Phase IIa Proof of Concept Study of M5717-Pyronaridine in Adults and Adolescents With Acute Uncomplicated Plasmodium Falciparum Malaria (CAPTURE 1)

NCT ID: NCT05689047

Last Updated: 2025-08-27

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-03-29

Study Completion Date

2024-05-28

Brief Summary

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The purpose of this study was to evaluate the safety, efficacy, and pharmacokinetic of the combination M5717 plus pyronaridine in participants with acute uncomplicated Plasmodium falciparum malaria.

Detailed Description

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Conditions

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Acute Malaria

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Part A: Safety Run-in Cohort M5717+Pyronaridine

M5717 and pyronaridine once daily in a single day treatment regimen at low dose of 330 milligrams (mg) and 360 mg respectively.

Group Type EXPERIMENTAL

M5717 330 mg

Intervention Type DRUG

Participants will receive orally 330 mg granules of M5717 in combination with pyronaridine dispersed in water under fasting condition.

Pyronaridine 360 mg

Intervention Type DRUG

Participants will receive 360 mg of pyronaridine tablets in combination with M5717 under fasting condition.

Part B: Dose escalation cohort; M5717+Pyronaridine

After completion of Part A, if dose will be considered safe and well tolerated, the Internal Data Monitoring Committee (IDMC) will have the option to recommend dose adjustments. M5717 and pyronaridine once daily will be administered in an escalated dose in a single day or 2-day treatment regimen.

Group Type EXPERIMENTAL

M5717 500 mg

Intervention Type DRUG

Adolescent participants with weight less than (\<) 45 kilograms (kg) will receive orally 500 mg granules of M5717 in combination with pyronaridine dispersed in water once daily under fasting condition.

M5717 660 mg

Intervention Type DRUG

Adult and adolescent participants with weight more than or equal to (\>=) 45 kg will receive orally 660 mg granules of M5717 in combination with pyronaridine dispersed in water once daily under fasting condition.

Pyronaridine 360 mg

Intervention Type DRUG

Participants with weight \>=24 to \<45 kg will receive 360 mg of tablets in combination with M5717 under fasting condition.

Pyronaridine 540 mg

Intervention Type DRUG

Participants with weight \>=45 to \<65 kg will receive 540 mg of Pyronaridine tablets in combination with M5717 under fasting condition.

Pyronaridine 720 mg

Intervention Type DRUG

Participants with weight \>=65 kg will receive 720 mg of Pyronaridine tablets in combination with M5717 under fasting condition.

Interventions

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M5717 330 mg

Participants will receive orally 330 mg granules of M5717 in combination with pyronaridine dispersed in water under fasting condition.

Intervention Type DRUG

M5717 500 mg

Adolescent participants with weight less than (\<) 45 kilograms (kg) will receive orally 500 mg granules of M5717 in combination with pyronaridine dispersed in water once daily under fasting condition.

Intervention Type DRUG

M5717 660 mg

Adult and adolescent participants with weight more than or equal to (\>=) 45 kg will receive orally 660 mg granules of M5717 in combination with pyronaridine dispersed in water once daily under fasting condition.

Intervention Type DRUG

Pyronaridine 360 mg

Participants will receive 360 mg of pyronaridine tablets in combination with M5717 under fasting condition.

Intervention Type DRUG

Pyronaridine 360 mg

Participants with weight \>=24 to \<45 kg will receive 360 mg of tablets in combination with M5717 under fasting condition.

Intervention Type DRUG

Pyronaridine 540 mg

Participants with weight \>=45 to \<65 kg will receive 540 mg of Pyronaridine tablets in combination with M5717 under fasting condition.

Intervention Type DRUG

Pyronaridine 720 mg

Participants with weight \>=65 kg will receive 720 mg of Pyronaridine tablets in combination with M5717 under fasting condition.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participants with microscopic confirmation of acute uncomplicated Plasmodium falciparum using Giemsa-stained thick and thin film
* P. falciparum parasitemia of 1,000 to 50,000 asexual parasites/microliter of blood in Part A and P. falciparum parasitemia of \>1,000 to \<= 150,000 asexual parasites/microliter of blood in Part B
* Axillary temperature \>= 37.5 degree Celsius or tympanic temperature \>= 38.0 degree Celsius (use as per Coronavirus disease 2019 (COVID-19) protocols at the site \[only at Screening\]), or history of fever during the previous 24 hours (at least documented verbally)
* The Investigator confirms that each participant agrees to use appropriate contraception and barriers, if applicable
* Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the Informed Consent Form (ICF) and this protocol

Exclusion Criteria

* Mixed Plasmodium infections as per thin film microscopy results
* Signs and symptoms of severe malaria according to World Health Organisation (WHO) 2021 criteria (WHO 2021)
* Known liver abnormalities, liver cirrhosis (compensated or decompensated), known active or history of hepatitis B or C (testing not required), underlying hepatic injury or known severe liver disease, known gallbladder or bile duct disease, acute or chronic pancreatitis, or severe malnutrition
* Known history or evidence of clinically significant disorders such as, cardiovascular, respiratory (including active tuberculosis), hepatic, renal, gastrointestinal, immunological \[including known Human Immunodeficiency Virus-Acquired Immunodeficiency Syndrome (HIV-AIDS)\], neurological (including auditory), endocrine, infectious, malignancy, psychiatric, history of convulsions, or other abnormality (including head trauma)
* Previous treatment with pyronaridine as part of a combination therapy during the last 3 months
* Prior antimalarial therapy or antibiotics with antimalarial activity within a minimum of their 5 plasma half-lives (or within 4 weeks of Screening if half-life is unknown)
* Participants taking medications prohibited by the protocol
Minimum Eligible Age

12 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

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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Institut de Recherche en Sciences de la Santé (IRSS)

Nanoro, , Burkina Faso

Site Status

Groupe de Recherche Action en Santé (GRAS)

Ouagadougou, , Burkina Faso

Site Status

Centre de Recherches Médicales de Lambaréné (CERMEL)

Lambaréné, , Gabon

Site Status

Centro de Investigação em saúde de Manhiça/Fundação Manhiça (CISM/FM)

Maputo, , Mozambique

Site Status

Infectious Diseases Research Collaboration (IDRC)

Tororo, , Uganda

Site Status

Countries

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Burkina Faso Gabon Mozambique Uganda

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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MS201618_0033

Identifier Type: -

Identifier Source: org_study_id

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