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NCT03167242

Efficacy and Safety of KAF156 in Combination With LUM-SDF in Adults and Children With Uncomplicated Plasmodium Falciparum Malaria

Completed Phase 2 Results posted Last updated 10 February 2022
What this trial tests

Phase 2 trial testing KAF156 in Acute Uncomplicated Plasmodium Falciparum Malaria in 524 participants. Completed in 28 June 2021.

Timeline
2 August 2017
Primary endpoint
14 June 2021
28 June 2021

Quick facts

Lead sponsorNovartis Pharmaceuticals
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposetreatment
Enrollment524
Start date2 August 2017
Primary completion14 June 2021
Estimated completion28 June 2021
Sites11 locations across Mali, Burkina Faso, Gabon, Vietnam, Mozambique, Thailand, Kenya, Uganda

Drugs / interventions tested

Conditions studied

Sponsor

Novartis Pharmaceuticals — full company profile →

Who can join

2 and older, any sex, with Acute Uncomplicated Plasmodium Falciparum Malaria. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Part A and Part B: Number of Participants With Polymerase Chain Reaction (PCR)-Corrected Adequate Clinical and Parasitological Response (ACPR) at Day 29 Primary · 28 days post first dose

PCR-corrected ACPR defined as the absence of parasitaemia was evaluated at Day 29 (i.e., 28 days post first dose) based on the short half-life of the study drugs. Microscopic species identification was confirmed and determined by PCR genotyping methods to establish malaria recrudescence/reinfection. A participant was considered as PCR-corrected ACPR at Day 29 if the participant did not meet any of the criteria of early treatment failure, late clinical failure or late parasitological failure and was absence of parasitaemia on Day 29 irrespective of axillary temperature unless the presence of p

GroupValue95% CI
Part A - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day46
Part A - Cohort 2: KAF 800 mg and LUM 960 mg QD for 1 Day45
Part A - Cohort 3: KAF 400 mg and LUM 960 mg QD for 2 Days47
Part A - Cohort 4: KAF 200 mg and LUM 480 mg QD for 3 Days47
Part A - Cohort 5: KAF 400 mg and LUM 480 mg QD for 3 Days44
Part A - Cohort 6: KAF 400 mg and LUM 960 mg QD for 3 Days42
Part A - Cohort 7: Coartem25
Part B - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day37
Part B - Cohort 2: KAF 400 mg and LUM 960 mg QD for 2 Days42
Part B - Cohort 3: KAF 400 mg and LUM 960 mg QD for 3 Days38
Part B - Cohort 4: Coartem21
PK Run-in: Area Under the Blood Concentration-time Curve Over the Last 24 Hours After Treatment Dose (AUC0-24h) of KAF156 Primary · 0, 1, 3, 6, 12, 18 and 24 hours post-dose

Pharmacokinetic (PK) parameters were calculated based on KAF156 blood concentrations determined by a validated liquid chromatography and tandem mass spectrometry (LC-MS/MS) method. AUC0-24h was determined using non-compartmental methods.

GroupValue95% CI
PK Run-in Cohort: KAF 200 mg and LUM 960 mg QD for 1 Day5.35± 34.8
Part A and Part B: Number of Participants With Polymerase Chain Reaction (PCR)-Uncorrected Adequate Clinical and Parasitological Response (ACPR) Secondary · 14, 28 and 42 days post first dose

PCR-uncorrected ACPR defined as the absence of parasitaemia was evaluated at days 15, 29 and 43 (i.e., 14, 28 and 42 days post first dose). A participant was considered as PCR-uncorrected ACPR at Days 15, 29 or 43 if the participant did not meet any of the criteria of early treatment failure, late clinical failure or late parasitological failure and was absence of parasitaemia on Days 15, 29 or 43 irrespective of axillary temperature.

