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A Dose-escalation Study to Investigate Safety and Toleration of OZ439

A Randomised, Placebo-controlled, Dose-escalation Study to Investigate Safety and Toleration of OZ439 OD for 3 Days to Healthy Male and Female Volunteers

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01713608
Enrollment
34
Registered
2012-10-25
Start date
2012-11-30
Completion date
2013-02-28
Last updated
2015-03-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Malaria

Keywords

malaria, dose escalation, safety, tolerability, maximum tolerated dose

Brief summary

A randomised, placebo-controlled, dose-escalation study to investigate safety and toleration of OZ439 OD for 3 days to healthy male and female volunteers. The study aims: * To determine the safety and tolerability of ascending doses of OZ439 OD for three days. * To assess pharmacokinetic parameters of ascending doses of OZ439 given OD. * To identify the maximum tolerated dose of OZ439 administered.

Detailed description

This study will be conducted in a randomised, placebo-controlled dose-escalation design with OZ439 OD administered with full fat milk for three days to healthy male and female subjects between 18 to 55 years of age, using features of an adaptive study design. The study is expected to have three cohorts with a total of 36 healthy male and female subjects. An additional two cohorts may be used if required. The results of this study will inform the maximum tolerated exposure of OZ439 following OD dosing for three days in subjects who are not fasted.

Interventions

DRUGOZ439

OZ439 x mg once daily for 3 days with milk

Sponsors

Medicines for Malaria Venture
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
BASIC_SCIENCE
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes

Inclusion criteria

Inclusions: 1. healthy males or females of any race aged 18 - 55 years 2. BMI of 18 - 30 kg/m2 inclusive at screening 3. Agree to use acceptable methods of contraception if of childbearing potential 4. Capable of understanding and complying with the requirements of the protocol and must have signed the informed consent form 5. Females are either of child bearing potential or are confirmed as post-menopausal. Post-menopausal is defined as being amenorrheic for 12 months without an alternative medical cause with a screening FSH level ≥ 25.8 IU/L Exclusions: 1. Male subjects with female partner(s) who is (are) pregnant or lactating from the time of the first administration of study medication 2. Clinically significant disease or any condition or disease that might affect drug absorption, distribution or excretion 3. History of allergic reactions to artemisinin-based compounds or any other clinically relevant allergy to drugs or food 4. Clinically relevant history of both soya and cow's milk intolerance/allergy 5. Clinically significant abnormal laboratory, vital signs or other safety findings as determined by medical history, physical examination or other evaluations conducted at screening or on admission 6. Electrocardiogram (ECG) abnormalities in the standard 12-lead ECG (at screening) and/or 24-hour 5 lead Holter ECG (at screening) 7. Any abnormalities in rhythm, conduction or morphology of resting ECG that may interfere with the interpretation of QTc interval changes 8. Prolonged QTcF \>450 ms or shortened QTcF \<340 ms, or family history of Long QT Syndrome 9. History or current evidence of any clinically relevant cardiovascular, pulmonary, hepatic, renal, gastrointestinal, haematological, endocrinological, metabolic, neurological, psychiatric, or other disease 10. Positive results in any of the serology tests for Hepatitis B Surface Antigen (HbsAg), anti Hepatitis core antibody (anti HBc Ig G \[and anti HBc IgM if IgG is positive\], Hepatitis C antibodies (anti HCV), and HIV 1 and 2 antibodies (anti HIV 1/2) 11. Confirmed positive results from urine drug screen (amphetamines, benzodiazepines, cocaine, cannabinoids, opiates, barbiturates, and methadone) or from the alcohol breath test at screening and on admission 12. History or clinical evidence of alcohol or drug abuse. Alcohol abuse is defined as regular weekly intake of more than 21 units for males and 14 units for females; drug abuse is defined as compulsive, repetitive and/or chronic use of drugs or other substances with or without problems related to their use and/or where stopping or a reduction in dose will lead to withdrawal symptoms 13. Is pregnant or lactating (female subjects who are of childbearing potential must have negative pregnancy tests at screening and admission) 14. Mentally handicapped 15. Participation in a drug trial within 90 days prior to first drug administration 16. Use of any medication (incl. over-the-counter (OTC) medication) within 2 weeks prior to drug administration (Day 1) or within less than 10 times the elimination half-life of the respective drug, or anticipated concomitant medication during the treatment periods, (whichever is longer), including herbal, traditional and alternative medications. Excluding oral contraceptives (combination oestrogen/progesterone pills), injectable progesterone or subdermal implants. Limited amounts (4g/day for 2 days) of paracetamol will be permitted for the treatment of AEs 17. Treatment with herbal supplements during the 7 days prior to drug administration, or use of vitamins during 48 hours prior to drug administration 18. Is not permitted to use strong inhibitors and/or inducers of CYP450 within 21 days prior to the planned first drug administration 19. Subjects have veins unsuitable for intravenous puncture or cannulation on either arm (e.g. veins that are difficult to locate, access or puncture veins with a tendency to rupture during or after puncture) 20. Blood ALT, AST and bilirubin should be in the normal range at screening and on admission 21. Donation of more than 500 mL of blood within 90 days prior to drug administration 22. Subjects must be non-smokers for at least three months prior to first drug administration 23. Any circumstances or conditions, which, in the opinion of the PI, may affect full participation in the trial or compliance with the protocol 24. Legal incapacity or limited legal capacity at screening 25. Subjects who are vegetarians, vegans or have any dietary restrictions conflicting with the study standardised menus

