ClinicalTrials.gg
CompletedNCT03660839Updated Mar 21, 2022Results posted

Study to Investigate the Clinical and Parasiticidal Activity and Pharmacokinetics of Different Doses of Artefenomel and Ferroquine in Patients With Uncomplicated Plasmodium Falciparum Malaria

A Phase 2 interventional study of Artefenomel (OZ439) and Ferroquine (SSR97193) in Plasmodium Falciparum Infection, sponsored by Sanofi. Completed at 7 sites in 5 countries. Open to participants aged 14 Years to 69 Years. Per ClinicalTrials.gov, last updated 2022-03-21.

Sponsored by Sanofi · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
140
Allocation
Randomized
Ages
14 Years to 69 Years
Sex
All
01

Study summary

Primary Objective:

To show the contribution of artefenomel (OZ439) to the clinical and parasiticidal effect of OZ439/Ferroquine (FQ) combination by analyzing exposure-response of OZ439 measured by Day 28 polymerase chain reaction (PCR)-corrected adequate clinical and parasitological response (ACPR) for the effect and the area under the curve (AUC) of OZ439 as pharmacokinetic (PK) predictor.

Secondary Objectives:

  • To evaluate the exposure-response of OZ439 combined with FQ on crude Day 28 ACPR.
  • To evaluate the dose response of OZ439 combined with FQ on PCR-corrected and crude Day 28 ACPR.
  • To evaluate the dose-response of OZ439 combined with FQ on selected secondary endpoints.
  • To evaluate the safety and tolerability of different dosages of OZ439 in combination with FQ and FQ alone.
  • To characterize the PK of OZ439 in plasma, and of FQ and its active metabolite SSR97213 in blood.
Read the detailed description

The duration of the study was up to 32 days, including up to 1 day screening period before the single-dose treatment, 5 days of post-treatment surveillance (included 2 to 4 days hospitalization) and 24±2 days follow-up period.

02

Conditions studied

  • Plasmodium Falciparum Infection
03

In context

Lead sponsor

Sanofi is the lead sponsor of 1,557 studies on the registry; 91 are open to participants now.

Of its 205 completed or terminated interventional studies of FDA-regulated products, 123 (60%) have results posted.

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

04

Who can participate

Ages eligible
14 Years to 69 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

Participants (14-69 years old inclusive) with body weight within 35 and 90 kilograms (kg), with uncomplicated Plasmodium falciparum (P. falciparum) malaria, with a fever as defined with axillary temperature greater than or equal to (>=) 37.5 degree Celsius (°C) or oral/ rectal/ tympanic temperature >=38°C or history of fever in the previous 24 hours (history of fever was documented), with a mono-infection with P. falciparum and parasitemia (microscopically, blood smear) >= 3,000 and less than or equal to (\<=) 50,000 asexual parasites per microliter of blood.

Exclusion criteria

Exclusion criteria:

  • Presence of severe malaria.
  • Known history or evidence of gastrointestinal, cardiovascular, hepatic, renal, hematological, respiratory, endocrine, immunological, infectious, neurological (in particular convulsions), , psychiatric disease or symptoms which, in the judgment of the investigator, might confuse the interpretation of the safety information.
  • Severe vomiting defined as more than 3 times in the 24 hours prior to enrollment in the study or inability to tolerate oral treatment or severe diarrhea defined as 3 or more watery stools per day.
  • Severe malnutrition defined as a of less than 16 kg per meter square for adults and for children Z-score less than (\<) -3 or weight for age (%) of the median \<60.
  • Splenectomized participants or presence of surgical scar on left hypochondrium.
  • Known history of , allergic, or anaphylactoid reactions to FQ or other amino quinolines or to OZ439 or OZ277 or any of the .
  • Participant treated with anti-malarial treatment:
  • With piperaquine phosphate-based compound, mefloquine, naphthoquine or sulphadoxine/pyrimethamine within the previous 6 weeks.
  • With amodiaquine or chloroquine within the previous 4 weeks.
  • With quinine, halofantrine, lumefantrine-based compounds and any other anti-malarial treatment or antibiotics with antimalarial activity (including cotrimoxazole, tetracyclines, quinolones and fluoroquinolones, and azithromycin) within the past 14 days.
  • With any herbal products or traditional medicines, within the past 7 days.
  • Previous treatment within 5 times the half-life or within the last 14 days, whichever the longest, which were: strong Cytochrome P450 (CYP) 2C or inhibitors and/or moderate inhibitors but inhibiting both CYP2C and CYP3A and/or CYP inducers.
  • Any treatment known to induce a prolongation of .
  • Participated in any trial investigating OZ439 and/or FQ compounds.
  • Previous participation in any malaria vaccine study or received malaria vaccine in any other circumstance.
  • Enrolled in another clinical trial within the past 4 weeks or during the study period.
  • Mixed Plasmodium infection.
  • Presence of Hepatitis A - immunoglobulin, surface antigen or virus antibody and/or known to had active Hepatitis C virus ribonucleic acid.
  • Laboratory parameters with abnormalities deemed clinically significant by the investigator.
  • Abnormal Liver Function Test: aspartate transferase greater than (>) 2 (ULN), or alanine transferase >2 ULN or total >1.5 ULN.
  • Positive pregnancy test at study screening for female participants of .
  • QT interval corrected using Fridericia formula (QTcF) >450 milliseconds at screening or pre-dose.
  • Hypokalemia (\<3.5 millimoles per liter [mmol/L]), hypocalcemia (\<2.0 mmol/L) or hypomagnesemia (\<0.5 mmol/L) at screening or pre-dose.
  • Family history of sudden death or of congenital prolongation of the QT interval or known congenital prolongation of the QT-interval or any clinical condition known to prolong the QT interval e.g., participants with a history of symptomatic cardiac arrhythmias including atrial fibrillation or with clinically relevant bradycardia.
  • Participant not suitable for participation, whatever the reason, as judged by the Investigator, included medical or clinical conditions, or participants potentially at risk of noncompliance to study procedures or unable to drink.

