type DRUG

Participants received single oral dose of placebo matched to M5717 capsule on Day 1.

Early liver stage: 30 mg M5717

Participants received single dose of M5717 30 mg capsule on Day 1 after 2 hours of PfSPZ (3200 sporozoites per injection) IV inoculation administration on Day 1.

Group Type EXPERIMENTAL

PfSPZ Challenge

Intervention Type BIOLOGICAL

Participants received 3200 units of Plasmodium falciparum sporozoites by DVI on Day 1.

M5717 30 mg

Intervention Type DRUG

Participants received 30 mg single oral dose of M5717 capsule on Day 1.

Early liver stage: 60 mg M5717

Participants received single dose of M5717 60 mg capsule on Day 1 after 2 hours of PfSPZ (3200 sporozoites per injection) IV inoculation administration on Day 1.

Group Type EXPERIMENTAL

PfSPZ Challenge

Intervention Type BIOLOGICAL

Participants received 3200 units of Plasmodium falciparum sporozoites by DVI on Day 1.

M5717 60 mg

Intervention Type DRUG

Participants received 60 mg single oral dose of M5717 capsule on Day 1.

Early liver stage: 80 mg M5717

Participants received single dose of M5717 80 mg capsule on Day 1 after 2 hours of PfSPZ (3200 sporozoites per injection) IV inoculation administration on Day 1.

Group Type EXPERIMENTAL

PfSPZ Challenge

Intervention Type BIOLOGICAL

Participants received 3200 units of Plasmodium falciparum sporozoites by DVI on Day 1.

M5717 80 mg

Intervention Type DRUG

Participants received 80 mg single oral dose of M5717 capsule on Day 1.

Early liver stage: 100 mg M5717

Participants received single dose of M5717 100 mg capsule on Day 1 after 2 hours of PfSPZ (3200 sporozoites per injection) IV inoculation administration on Day 1.

Group Type EXPERIMENTAL

PfSPZ Challenge

Intervention Type BIOLOGICAL

Participants received 3200 units of Plasmodium falciparum sporozoites by DVI on Day 1.

M5717 100 mg

Intervention Type DRUG

Participants received 100 mg single oral dose of M5717 capsule on Day 1.

Early liver stage: 200 mg M5717

Participants received single dose of M5717 200 mg capsule on Day 1 after 2 hours of PfSPZ (3200 sporozoites per injection) IV inoculation administration on Day 1.

Group Type EXPERIMENTAL

PfSPZ Challenge

Intervention Type BIOLOGICAL

Participants received 3200 units of Plasmodium falciparum sporozoites by DVI on Day 1.

M5717 200 mg

Intervention Type DRUG

Participants received 200 mg single oral dose of M5717 capsule on Day 1.

Late liver stage: Pooled Placebo

Participants received single dose of placebo matched to M5717 capsule on Day 5 after 96 hours of PfSPZ (3200 sporozoites per injection) IV inoculation administration on Day 1.

Group Type EXPERIMENTAL

PfSPZ Challenge

Intervention Type BIOLOGICAL

Participants received 3200 units of Plasmodium falciparum sporozoites by DVI on Day 1.

Placebo

Intervention Type DRUG

Participants received single oral dose of placebo matched to M5717 capsule on Day 5.

Late liver stage: 60 mg M5717

Participants received single dose of M5717 60 mg capsule on Day 5 after 96 hours of PfSPZ (3200 sporozoites per injection) IV inoculation administration on Day 1.

Group Type EXPERIMENTAL

PfSPZ Challenge

Intervention Type BIOLOGICAL

Participants received 3200 units of Plasmodium falciparum sporozoites by DVI on Day 1.

M5717 60 mg

Intervention Type DRUG

Participants received 60 mg single oral dose of M5717 capsule on Day 5.

Late liver stage: 100 mg M5717

Participants received single dose of M5717 100 mg capsule on Day 5 after 96 hours of PfSPZ (3200 sporozoites per injection) IV inoculation administration on Day 1.

Group Type EXPERIMENTAL

PfSPZ Challenge

Intervention Type BIOLOGICAL

Participants received 3200 units of Plasmodium falciparum sporozoites by DVI on Day 1.

M5717 100 mg

Intervention Type DRUG

Participants received 100 mg single oral dose of M5717 capsule on Day 5.

Late liver stage: 200 mg M5717

Participants received single dose of M5717 200 mg capsule on Day 5 after 96 hours of PfSPZ (3200 sporozoites per injection) IV inoculation administration on Day 1.

Group Type EXPERIMENTAL

PfSPZ Challenge

Intervention Type BIOLOGICAL

Participants received 3200 units of Plasmodium falciparum sporozoites by DVI on Day 1.

M5717 200 mg

Intervention Type DRUG

Participants received 200 mg single oral dose of M5717 capsule on Day 5.

Interventions

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PfSPZ Challenge

Participants received 3200 units of Plasmodium falciparum sporozoites by DVI on Day 1.

Intervention Type BIOLOGICAL

Palcebo

Participants received single oral dose of placebo matched to M5717 capsule on Day 1.

