A Phase 1 interventional study of Emodepside (BAY 44-4400) in Filariasis, sponsored by Drugs for Neglected Diseases. Completed at 1 site in United Kingdom. Open to male participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-03-09.
Sponsored by Drugs for Neglected Diseases · Phase 1, Interventional, and Treatment
This study evaluates 2 new immediate release (IR)-tablet formulations of emodepside and they will be compared to the oral liquid service formulation (LSF) used in the FIH Single Ascending Dose study (DNDi-EMO-001 study) (CT.gov identifier: NCT02661178)
There is an urgent need for a macrofilaricidal drug, killing or sterilizing permanently O. volvulus adult worms, which could be used in individual case management and, after appropriate testing, as an alternative drug to ivermectin in MDA programs. Emodepside is a promising candidate to kill the adult and sexually mature O. volvulus. Emodepside was shown to be macrofilaricidal against a variety of filarial nematodes and is a registered drug for animal health, commercialized by Bayer AG under the name of Profender® (in combination with praziquantel) or Procox® (in combination with toltrazuril).
A first-in-human (FIH) double-blind, placebo-controlled study of single ascending doses of emodepside in healthy Caucasian men has been conducted and the preliminary results are favourable, and support continuing the Phase I development program. For this reason, new tablet formulations have been developped and the present study will evaluate bioavailability, PK safety and tolerability, and as well food effect of single doses of 2 new immediate release (IR)-tablet formulations of emodepside compared to the oral liquid service formulation (LSF) used in the FIH study.
23 studies on the registry are indexed under Filariasis; 2 are open to participants now.
This study's enrollment of 77 is below the median of 100 across 12 interventional studies indexed under Filariasis.
Browse Filariasis studies →Drugs for Neglected Diseases is the lead sponsor of 58 studies on the registry; 3 are open to participants now.
Counted across the registry records on this site, refreshed daily.
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.
Exclusion Criteria:
Relevant pathological abnormalities in the ECG at screening, such as:
second or third-degree atrioventricular (AV) block prolongation of the QRS complex > 120 msec, -interval (QTcB or QTcF) > 450 msec. The mean of the triplicate ECG readings will be used to assess eligibility.
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.
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.
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.
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.
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.
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 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.
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.
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.
CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.
Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.
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.
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.
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.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
CYP3A (CYP3A4) inhibitors and inducers
CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.
Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
5 mg emodepside LSF, fasted
Drug: Emodepside (BAY 44-4400)
5 mg emodepside IR-tablet #406, fasted
Drug: Emodepside (BAY 44-4400)
5 mg emodepside IR-tablet #416, fasted
Drug: Emodepside (BAY 44-4400)
5 mg emodepside IR-tablet #406, fed
Drug: Emodepside (BAY 44-4400)
5 mg emodepside IR-tablet #416, fed
Drug: Emodepside (BAY 44-4400)
2 x 5 mg emodepside IR-tablet #406, fasted (may be tested or not, depending on the results of the part 1)
Drug: Emodepside (BAY 44-4400)
2 x 5 mg emodepside IR-tablet #416, fasted (may be tested or not, depending on the results of the part 1)
Drug: Emodepside (BAY 44-4400)
2 tablets compared to the liquid formulation
Also known as: Profender® (in combination with praziquantel) FOR VETERINARY USE, Procox® (in combination with toltrazuril) FOR VETERINARY USE
PK (AUC0-7d) of Two New Tablet Formulations of Emodepside in Comparison to the Liquid Formulation (LSF) Oral Solution.
Means AUC from zero to 7 days (AUC0-7d) = means area under the plasma concentration-time curve from time zero (pre-dose) to 7 days. To create the curve, the following PK Timepoints have been collected: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3,4,6,8,12,36,48,72,120 and 168h post dose
Time frame: means from zero to 7 days
PK (Cmax) of Two New Tablet Formulations of Emodepside in Comparison to the Liquid Formulation (LSF) Oral Solution.