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

Terms in these criteria, in plain language(12)

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.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

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.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

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.

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.

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.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

05

Study design

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

Study arms

  • Experimental
    Ferroquine 400 milligram (mg)

    On Day 0, participants received orally a single dose of FQ 400 mg (4 capsules of 100 mg) in fasted condition.

    Drug: Ferroquine (SSR97193)

  • Experimental
    Ferroquine 400 mg + Artefenomel 300 mg

    On Day 0, participants received orally a single dose of FQ 400 mg (4 capsules of 100 mg) in fasted condition followed by OZ439 300 mg oral suspension.

    Drug: Artefenomel (OZ439) · Drug: Ferroquine (SSR97193)

  • Experimental
    Ferroquine 400 mg + Artefenomel 600 mg

    On Day 0, participants received orally a single dose of FQ 400 mg (4 capsules of 100 mg) in fasted condition followed by OZ439 600 mg oral suspension.

    Drug: Artefenomel (OZ439) · Drug: Ferroquine (SSR97193)

  • Experimental
    Ferroquine 400 mg + Artefenomel 1000 mg

    On Day 0, participants received orally a single dose of FQ 400 mg (4 capsules of 100 mg) in fasted condition followed by OZ439 1000 mg oral suspension.

    Drug: Artefenomel (OZ439) · Drug: Ferroquine (SSR97193)

Interventions

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With Polymerase Chain Reaction (PCR)-Corrected Adequate Clinical and Parasitological Response (ACPR) at Day 28 (ACPR28)

    ACPR:absence of parasitemia at Day 28, irrespective of axillary temperature(AT), participants not meeting any criteria of early therapy failure(ETF):Danger signs(DS)/symptoms of complicated(SoC)/severe malaria(SM) at Day 1, 2 or 3 in presence of parasitemia, concomitant to at least 1 positive parasitemia;or parasitemia on Day 2 \>Day 0 irrespective of AT;or parasitemia on Day 3 with AT\>=37.5 degree Celsius (°C);or parasitemia count on Day 3 \>=25 percent (%) on Day 0, or late clinical failure (LCF):DS/SM in presence of parasitemia between Day 4 and 28,concomitant to at least one positive parasitemia;or presence of parasitemia and AT\>=37.5°C on Day 4 to Day 28, or late parasitological failure(LPF):presence of parasitemia between Day 7 and 28 and AT\<37.5°C and without rescue therapy. PCR-corrected ACPR applied to recrudescence (appearance of asexual parasites after clearance of initial infection with genotype identical to that present at Baseline), excluding participants with reinfection.

    Time frame: Day 28

Secondary outcomes

  1. Percentage of Participants With Crude Adequate Clinical and Parasitological Response at Day 28

    ACPR: absence of parasitemia at Day 28, irrespective of AT, in participants not meeting any criteria of ETF: DS/SoC/SM at Day 1, 2 or 3 in presence of parasitemia, concomitant to at least 1 positive parasitemia; or parasitemia on Day 2 \> Day 0 irrespective of AT; or parasitemia on Day 3 with AT \>=37.5°C; or parasitemia count on Day 3 \>=25% on Day 0, or LCF: DS/SM in presence of parasitemia between Day 4 and 28, concomitant to at least one positive parasitemia; or presence of parasitemia and AT\>=37.5°C on Day 4 to Day 28, or LPF: presence of parasitemia between Day 7 and 28 and AT\<37.5°C or having rescue therapy for malaria. PCR-corrected ACPR applied to recrudescence (appearance of asexual parasites after clearance of initial infection with genotype identical to that present at Baseline), excluding participants with re-infection, whereas crude ACPR does not distinguish reinfection (new clone of parasite) or recrudescence.

    Time frame: Day 28

  2. Parasitemia: Change From Baseline in Number of Parasites Per Microliter of Blood at 6, 12, 18, 24, 30, 36, 48, 72, 96, 120, 144 and 168 Hours

    Parasitemia (quantitative content of parasites present in the blood) at baseline until Day 7 (i.e. 168 hours) was assessed by optical microscope.

    Time frame: Baseline, 6, 12, 18, 24, 30, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

  3. Observed Parasite Reduction Ratio (PRR) at 24 Hours, 48 Hours, and 72 Hours

    The observed PRR was defined as the ratio of the number of parasites at time t=0 (baseline) divided by the parasite count at each specified time t (post-treatment). If the post dose parasite count = 0 (due to a negative parasitemia) then a value of 1 parasite per microliter was imputed to allow a parasite reduction ratio calculation.

    Time frame: Baseline, 24, 48 and 72 hours post-dose

  4. Time to 50% and 99% Parasite Reduction

    Time to 50% and 99% parasite reduction was defined as time needed for the parasitemia (quantitative content of parasites present in blood) to be reduced to 50% and 99% of the initial value, respectively.

    Time frame: Up to Day 28

  5. Parasite Clearance Time (PCT)

    PCT was defined as the time (in hours) from the start of study drug administration until the time of first negative blood film (no asexual parasites by microscopy). This first negative film was confirmed by a second negative film which was taken \>=6 to \<=12 hours of the first film. If the second film was performed \<6 hours or \>12 hours of the first film, then the parasite clearance was confirmed or invalidated by the third (thick) film following the second one, whatever the timing of this third film: If the third film was negative, then the clearance was considered confirmed and if the third film was positive, then the clearance was invalidated. Kaplan-Meier method was used for the estimation.