Design outcomes

Primary

MeasureTime frameDescription
OZ439 CmaxBlood for analysis of OZ439 will be collected at the following times: pre-dose, 2, 4, 6, 8, 12, and 18 hours post-dose Day 1and Day 3, pre dose Day 2 and 4 hours post dose Day 2, and 24, 48, 72, 96 and 168 hours post 3rd dose and at follow up.OZ439 maximum measured plasma concentration
OZ439 AUCτpre-dose, 2, 4, 6, 8, 12, and 18 hours post-dose Day 1and Day 3, pre dose Day 2 and 4 hours post dose Day 2, and 24, 48, 72, 96 and 168 hours post 3rd dose and at follow up.OZ439 Area under the plasma concentration vs time curve from time zero to the time of the last quantifiable concentration t calculated using a log-linear trapezoidal method

Secondary

MeasureTime frameDescription
OZ439 Tmaxpre-dose, 2, 4, 6, 8, 12, and 18 hours post-dose Day 1and Day 3, pre dose Day 2 and 4 hours post dose Day 2, and 24, 48, 72, 96 and 168 hours post 3rd dose and at follow up.Time to reach maximum measured OZ439 plasma concentration
OZ439 t½pre-dose, 2, 4, 6, 8, 12, and 18 hours post-dose Day 1and Day 3, pre dose Day 2 and 4 hours post dose Day 2, and 24, 48, 72, 96 and 168 hours post 3rd dose and at follow up.OZ439 estimated terminal phase half life

Countries

United Kingdom

Participant flow

Participants by arm

ArmCount
OZ439 300mg
300mg OZ439 drinking solution administered once daily for 3 days with milk
8
OZ439 600mg
600mg OZ439 drinking solution administered once daily for 3 days with milk
6
OZ439 700mg
700mg OZ439 drinking solution administered once daily for 3 days with milk
8
Placebo
Placebo to match OZ439 PIB for oral suspension
12
Total34

