ClinicalTrials.gg
CompletedNCT02169557Updated Jun 24, 2020

Efficacy and Safety of Fexinidazole in Patients With Stage 1 or Early Stage 2 Human African Trypanosomiasis (HAT) Due to T.b. Gambiense: a Prospective, Multicentre, Open-label Cohort Study, plug-in to the Pivotal Study

A Phase 2/3 interventional study of Fexinidazole in Human African Trypanosomiasis (HAT), sponsored by Drugs for Neglected Diseases. Completed at 1 site in Congo, The Democratic Republic of the. Open to participants aged 15 Years and older. Per ClinicalTrials.gov, last updated 2020-06-24.

Sponsored by Drugs for Neglected Diseases · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
230
Allocation
Not applicable
Ages
15 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 16 studies in Trypanosomiasis, African by Drugs for Neglected Diseases — 1 open to participants now, 1 under way, 1 of them phase 3. Trypanosomiasis, African · Drugs for Neglected Diseases.

Enrollment
6th of 16
230 · median 155
Started
2014
with 1 other
Phase 2/3
7 of 16
none open now
Registered
6th of 16
by date

Among the 16 studies in Trypanosomiasis, African by Drugs for Neglected Diseases, this one is the 6th largest by enrollment, is one of 2 that started in 2014, is one of 7 in phase 2/3, and was the 6th registered.

By phase

16 studies; the count open now beside each. This study's row is marked.

Phase 2/3this study7 · 0 open
Phase 15 · 0 open
Phase 33 · 1 open
Phase 41 · 0 open

By the year they started

First in 2009; this study’s year is marked. 2 started in 2014.

Size and results

Median enrollment 155 across the 16 interventional studies. Of the 15 that completed or were terminated, 4 (27%) have results posted.

Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 16 studies in Trypanosomiasis, African by Drugs for Neglected Diseases, or all of them as a file.
02

Study summary

The purpose of this study is to demonstrate the treatment success of fexinidazole, at one year follow-up visit, in HAT stage 1 and early stage 2 patients.

Read the detailed description

Primary Objective

-To demonstrate that the success rate of fexinidazole at one year follow-up in stage 1 and early stage 2 patients is greater than 80%. An 80 % success rate is considered as unacceptable.

Secondary Objectives

  • To verify whether the success rate of fexinidazole treatment depends on the stage of the disease (stage 1 versus early stage 2); and, if the difference between the 2 stages is significant, to show that the success rate is greater than 80% and compatible with the historical success rate of NECT in early stage 2 patients and with the historical success rate of pentamidine in stage 1 patients.
  • To verify whether the success rate of fexinidazole treatment depends on the number of WBCs in CSF before treatment initiation.
  • To assess changes in the success rate over time.
  • To evaluate the safety of fexinidazole and determine whether its safety profile is comparable to the historical safety profile of pentamidine.
03

Conditions studied

  • Human African Trypanosomiasis (HAT)
04

Who can participate

Ages eligible
15 Years and older
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

  • Signed
  • 15 years old or more
  • Male or female
  • Ability to ingest at least one complete meal per day (or at least one Plumpy'Nut® sachet)
  • index > 50
  • Presence of trypanosomes in blood or lymph
  • Absence of trypanosomes in CSF
  • Permanent address and ability to comply with the follow-up visit schedule
  • Patient agreeing to be hospitalized to receive the treatment

Exclusion criteria

Exclusion Criteria:

  • Severely malnutrition, defined as \< 16.
  • Inability to take oral medication.
  • Pregnancy or breastfeeding (a urine pregnancy test will be performed in all women of childbearing age within 24 h prior to treatment).
  • medical condition other than HAT that, in the Investigator's opinion, may jeopardize patient safety or interfere with participation in the study, including but not limited to significant liver or cardiovascular disease, documented or suspected active infection (including AIDS), CNS trauma or seizure disorders, coma or altered consciousness.
  • Severely deteriorated general condition, e.g. cardiovascular shock, respiratory distress syndrome, or terminal illness.
  • Any medical condition (except HAT specific symptoms) hindering communication with the Investigator as required for the completion of this study.
  • Any to imidazole products (known to imidazoles).
  • History of HAT treatment in the past 2 years.
  • Patients previously enrolled in the study or having already received fexinidazole.
  • Expected follow-up difficulties (migrants, refugees, itinerant vendors, etc.).
  • Current alcohol or drug abuse.
  • Clinically significant abnormal laboratory value, such as:
  • (ALAT) and/or aspartate aminotransferase (ASAT) > 2 times
  • Total (TBIL) > 1.5 times ULN
  • Severe leukopenia (\< 2000/mm3)
  • Potassium (K+) \< 3.5 mmol/L
  • Any clinically significant abnormal value (see details in Investigator Manual)
  • Pregnancy confirmed by a positive urine pregnancy test obtained within 24 h prior to start of study treatment (see Section 5.8.3 ; p35) ≥ 450 ms as measured automatically (if the first measurement is abnormal, a second assessment will be done at least 10-20 min later, with the patient in resting position)
  • Patients not tested for malaria and/or not treated adequately for this infection
  • Patients not treated adequately for soil-transmitted helminthic diseases
Terms in these criteria, in plain language(11)

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.

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.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

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.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
230 participants (actual)

Study arms

  • Experimental
    Fexinidazole

    Drug: Fexinidazole

Interventions

06

What researchers measure

Primary outcomes

  1. Outcome (success or failure) at the test of cure (ToC) visit 12 months after the end of treatment (EOT).

    Time frame: 12 months after end of treatment (day 11)

Secondary outcomes

  1. Success or failure at each visit between the End of treatment and 18 months visit.

    Time frame: End of treatment (day 11) to last follow-up visit (18 months)

Other outcomes

  1. Safety

    * Occurrence of any grade AEs (all grades combined) during the observation period. * Occurrence of drug-related AEs (Grade ≥ 3 and any grade) during the observation period. * Occurrence of any serious adverse events (SAE) from first drug intake to the end of follow up period (M18).

    Time frame: From signature of informed consent to 18 months Follow up visit

07

Study locations

1 site
  • Kinshasa, Congo, The Democratic Republic of the
08

References and documents

Publications

  • Kande Betu Ku Mesu V, Mutombo Kalonji W, Bardonneau C, Valverde Mordt O, Ngolo Tete D, Blesson S, Simon F, Delhomme S, Bernhard S, Mahenzi Mbembo H, Mpia Moke C, Lumeya Vuvu S, Mudji E'kitiak J, Akwaso Masa F, Mukendi Ilunga M, Mpoyi Muamba Nzambi D, Mayala Malu T, Kapongo Tshilumbwa S, Botalema Bolengi F, Nkieri Matsho M, Lumbala C, Scherrer B, Strub-Wourgaft N, Tarral A. Oral fexinidazole for stage 1 or early stage 2 African Trypanosoma brucei gambiense trypanosomiasis: a prospective, multicentre, open-label, cohort study. Lancet Glob Health. 2021 Jul;9(7):e999-e1008. doi: 10.1016/S2214-109X(21)00208-4. PubMed 34143998 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 24, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02169557
Lead sponsor
Drugs for Neglected Diseases
Responsible party
Sponsor
First posted
Jun 23, 2014
Start date
Apr 30, 2014
Primary completion
Oct 9, 2016
Completion
Apr 25, 2017
Last update
Jun 24, 2020

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2020. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Fexinidazole

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