    Time frame: From the start of study drug administration up to the time of the first negative blood film (up to Day 28)

  6. Parasite Clearance Rate

    Parasite clearance rate (k) is the minus slope of the natural logarithm parasitemia versus time linear relationship, after exclusion of outliers, lag phase and Tail, using the worldwide antimalarial resistance network, Parasite Clearance Estimator.

    Time frame: Up to Day 28

  7. Time to Re-emergence

    Time to re-emergence (in days) was defined as the time to appearance of asexual parasites after clearance of initial infection irrespective of genotype. Re-emergence was confirmed by microscopy (positive blood smear). Participants with confirmed parasite clearance were included in the analysis and Kaplan-Meier method was used for estimation.

    Time frame: Up to Day 28

  8. Time to Recrudescence

    Time to recrudescence (in days) was defined as the time to appearance of asexual parasites after clearance of initial infection with a genotype identical to that of parasites present at Baseline. Recrudescence was confirmed by PCR analysis. Participants with confirmed parasite clearance were included in the analysis and Kaplan-Meier method was used for estimation.

    Time frame: Up to Day 28

  9. Time to Re-infection

    Time to re-infection (in days) was defined as the time to appearance of asexual parasites after clearance of initial infection with a genotype that differed from that of parasites present at Baseline. Re-infection was confirmed by PCR analysis. Participants with confirmed parasite clearance were involved in the analysis and Kaplan-Maier method was used for estimation.

    Time frame: Up to Day 28

  10. Time Elapsed Below the Limit of Quantification (LOQ) of Parasitemia

    The time elapsed below LOQ (LOQ expressed in parasites/microliter) of parasitemia (quantitative content of parasites present in the blood) was defined as the time (in days) for which no parasites were seen i.e., time corresponding to PCT, up to the time of occurrence of a new malaria infection or recrudescence. If there was no occurrence of a new malaria infection or recrudescence, then this was the time corresponding to the first negative thick blood film, until the end of study. PCT (k) is the minus slope of the natural logarithm parasitemia versus time linear relationship, after exclusion of outliers, lag phase and Tail, using the worldwide antimalarial resistance network, Parasite clearance estimator. Participants with confirmed parasite clearance were involved in the analysis and Kaplan-Meier method was used for estimation.

    Time frame: Up to Day 28

  11. Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Adverse Event of Special Interest (AESI)

    An AE was defined as any untoward medical occurrence in a participant who received study drug and did not necessarily had to have a causal relationship with the treatment. SAEs were any untoward medical occurrence that resulted in any of the following outcomes: death, life-threatening, required initial or prolonged in-patient hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect, or considered as medically important event. TEAEs were defined as AEs that developed or worsened or became serious during on-treatment phase that was defined as the time from the start of study drug up to the Day 28. AE of special interest (AESI) was an AE (serious or non-serious) of scientific and medical concern specific to the Sponsor's product or program, for which ongoing monitoring and immediate notification by the Investigator to the Sponsor was required.

    Time frame: From Baseline up to Day 28

  12. Pharmacokinetics (PK): Concentration of OZ439 in Plasma

    Concentrations of OZ439 in plasma was analyzed by liquid chromatography tandem mass spectroscopy (LC-MS/MS). The lower limit of quantification (LLOQ) was 1 nanograms per milliliter for analysis of OZ439. Data for this outcome measure was not planned to be collected and analyzed for "Ferroquine 400 mg" arm, since artefenomel was not administered.

    Time frame: 1, 2, 4, 6, 12, 24, 48, 72, 120, 168 and 336 hours post-dose

  13. Pharmacokinetics: Concentration of FQ and Its Active Metabolite SSR97213 in Blood

    Concentrations of FQ and SSR97213 in blood was analyzed by LC-MS/MS. The LLOQ was 5 nanograms per milliliter for analysis of FQ and SSR97213.

    Time frame: 1, 4, 6, 8, 12, 24, 72, 168, 336 and 672 hours post-dose

  14. Pharmacokinetics: Maximum Observed Plasma Concentration (Cmax) of Artefenomel

    Cmax is the maximum observed plasma concentration of Artefenomel. Data for this outcome measure was not planned to be collected and analyzed for "Ferroquine 400 mg" arm, since artefenomel was not administered.

    Time frame: Pre-dose, 1, 2, 4, 6, 12, 24, 48, 72, 120, 168 and 336 hours post-dose

  15. Pharmacokinetics: Time to Reach Maximum Plasma Concentration (Tmax) of Artefenomel

    tmax is the time taken by the drug to reach the maximum plasma concentration. Data for this outcome measure was not planned to be collected and analyzed for "Ferroquine 400 mg" arm, since artefenomel was not administered.

    Time frame: Pre-dose, 1, 2, 4, 6, 12, 24, 48, 72, 120, 168 and 336 hours post-dose

  16. Pharmacokinetics: Plasma Concentration at 168 Hours Post-dose (C168h) of Artefenomel

    The observed plasma concentration of artefenomel post 168 hours of drug administration. Data for this outcome measure was not planned to be collected and analyzed for "Ferroquine 400 mg" arm, since artefenomel was not administered.

    Time frame: At 168 hours post-dose

  17. Pharmacokinetics: Area Under the Concentration Curve (AUC) Form Time 0 to Infinity (AUC0-inf]) of Artefenomel

    Area under the plasma concentration versus time curve from time 0 to infinity. Data for this outcome measure was not planned to be collected and analyzed for "Ferroquine 400 mg" arm, since artefenomel was not administered.

