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KAE609

Phase 2

Malaria | Small molecule | Infectious Disease |Novartis AG|Last Updated: Dec 13, 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
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment297
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03334747Safety of KAE609 in Adults With Uncomplicated Plasmodium Falciparum Malaria.PHASE2 COMPLETED 188Nov 16, 2017Nov 23, 2019Oct 11, 20219 Gabon, Ghana +3
NCT01836458A Study to Find the Minimum Inhibitory Concentration of KAE609 in Adult Male Patients With P. Falciparum MonoinfectionPHASE2 COMPLETED 25Jan 1, 2014Mar 1, 2015Oct 31, 20161 Vietnam
NCT01524341Efficacy, Safety, Tolerability and Pharmacokinetics of KAE609 in Adult Patients With Acute, Uncomplicated Plasmodium Falciparum or Vivax Malaria Mono-infectionPHASE2 COMPLETED 27Jan 1, 2012Jun 1, 2012May 13, 20133 Thailand
NCT04321252Study to Assess Safety, Tolerability and Phamacokinetics of KAE609 Administered Intravenously in Healthy SubjectsPHASE1 COMPLETED 57Jul 22, 2020Nov 10, 2020Dec 13, 20211 Belgium
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Study Endpoints
Primary Endpoints
Number of Participants With at Least 2 CTCAE Grades Increase From Baseline in Alanine Aminotransferase (ALT) or Aspartate Aminotransferase (AST)
Day 29

The occurrence of at least 2 CTCAE grades increase from baseline in ALT or AST during the 4 weeks study period was evaluated to characterize hepatic safety aspects of single and multiple ascending doses of KAE609 in adult malaria subjects for treatment of uncomplicated malaria caused by plasmodium falciparum. If 2 patients in a 10 patient cohort (Cohorts 1 and 2) or 3 patients in a 20 patient cohort (Cohorts 3, 4 and 5) had at least 2 CTCAE grades increase from Baseline in ALT or AST, recruitment was suspended and a review of liver safety (and any other relevant data) by safety review committee was initiated. Any further progression of the study was based on the decision by the safety review committee.

Minimum Inhibitory Concentration (MIC) of KAE609
Up to Day 8 after a single dose of KAE609

To observe the exposure-response (PK/PD) relationship for a single dose of KAE609. The key parameter is MIC, defined as the concentration at which the relative rate of change in parasitemia is equal to zero. Approximation of MIC will assist in identifying the optimal dose of KAE609, which will be one component of a future combination antimalarial. MIC could not be determined due to small sample size no data was collected from any participants.

Parasite clearance time
From baseline to the time point when the blood parasite count is zero(up to a maximum of 5 days)

Calculated based on parasite count in blood. In thin film, use actual WBCs/µl, of blood to calculate parasite density by using the following formula: parasites/µl= #parasites× actual WBC/#WBCs counted. In thick film, assume that there are 250 RBCs per HPF, RBC count from 8 HPF equal 2000 RBC, Use actual RBCs/µl blood to calculate parasite density by using the following formula: parasites/µl= # of parasites in 8HPF/2000)× actual RBC.

Number of Participants With On-Treatments Adverse Events, Serious Adverse Events, and Deaths
From study treatment start date till 30 days safety follow-up, assessed for up to 4 months

The distribution of adverse events was done via the analysis of frequencies for Adverse Event (AEs), Serious Adverse Event (SAEs) and Deaths, through the monitoring of relevant clinical and laboratory safety parameters.

Secondary Endpoints
Percentage of Participants With Polymerase Chain Reaction (PCR)-Corrected and Uncorrected Adequate Clinical and Parasitological Response (ACPR) at Day 15 and Day 29
Day 15, Day 29
Parasite Clearance Time (PCT)
Day 29
Fever Clearance Time (FCT)
Day 29
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Treatment arm 1: KAE609 10 mg Single Dose (SD)EXPERIMENTALKAE609 10 mg once daily (QD) for 1 day
Treatment arm 2:KAE609 25 mg SDEXPERIMENTALKAE609 25 mg once daily (QD) for 1 day
Treatment arm 3:KAE609 10 mg 3 DaysEXPERIMENTALKAE609 10 mg (QD) for 3 days
Treatment arm 4:KAE609 50 mg SDEXPERIMENTALKAE609 50 mg once daily (QD) for 1 day
Treatment arm 5:KAE609 25 mg 3 DaysEXPERIMENTALKAE609 25 mg once daily (QD) for 3 days
Treatment arm 6:KAE609 75 mg SDEXPERIMENTALKAE609 75 mg once daily (QD) for 1 day
Treatment arm 7:KAE609 50 mg 3 DaysEXPERIMENTALKAE609 50 mg once daily (QD) for 3 days
Treatment arm 8: KAE609 150 mg SDEXPERIMENTALKAE609 150 mg once daily (QD) for 1 day
Treatment arm 9: Coartem ControlACTIVE_COMPARATORCoartem® control
Dose 1: 30 mgEXPERIMENTALSingle dose of KAE609 30 mg
Dose 2: 20 mgEXPERIMENTALSingle dose of KAE609 20 mg
Dose 3: 10 mgEXPERIMENTALSingle dose of KAE609 10 mg
Dose 4: 15 mgEXPERIMENTALSingle dose of KAE609 15 mg
Cohort 1EXPERIMENTAL10 subjects with Plasmodium vivax malaria will receive 30 mg KAE609 once a day for three days
Cohort 2EXPERIMENTAL10 subjects with Plasmodium falciparum malaria will receive 30 mg KAE609 once a day for three days
Cohort A1: 10.5 mg/placeboEXPERIMENTALSingle iv bolus dose of KAE609 or placebo administered at the clinical site by the study personnel.
Cohort A2: 30 mg/placeboEXPERIMENTALSingle iv bolus dose of KAE609 or placebo administered at the clinical site by the study personnel.
Cohort A3: 75 mg/placeboEXPERIMENTALSingle iv infusion dose of KAE609 or placebo administered at the clinical site by the study personnel.
Cohort A4: 120 mg/placeboEXPERIMENTALSingle iv infusion dose of KAE609 or placebo administered at the clinical site by the study personnel.
Cohort A5: 210 mg/placeboEXPERIMENTALSingle iv infusion dose of KAE609 or placebo administered at the clinical site by the study personnel.
Cohort B1: 60 mg/placebo, every 24 hours (q24h) × 5 daysEXPERIMENTALMultiple iv bolus doses of KAE609 or placebo administered at the clinical site by the study personnel.
Cohort B2: 120 mg/placebo, every 24 hours (q24h) × 5 daysEXPERIMENTALMultiple iv infusion doses of KAE609 or placebo administered at the clinical site by the study personnel.
Interventions
NameTypeDescription
KAE609DRUGExploration of different doses of KAE609 to establish safety profile.
CoartemDRUGControl Arm
PlaceboDRUGmatching placeo for iv administration
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites9

KEY Inclusion Criteria: 1. Male and female patients ≥ 18 years with a body weight ≥ 45 kg. 2. Microscopic confirmation of acute uncomplicated P. falciparum using by Giemsa-stained thick film. 3. P. falciparum parasitaemia of 500 to 50 000 parasites/µL. 4. Axillary temperature ≥ 37.5ºC or oral/tympa...

Countries:GabonGhanaMaliRwandaUgandaVietnamThailandBelgium
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