Dengue
Conditions
Keywords
Dengue, EYU688
Brief summary
The purpose of this study is to characterize the effect on dengue viral load, fever clearance time as well as on clinical signs and symptoms with the treatment of EYU688 compared with placebo in patients with dengue fever.
Detailed description
This is a randomized, participant- and investigator- blinded, placebo-controlled study to investigate the efficacy and safety of EYU688 administered orally in patients with dengue fever. Due to the different PK sampling schedules applied, the study consists of two cohorts run in parallel (intensive PK \[cohort 1\] and sparse PK sampling \[cohort 2\]).
Interventions
DRUGEYU688
EYU688 administered by oral route
DRUGPlacebo
Matching placebo administered orally as capsules
Sponsors
Novartis Pharmaceuticals
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Male or female, 18 - 60 years old (inclusive). * History or presence of fever (≥ 38°C). At least one of the following criteria indicating dengue infection: * Nausea or vomiting. * Presence of rash, aches or pains including headache, muscle or joint pain. * Onset of fever ≤ 48 hours prior to treatment start. * Positive test on dengue fever.
Exclusion criteria
* Participants with any of abnormalities of clinical laboratory parameters. * Usage of any anticoagulant drugs. * Current significant medical conditions or illness that the investigator considers should exclude the participants, especially those that require continuation of other medications likely to have an interaction with the study drug. * Pregnant or nursing (lactating) women. * Clinical signs and symptoms for severe dengue according to Dengue Guideline (WHO 2009) at screening. * Participants with any of the following abnormalities of clinical laboratory parameters at screening: * Hemoglobin \<12.0 g/dL in males; \<11.0 g/dL in females * Hematocrit \>52 % in males; \>46 % in females * Absolute neutrophil count \<1500/μL * Platelet count \<80,000/mm3 * Creatinine \>165 μmol/L in males; \>130 μmol/L in females * Serum creatine kinase \> 600 U/L * ALT, AST levels more than 3 X upper limit of normal (ULN) * Total bilirubin \>24 μmol/L * Usage of PPIs (proton pump inhibitor) which could affect absorption of EYU688 due to stomach pH value increase up to 48 hours prior to screening. * Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception during dosing and for 4 days after stopping of investigational drug. * History or long-QT syndrome, or clinically significant ECG abnormalities, or any of the following ECG abnormalities at screening: * QTcF \> 450 msec (males) * QTcF \> 460 msec (females) Other protocol-defined inclusion/
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Viremia reduction (viral load reduction (VLR) on log scale) at 48 hours post treatment start | From predose to 48 hours post treatment start | Efficacy assessment of EYU688. It will allow to quantify the viremia reduction at 48 hours post treatment start from baseline. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time from fever onset to start of the first 48 hours period during which the oral temperature remained below 37.5℃ | From fever onset to Day 15 | Efficacy assessment of EYU688. It will allow to assess the time needed between fever onset and defervescence. |
| Time from fever onset to the first of two consecutive negative viremia by PCR | From fever onset to Day 15 | Efficacy assessment will allow to assess the viremia kinetic from treatment start to Day15 |
| Area under the log-transformed viremia curve (AUC) from the first dose to Day 15 | From fever onset to Day 15 | Efficacy assessment will allow to assess the viremia kinetic from treatment start to Day 15 |
| Changes of viral load over time | From baseline to Day 15 | Efficacy assessment will allow to assess the viremia kinetic from treatment start to Day15 |
| Incidence and severity of Adverse Events (AEs) | From inclusion to Day 15 | Incidence and severity of AEs by treatment group, including changes in vital signs, electrocardiograms (ECGs) and laboratory results qualifying and reported as AEs. |
| Incidence and severity of Serious Adverse Events (SAEs) | From inclusion to Day 35 | Incidence and severity of SAEs by treatment group |
| Change of white blood cell count over time from baseline | From baseline to Day 15 | Assessment of safety and tolerability of EYU688 |
| Change of platelet count over time | From baseline to Day 15 | Assessment of safety and tolerability of EYU688 |
| Change of hematocrit level and percentage increase from baseline over time | From baseline to Day 15 | Assessment of safety and tolerability of EYU688 |
| Change of AST, ALT levels over time | From baseline to Day 15 | Assessment of safety and tolerability of EYU688 |
| No warning signs by day 7 of fever onset | From inclusion to Day 15 | Assessment of the dengue fever clinical evolution under EYU688 |
| Diagnosis of severe dengue fever | From inclusion to Day 15 | Assessment of the dengue fever clinical evolution under EYU688 |
| Diagnosis of dengue hemorrhagic fever (DHF) | From inclusion to Day 15 | Assessment of the dengue fever clinical evolution under EYU688 |
| Plasma leakage | From inclusion to Day 15 | Assessment of the dengue fever clinical evolution under EYU688 |
| Requiring fluid infusion | From inclusion to Day 15 | Assessment of the dengue fever clinical evolution under EYU688 |
| Time from fever onset to clinical recovery | From fever onset to Day 15 | Assessment of the dengue fever clinical evolution under EYU688 |
| PK parameter (Cmax) | From Day 1 to Day 6 | Pharmacokinetic assessment of EYU688 in dengue fever patients |
| PK parameter (Tmax) | From Day 1 to Day 6 | Pharmacokinetic assessment of EYU688 in dengue fever patients |
| PK parameter (partial AUCs) | From Day 1 to Day 6 | Pharmacokinetic assessment of EYU688 in dengue fever patients |
| PK concentrations following multiple doses | From Day 1 to Day 6 | Pharmacokinetic assessment of EYU688 in dengue fever patients |
Countries
Brazil, Colombia, India, Malaysia, Mexico, Singapore, Vietnam
Contacts
CONTACTNovartis Pharmaceuticals
Outcome results
None listed