    Time frame: Pre-dose, 1, 2, 4, 6, 12, 24, 48, 72, 120, 168 and 336 hours post-dose

  18. Pharmacokinetics: Terminal Half-life (t1/2) of Artefenomel

    Terminal t1/2 is defined as the time required for the plasma concentration of a drug to decrease by half of its initial concentration. Data for this outcome measure was not planned to be collected and analyzed for "Ferroquine 400 mg" arm, since artefenomel was not administered.

    Time frame: Pre-dose, 1, 2, 4, 6, 12, 24, 48, 72, 120, 168 and 336 hours post-dose

  19. Pharmacokinetics: Maximum Observed Plasma Concentration of Ferroquine and Its Active Metabolite SSR97213

    Cmax is the maximum observed plasma concentration of Ferroquine.

    Time frame: Pre-dose, 1, 4, 6, 8, 12, 24, 72, 168, 336 and 672 hours post-dose

  20. Pharmacokinetics: Time to Reach Maximum Plasma Concentration of Ferroquine and Its Active Metabolite SSR97213

    tmax is the time taken by the drug to reach the maximum plasma concentration.

    Time frame: Pre-dose, 1, 4, 6, 8, 12, 24, 72, 168, 336 and 672 hours post-dose

  21. Pharmacokinetics: Plasma Concentration at 168 Hours Post-dose of Ferroquine and Its Active Metabolite SSR97213

    The observed plasma concentration of FQ and SSR97213 post 168 hours of FQ administration.

    Time frame: At 168 hours post-dose

  22. Pharmacokinetics: Area Under the Concentration Curve Form Time 0 to Day 28 (AUC0-28) of Ferroquine and Its Active Metabolite SSR97213

    Area under the plasma concentration versus time curve from time 0 to Day 28 (i.e. 672 hours).

    Time frame: Pre-dose, 1, 4, 6, 8, 12, 24, 72, 168, 336 and 672 hours post-dose

  23. Pharmacokinetics: Area Under the Concentration Curve From Time 0 to Infinity of Ferroquine and Its Active Metabolite SSR97213

    Area under the plasma concentration versus time curve from time 0 to infinity.

    Time frame: Pre-dose, 1, 4, 6, 8, 12, 24, 72, 168, 336 and 672 hours post-dose

  24. Pharmacokinetics: Terminal Half-life of Ferroquine

    Terminal t1/2 is defined as the time required for the plasma concentration of a drug to decrease by half of its initial concentration.

    Time frame: Pre-dose, 1, 4, 6, 8, 12, 24, 72, 168, 336 and 672 hours post-dose

07

Results

Posted Dec 2, 2020

Participant flow

Study was conducted at 7 active sites in 5 countries. Total of 448 participants were screened between 11 September 2018 and 09 October 2019, of which 140 were randomized to 1 of 4 treatment arms and those who failed to meet inclusion criteria were considered as screen failure.

Participant flow — Overall Study
MilestoneFerroquine (FQ) 400 Milligram (mg)Ferroquine 400 mg + Artefenomel (OZ439) 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mg
Started35363633
Completed35363633
Not completed0000

Outcome measures

PrimaryPercentage of Participants With Polymerase Chain Reaction (PCR)-Corrected Adequate Clinical and Parasitological Response (ACPR) at Day 28 (ACPR28)

ACPR:absence of parasitemia at Day 28, irrespective of axillary temperature(AT), participants not meeting any criteria of early therapy failure(ETF):Danger signs(DS)/symptoms of complicated(SoC)/severe malaria(SM) at Day 1, 2 or 3 in presence of parasitemia, concomitant to at least 1 positive parasitemia;or parasitemia on Day 2 \>Day 0 irrespective of AT;or parasitemia on Day 3 with AT\>=37.5 degree Celsius (°C);or parasitemia count on Day 3 \>=25 percent (%) on Day 0, or late clinical failure (LCF):DS/SM in presence of parasitemia between Day 4 and 28,concomitant to at least one positive parasitemia;or presence of parasitemia and AT\>=37.5°C on Day 4 to Day 28, or late parasitological failure(LPF):presence of parasitemia between Day 7 and 28 and AT\<37.5°C and without rescue therapy. PCR-corrected ACPR applied to recrudescence (appearance of asexual parasites after clearance of initial infection with genotype identical to that present at Baseline), excluding participants with reinfection.

Time frame:
Day 28
Reported as:
Number · percentage of participants
Percentage of Participants With Polymerase Chain Reaction (PCR)-Corrected Adequate Clinical and Parasitological Response (ACPR) at Day 28 (ACPR28)
percentage of participantsFerroquine 400 mgFerroquine 400 mg + Artefenomel 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mg
Percentage of Participants With Polymerase Chain Reaction (PCR)-Corrected Adequate Clinical and Parasitological Response (ACPR) at Day 28 (ACPR28)80.8 (62.1 to 91.5)90.3 (75.1 to 96.7)90.9 (76.4 to 96.9)87.1 (71.1 to 94.9)
SecondaryPercentage of Participants With Crude Adequate Clinical and Parasitological Response at Day 28

ACPR: absence of parasitemia at Day 28, irrespective of AT, in participants not meeting any criteria of ETF: DS/SoC/SM at Day 1, 2 or 3 in presence of parasitemia, concomitant to at least 1 positive parasitemia; or parasitemia on Day 2 \> Day 0 irrespective of AT; or parasitemia on Day 3 with AT \>=37.5°C; or parasitemia count on Day 3 \>=25% on Day 0, or LCF: DS/SM in presence of parasitemia between Day 4 and 28, concomitant to at least one positive parasitemia; or presence of parasitemia and AT\>=37.5°C on Day 4 to Day 28, or LPF: presence of parasitemia between Day 7 and 28 and AT\<37.5°C or having rescue therapy for malaria. PCR-corrected ACPR applied to recrudescence (appearance of asexual parasites after clearance of initial infection with genotype identical to that present at Baseline), excluding participants with re-infection, whereas crude ACPR does not distinguish reinfection (new clone of parasite) or recrudescence.