Day 14 post first dose
GroupValue95% CI
Part A - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day49
Part A - Cohort 2: KAF 800 mg and LUM 960 mg QD for 1 Day47
Part A - Cohort 3: KAF 400 mg and LUM 960 mg QD for 2 Days51
Part A - Cohort 4: KAF 200 mg and LUM 480 mg QD for 3 Days53
Part A - Cohort 5: KAF 400 mg and LUM 480 mg QD for 3 Days50
Part A - Cohort 6: KAF 400 mg and LUM 960 mg QD for 3 Days51
Part A - Cohort 7: Coartem27
Part B - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day51
Part B - Cohort 2: KAF 400 mg and LUM 960 mg QD for 2 Days52
Part B - Cohort 3: KAF 400 mg and LUM 960 mg QD for 3 Days43
Part B - Cohort 4: Coartem24
Day 28 post first dose
GroupValue95% CI
Part A - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day46
Part A - Cohort 2: KAF 800 mg and LUM 960 mg QD for 1 Day40
Part A - Cohort 3: KAF 400 mg and LUM 960 mg QD for 2 Days48
Part A - Cohort 4: KAF 200 mg and LUM 480 mg QD for 3 Days51
Part A - Cohort 5: KAF 400 mg and LUM 480 mg QD for 3 Days45
Part A - Cohort 6: KAF 400 mg and LUM 960 mg QD for 3 Days47
Part A - Cohort 7: Coartem26
Part B - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day34
Part B - Cohort 2: KAF 400 mg and LUM 960 mg QD for 2 Days41
Part B - Cohort 3: KAF 400 mg and LUM 960 mg QD for 3 Days36
Part B - Cohort 4: Coartem15
Day 42 post first dose
GroupValue95% CI
Part A - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day42
Part A - Cohort 2: KAF 800 mg and LUM 960 mg QD for 1 Day36
Part A - Cohort 3: KAF 400 mg and LUM 960 mg QD for 2 Days45
Part A - Cohort 4: KAF 200 mg and LUM 480 mg QD for 3 Days45
Part A - Cohort 5: KAF 400 mg and LUM 480 mg QD for 3 Days41
Part A - Cohort 6: KAF 400 mg and LUM 960 mg QD for 3 Days45
Part A - Cohort 7: Coartem19
Part B - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day29
Part B - Cohort 2: KAF 400 mg and LUM 960 mg QD for 2 Days33
Part B - Cohort 3: KAF 400 mg and LUM 960 mg QD for 3 Days31
Part B - Cohort 4: Coartem11
Part A and Part B: Number of Participants With Polymerase Chain Reaction (PCR)-Corrected Adequate Clinical and Parasitological Response (ACPR) Secondary · 14 and 42 days post first dose

PCR-corrected ACPR defined as the absence of parasitaemia was evaluated at days 15 and 43 (i.e., 14 and 42 days post first dose). Microscopic species identification was confirmed and determined by PCR genotyping methods to establish malaria recrudescence/reinfection. A participant was considered as PCR-corrected ACPR at Day 15 or Day 43 if the participant did not meet any of the criteria of early treatment failure, late clinical failure or late parasitological failure and was absence of parasitaemia on Day 15 or Day 43 irrespective of axillary temperature unless the presence of parasitaemia a

Day 14 post first dose
GroupValue95% CI
Part A - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day48
Part A - Cohort 2: KAF 800 mg and LUM 960 mg QD for 1 Day46
Part A - Cohort 3: KAF 400 mg and LUM 960 mg QD for 2 Days48
Part A - Cohort 4: KAF 200 mg and LUM 480 mg QD for 3 Days47
Part A - Cohort 5: KAF 400 mg and LUM 480 mg QD for 3 Days44
Part A - Cohort 6: KAF 400 mg and LUM 960 mg QD for 3 Days43
Part A - Cohort 7: Coartem25
Part B - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day47
Part B - Cohort 2: KAF 400 mg and LUM 960 mg QD for 2 Days45
Part B - Cohort 3: KAF 400 mg and LUM 960 mg QD for 3 Days40
Part B - Cohort 4: Coartem22
Day 42 post first dose
GroupValue95% CI
Part A - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day45
Part A - Cohort 2: KAF 800 mg and LUM 960 mg QD for 1 Day44
Part A - Cohort 3: KAF 400 mg and LUM 960 mg QD for 2 Days46
Part A - Cohort 4: KAF 200 mg and LUM 480 mg QD for 3 Days46
Part A - Cohort 5: KAF 400 mg and LUM 480 mg QD for 3 Days43
Part A - Cohort 6: KAF 400 mg and LUM 960 mg QD for 3 Days41
Part A - Cohort 7: Coartem24
Part B - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day36
Part B - Cohort 2: KAF 400 mg and LUM 960 mg QD for 2 Days37
Part B - Cohort 3: KAF 400 mg and LUM 960 mg QD for 3 Days37
Part B - Cohort 4: Coartem20
Part A and Part B: Number of Participants With Recrudescence Events Secondary · 42 days post first dose

Recrudescence is defined as appearance of asexual parasites after clearance of initial infection with a genotype identical to that of parasites present at baseline. Recrudescence must be confirmed by PCR analysis.

