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Artemether-lumefantrine

Phase 2

Malaria, Falciparum | Small molecule | Infectious Disease |Pfizer, Inc.|Last Updated: Jun 26, 2014

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
RandomizedCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment361
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00677833Azithromycin Plus Chloroquine Versus Artemether-Lumefantrine For The Treatment Of Uncomplicated P. Falciparum Malaria In Children In AfricaPHASE2 COMPLETED 361Jun 1, 2008Sep 1, 2010Jun 26, 20147 Burkina Faso, Côte d’Ivoire +3
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Study Endpoints
Primary Endpoints
Percentage of Participants With Polymerase Chain Reaction (PCR)-Corrected Adequate Clinical and Parasitologic Response (ACPR) at Day 28 in the Modified Intent-to-treat (mITT) Population
Day 28

ACPR (PCR-corrected) was defined as asexual Plasmodium falciparum (P.falciparum) parasitologic clearance at Day 28 irrespective of axillary, oral, rectal, or tympanic temperature, without previously meeting the criteria of Early Treatment Failure (ETF) (see measure description in secondary outcome measures 7 and 8) or PCR-corrected Late Treatment Failure (LTF) (which includes PCR-corrected Late Clinical Failures \[LCF\] - see measure description in secondary outcome measure 9 and 10, and PCR-corrected Late Parasitologic Failures (LPF)- see measure description in secondary outcome measure 11 and 12). PCR-corrected refers to the use of molecular testing to differentiate recrudescence from reinfection in the context of an efficacy evaluation.

Percentage of Participants With PCR-corrected ACPR at Day 28 in Per-Protocol (PP) Population
Day 28

ACPR (PCR-corrected) was defined as asexual P.falciparum parasitologic clearance at Day 28 irrespective of axillary, oral, rectal, or tympanic temperature, without previously meeting the criteria of ETF (see measure description in secondary outcome measures 7 and 8) or PCR-corrected LTF (which includes PCR-corrected LCF - see measure description in secondary outcome measure 9 and 10, and PCR-corrected LPF - see measure description in secondary outcome measure 11 and 12). PCR-corrected refers to the use of molecular testing to differentiate recrudescence from reinfection in the context of an efficacy evaluation.

Secondary Endpoints
Percentage of Participants With PCR-corrected ACPR in the mITT Population
Days 7, 14, 21, 35, 42
Percentage of Participants With PCR-corrected ACPR in PP Population
Days 7, 14, 21, 35, 42
Percentage of Participants With PCR-uncorrected ACPR in the mITT Population
Days 7, 14, 21, 28, 35, 42
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
1EXPERIMENTAL -
2EXPERIMENTAL -
Interventions
NameTypeDescription
Azithromycin plus ChloroquineDRUGCombination of Azithromycin plus Chloroquine Azithromycin (\~30 mg/kg) + chloroquine (\~10mg base /kg) combination tablet(s) on weight basis, once daily for 3 days (Days 0,1,2) or Artemether-lumefantrine tablet(s) based on weight and labeling for 3 days (Days 0, 1, 2)
Artemether-lumefantrineDRUGArtemether-lumefantrine tablet(s) based on weight and labeling for 3 days (Days 0, 1, 2)
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Eligibility Criteria
Age Range6 Months — 12 Years
SexALL
Healthy VolunteersNo
Study Sites7

Inclusion Criteria: * Girls and boys ≥5 years to ≤12 years (Cohort 1); and ≥6 to ≤59 months of age (Cohort 2) with uncomplicated, symptomatic malaria as indicated by the presence of the following: * Blood smears positive for monoinfection with P. falciparum and asexual parasitemia between 1000 -100...

Countries:Burkina FasoCôte d’IvoireGhanaKenyaMali
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