Time frame:
Day 28
Reported as:
Number · percentage of participants
Percentage of Participants With Crude Adequate Clinical and Parasitological Response at Day 28
percentage of participantsFerroquine 400 mgFerroquine 400 mg + Artefenomel 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mg
Percentage of Participants With Crude Adequate Clinical and Parasitological Response at Day 2864.5 (46.9 to 78.9)81.8 (65.6 to 91.4)77.8 (61.9 to 88.3)78.1 (61.2 to 89)
SecondaryParasitemia: Change From Baseline in Number of Parasites Per Microliter of Blood at 6, 12, 18, 24, 30, 36, 48, 72, 96, 120, 144 and 168 Hours

Parasitemia (quantitative content of parasites present in the blood) at baseline until Day 7 (i.e. 168 hours) was assessed by optical microscope.

Time frame:
Baseline, 6, 12, 18, 24, 30, 36, 48, 72, 96, 120, 144 and 168 hours post-dose
Reported as:
Mean · parasites per microliter
Parasitemia: Change From Baseline in Number of Parasites Per Microliter of Blood at 6, 12, 18, 24, 30, 36, 48, 72, 96, 120, 144 and 168 Hours
parasites per microliterFerroquine 400 mgFerroquine 400 mg + Artefenomel 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mg
Baseline17496.0 ± 11889.5518799.6 ± 13559.1415171.9 ± 13012.5320546.8 ± 13835.31
Change from baseline at 6 hours post-dose-1349.3 ± 11331.78-96.9 ± 11699.288515.4 ± 44264.14893.2 ± 21052.27
Change from baseline at 12 hours post-dose-5721.5 ± 12441.39-11471.6 ± 13399.27-4156.6 ± 34663.71-11319.4 ± 15490.43
Change from baseline at 18 hours post-dose-9181.2 ± 11892.89-17021.4 ± 13015.29-9447.5 ± 32303.36-18281.9 ± 13796.37
Change from baseline at 24 hours post-dose-14238.4 ± 11402.25-17939.0 ± 13061.86-10674.6 ± 29868.45-19461.9 ± 14049.02
Change from baseline at 30 hours post-dose-16571.1 ± 12354.88-19110.5 ± 13556.35-13299.6 ± 17452.15-19657.5 ± 14393.75
Change from baseline at 36 hours post-dose-17036.9 ± 12307.57-18792.2 ± 13548.16-14573.9 ± 13623.86-19587.9 ± 14051.82
Change from baseline at 48 hours post-dose-17595.3 ± 12037.99-17706.1 ± 13389.25-14542.3 ± 13547.11-20327.7 ± 13739.17
Change from baseline at 72 hours post-dose-18231.8 ± 11801.65-18396.3 ± 13091.47-15333.7 ± 13382.41-20314.2 ± 13980.12
Change from baseline at 96 hours post-dose-18287.6 ± 12011.77-19024.7 ± 13200.22-15258.5 ± 13191.95-20662.0 ± 14108.54
Change from baseline at 120 hours post-dose-19280.0 ± 12145.86-19024.7 ± 13200.22-15265.3 ± 13190.14-20350.4 ± 14010.21
Change from baseline at 144 hours post-dose-18526.0 ± 11889.52-19023.3 ± 13198.28-15254.5 ± 13190.39-20029.7 ± 14121.74
Change from baseline at 168 hours post-dose-18962.8 ± 11813.20-18922.2 ± 13141.19-15268.5 ± 13388.49-20349.5 ± 14010.98
SecondaryObserved Parasite Reduction Ratio (PRR) at 24 Hours, 48 Hours, and 72 Hours

The observed PRR was defined as the ratio of the number of parasites at time t=0 (baseline) divided by the parasite count at each specified time t (post-treatment). If the post dose parasite count = 0 (due to a negative parasitemia) then a value of 1 parasite per microliter was imputed to allow a parasite reduction ratio calculation.

Time frame:
Baseline, 24, 48 and 72 hours post-dose
Reported as:
Mean · ratio
Observed Parasite Reduction Ratio (PRR) at 24 Hours, 48 Hours, and 72 Hours
ratioFerroquine 400 mgFerroquine 400 mg + Artefenomel 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mg
At Hour 24638.436 ± 2013.86095921.197 ± 11566.15205715.046 ± 9364.88927929.720 ± 12675.8348
At Hour 489709.093 ± 13987.712717594.700 ± 13521.950713120.409 ± 13182.302219328.057 ± 14392.7604
At Hour 7215655.447 ± 12806.464418069.583 ± 13409.134114561.409 ± 13657.066519125.715 ± 14516.8397
SecondaryTime to 50% and 99% Parasite Reduction

Time to 50% and 99% parasite reduction was defined as time needed for the parasitemia (quantitative content of parasites present in blood) to be reduced to 50% and 99% of the initial value, respectively.

Time frame:
Up to Day 28
Reported as:
Mean · hours
Time to 50% and 99% Parasite Reduction
hoursFerroquine 400 mgFerroquine 400 mg + Artefenomel 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mg
Time to 50% Parasite reduction14.07 ± 5.6047.74 ± 4.6367.78 ± 3.7869.47 ± 7.976
Time to 99% Parasite reduction36.92 ± 9.98819.33 ± 6.10718.34 ± 5.52322.95 ± 17.069
SecondaryParasite Clearance Time (PCT)

PCT was defined as the time (in hours) from the start of study drug administration until the time of first negative blood film (no asexual parasites by microscopy). This first negative film was confirmed by a second negative film which was taken \>=6 to \<=12 hours of the first film. If the second film was performed \<6 hours or \>12 hours of the first film, then the parasite clearance was confirmed or invalidated by the third (thick) film following the second one, whatever the timing of this third film: If the third film was negative, then the clearance was considered confirmed and if the third film was positive, then the clearance was invalidated. Kaplan-Meier method was used for the estimation.