GroupValue95% CI
Part A - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day4
Part A - Cohort 2: KAF 800 mg and LUM 960 mg QD for 1 Day3
Part A - Cohort 3: KAF 400 mg and LUM 960 mg QD for 2 Days1
Part A - Cohort 4: KAF 200 mg and LUM 480 mg QD for 3 Days1
Part A - Cohort 5: KAF 400 mg and LUM 480 mg QD for 3 Days0
Part A - Cohort 6: KAF 400 mg and LUM 960 mg QD for 3 Days2
Part A - Cohort 7: Coartem0
Part B - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day12
Part B - Cohort 2: KAF 400 mg and LUM 960 mg QD for 2 Days7
Part B - Cohort 3: KAF 400 mg and LUM 960 mg QD for 3 Days3
Part B - Cohort 4: Coartem2
Part A and Part B: Number of Participants With Reinfection Events Secondary · 42 days post first dose

Reinfection is defined as appearance of asexual parasites after clearance of initial infection with a genotype different from those parasites present at baseline. Reinfection must be confirmed by PCR analysis.

GroupValue95% CI
Part A - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day3
Part A - Cohort 2: KAF 800 mg and LUM 960 mg QD for 1 Day7
Part A - Cohort 3: KAF 400 mg and LUM 960 mg QD for 2 Days4
Part A - Cohort 4: KAF 200 mg and LUM 480 mg QD for 3 Days7
Part A - Cohort 5: KAF 400 mg and LUM 480 mg QD for 3 Days8
Part A - Cohort 6: KAF 400 mg and LUM 960 mg QD for 3 Days2
Part A - Cohort 7: Coartem8
Part B - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day11
Part B - Cohort 2: KAF 400 mg and LUM 960 mg QD for 2 Days10
Part B - Cohort 3: KAF 400 mg and LUM 960 mg QD for 3 Days9
Part B - Cohort 4: Coartem10
Part A and Part B: Fever Clearance Time (FCT) Secondary · 42 days post first dose

Fever Clearance Time (FCT) is defined as the time from the first dose until the first time the axillary body temperature decreased below and remained below 37.5°C axillary or 38.0°C oral/tympanic/rectal for at least a further 24 hours. In case a participant received rescue medication before (fever) clearance, the time to event was censored at the first use of rescue medication.

GroupValue95% CI
Part A - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day18.7± 3.09
Part A - Cohort 2: KAF 800 mg and LUM 960 mg QD for 1 Day22.5± 6.09
Part A - Cohort 3: KAF 400 mg and LUM 960 mg QD for 2 Days20.3± 4.92
Part A - Cohort 4: KAF 200 mg and LUM 480 mg QD for 3 Days16.6± 3.48
Part A - Cohort 5: KAF 400 mg and LUM 480 mg QD for 3 Days17.5± 2.65
Part A - Cohort 6: KAF 400 mg and LUM 960 mg QD for 3 Days19.2± 2.92
Part A - Cohort 7: Coartem26.3± 7.67
Part B - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day23.5± 10.26
Part B - Cohort 2: KAF 400 mg and LUM 960 mg QD for 2 Days17.3± 7.4
Part B - Cohort 3: KAF 400 mg and LUM 960 mg QD for 3 Days13.8± 3.68
Part B - Cohort 4: Coartem22.9± 12.78
PK Run-in, Part A and Part B: Parasite Clearance Time (PCT) Secondary · 42 days post first dose

Parasite Clearance Time (PCT) is defined as the time from the first dose until the first total and continued disappearance of asexual parasite forms which remained at least a further 48 hours. In case a participant received rescue medication before (parasite) clearance, the time to event was censored at the first use of rescue medication.

