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Cipargamin

Phase 2

Severe Malaria | Small molecule | Infectious Disease |Novartis AG|Last Updated: Apr 9, 2026

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
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment254
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04675931To Evaluate Efficacy, Safety, Tolerability and PK of Intravenous Cipargamin in Participants With Severe Plasmodium Falciparum MalariaPHASE2 COMPLETED 254Mar 7, 2022Aug 20, 2025Apr 9, 20269 Burkina Faso, Côte d’Ivoire +5
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Study Endpoints
Primary Endpoints
Percentage of Participants Achieving at Least 90% Reduction in Plasmodium Falciparum (P. Falciparum) at 12 Hours
12 Hours

A blood draw was performed at each collection time point for parasitemia assessment.

Secondary Endpoints
Percentage of Participants Achieving Clinical Success at 48 Hours
48 Hours
Percentage of Participants With Individual Signs of Severe Malaria Over Time
Baseline to Day 29
Percentage of Participants Developing Hemolysis (Early and Delayed) After Treatment
Day 8 and Day 29
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Study Design & Arms
AllocationRANDOMIZED
MaskingSINGLE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
IV Cipargamin 20 mgEXPERIMENTALParticipants received intravenous cipargamin 20 mg, as a minimum of two doses every 24 hours, not exceeding 3 doses followed by oral medication (Coartem®, twice daily \[b.i.d.\] for 3 days).
IV Cipargamin 40 mgEXPERIMENTALParticipants received intravenous cipargamin 40 mg, as a minimum of two doses every 24 hours, not exceeding 3 doses followed by oral medication (Coartem®, twice daily \[b.i.d.\] for 3 days).
IV ArtesunateACTIVE_COMPARATORParticipants received IV artesunate according to label and followed by oral medication (Coartem® b.i.d. for 3 days).
Interventions
NameTypeDescription
CipargaminDRUGCipargamin, 20 mg or 40 mg, by intravenous administration of solution for injection
IV ArtesunateDRUGArtesunate, 2.4 mg/kg or 3 mg/kg, by intravenous administration of reconstituted solution
CoartemDRUGOral standard of care (Coartem tablets, dosed per weight, as per label)
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Eligibility Criteria
Age Range6 Months — 100 Years
SexALL
Healthy VolunteersNo
Study Sites9

Inclusion Criteria: * Cohort 1: Participants aged ≥ 12 years with moderately severe malaria as defined in (prostration and/or repeated vomiting) without presence of other signs of severe malaria (and with high P. falciparum parasitemia (60,000-250,000 parasites per µl) * Subsequent Cohorts 2 to ...

Countries:Burkina FasoCôte d’IvoireDemocratic Republic of the CongoKenyaMozambiqueRwandaUganda
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