Time frame:
From the start of study drug administration up to the time of the first negative blood film (up to Day 28)
Reported as:
Median · hours
Parasite Clearance Time (PCT)
hoursFerroquine 400 mgFerroquine 400 mg + Artefenomel 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mg
Parasite Clearance Time (PCT)56.1 (48.0 to 72.0)30.0 (30.0 to 30.0)30.0 (24.1 to 30.1)30.0 (24.0 to 30.0)
SecondaryParasite Clearance Rate

Parasite clearance rate (k) is the minus slope of the natural logarithm parasitemia versus time linear relationship, after exclusion of outliers, lag phase and Tail, using the worldwide antimalarial resistance network, Parasite Clearance Estimator.

Time frame:
Up to Day 28
Reported as:
Mean · 1 per hour
Parasite Clearance Rate
1 per hourFerroquine 400 mgFerroquine 400 mg + Artefenomel 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mg
Parasite Clearance Rate0.1956 ± 0.076270.3609 ± 0.099630.3962 ± 0.119830.3581 ± 0.12484
SecondaryTime to Re-emergence

Time to re-emergence (in days) was defined as the time to appearance of asexual parasites after clearance of initial infection irrespective of genotype. Re-emergence was confirmed by microscopy (positive blood smear). Participants with confirmed parasite clearance were included in the analysis and Kaplan-Meier method was used for estimation.

Time frame:
Up to Day 28
Reported as:
Median · days
Time to Re-emergence
daysFerroquine 400 mgFerroquine 400 mg + Artefenomel 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mg
Time to Re-emergenceNA (28.0 to NA)NA (NA to NA)NA (NA to NA)NA (NA to NA)
SecondaryTime to Recrudescence

Time to recrudescence (in days) was defined as the time to appearance of asexual parasites after clearance of initial infection with a genotype identical to that of parasites present at Baseline. Recrudescence was confirmed by PCR analysis. Participants with confirmed parasite clearance were included in the analysis and Kaplan-Meier method was used for estimation.

Time frame:
Up to Day 28
Reported as:
Median · days
Time to Recrudescence
daysFerroquine 400 mgFerroquine 400 mg + Artefenomel 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mg
Time to RecrudescenceNA (NA to NA)NA (NA to NA)NA (NA to NA)NA (NA to NA)
SecondaryTime to Re-infection

Time to re-infection (in days) was defined as the time to appearance of asexual parasites after clearance of initial infection with a genotype that differed from that of parasites present at Baseline. Re-infection was confirmed by PCR analysis. Participants with confirmed parasite clearance were involved in the analysis and Kaplan-Maier method was used for estimation.

Time frame:
Up to Day 28
Reported as:
Median · days
Time to Re-infection
daysFerroquine 400 mgFerroquine 400 mg + Artefenomel 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mg
Time to Re-infectionNA (NA to NA)NA (NA to NA)NA (NA to NA)NA (NA to NA)
SecondaryTime Elapsed Below the Limit of Quantification (LOQ) of Parasitemia

The time elapsed below LOQ (LOQ expressed in parasites/microliter) of parasitemia (quantitative content of parasites present in the blood) was defined as the time (in days) for which no parasites were seen i.e., time corresponding to PCT, up to the time of occurrence of a new malaria infection or recrudescence. If there was no occurrence of a new malaria infection or recrudescence, then this was the time corresponding to the first negative thick blood film, until the end of study. PCT (k) is the minus slope of the natural logarithm parasitemia versus time linear relationship, after exclusion of outliers, lag phase and Tail, using the worldwide antimalarial resistance network, Parasite clearance estimator. Participants with confirmed parasite clearance were involved in the analysis and Kaplan-Meier method was used for estimation.

Time frame:
Up to Day 28
Reported as:
Median · days
Time Elapsed Below the Limit of Quantification (LOQ) of Parasitemia
daysFerroquine 400 mgFerroquine 400 mg + Artefenomel 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mg
Time Elapsed Below the Limit of Quantification (LOQ) of Parasitemia25.0 (23.0 to 26.0)26.0 (26.0 to 27.0)26.5 (26.0 to 27.0)26.0 (26.0 to 27.0)
SecondaryNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Adverse Event of Special Interest (AESI)

An AE was defined as any untoward medical occurrence in a participant who received study drug and did not necessarily had to have a causal relationship with the treatment. SAEs were any untoward medical occurrence that resulted in any of the following outcomes: death, life-threatening, required initial or prolonged in-patient hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect, or considered as medically important event. TEAEs were defined as AEs that developed or worsened or became serious during on-treatment phase that was defined as the time from the start of study drug up to the Day 28. AE of special interest (AESI) was an AE (serious or non-serious) of scientific and medical concern specific to the Sponsor's product or program, for which ongoing monitoring and immediate notification by the Investigator to the Sponsor was required.

Time frame:
From Baseline up to Day 28
Reported as:
Count of participants · Participants
Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Adverse Event of Special Interest (AESI)
ParticipantsFerroquine 400 mgFerroquine 400 mg + Artefenomel 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mg
Any TEAE18212424
Any treatment-emergent SAE0010
Any treatment-emergent AESI0101
Any TEAE led to treatment discontinuation0000
Any TEAE led to death0000
SecondaryPharmacokinetics (PK): Concentration of OZ439 in Plasma

Concentrations of OZ439 in plasma was analyzed by liquid chromatography tandem mass spectroscopy (LC-MS/MS). The lower limit of quantification (LLOQ) was 1 nanograms per milliliter for analysis of OZ439. Data for this outcome measure was not planned to be collected and analyzed for "Ferroquine 400 mg" arm, since artefenomel was not administered.