Baseline characteristics

CharacteristicOZ439 300mgOZ439 600mgOZ439 700mgPlaceboTotal
Age, Continuous30.5 years
STANDARD_DEVIATION 8.91
25.5 years
STANDARD_DEVIATION 3.39
33.4 years
STANDARD_DEVIATION 8.09
30.5 years
STANDARD_DEVIATION 7.24
30.3 years
STANDARD_DEVIATION 7.51
Body Mass Index23.1 kg/m2
STANDARD_DEVIATION 2.99
22.4 kg/m2
STANDARD_DEVIATION 3.29
24.4 kg/m2
STANDARD_DEVIATION 2.78
24.2 kg/m2
STANDARD_DEVIATION 3.02
23.7 kg/m2
STANDARD_DEVIATION 2.97
Region of Enrollment
United Kingdom
8 participants6 participants8 participants12 participants34 participants
Sex: Female, Male
Female
4 Participants4 Participants4 Participants7 Participants19 Participants
Sex: Female, Male
Male
4 Participants2 Participants4 Participants5 Participants15 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —
other
Total, other adverse events
3 / 82 / 66 / 85 / 12
serious
Total, serious adverse events
0 / 80 / 60 / 80 / 12

Outcome results

Primary

OZ439 AUCτ

OZ439 Area under the plasma concentration vs time curve from time zero to the time of the last quantifiable concentration t calculated using a log-linear trapezoidal method

Time frame: pre-dose, 2, 4, 6, 8, 12, and 18 hours post-dose Day 1and Day 3, pre dose Day 2 and 4 hours post dose Day 2, and 24, 48, 72, 96 and 168 hours post 3rd dose and at follow up.

Population: PK Population: All subjects who received at least one dose of study medication and who had available evaluable PK data.

ArmMeasureValue (MEAN)Dispersion
OZ439 300mgOZ439 AUCτ5970 ng*h/mLStandard Deviation 1340
OZ439 600mgOZ439 AUCτ16500 ng*h/mLStandard Deviation 5630
OZ439 700mgOZ439 AUCτ21300 ng*h/mLStandard Deviation 6250
Primary

OZ439 Cmax

OZ439 maximum measured plasma concentration

Time frame: Blood for analysis of OZ439 will be collected at the following times: pre-dose, 2, 4, 6, 8, 12, and 18 hours post-dose Day 1and Day 3, pre dose Day 2 and 4 hours post dose Day 2, and 24, 48, 72, 96 and 168 hours post 3rd dose and at follow up.

Population: PK Population: All subjects who received at least one dose of study medication and who had available evaluable PK data.

ArmMeasureValue (MEAN)Dispersion
OZ439 300mgOZ439 Cmax672 ng/mLStandard Deviation 183
OZ439 600mgOZ439 Cmax1720 ng/mLStandard Deviation 544
OZ439 700mgOZ439 Cmax1870 ng/mLStandard Deviation 600
Secondary

OZ439 t½

OZ439 estimated terminal phase half life

Time frame: pre-dose, 2, 4, 6, 8, 12, and 18 hours post-dose Day 1and Day 3, pre dose Day 2 and 4 hours post dose Day 2, and 24, 48, 72, 96 and 168 hours post 3rd dose and at follow up.

Population: PK Population: All subjects who received at least one dose of study medication and who had available evaluable PK data.

ArmMeasureValue (MEAN)Dispersion
OZ439 300mgOZ439 t½122 hoursStandard Deviation 36.2
OZ439 600mgOZ439 t½130 hoursStandard Deviation 21.8
OZ439 700mgOZ439 t½134 hoursStandard Deviation 44.5
Secondary

OZ439 Tmax

Time to reach maximum measured OZ439 plasma concentration

Time frame: pre-dose, 2, 4, 6, 8, 12, and 18 hours post-dose Day 1and Day 3, pre dose Day 2 and 4 hours post dose Day 2, and 24, 48, 72, 96 and 168 hours post 3rd dose and at follow up.

Population: PK Population: All subjects who received at least one dose of study medication and who had available evaluable PK data.

ArmMeasureValue (MEAN)Dispersion
OZ439 300mgOZ439 Tmax3.26 hoursStandard Deviation 1.04
OZ439 600mgOZ439 Tmax3.67 hoursStandard Deviation 0.816
OZ439 700mgOZ439 Tmax4.00 hoursStandard Deviation 1.07

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026