GroupValue95% CI
PK Run-in Cohort: KAF 200 mg and LUM 960 mg QD for 1 Day49.9± 4.35
Part A - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day48.4± 3.5
Part A - Cohort 2: KAF 800 mg and LUM 960 mg QD for 1 Day46.6± 3.93
Part A - Cohort 3: KAF 400 mg and LUM 960 mg QD for 2 Days39.9± 2.46
Part A - Cohort 4: KAF 200 mg and LUM 480 mg QD for 3 Days51.4± 3.97
Part A - Cohort 5: KAF 400 mg and LUM 480 mg QD for 3 Days49.7± 3.72
Part A - Cohort 6: KAF 400 mg and LUM 960 mg QD for 3 Days48.1± 4.24
Part A - Cohort 7: Coartem50.0± 12.82
Part B - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day42.6± 2.62
Part B - Cohort 2: KAF 400 mg and LUM 960 mg QD for 2 Days47.0± 2.79
Part B - Cohort 3: KAF 400 mg and LUM 960 mg QD for 3 Days41.9± 2.58
Part B - Cohort 4: Coartem35.6± 2.82
PK Run-in, Part A and Part B: Number of Participants With Parasitaemia Secondary · 12, 24 and 48 hours post last dose

Parasitaemia is the quantitative content of parasites in the blood determined by microscopy examination validated methods. Only Plasmodium Falciparum asexual form is used for parasitaemia assessments.

12 hours post last dose
GroupValue95% CI
PK Run-in Cohort: KAF 200 mg and LUM 960 mg QD for 1 Day12
Part A - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day46
Part A - Cohort 2: KAF 800 mg and LUM 960 mg QD for 1 Day46
Part A - Cohort 3: KAF 400 mg and LUM 960 mg QD for 2 Days44
Part A - Cohort 4: KAF 200 mg and LUM 480 mg QD for 3 Days52
Part A - Cohort 5: KAF 400 mg and LUM 480 mg QD for 3 Days49
Part A - Cohort 6: KAF 400 mg and LUM 960 mg QD for 3 Days49
Part A - Cohort 7: Coartem22
Part B - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day48
Part B - Cohort 2: KAF 400 mg and LUM 960 mg QD for 2 Days48
Part B - Cohort 3: KAF 400 mg and LUM 960 mg QD for 3 Days42
Part B - Cohort 4: Coartem22
24 hours post last dose
GroupValue95% CI
PK Run-in Cohort: KAF 200 mg and LUM 960 mg QD for 1 Day11
Part A - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day39
Part A - Cohort 2: KAF 800 mg and LUM 960 mg QD for 1 Day41
Part A - Cohort 3: KAF 400 mg and LUM 960 mg QD for 2 Days38
Part A - Cohort 4: KAF 200 mg and LUM 480 mg QD for 3 Days46
Part A - Cohort 5: KAF 400 mg and LUM 480 mg QD for 3 Days42
Part A - Cohort 6: KAF 400 mg and LUM 960 mg QD for 3 Days34
Part A - Cohort 7: Coartem14
Part B - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day41
Part B - Cohort 2: KAF 400 mg and LUM 960 mg QD for 2 Days42
Part B - Cohort 3: KAF 400 mg and LUM 960 mg QD for 3 Days36
Part B - Cohort 4: Coartem17
48 hours post last dose
GroupValue95% CI
PK Run-in Cohort: KAF 200 mg and LUM 960 mg QD for 1 Day3
Part A - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day13
Part A - Cohort 2: KAF 800 mg and LUM 960 mg QD for 1 Day9
Part A - Cohort 3: KAF 400 mg and LUM 960 mg QD for 2 Days8
Part A - Cohort 4: KAF 200 mg and LUM 480 mg QD for 3 Days12
Part A - Cohort 5: KAF 400 mg and LUM 480 mg QD for 3 Days10
Part A - Cohort 6: KAF 400 mg and LUM 960 mg QD for 3 Days11
Part A - Cohort 7: Coartem4
Part B - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day4
Part B - Cohort 2: KAF 400 mg and LUM 960 mg QD for 2 Days10
Part B - Cohort 3: KAF 400 mg and LUM 960 mg QD for 3 Days5
Part B - Cohort 4: Coartem1
Part A and Part B: Area Under the Blood Concentration-time Curve Over the Last 24 Hours After Last Treatment Dose (AUC0-24h) of KAF156 Secondary · 3, 6, 18 and 24 hours post last dose

Pharmacokinetic (PK) parameters were calculated based on KAF156 blood concentrations determined by a validated liquid chromatography and tandem mass spectrometry (LC-MS/MS) method. AUC0-24h was determined using non-compartmental methods.