Time frame:
1, 2, 4, 6, 12, 24, 48, 72, 120, 168 and 336 hours post-dose
Reported as:
Geometric mean · nanograms per milliliter
Pharmacokinetics (PK): Concentration of OZ439 in Plasma
nanograms per milliliterFerroquine 400 mg + Artefenomel 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mg
1 hour post-dose88.641 ± 104.631149.199 ± 87.153188.423 ± 82.588
2 hours post-dose269.075 ± 59.803450.218 ± 58.642655.851 ± 58.311
4 hours post-dose349.134 ± 54.880576.673 ± 54.357978.649 ± 60.263
6 hours post-dose234.375 ± 52.902478.929 ± 87.523865.581 ± 75.154
12 hours post-dose92.614 ± 60.229164.028 ± 99.433369.335 ± 85.243
24 hours post-dose17.526 ± 65.75748.257 ± 107.60584.167 ± 78.221
48 hours post-dose6.097 ± 54.49214.611 ± 95.62729.554 ± 83.028
72 hours post-dose3.224 ± 50.4068.162 ± 77.49316.665 ± 83.936
120 hours post-dose2.144 ± 39.8595.339 ± 61.8168.596 ± 77.245
168 hours post-dose1.745 ± 38.4663.408 ± 73.2325.903 ± 78.608
336 hours post-dose1.227 ± 19.4021.970 ± 66.2123.149 ± 58.029
SecondaryPharmacokinetics: Concentration of FQ and Its Active Metabolite SSR97213 in Blood

Concentrations of FQ and SSR97213 in blood was analyzed by LC-MS/MS. The LLOQ was 5 nanograms per milliliter for analysis of FQ and SSR97213.

Time frame:
1, 4, 6, 8, 12, 24, 72, 168, 336 and 672 hours post-dose
Reported as:
Geometric mean · nanograms per milliliter
Pharmacokinetics: Concentration of FQ and Its Active Metabolite SSR97213 in Blood
nanograms per milliliterFerroquine 400 mgFerroquine 400 mg + Artefenomel 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mg
1 hour post-dose: FQ36.094 ± 80.47627.214 ± 79.00021.165 ± 55.49126.599 ± 95.999
1 hour post-dose: SSR9721313.209 ± 54.03010.375 ± 15.7136.161 ± 9.5046.805 ± 28.203
4 hours post-dose: FQ64.934 ± 87.235100.569 ± 61.57879.656 ± 74.70797.007 ± 72.230
4 hours post-dose: SSR9721320.079 ± 90.35829.632 ± 49.70118.377 ± 98.31017.559 ± 68.694
6 hours post-dose: FQ69.005 ± 75.04592.657 ± 50.44984.803 ± 75.54495.062 ± 126.388
6 hours post-dose: SSR9721323.170 ± 82.87528.098 ± 53.43825.954 ± 88.48120.687 ± 70.211
8 hours post-dose: FQ64.293 ± 70.72482.639 ± 49.89178.196 ± 72.45482.990 ± 69.989
8 hours post-dose: SSR9721325.131 ± 66.94429.319 ± 48.67925.304 ± 78.82220.299 ± 63.388
12 hours post-dose: FQ50.621 ± 57.54068.384 ± 50.88759.106 ± 70.46171.743 ± 61.238
12 hours post-dose: SSR9721319.957 ± 61.85624.385 ± 48.40820.615 ± 77.73918.203 ± 64.197
24 hours post-dose: FQ44.351 ± 52.31653.211 ± 48.83447.568 ± 61.37351.250 ± 75.940
24 hours post-dose: SSR9721318.874 ± 56.41222.967 ± 55.03719.826 ± 70.90716.763 ± 69.091
72 hours post-dose: FQ25.343 ± 35.31531.161 ± 47.82931.373 ± 70.28729.792 ± 76.912
72 hours post-dose: SSR9721316.757 ± 46.03820.059 ± 45.13421.315 ± 68.36617.756 ± 82.612
168 hours post-dose: FQ16.973 ± 39.62720.524 ± 39.62521.543 ± 63.67921.322 ± 62.951
168 hours post-dose: SSR9721316.308 ± 52.30019.196 ± 46.11520.463 ± 55.58719.108 ± 62.123
336 hours post-dose: FQ10.543 ± 36.77011.678 ± 38.49012.469 ± 48.23611.263 ± 82.611
336 hours post-dose: SSR9721313.612 ± 45.48514.797 ± 46.03615.647 ± 47.97413.686 ± 72.213
672 hours post-dose: FQ6.737 ± 18.8327.623 ± 28.3487.601 ± 29.0477.342 ± 53.998
672 hours post-dose: SSR972139.751 ± 41.86210.324 ± 33.48210.977 ± 34.25112.014 ± 59.403
SecondaryPharmacokinetics: Maximum Observed Plasma Concentration (Cmax) of Artefenomel

Cmax is the maximum observed plasma concentration of Artefenomel. Data for this outcome measure was not planned to be collected and analyzed for "Ferroquine 400 mg" arm, since artefenomel was not administered.

Time frame:
Pre-dose, 1, 2, 4, 6, 12, 24, 48, 72, 120, 168 and 336 hours post-dose
Reported as:
Geometric mean · nanograms per milliliter
Pharmacokinetics: Maximum Observed Plasma Concentration (Cmax) of Artefenomel
nanograms per milliliterFerroquine 400 mg + Artefenomel 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mg
Pharmacokinetics: Maximum Observed Plasma Concentration (Cmax) of Artefenomel277.3 ± 169488.3 ± 232920.6 ± 77
SecondaryPharmacokinetics: Time to Reach Maximum Plasma Concentration (Tmax) of Artefenomel

tmax is the time taken by the drug to reach the maximum plasma concentration. Data for this outcome measure was not planned to be collected and analyzed for "Ferroquine 400 mg" arm, since artefenomel was not administered.

