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Anti-parasitic Activity and Safety Assessment of SAR97276A in Children With Uncomplicated Malaria

12. december 2012 opdateret af: Sanofi

An Open-label, Randomized Multicenter Study to Investigate the Anti-parasitic Activity, Pharmacokinetic and Safety of IM SAR97276A With Oral ACTs as Positive Control in Children Presenting With Symptomatic Plasmodium Falciparum Uncomplicated Malaria

Primary Objective:

To assess the antiparasitic activity of intramuscular (IM) SAR97276A based on parasite reduction ratio at 72 hours in pediatric patients with uncomplicated malaria

Secondary Objectives:

  • To assess the evolution of clinical signs and symptoms (including the need for a rescue therapy) in pediatric patients with uncomplicated malaria receiving SAR97276A with reference to Artemisinin-Based Combination Therapy (ACTs)
  • To assess the pharmacokinetics profile of SAR97276A in pediatric patients with uncomplicated malaria
  • To assess the safety profile of SAR97276A in pediatric patients with uncomplicated malaria
  • To assess the pharmacokinetic-pharmacodynamic relationship of SAR97276A

Studieoversigt

Status

Afsluttet

Betingelser

Detaljeret beskrivelse

The total duration per patients will last approximately 28 ± 2 days broken down as follows:

  • A screening phase up to 12-hours
  • A 28 ± 2 days study period

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

20

Fase

  • Fase 2

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

      • Cotonou, Benin
        • Investigational Site Number 204001
      • Ouagadougou, Burkina Faso
        • Investigational Site Number 854001
      • Libreville, Gabon
        • Investigational Site Number 266001
      • Kisumu, Kenya
        • Investigational Site Number 404001

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

2 år til 17 år (Barn)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion criteria:

  • Patients diagnosed with symptomatic infection by Plasmodium falciparum microscopically confirmed in blood smear at Day-1 visit
  • Fever (tympanic or rectal temperature ≥ 38 C) or documented history of fever within the last 24h
  • Asexual parasitemia of ≥ 2 000 parasites/μL in blood smear at D-1 visit
  • Signed Informed Consent Form by the parents or legal guardian
  • Age: 12 to 17 years old for step 1
  • Age: 2 to 11 years old for step 2 and step 3

Exclusion criteria:

  • Participation in another clinical trial within the last 3 months or participation within a different cohort in this PDY11737 clinical trial or participation to previous trial with SAR97276
  • Documented history of adequate treatment with antimalarials expected to be effective within the preceding 72 hours
  • Severe concomitant disease (including concomitant febrile illnesses or infection)
  • Any sign suggestive of severe malaria
  • Severe malnutrition
  • Asexual parasitemia: Plasmodium falciparum > 100,000 parasites/μL in blood smear at D-1 visit
  • Previous treatment within 3 weeks prior to inclusion, and concomitant treatment with potent CYP3A4 inhibitors or CYP3A4 inducers or CYP2D6 substrates or potent CYP2D6 inhibitors
  • Known serious adverse event reaction or hypersensitivity to Artemisinin-Based Combination Therapy (ACTs) or any contraindications from the positive control therapy (Artemisinin Combined Treatments) or warning/precaution of use as defined in the respective National Product Labeling
  • Pregnant or breast-feeding women
  • Women of childbearing potential not protected by effective contraceptive method of birth control, or not willing to use an effective contraceptive(s) method(s) for the duration of the study (e.g.: double barrier method), and/or who are unwilling or unable to be tested for pregnancy,
  • CPK above 3 ULN,
  • Underlying hepatobiliary disease or ALT>3 ULN.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Step 1 (SAR97276A od)
1 group of paediatric patients will receive 0.5 mg/kg SAR97276A administration once daily (od) for 3 days

Pharmaceutical form:solution for injection

Route of administration: intramuscular

Eksperimentel: Step 1 (SAR97276A bid)
1 group of paediatric patients will receive 0.25 mg/kg SAR97276A administration twice daily (bid) for 3 days

Pharmaceutical form:solution for injection

Route of administration: intramuscular

Aktiv komparator: Step 1 (ACTs)
1 group of paediatric patients will receive arthemeter + lumefantrine (ACTs) bid for 3 days

Pharmaceutical form:tablet

Route of administration: oral

Eksperimentel: Step 2 (SAR97276A)
1 or 2 groups of paediatric patients will receive SAR97276A once daily (od) or twice a day (bid) administration for 3 days (the choice of the od or bid regimen will be based on the results obtained in step 1)

Pharmaceutical form:solution for injection

Route of administration: intramuscular

Aktiv komparator: Step 2 (ACTs)
1 group of paediatric patients will receive arthemeter + lumefantrine (ACTs) bid for 3 days

Pharmaceutical form:tablet

Route of administration: oral

Eksperimentel: Step 3 (SAR97276A)
1 group of paediatric patients (2 to 11 years old) will receive: SAR97276A od or bid administration for 3 days (depending on results of step 1)

Pharmaceutical form:solution for injection

Route of administration: intramuscular

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Tidsramme
Parasite Reduction Ratio (PRR)
Tidsramme: at 72 hours
at 72 hours

Sekundære resultatmål

Resultatmål
Tidsramme
Evolution of mean Parasitaemia over time (nb/µL)
Tidsramme: every 6 hours from baseline up to 72 hours (day 4)
every 6 hours from baseline up to 72 hours (day 4)
Evolution of mean Gametocytes count over time (nb/µL)
Tidsramme: from baseline to end of study (day 28 ± 2)
from baseline to end of study (day 28 ± 2)
Fever Clearance (time to reach Temperature < 38°C)
Tidsramme: every 6 hours from baseline up to 72 hours (day 4)
every 6 hours from baseline up to 72 hours (day 4)
General conditions improvement: mean total symptom score over time
Tidsramme: every 6 hours from baseline up to 72 hours (day 4)
every 6 hours from baseline up to 72 hours (day 4)
SAR97276 pharmacokinetic profile in plasma and blood
Tidsramme: from baseline up to 12 hours after the last study drug intake on (Day 3
from baseline up to 12 hours after the last study drug intake on (Day 3

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. oktober 2011

Primær færdiggørelse (Faktiske)

1. januar 2012

Studieafslutning (Faktiske)

1. januar 2012

Datoer for studieregistrering

Først indsendt

26. september 2011

Først indsendt, der opfyldte QC-kriterier

30. september 2011

Først opslået (Skøn)

4. oktober 2011

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Skøn)

13. december 2012

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

12. december 2012

Sidst verificeret

1. december 2012

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • PDY11737
  • 2010-021398-36 (EudraCT nummer)
  • U1111-1118-0694 (Anden identifikator: UTN)

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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