Cmax means maximum observed plasma concentration. To create the PK curve, the following PK timepoints have been collected: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3,4,6,8,12,36,48,72,120 and 168h post dose
Time frame: 7 days
Safety and Tolerability as Measured by Number of Participants With Treatment-related Adverse Events
number of participants with treatment-related adverse events
Time frame: 7 days
Safety and Tolerability as Measured by Number of Participants With Physical Examination Findings
number of participants with abnormal physical examination (PE) findings. Standard examination done on head, ears, eyes, nose, thyroid, lymph node, back, neck, lungs, skin, abdomen, chest. The details are listed in protocol section 8.11.3
Time frame: 7 days
Safety and Tolerability as Measured by Number of Participants With Neurological Examination Findings
Number of participants with abnormal neurological examination (NE) findings
Time frame: 7 days
Safety and Tolerability as Measured by Number of Participants With Vital Signs Findings
number of participants with vital signs (VS) findings. The vital signs ranges are the following Supine Systolic BP : 85-160mm HG, Supine Diastolic BP: 40-90mm HG, Supine HR: 35-100 beats/min. Details are described in the protocol section 8.11.2
Time frame: 7 days
Safety and Tolerability as Measured by Number of Participants With 12-lead ECG Findings
number of participants with 12-lead ECG findings. The ECG reference ranges used are the following: ventricular rate: 45-100beats/min, PR interval:120-220msec, QRS:\<120msec, QTc:\<430msec
Time frame: 7 days
Safety and Tolerability as Measured by Number of Participants With Clinical Laboratory Tests Findings
number of participants with relevant abnormal laboratory tests results
Time frame: 7 days
Potential volunteers contacted HMR by telephone or email if they were interested in the study. HMR contacted eligible volunteers who had registered an interest in doing this study to invite them to take part. Recruitment of participants started on 26 October 2017 (FSFV) and finished on 26 March 2018 (LSLV).
| Milestone | Part 1a - Treatment A | Part 1a - Treatment B | Part 1a - Treatment C | Part 1b - Treatment D | Part 1b - Treatment E | Part 2 - Treatment F | Part 2 - Treatment G |
|---|---|---|---|---|---|---|---|
| Started | 11 | 11 | 10 | 12 | 11 | 12 | 10 |
| Completed | 10 | 11 | 9 | 12 | 11 | 12 | 10 |
| Not completed | 1 | 0 | 1 | 0 | 0 | 0 | 0 |
Means AUC from zero to 7 days (AUC0-7d) = means area under the plasma concentration-time curve from time zero (pre-dose) to 7 days. To create the curve, the following PK Timepoints have been collected: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3,4,6,8,12,36,48,72,120 and 168h post dose
| h.ng/ml | Part 1a - Treatment A | Part 1a - Treatment B | Part 1a - Treatment C | Part 1b - Treatment D | Part 1b - Treatment E | Part 2 - Treatment F | Part 2 - Treatment G |
|---|---|---|---|---|---|---|---|
| PK (AUC0-7d) of Two New Tablet Formulations of Emodepside in Comparison to the Liquid Formulation (LSF) Oral Solution. | 1215 ± 37.2 | 852 ± 19.1 | 931 ± 23.3 | 674 ± 32.1 | 733 ± 34.9 | 1609 ± 35.9 | 1943 ± 26.5 |
Cmax means maximum observed plasma concentration. To create the PK curve, the following PK timepoints have been collected: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3,4,6,8,12,36,48,72,120 and 168h post dose
| ng/ml | Part 1a - Treatment A | Part 1a - Treatment B | Part 1a - Treatment C | Part 1b - Treatment D | Part 1b - Treatment E | Part 2 - Treatment F | Part 2 - Treatment G |
|---|---|---|---|---|---|---|---|
| PK (Cmax) of Two New Tablet Formulations of Emodepside in Comparison to the Liquid Formulation (LSF) Oral Solution. | 88.5 ± 20.1 | 41.9 ± 20.0 | 54.2 ± 35.3 | 27.1 ± 26.8 | 36.2 ± 39.8 | 71.7 ± 28.5 | 135 ± 35.3 |