Intervention Type DRUG

M5717 30 mg

Participants received 30 mg single oral dose of M5717 capsule on Day 1.

Intervention Type DRUG

M5717 60 mg

Participants received 60 mg single oral dose of M5717 capsule on Day 1.

Intervention Type DRUG

M5717 80 mg

Participants received 80 mg single oral dose of M5717 capsule on Day 1.

Intervention Type DRUG

M5717 100 mg

Participants received 100 mg single oral dose of M5717 capsule on Day 1.

Intervention Type DRUG

M5717 200 mg

Participants received 200 mg single oral dose of M5717 capsule on Day 1.

Intervention Type DRUG

Placebo

Participants received single oral dose of placebo matched to M5717 capsule on Day 5.

Intervention Type DRUG

M5717 60 mg

Participants received 60 mg single oral dose of M5717 capsule on Day 5.

Intervention Type DRUG

M5717 100 mg

Participants received 100 mg single oral dose of M5717 capsule on Day 5.

Intervention Type DRUG

M5717 200 mg

Participants received 200 mg single oral dose of M5717 capsule on Day 5.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participants who are overtly healthy as determined by medical evaluation, including no clinically significant abnormality identified on physical examination or laboratory evaluation and no active clinically significant disorder, condition, infection or disease that would pose a risk to participant safety or interfere with the study evaluation, procedures or completion
* Participants who have a body weight within 50 to 100 kilograms (kg) and body mass index within the range 19.0 to 29.9 kilograms per meter square (kg/m2) (inclusive)
* Male participants, during the study intervention period and for at least 120 days after the day of the study intervention dose (covering a full sperm cycle of 90 days starting after 5 half lives of last dose of study intervention: - refrain from donating sperm plus, either - abstain from intercourse with a woman of childbearing potential (WOCBP) or - use a male condom, when having sexual intercourse with a WOCBP, who is not currently pregnant, and advise her to use a highly effective contraceptive method with a failure rate of less than (\<) 1 percent (%) per year, since a condom may break or leak
* Female participants who are: - not a WOCBP; - at least 1 year post-menopausal (amenorrhea greater than or equal to \[\>=\] 12 months and follicle-stimulating hormone \[FSH\] \>= 40 milli-international units per milliliter \[mIU/mL\]) at screening; - surgically sterile (bilateral oophorectomy, hysterectomy or bilateral salpingectomy; tubal ligation alone is not sufficient)
* Participants who are capable of giving signed informed consent, which includes compliance with the requirements (including mandatory intake of rescue medication to participants who have been administered the investigational Plasmodium falciparum sporozoite challenge) and restrictions listed in the informed consent form (ICF) and this protocol

Exclusion Criteria

* Participants with 12-Lead electrocardiogram (ECG) outside normal range (QTcF greater than \[\>\] 450 milli seconds \[ms\], pulse rate \[PR\] \> 215 ms, or QRS \> 120 ms) and deemed clinically relevant by the Investigator
* Supine systolic blood pressure \> 140 or \< 90 millimeter of mercury (mmHg), diastolic blood pressure \> 90 or \< 50 mmHg, and pulse rate \> 90 or \< 50 beats per minute (min) at screening and at admission on Day -1 (any abnormal blood pressure or pulse rate results may be repeated once and if the repeat result is within the normal range, it is not considered to have met the exclusion criterion)
* Seropositive for human immunodeficiency virus (HIV) I and II antibody or antigen), hepatitis B virus (HBV; hepatitis B surface antigen \[HBsAg\]), or hepatitis C virus (HCV; antibody) tests
* Liver function tests above the upper limit of normal (ULN) (\> 3 x ULN) the day before DVI / study intervention administration (Day -1)
* History or presence of diagnosed food or known drug allergies (including but not limited to allergy to any of the antimalarial rescue medications to be used in the study), or history of anaphylaxis or other severe allergic reactions
* Participant with a whole blood donation or loss of \> 450 mL within 60 days before administration of study drug or unwilling to defer blood donations for 6 months
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Responsible

Role: STUDY_DIRECTOR

Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany

Locations

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Leiden University Medical Center

Leiden, , Netherlands

Site Status

Countries

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Netherlands

References

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van der Plas JL, Kuiper VP, Bagchus WM, Bodding M, Yalkinoglu O, Tappert A, Seitzinger A, Spangenberg T, Bezuidenhout D, Wilkins J, Oeuvray C, Dhingra SK, Thathy V, Fidock DA, Smidt LCA, Roozen GVT, Koopman JPR, Lamers OAC, Sijtsma J, van Schuijlenburg R, Wessels E, Meij P, Kamerling IMC, Roestenberg M, Khandelwal A. Causal chemoprophylactic activity of cabamiquine against Plasmodium falciparum in a controlled human malaria infection: a randomised, double-blind, placebo-controlled study in the Netherlands. Lancet Infect Dis. 2023 Oct;23(10):1164-1174. doi: 10.1016/S1473-3099(23)00212-8. Epub 2023 Jul 3.

Reference Type DERIVED
PMID: 37414066 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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2019-003414-14

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

203481/Z/16/Z

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

MS201618_0003

Identifier Type: -

Identifier Source: org_study_id

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