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Malaria FalciparumPhase 1NCT00928083

A Study to Investigate the Safety, Tolerability and Pharmacokinetics of OZ439 in Healthy Male and Female Subjects

A Phase 1 study testing OZ439 50mg API capsules, OZ439 200mg API capsules and OZ439 400mg aqueous dispersion in people with Malaria Falciparum and Malaria Vivax, run by Medicines for Malaria Venture at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

OZ439 is a synthetic trioxolane that has potential value as a peroxide antimalarial agent. This was a Phase I, single-centre, multi-component, double-blind, randomised, placebo-controlled study in healthy male and female subjects. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
What is being tested?
OZ439 50mg API capsules, OZ439 200mg API capsules and OZ439 400mg aqueous dispersion
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
63 participants
Where
1 siteUnited States
Study dates
Apr 2009to Dec 2009
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy male//female subjects between 18- 55 years of age (inclusive).
  • Body mass Index (BMI) between 18 - 30 kg/m2, inclusive; and a total body weight >60 kg (132 lbs).
  • Healthy as determined by pre-study medical history, PE, 12 Lead ECG.
  • Females of childbearing potential must use 1 of birth control methods throughout study and for 30 days after last dose of study drug:
  • Surgically sterile (bilateral tubal ligation, hysterectomy, bilateral oophorectomy) 6 months minimum prior to first dose of study drug.
  • Intrauterine device (IUD) in place for at least 3 months prior to first dose of study drug.
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  • Barrier methods (condom or diaphragm) with spermicide starting at least 14 days prior to first dose of study drug through 30 days after last dose of study drug.
  • Surgical sterilization of the partner(s) (vasectomy with zero sperm count for 6 months minimum prior to the first dose of study drug).
  • Hormonal contraceptives starting at least 3 months prior to first dose of study drug. In addition, subjects must agree to use a barrier method (condom or diaphragm) with spermicide at least 14 days prior to first dose of study drug through 30 days after the last dose of study drug.
  • Post-menopausal women with amenorrhea for at least 1 year will be eligible confirmed by FSH.
  • Male subjects must agree to use double barrier method of contraception, from time of first dose of study drug through 90 days after last dose of study drug and must also agree to not donate sperm for 90 days after last dose of study drug. Clinical laboratory tests within the reference ranges.
  • Able/willing to give written informed consent.
  • Willing/to adhere to lifestyle guideline restrictions outlined in protocol.
  • Willing and able to be confined to Clinical Research Unit as required by the protocol.

Who cannot join

  • Evidence/history of clinically significant oncologic, pulmonary, hepatic, cardiovascular, hematologic, metabolic, neurological, immunologic, nephrologic, endocrine, psychiatric disease, current infection.
  • Evidence/history of clinically significant gastrointestinal (some exclusions exist) disease, current infection.
  • Any condition that affecting drug absorption, e.g., gastrectomy.
  • History of post-antibiotic colitis.
  • Breast feeding.
  • QTc greater than 450 msec for males and 470 msec for females as corrected by the Bazett formula.
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  • History of drug or alcohol abuse within the past 2 years prior to Screening.
  • Tobacco users
  • Received investigational drug/ participated in another research study within 30 days of first dose of study drug in any part of study.
  • Use of prescription drugs within 14 days prior to the first dose of study drug in Period 1, or need for any antibiotic during study.
  • Received any non prescription meds, vitamins, herbal/dietary supplements within 7 days of administration of first dose of study drug in Period 1 (exceptions exist)
  • Consumed alcohol within 72 hours of Day -1 in any part of study, or have a positive alcohol screen at screening or each admission to Clinical Research Unit (CRU).
  • Consumed grapefruit juice or juices containing grapefruit or ate grapefruit within 7 days prior to first dose of study drug in any part of study.
  • Positive serum pregnancy test at the Screening Visit or on Day -1 prior to inclusion in any part of the study.
  • Positive test for HIV-1, HBsAg,HCV.
  • Positive urine drug screen at Screening or admission to CRU.
  • History of intolerance/ hypersensitivity to artemisinins.
  • Likelihood of requiring treatment during study period with drugs not permitted by protocol.
  • Subjects who have donated blood or experienced significant blood loss within 60 days of screening for study.
  • Subjects whose hemoglobin is <12.5 g/dL for males/ <11.5 g/dL for females.
  • Any concern by investigator regarding safe participation of the subject in study or for any other reason investigator considers subject inappropriate for participation in study.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Comprehensive Phase One Miramar; 3400 Enterprise Way

    Miramar, Florida, 33025

Other trials in United States

About this study

Official title: A Phase I Study To Investigate The Safety, Tolerability And Pharmacokinetic Profile Of OZ439 In Healthy Male and Female Subjects

OZ439 is a synthetic trioxolane that has potential value as a peroxide antimalarial agent.