number of participants with treatment-related adverse events
| Participants | Part 1a - Treatment A | Part 1a - Treatment B | Part 1a - Treatment C | Part 1b - Treatment D | Part 1b - Treatment E | Part 2 - Treatment F | Part 2 - Treatment G |
|---|---|---|---|---|---|---|---|
| Safety and Tolerability as Measured by Number of Participants With Treatment-related Adverse Events | 0 | 3 | 1 | 0 | 1 | 0 | 1 |
number of participants with abnormal physical examination (PE) findings. Standard examination done on head, ears, eyes, nose, thyroid, lymph node, back, neck, lungs, skin, abdomen, chest. The details are listed in protocol section 8.11.3
| participants | Part 1a - Treatment A | Part 1a - Treatment B | Part 1a - Treatment C | Part 1b - Treatment D | Part 1b - Treatment E | Part 2 - Treatment F | Part 2 - Treatment G |
|---|---|---|---|---|---|---|---|
| number of subject with abnormal PE findings | 0 | 0 | 1 | 0 | 1 | 0 | 0 |
| number subject with clinically significant finding | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Number of participants with abnormal neurological examination (NE) findings
| participants | Part 1a - Treatment A | Part 1a - Treatment B | Part 1a - Treatment C | Part 1b - Treatment D | Part 1b - Treatment E | Part 2 - Treatment F | Part 2 - Treatment G |
|---|---|---|---|---|---|---|---|
| number of subject with abnormal NE findings | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| number subject with clinically significant finding | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
number of participants with vital signs (VS) findings. The vital signs ranges are the following Supine Systolic BP : 85-160mm HG, Supine Diastolic BP: 40-90mm HG, Supine HR: 35-100 beats/min. Details are described in the protocol section 8.11.2
| participants | Part 1a - Treatment A | Part 1a - Treatment B | Part 1a - Treatment C | Part 1b - Treatment D | Part 1b - Treatment E | Part 2 - Treatment F | Part 2 - Treatment G |
|---|---|---|---|---|---|---|---|
| number of subject with VS findings | 0 | 1 | 2 | 2 | 3 | 0 | 0 |
| number subject with clinically significant finding | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
number of participants with 12-lead ECG findings. The ECG reference ranges used are the following: ventricular rate: 45-100beats/min, PR interval:120-220msec, QRS:\<120msec, QTc:\<430msec
| participants | Part 1a - Treatment A | Part 1a - Treatment B | Part 1a - Treatment C | Part 1b - Treatment D | Part 1b - Treatment E | Part 2 - Treatment F | Part 2 - Treatment G |
|---|---|---|---|---|---|---|---|
| number of subject with abnormal ECG findings | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| number subject with clinically significant finding | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
number of participants with relevant abnormal laboratory tests results
| participants | Part 1a - Treatment A | Part 1a - Treatment B | Part 1a - Treatment C | Part 1b - Treatment D | Part 1b - Treatment E | Part 2 - Treatment F | Part 2 - Treatment G |
|---|---|---|---|---|---|---|---|
| number of subject with abnormal lab values | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| number subject with clinically significant finding | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Collected over Adverse Events (AEs) were reported from screening (up to 28 days before dosing) up to Follow up visit (7 days after dosing). Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Part 1a - Treatment A | 0/11 (0%) | 0/11 (0%) | 3/11 (27.3%) |
| Part 1a - Treatment B | 0/11 (0%) | 0/11 (0%) | 5/11 (45.5%) |
| Part 1a - Treatment C | 0/10 (0%) | 0/10 (0%) | 2/10 (20%) |
| Part 1b - Treatment D | 0/12 (0%) | 0/12 (0%) | 1/12 (8.3%) |
| Part 1b - Treatment E | 0/11 (0%) | 0/11 (0%) | 5/11 (45.5%) |