GroupValue95% CI
Part A - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day9.84± 41.5
Part A - Cohort 2: KAF 800 mg and LUM 960 mg QD for 1 Day21.7± 41.7
Part A - Cohort 3: KAF 400 mg and LUM 960 mg QD for 2 Days9.95± 131.9
Part A - Cohort 4: KAF 200 mg and LUM 480 mg QD for 3 Days5.91± 29.2
Part A - Cohort 5: KAF 400 mg and LUM 480 mg QD for 3 Days11± 79.3
Part A - Cohort 6: KAF 400 mg and LUM 960 mg QD for 3 Days10.9± 57.4
Part B - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day11± 47.7
Part A and Part B: Maximum Peak Observed Concentration (Cmax) of KAF156 Secondary · 3, 6, 18, 24, 27, 30, 48, 51, 54, 68, 72 and 168 hours post last dose

Pharmacokinetic (PK) parameters were calculated based on KAF156 blood concentrations determined by a validated liquid chromatography and tandem mass spectrometry (LC-MS/MS) method. Cmax was determined using non-compartmental methods.

GroupValue95% CI
Part A - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day653± 43.9
Part A - Cohort 2: KAF 800 mg and LUM 960 mg QD for 1 Day1470± 46.5
Part A - Cohort 3: KAF 400 mg and LUM 960 mg QD for 2 Days1060± 83.9
Part A - Cohort 4: KAF 200 mg and LUM 480 mg QD for 3 Days665± 30.3
Part A - Cohort 5: KAF 400 mg and LUM 480 mg QD for 3 Days1470± 30.9
Part A - Cohort 6: KAF 400 mg and LUM 960 mg QD for 3 Days1320± 32.7
Part B - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day714± 49.4
Part B - Cohort 2: KAF 400 mg and LUM 960 mg QD for 2 Days1060± 48.4
Part B - Cohort 3: KAF 400 mg and LUM 960 mg QD for 3 Days1380± 29.7
PK Run-in and Part A: Elimination Half-life (T½) of KAF156 Secondary · 0, 1, 3, 6, 12, 18, 24, 27, 30, 36, 48, 72, 96 and 168 hours post last dose

Pharmacokinetic (PK) parameters were calculated based on KAF156 blood concentrations determined by a validated liquid chromatography and tandem mass spectrometry (LC-MS/MS) method. T½ was determined using non-compartmental methods.

GroupValue95% CI
PK Run-in Cohort: KAF 200 mg and LUM 960 mg QD for 1 Day25.0± 8.81
Part A - Cohort 1: KAF 400 mg and LUM 960 mg QD for 1 Day25.4± 5.32
Part A - Cohort 2: KAF 800 mg and LUM 960 mg QD for 1 Day29.9± 9.95
Part A - Cohort 3: KAF 400 mg and LUM 960 mg QD for 2 Days31.0± 3.86
Part A - Cohort 4: KAF 200 mg and LUM 480 mg QD for 3 Days35.8± 19.4
Part A - Cohort 5: KAF 400 mg and LUM 480 mg QD for 3 Days28.4± 3.49
Part A - Cohort 6: KAF 400 mg and LUM 960 mg QD for 3 Days26.6± 4.15

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were reported from Day 1 to Day 43, where Day 43 could be 42, 41 or 40 days after end of treatment depending on whether the participant received treatment during 1, 2 or 3 consecutive days respectively.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

PK Run-in: KAF 200 mg and LUM 960 mg QD for 1 Day
Serious: 0/12 (0%)
Deaths: 0/12
Part A: KAF 800 mg and LUM 960 mg QD for 1 Day
Serious: 1/51 (2%)
Deaths: 0/51
Part A: KAF 200 mg and LUM 480 mg QD for 3 Days
Serious: 2/54 (4%)
Deaths: 0/54
Part A: KAF 400 mg and LUM 480 mg QD for 3 Days
Serious: 1/51 (2%)
Deaths: 0/51
Part A and Part B: KAF 400 mg and LUM 960 mg QD for 1 Day
Serious: 7/103 (7%)
Deaths: 0/103
Part A and Part B: KAF 400 mg and LUM 960 mg QD for 2 Days
Serious: 5/104 (5%)
Deaths: 0/104
Part A and Part B: KAF 400 mg and LUM 960 mg QD for 3 Days
Serious: 2/97 (2%)
Deaths: 0/97
Part A and Part B: Coartem
Serious: 3/51 (6%)
Deaths: 0/51

Serious adverse events (13 terms)

