ClinicalTrials.gg
CompletedNCT00803933Updated Dec 8, 2008

Trial of DB289 for the Treatment of Stage I African Trypanosomiasis

A Phase 2 interventional study of DB289 and Pentamidine in African Trypanosomiasis, sponsored by Immtech Pharmaceuticals, Inc. Completed at 2 sites in Congo. Open to participants aged 15 Years to 50 Years. Per ClinicalTrials.gov, last updated 2008-12-08.

Sponsored by Immtech Pharmaceuticals, Inc · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
111
Allocation
Randomized
Ages
15 Years to 50 Years
Sex
All
01

Study summary

Human African Trypanosomiasis or sleeping sickness has made a spectacular return during the last decade, and in many places the demand largely surpasses the capacities of the treatment centers. Treatment of the disease remains unsatisfactory. All currently used drugs must be administered parenterally, treatment is lengthy, and adverse drug reactions frequent. There are currently no drugs that are easily administered and have low toxicity, and might thus be used as tools to support disease control.

This study aims to compare the safety and efficacy of DB289, a new, orally administered dication prodrug to pentamidine i.m. injection for the treatment of first stage sleeping sickness. The project will be executed in the framework of an international consortium consisting of several partners from academia, industry and from the Democratic Republic of Congo Ministries of Health.

02

Conditions studied

  • African Trypanosomiasis

Keywords

  • first stage
  • Trypanosoma brucei gambiense
  • T. b. gambiense
  • sleeping sickness
  • First stage T. b. gambiense sleeping sickness
03

In context

Trypanosomiasis, African

26 studies on the registry are indexed under Trypanosomiasis, African; 1 is open to participants now.

This study's enrollment of 111 is below the median of 155 across 24 interventional studies indexed under Trypanosomiasis, African.

Browse Trypanosomiasis, African studies →

Lead sponsor

Immtech Pharmaceuticals, Inc is the lead sponsor of 5 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
15 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. The patient has early stage T. b. gambiense infection i.e. parasitologically confirmed infection in the blood or lymph node aspirate and greater than or equal to 5 WBC mm-3 detected in the CSF by microscopic examination
  2. Patient is 15 to 50 years old
  3. Patient has a minimal weight of 35 kilograms
  4. If the patient is female of child bearing potential (a women will be considered of non-child bearing potential only if she has been post menopausal for over 2 years or has had a hysterectomy):

    1. she is not lactating,
    2. she had a negative urine pregnancy test result within 24 hours prior to DB289 treatment and
    3. she agrees to use a medically proven method of (abstinence from sexual intercourse is an acceptable method) from the day of consent on until the end of the observation period (day 7).
  5. Patient has understood and signed the . If the patient is minor, a legal guardian has signed the Informed Consent

Exclusion criteria

Exclusion Criteria:

  1. The patient has late stage T.b. gambiense infection i.e. presence of parasite in the CSF upon microscopic examination or a WBC count of > 5mm-1
  2. Active medical conditions that in the Investigator opinion may jeopardize subject safety or interfere with participation in the study, including but not limited to: significant liver diseases, chronic pulmonary diseases, significant cardiovascular diseases, diabetes, thyroid diseases, gout, infection including known infection, CNS trauma or seizure disorders (A list of typical signs and symptoms is provided for guidance of the investigator in attachment 1)
  3. Coma Score of less than 9 on the Glasgow Coma Scale (Appendix 8)
  4. Withdrawal of consent at any time during the study
  5. Any condition which compromises ability to communicate with the investigator as required for the completion of this study.
  6. The subject has been previously treated for African Trypanosomiasis.
  7. The subject has been previously enrolled in the study. -
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
111 participants (actual)

Study arms

  • Experimental
    DB289

    Pafuramidine maleate (DB289), 100 mg BID orally

    Drug: DB289

  • Active comparator
    Pentamidine

    Pentamidine isethionate (Aventis) for injection (200 mg/vial), 4 mg/kg QD IM

    Drug: Pentamidine

Interventions

  • DrugDB289

    Pafuramidine maleate (DB289), 100 mg BID orally

    Also known as: pafuramidine maleate

  • Pentamidine isethionate (Aventis) for injection (200 mg/vial), 4 mg/kg QD IM

06

What researchers measure

Primary outcomes

  1. The primary efficacy endpoint was the parasitological cure at 3 months after completion of treatment.

    Time frame: 3 months

  2. The primary outcome measure for safety analysis was the rate of occurrence of Grade 3 or higher adverse events during the observation period.

    Time frame: 12 day

Secondary outcomes

  1. The secondary outcome measure was the incidence rate of adverse events (all Grades combined) during the 7- to 9-day observation period in Treatment Sequence 1 and during the 12-day observation period in Treatment Sequence 2.

    Time frame: 12 day

  2. The number and percentage of subjects with parasitological cure, subjects with confirmed (parasitological) treatment failure, and subjects with suspected treatment failure at 6, 12, and 24 months after completion of treatment.

    Time frame: 6, 12, 24 months

07

Study locations

2 sites
  • CDTC Maluku
    Gombe, Kinshasa, Congo
  • Vanga Hospital
    Gombe, Kinshasa, Congo
08

References and documents

Publications

  • Burri C, Yeramian PD, Allen JL, Merolle A, Serge KK, Mpanya A, Lutumba P, Mesu VK, Bilenge CM, Lubaki JP, Mpoto AM, Thompson M, Munungu BF, Manuel F, Josenando T, Bernhard SC, Olson CA, Blum J, Tidwell RR, Pohlig G. Efficacy, Safety, and Dose of Pafuramidine, a New Oral Drug for Treatment of First Stage Sleeping Sickness, in a Phase 2a Clinical Study and Phase 2b Randomized Clinical Studies. PLoS Negl Trop Dis. 2016 Feb 16;10(2):e0004362. doi: 10.1371/journal.pntd.0004362. eCollection 2016 Feb. PubMed 26881924 ↗
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Feb 2003, a primary completion of Feb 2004 and a completion of Jun 2005. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 4, 2008
First posted
Dec 8, 2008
Start
Feb 2003
Primary completionActual
Feb 2004
CompletionActual
Jun 2005
Last update
Dec 8, 2008
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 8, 2008, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00803933
Lead sponsor
Immtech Pharmaceuticals, Inc
Collaborators
Bill and Melinda Gates Foundation
First posted
Dec 8, 2008
Start date
Feb 2003
Primary completion
Feb 2004
Completion
Jun 2005
Last update
Dec 8, 2008

Study contacts

Victor Kande, MD
principal investigator · Programme Nationale de Lutte contre la Trypanosomiase Humaine Africaine

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2008. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Pafuramidine

Start the discussion