This was a Phase I, single-centre, multi-component, double-blind, randomised, placebo-controlled study in healthy male and female subjects. The study was conducted in 3 parts:

Read more
  • Part A investigated the safety, tolerability and pharmacokinetics (PK) of single oral escalating doses of OZ439. Up to 6 dose levels will be investigated to estimate dose proportionality.
  • Part B, the effect of food on a single oral dose of OZ439 was investigated in a 2-way crossover design.
  • Part C investigated the safety, tolerability and PK profile of multiple oral doses of OZ439.

The starting oral dose was 50 mg and the maximum single dose to be administered did not exceed 1600 mg per subject. The maximum duration of dosing proposed was 3 days.

Being tested
OZ439 50mg API capsules, OZ439 200mg API capsules, OZ439 400mg aqueous dispersion, OZ439 800mg aqueous dispersion, OZ439 100mg API capsules
Keywords
Phase I, Safety and tolerability, Pharmacokinetic, synthetic peroxide, trioxolane, treatment of erythrocytic stages of malaria
Medical subject headings
Malaria, Falciparum, Malaria, Vivax

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • OZ439 50mg API capsulesDrug

    Also called OZ439

  • OZ439 200mg API capsulesDrug

    Also called OZ439

  • OZ439 400mg aqueous dispersionDrug

  • OZ439 800mg aqueous dispersionDrug

    Also called OZ439

  • OZ439 100mg API capsulesDrug

    Also called OZ439

    OZ439 100mg (2x50mg API capsules)

  • OZ439 400mg API capsulesDrug

    Also called OZ439

    OZ439 400mg (2x200mg API capsules)

  • OZ439 1600mg aqueous dispersionDrug

    Also called OZ439

  • OZ439 800mg API capsulesDrug

    Also called OZ439

    OZ439 800mg (4x200 API capsules)

  • OZ439 1200mg API capsulesDrug

    Also called OZ439

    OZ439 1200mg (6x200mg API capsules)

  • PlaceboDrug

  • OZ439 200mg aqueous dispersionDrug

    Also called OZ439

Study groups in NCT00928083
Study groupRoleWhat they receive
Part A - 50 mg Single DoseExperimentalOZ439 Single doses of 50mg (capsules)
Receives: Drug: OZ439 50mg API capsules
Part A - 100mg Single DoseExperimentalOZ439 Single doses of 100mg (capsules)
Receives: Drug: OZ439 100mg API capsules
Part A - 200mg Single DoseExperimentalOZ439 Single doses of 200mg (capsules)
Receives: Drug: OZ439 200mg API capsules
Part A - 400mg Single DoseExperimentalOZ439 Single doses of 400mg (capsules)
Receives: Drug: OZ439 400mg API capsules
Part A - 400mg Single Dose + FoodExperimentalOZ439 Single doses of 400mg (capsules) administered with food.
Receives: Drug: OZ439 400mg API capsules
Part A - 400mg AD Single DoseExperimentalOZ439 Single doses of 400mg (aqueous dispersion)
Receives: Drug: OZ439 400mg aqueous dispersion
Part A - 800mg Single DoseExperimentalOZ439 Single doses of 800mg (capsules)
Receives: Drug: OZ439 800mg API capsules
Part A - 800mg AD Single DoseExperimentalOZ439 Single doses of 800mg (aqueous dispersion)
Receives: Drug: OZ439 800mg aqueous dispersion
Part A - 1200mg Single DoseExperimentalOZ439 Single doses of 1200mg (capsules)
Receives: Drug: OZ439 1200mg API capsules
Part A - 1600mg AD Single DoseExperimentalOZ439 Single doses of 800mg (aqueous dispersion)
Receives: Drug: OZ439 1600mg aqueous dispersion
Part A - PlaceboPlacebo comparatorPlacebo control for Single rising Part A
Receives: Drug: Placebo
Part B - 800mg AD Single Dose FedExperimentalSingle dose of OZ439 800mg aqueous dispersion administered under fed conditions
Receives: Drug: OZ439 800mg aqueous dispersion
Part B - 800mg AD Single Dose FastExperimentalSingle dose of OZ439 800mg aqueous dispersion administered under fast conditions
Receives: Drug: OZ439 800mg aqueous dispersion
Part C - 200mg AD Multiple DoseExperimental200mg aqueous solution OZ439 or placebo once daily for 3 days fasted
Receives: Drug: OZ439 200mg aqueous dispersion
Part C - 400mg AD Multiple DoseExperimental400mg aqueous solution OZ439 or placebo once daily for 3 days fasted
Receives: Drug: OZ439 400mg aqueous dispersion
Part C - 800mg AD Multiple DoseExperimental800mg aqueous solution OZ439 or placebo once daily for 3 days fasted
Receives: Drug: OZ439 800mg aqueous dispersion
Part C - PlaceboPlacebo comparatorPlacebo control for Multiple rising Part C
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Adverse Events