ReactionSystemPK Run-in: KAF 200 mg and …Part A: KAF 800 mg and LUM…Part A: KAF 200 mg and LUM…Part A: KAF 400 mg and LUM…Part A and Part B: KAF 400…Part A and Part B: KAF 400…Part A and Part B: KAF 400…Part A and Part B: Coartem
Blood alkaline phosphatase increasedInvestigations
Blood bilirubin increasedInvestigations
AnaemiaBlood and lymphatic system disorders
Hepatitis acuteHepatobiliary disorders
JaundiceHepatobiliary disorders
COVID-19Infections and infestations
Plasmodium falciparum infectionInfections and infestations
PneumoniaInfections and infestations
SepsisInfections and infestations
Road traffic accidentInjury, poisoning and procedural complications
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferaseInvestigations
PetechiaeSkin and subcutaneous tissue disorders
Other adverse events (17 terms — click to expand)

ReactionSystemPK Run-in: KAF 200 mg and …Part A: KAF 800 mg and LUM…Part A: KAF 200 mg and LUM…Part A: KAF 400 mg and LUM…Part A and Part B: KAF 400…Part A and Part B: KAF 400…Part A and Part B: KAF 400…Part A and Part B: Coartem
MalariaInfections and infestations
PyrexiaGeneral disorders
HeadacheNervous system disorders
Upper respiratory tract infectionInfections and infestations
CoughRespiratory, thoracic and mediastinal disorders
VomitingGastrointestinal disorders
Electrocardiogram QT prolongedInvestigations
Abdominal painGastrointestinal disorders
AnaemiaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
Sinus bradycardiaCardiac disorders
DiarrhoeaGastrointestinal disorders
Blood phosphorus increasedInvestigations
EosinophiliaBlood and lymphatic system disorders
Treatment failureGeneral disorders
BronchitisInfections and infestations
Infection parasiticInfections and infestations

Most-reported serious reactions: Blood alkaline phosphatase increased, Blood bilirubin increased, Anaemia, Hepatitis acute, Jaundice, COVID-19, Plasmodium falciparum infection, Pneumonia.

Data from ClinicalTrials.gov NCT03167242 adverse events section.

Sponsor's own description

This study was designed to determine the most effective and tolerable dose at the shortest dosing regimen of the investigational drug KAF156 in combination with a solid dispersion formulation of lumefantrine (LUM-SDF) in adult/adolescent and pediatric patients with uncomplicated Plasmodium falciparum malaria. There is unmet medical need for anti-malarial treatment with new mechanism of action to reduce probability of developing resistance, and for duration shorter than 3 days of treatment and/or reduced pill burden.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. The past, present and future of anti-malarial medicines.
    Tse EG, Korsik M, Todd MH. · · 2019 · cited 260× · PMID 30902052 · DOI 10.1186/s12936-019-2724-z
  2. Drugs in Development for Malaria.
    Ashley EA, Phyo AP. · · 2018 · cited 123× · PMID 29802605 · DOI 10.1007/s40265-018-0911-9
  3. MalDA, Accelerating Malaria Drug Discovery.
    Yang T, Ottilie S, Istvan ES, Godinez-Macias KP, et al · · 2021 · cited 79× · PMID 33648890 · DOI 10.1016/j.pt.2021.01.009
  4. Pan-active imidazolopiperazine antimalarials target the Plasmodium falciparum intracellular secretory pathway.
    LaMonte GM, Rocamora F, Marapana DS, Gnädig NF, et al · · 2020 · cited 42× · PMID 32286267 · DOI 10.1038/s41467-020-15440-4
  5. Recent updates in the discovery and development of novel antimalarial drug candidates.
    Okombo J, Chibale K, Chibale K. · · 2018 · cited 38× · PMID 30108934 · DOI 10.1039/c7md00637c
  6. Ganaplacide (KAF156) plus lumefantrine solid dispersion formulation combination for uncomplicated Plasmodium falciparum malaria: an open-label, multicentre, parallel-group, randomised, controlled, phase 2 trial.
    Ogutu B, Yeka A, Kusemererwa S, Thompson R, et al · · 2023 · cited 34× · PMID 37327809 · DOI 10.1016/s1473-3099(23)00209-8
  7. Fixed-Dose Combination Formulations in Solid Oral Drug Therapy: Advantages, Limitations, and Design Features.
    Wilkins CA, Hamman H, Hamman JH, Steenekamp JH. · · 2024 · cited 25× · PMID 38399239 · DOI 10.3390/pharmaceutics16020178
  8. Genomic and Genetic Approaches to Studying Antimalarial Drug Resistance and Plasmodium Biology.
    Okombo J, Kanai M, Deni I, Fidock DA. · · 2021 · cited 19× · PMID 33715941 · DOI 10.1016/j.pt.2021.02.007

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