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CompletedNCT02571062Updated Oct 8, 2015

Bioequivalence Study - Reference Clinical Fexinidazole Tablet Versus Proposed Market Formulation

A Phase 1 interventional study of Fexinidazole in Trypanosomiasis, African, sponsored by Drugs for Neglected Diseases. Completed at 1 site in France. Open to male participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2015-10-08.

Sponsored by Drugs for Neglected Diseases · Phase 1 and Interventional

Phase
Phase 1
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Male
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
13th of 16
30 · median 155
Started
2015
the only one that year
Phase 1
5 of 16
none open now
Registered
8th of 16
by date

Among the 16 studies in Trypanosomiasis, African by Drugs for Neglected Diseases, this one is the 13th largest by enrollment, is the only one that started in 2015, is one of 5 in phase 1, and was the 8th registered.

By phase

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

Phase 2/37 · 0 open
Phase 1this study5 · 0 open
Phase 33 · 1 open
Phase 41 · 0 open

By the year they started

First in 2009; this study’s year is marked. 1 started in 2015.

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

Phase 1 bioequivalence (BE) study. This study is for regulatory purpose to determine BE of the tablet formulation used in the clinical trials and the final marketed tablet formulation under fed condition.

The study will be an open-label, 2-treatment, 2-sequence, 4-period, single-dose, replicate crossover study under fed condition. The 4-period sequences for the replicate design will be TRTR and RTRT, where R designates the reference formulation and T the test formulation. Subject will be allocated randomly to one of the two sequences of treatments according to the randomization list.

Read the detailed description

Ideally, BE study should be conducted under fasting condition as this is considered to be the most sensitive condition to detect a potential difference between formulations. However as fexinidazole is recommended to be taken with food, as food increased the plasma concentration by 2.5 to 3 fold compared to plasma. BE will be conducted under fed condition, using field adapted meal. The wash-out period should be sufficient to ensure that drug concentrations are below the limit of quantification in all the subjects at the beginning of the next period, a 2 weeks wash-out period will be used. The intra-subject variability of fexinidazole was evaluated based on a previous 3-period cross-over study (1) and was estimated at 25%. As this value was quite high and close to 30%, a replicate design was chosen.

Primary objective:

To assess BE of the clinical trial 600 mg tablet formulation versus (vs.) the proposed market 600 mg tablet formulation of fexinidazole under fed condition after single oral administration of 1200 mg.

Secondary objectives:

To assess the pharmacokinetic profile of the two metabolites fexinidazole sulfoxide and fexinidazole sulfone under the fed condition. To assess the safety and tolerability in healthy volunteers under the same study conditions.

Meal: On each treatment period, fexinidazole will be given with concomitant meal which composition will be as close as possible to field condition

sample size: In order to have 24 evaluable subjects a total of 30 subjects will be recruited in the study.

Study Treatment: Single oral dose of 1200 mg / period :

  • Treatment R: Reference formulation, i.e. 2 × 600 mg clinical tablets
  • Treatment T: Test formulation, i.e. 2 × 600 mg proposed market tablets

Pharmacokinetic sampling: Pre-dose, and 1, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, 120 and 168 h post-dose Total blood drawn: 390 mL ( Pharmacokinetic = 240 mL + safety = 150 mL)

03

Conditions studied

  • Trypanosomiasis, African

Keywords

  • bioequivalence
04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

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. All subjects to be of sub-Saharan African origins with both parents of sub- Saharan African origins too;
  2. Signed ICF;
  3. 18 to 45 years old
  4. Male subjects with a calculated as weight (kg)/height (m)2 from 18 to 28 kg/m2 at screening
  5. Light smokers (less than 5 cigarettes per day, or equivalent e-cigarettes or nicotine patch) or subjects who are non-smokers. No smoking (or use of smoking substitute e.g. nicotine patch) is permitted from screening throughout the study;
  6. Normal arterial BP and pulse rate or, if abnormal, considered not by the principal Investigator. These will be measured after resting for 5 min;
  7. Normal or, if abnormal, considered not clinically significant by the principal Investigator;
  8. Registered with the French Social Security in agreement with the French law on biomedical experimentation.

Exclusion criteria

Exclusion Criteria:

  1. Who on direct questioning and physical examination have evidence of any acute or chronic disease, including known or suspected , or infection
  2. With any clinically significant abnormality following review of pre-study laboratory tests (ASAT, ALAT) must be within normal ranges), vital signs, full physical examination and ;
  3. Who are within the exclusion period defined in the National Register for Healthy Volunteers of the French Ministry of Health;
  4. Unwilling to give their ;
  5. Who have a positive laboratory test for Hepatitis B surface antigen (HbsAg), or anti-HIV 1/2 or anti- HCV antibodies;
  6. Who have a history of allergy, intolerance or photosensitivity to any drug;
  7. Who have a history of serious allergy, asthma, allergic skin rash or sensitivity to any drug;
  8. Who have a history of HAT;
  9. Who are known or suspected alcohol or drug abusers (more than 14 units of alcohol per week, one unit = 8 g or about 10 mL of pure alcohol);
  10. Who have a positive alcohol breath test
  11. Who drink more than 8 cups daily of beverage containing caffeine;
  12. Who have a positive laboratory test for urine drug screening (opiates, cocaine, amphetamine, cannabis, benzodiazepines);
  13. Who have undergone surgery or have donated blood within 12 weeks prior to the start of the study;
  14. Who have taken any prescribed or over the counter drug (including antacid drug), with the exception of paracetamol (up to 3 g per day) within 2 weeks prior to the first dose administration;
  15. Who have already taken fexinidazole;
  16. Who have any clinical condition or prior therapy which, in the opinion of the Investigator, made the subject unsuitable for the study;
  17. Who participated to any clinical trial with an drug in the past 3 months preceding the first study drug administration.
Terms in these criteria, in plain language(8)

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.

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.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

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.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 1
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
30 participants (actual)

Study arms

  • Experimental
    experimental formulation

    crossover design

    Drug: Fexinidazole

  • Experimental
    final formulation

    crossover design

    Drug: Fexinidazole

Interventions

06

What researchers measure

Primary outcomes

  1. Pharmacokinetic parameters of fexinidazole following single dose

    Area Under the Curve (AUC)

    Time frame: Pharmacokinetic sampling: Pre-dose, and 1, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, 120 and 168 h

07

Study locations

1 site
  • Biotrial
    Rennes, France
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 8, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02571062
Lead sponsor
Drugs for Neglected Diseases
Responsible party
Sponsor
First posted
Oct 8, 2015
Start date
Mar 2015
Primary completion
Jun 2015
Completion
Jun 2015
Last update
Oct 8, 2015

Study contacts

Antoine Tarral, MD
study director · Drugs for Neglected Diseases

Oversight

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

Not currently enrolling

This study is completed, as verified in Jun 2015. You cannot join it, but the record below documents what was studied.

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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.

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Studies of the drug tested here: Fexinidazole

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