    Safety/Tolerability evaluation took into account the recorded AE profile, clinical laboratory safety tests, vital signs, 12 lead and continuous (Parts A and C) ECG monitoring, audiometry/Brainstem Auditory Evoked Potentials (BAEP) parameters (Parts A and C) including any additional tests required to evaluate any safety concerns.

    Measured: From screening and at 10 (+/-2) days after last dose of study medication

Secondary outcomes (6)
  1. OZ439 AUC0-t

    Area under the plasma concentration-time curve from zero to time t of the last measured concentration above the limit of quantification (AUC0-t).

    Measured: Samples collected from Pre-dose up to 96h post dose

  2. OZ439 AUC0-∝

    Area under the plasma concentration-time curve from zero to infinity (AUC0-∝).

    Measured: Samples collected from Pre-dose up to 96h post dose

  3. OZ439 Cmax

    Maximum observed plasma drug concentration (Cmax).

    Measured: Samples collected from Pre-dose up to 96h post dose

  4. OZ439 Tmax

    Time to maximum observed plasma drug concentration of OZ439

    Measured: Samples collected from Pre-dose up to 96h post dose

  5. OZ439 t1/2

    Apparent terminal half-life (t1/2)

    Measured: Samples collected from Pre-dose up to 96h post dose

  6. OZ439 Rac

    Accumulation index is the ratio of drug exposure observed during a dosing interval at steady-state divided by drug exposure after a single first dose, as described by the following equations:

    Accumulation index (Rac) = AUC0-(Day 3)/ AUC0-(Day 1)

    Measured: Samples collected from Pre-dose up to 96h post dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Jun 2009 (estimated)
  2. Study startApr 2009
  3. Primary completionOct 2009
  4. Study completionDec 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
63 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00928083
Sponsor's protocol ID
MMV_OZ439_09_001
Status last verified
Jan 2015
First submitted
24 Jun 2009
Last updated
8 Jan 2015
Data monitoring committee
No

Publications

  • Moehrle JJ, Duparc S, Siethoff C, van Giersbergen PL, Craft JC, Arbe-Barnes S, Charman SA, Gutierrez M, Wittlin S, Vennerstrom JL. First-in-man safety and pharmacokinetics of synthetic ozonide OZ439 demonstrates an improved exposure profile relative to other peroxide antimalarials. Br J Clin Pharmacol. 2013 Feb;75(2):524-37. doi: 10.1111/j.1365-2125.2012.04368.x.

    PubMed 22759078

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing OZ439 50mg API capsules, OZ439 200mg API capsules and OZ439 400mg aqueous dispersion in people with Malaria Falciparum and Malaria Vivax, run by Medicines for Malaria Venture at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 14 inclusion and 21 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 8 Jan 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 8 Jan 2015). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Adverse Events (time frame: From screening and at 10 (+/-2) days after last dose of study medication). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00928083, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Jan 2015.

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