| Part 2 - Treatment F | 0/12 (0%) | 0/12 (0%) | 0/12 (0%) |
| Part 2 - Treatment G | 0/10 (0%) | 0/10 (0%) | 4/10 (40%) |
| Event | Part 1a - Treatment A | Part 1a - Treatment B | Part 1a - Treatment C | Part 1b - Treatment D | Part 1b - Treatment E | Part 2 - Treatment F | Part 2 - Treatment G |
|---|---|---|---|---|---|---|---|
| HeadacheNervous system disorders | 1/11 | 1/11 | 0/10 | 1/12 | 3/11 | 0/12 | 2/10 |
| diarrheaGastrointestinal disorders | 0/11 | 1/11 | 1/10 | 0/12 | 0/11 | 0/12 | 1/10 |
| nasopharyngitisInfections and infestations | 0/11 | 1/11 | 1/10 | 0/12 | 1/11 | 0/12 | 0/10 |
| visual impairmentEye disorders | 0/11 | 0/11 | 1/10 | 0/12 | 0/11 | 0/12 | 1/10 |
| DizzinessNervous system disorders | 0/11 | 0/11 | 1/10 | 0/12 | 0/11 | 0/12 | 1/10 |
| vomitingGastrointestinal disorders | 0/11 | 0/11 | 1/10 | 0/12 | 0/11 | 0/12 | 0/10 |
| abdominal disconfortGastrointestinal disorders | 0/11 | 0/11 | 0/10 | 0/12 | 0/11 | 0/12 | 1/10 |
| feeling of relaxationGeneral disorders | 0/11 | 0/11 | 0/10 | 0/12 | 0/11 | 0/12 | 1/10 |
| catheter siteGeneral disorders | 1/11 | 0/11 | 0/10 | 0/12 | 0/11 | 0/12 | 0/10 |
| pigmentation disorderSkin and subcutaneous tissue disorders | 0/11 | 1/11 | 0/10 | 0/12 | 0/11 | 0/12 | 0/10 |
Healthy Caucasian males subjects
| Age, Categorical(Participants) | Part 1a - Treatment A | Part 1a - Treatment B | Part 1a - Treatment C | Part 1b - Treatment D | Part 1b - Treatment E | Part 2 - Treatment F | Part 2 - Treatment G | Total |
|---|---|---|---|---|---|---|---|---|
| <=18 years | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Between 18 and 65 years | 11 | 11 | 10 | 12 | 11 | 12 | 10 | 77 |
| >=65 years | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Age, Continuous(years) | Part 1a - Treatment A | Part 1a - Treatment B | Part 1a - Treatment C | Part 1b - Treatment D | Part 1b - Treatment E | Part 2 - Treatment F | Part 2 - Treatment G | Total |
|---|---|---|---|---|---|---|---|---|
| Mean | 30 (21 to 38) | 32.4 (18 to 44) | 32.2 (23 to 43) | 32.6 (23 to 44) | 30.5 (18 to 42) | 30.5 (20 to 44) | 29.8 (18 to 38) | 31.1 (18 to 44) |
| Sex: Female, Male(Participants) | Part 1a - Treatment A | Part 1a - Treatment B | Part 1a - Treatment C | Part 1b - Treatment D | Part 1b - Treatment E | Part 2 - Treatment F | Part 2 - Treatment G | Total |
|---|---|---|---|---|---|---|---|---|
| Female | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Male | 11 | 11 | 10 | 12 | 11 | 12 | 10 | 77 |
| Ethnicity (NIH/OMB)(Participants) | Part 1a - Treatment A | Part 1a - Treatment B | Part 1a - Treatment C | Part 1b - Treatment D | Part 1b - Treatment E | Part 2 - Treatment F | Part 2 - Treatment G | Total |
|---|---|---|---|---|---|---|---|---|
| Hispanic or Latino | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Not Hispanic or Latino | 11 | 11 | 10 | 12 | 11 | 12 | 10 | 77 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Part 1a - Treatment A | Part 1a - Treatment B | Part 1a - Treatment C | Part 1b - Treatment D | Part 1b - Treatment E | Part 2 - Treatment F | Part 2 - Treatment G | Total |
|---|---|---|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Asian | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| White | 11 | 11 | 10 | 12 | 11 | 12 | 10 | 77 |
| More than one race | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Region of Enrollment(participants) | Part 1a - Treatment A | Part 1a - Treatment B | Part 1a - Treatment C | Part 1b - Treatment D | Part 1b - Treatment E | Part 2 - Treatment F | Part 2 - Treatment G | Total |
|---|---|---|---|---|---|---|---|---|
| United Kingdom | 11 | 11 | 10 | 12 | 11 | 12 | 10 | 77 |
PDFs hosted by the registry, ClinicalTrials.gov.
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Studies of the drug tested here: Emodepside
Drugs for Neglected Diseases