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Artemether-Lumefantrine -

Phase 1

Malaria,Falciparum | Small molecule | Infectious Disease |IQVIA Holdings, Inc.|Last Updated: Sep 5, 2021

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
UNCONTROLLEDBiomarker
Total Trials1
Total Enrollment16
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04310085Study in Blood Stage Malaria Infection After DVI of Cryopreserved P. Falciparum (NF54 Strain) SporozoitesPHASE1 COMPLETED 16Feb 19, 2020Dec 17, 2020Sep 5, 20211 Belgium
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Study Endpoints
Primary Endpoints
Incidence and Severity of Observed or Self-reported Adverse Events (AEs) Considered PfSPZ-DVI Challenge Inoculum-related.
Screening until end of study, day 28.

Based on their start date(time), AEs will be allocated to the phase during which they started (Screening, Challenge, Rescue). Each AE will therefore be reported in only one phase.

Change in Malaria Clinical Score From PfSPZ-DVI Challenge Until Parasite Clearance.
Day 1 until end of study, day 28.

Malaria Clinical Score 14 signs/symptoms frequently associated with malaria will be graded using a 4-point scale (absent: 0; mild: 1; moderate: 2; severe: 3): headache, myalgia (muscle ache), arthralgia (joint ache), fatigue/lethargy, malaise (general discomfort/uneasiness), chills/shivering/rigors, sweating/hot spells, anorexia, nausea, vomiting, abdominal discomfort, fever, tachycardia and hypotension. Malaria clinical score is calculated as the sum of all (14) malaria sign and symptoms scores (maximum score is 42).

Time to First PCR Positivity.
Day 1 to day 21

For the purpose of this study, 'PCR positivity' is used for the 'protocol-defined PCR positivity'

Parasitaemia at First PCR Positivity
Day 1 to day 21

POSITIVE PARASITAEMIA IS DEFINED AS qPCR OUTCOME \>=250 PARASITES per mL BLOOD.

Time to Parasitaemia of ≥5000 Parasites Per mL Blood (Cohorts 1 and 2)
Day 1 to day 21
Parasitaemia at the Time Parasitaemia ≥5000 Parasites Per mL Blood (Cohorts 1 and 2)
Day 1 to day 21
Time to First Dose of Treatment With Artemether-lumefantrine (Riamet®) (Cohorts 1 and 2)
Day 1 to day 21
Parasitaemia at First Dose of Treatment With Riamet® (Cohorts 1 and 2)
Day 1 to day 21
Incidence of Positive PCR and Parasitaemia of ≥5000 Parasites Per mL Blood.
Day 1 with PfSPZ-DVI Challenge and Day 28 (per cohort).
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PfSPZ-DVI challenge and artemether lumefantrineEXPERIMENTAL16 healthy, malaria-naïve males and females, aged 18-55 years, were enrolled in 2 cohorts (8 participants/cohort; a participant may be enrolled in one cohort only). There were two target levels of parasitaemia previously achieved in healthy participants in malaria VIS at other study sites, i.e., 5000 parasites/mL blood in Cohort 1 and 10000 parasites/mL blood in Cohort 2. (Based on observed levels of parasitaemia in Cohort 1, the target threshold for treatment in Cohort 2 was maintained at 5,000 p/mL). qPCR was performed, malaria clinical score assessed twice daily and participants were administered registered antimalarial therapy, i.e., Riamet®, when the following criteria were met: 1. Cohort 1: ≥5000 parasites/mL blood or earlier if a participant has a malaria clinical score \>6 or at Investigator's discretion. 2. Cohort 2: ≥10000 parasites/mL blood or earlier if a participant has a malaria clinical score \>6 or at Investigator's discretion.
Interventions
NameTypeDescription
Artemether-Lumefantrine 20 Mg-120 Mg Oral TabletDRUGartemether-lumefantrine 6 x of 4 tablets at approximately 0, 8, 24, 36, 48 and 60 h
PfSPZ-DVI ChallengeBIOLOGICAL3200 P. falciparum Sporozoites by direct venous inoculation (DVI)
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Eligibility Criteria
Age Range18 Years — 55 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: 1. Informed Consent Form signed voluntarily before any study-related procedure is performed, indicating that the participant understands the purpose of and procedures required for the study and is willing to participate in the study, including administration of registered antima...

Countries:Belgium
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