Time frame:
Pre-dose, 1, 2, 4, 6, 12, 24, 48, 72, 120, 168 and 336 hours post-dose

No measurements were reported for this outcome.

SecondaryPharmacokinetics: Plasma Concentration at 168 Hours Post-dose (C168h) of Artefenomel

The observed plasma concentration of artefenomel post 168 hours of drug administration. Data for this outcome measure was not planned to be collected and analyzed for "Ferroquine 400 mg" arm, since artefenomel was not administered.

Time frame:
At 168 hours post-dose
Reported as:
Geometric mean · nanograms per milliliter
Pharmacokinetics: Plasma Concentration at 168 Hours Post-dose (C168h) of Artefenomel
nanograms per milliliterFerroquine 400 mg + Artefenomel 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mg
Pharmacokinetics: Plasma Concentration at 168 Hours Post-dose (C168h) of Artefenomel0.9251 ± 1102.152 ± 2024.445 ± 165
SecondaryPharmacokinetics: Area Under the Concentration Curve (AUC) Form Time 0 to Infinity (AUC0-inf]) of Artefenomel

Area under the plasma concentration versus time curve from time 0 to infinity. Data for this outcome measure was not planned to be collected and analyzed for "Ferroquine 400 mg" arm, since artefenomel was not administered.

Time frame:
Pre-dose, 1, 2, 4, 6, 12, 24, 48, 72, 120, 168 and 336 hours post-dose
Reported as:
Geometric mean · micrograms*hour per milliliter
Pharmacokinetics: Area Under the Concentration Curve (AUC) Form Time 0 to Infinity (AUC0-inf]) of Artefenomel
micrograms*hour per milliliterFerroquine 400 mg + Artefenomel 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mg
Pharmacokinetics: Area Under the Concentration Curve (AUC) Form Time 0 to Infinity (AUC0-inf]) of Artefenomel3.269 ± 1136.46 ± 18113.05 ± 114
SecondaryPharmacokinetics: Terminal Half-life (t1/2) of Artefenomel

Terminal t1/2 is defined as the time required for the plasma concentration of a drug to decrease by half of its initial concentration. Data for this outcome measure was not planned to be collected and analyzed for "Ferroquine 400 mg" arm, since artefenomel was not administered.

Time frame:
Pre-dose, 1, 2, 4, 6, 12, 24, 48, 72, 120, 168 and 336 hours post-dose

No measurements were reported for this outcome.

SecondaryPharmacokinetics: Maximum Observed Plasma Concentration of Ferroquine and Its Active Metabolite SSR97213

Cmax is the maximum observed plasma concentration of Ferroquine.

Time frame:
Pre-dose, 1, 4, 6, 8, 12, 24, 72, 168, 336 and 672 hours post-dose
Reported as:
Geometric mean · nanograms per milliliter
Pharmacokinetics: Maximum Observed Plasma Concentration of Ferroquine and Its Active Metabolite SSR97213
nanograms per milliliterFerroquine 400 mgFerroquine 400 mg + Artefenomel 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mg
FQ80.99 ± 6179.95 ± 9372.64 ± 8882.45 ± 95
SSR9721324.58 ± 6122.65 ± 8319.14 ± 9919.76 ± 78
SecondaryPharmacokinetics: Time to Reach Maximum Plasma Concentration of Ferroquine and Its Active Metabolite SSR97213

tmax is the time taken by the drug to reach the maximum plasma concentration.

Time frame:
Pre-dose, 1, 4, 6, 8, 12, 24, 72, 168, 336 and 672 hours post-dose

No measurements were reported for this outcome.

SecondaryPharmacokinetics: Plasma Concentration at 168 Hours Post-dose of Ferroquine and Its Active Metabolite SSR97213

The observed plasma concentration of FQ and SSR97213 post 168 hours of FQ administration.

Time frame:
At 168 hours post-dose
Reported as:
Geometric mean · nanograms per milliliter
Pharmacokinetics: Plasma Concentration at 168 Hours Post-dose of Ferroquine and Its Active Metabolite SSR97213
nanograms per milliliterFerroquine 400 mgFerroquine 400 mg + Artefenomel 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mg
FQ15.86 ± 4418.32 ± 4218.69 ± 5217.83 ± 60
SSR9721316.15 ± 5116.03 ± 6815.2 ± 7814.95 ± 86
SecondaryPharmacokinetics: Area Under the Concentration Curve Form Time 0 to Day 28 (AUC0-28) of Ferroquine and Its Active Metabolite SSR97213

Area under the plasma concentration versus time curve from time 0 to Day 28 (i.e. 672 hours).

Time frame:
Pre-dose, 1, 4, 6, 8, 12, 24, 72, 168, 336 and 672 hours post-dose
Reported as:
Geometric mean · micrograms*hour per milliliter
Pharmacokinetics: Area Under the Concentration Curve Form Time 0 to Day 28 (AUC0-28) of Ferroquine and Its Active Metabolite SSR97213
micrograms*hour per milliliterFerroquine 400 mgFerroquine 400 mg + Artefenomel 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mg
FQ8.874 ± 4210.33 ± 4010.13 ± 5110.14 ± 56
SSR972138.878 ± 489.051 ± 568.483 ± 688.487 ± 71
SecondaryPharmacokinetics: Area Under the Concentration Curve From Time 0 to Infinity of Ferroquine and Its Active Metabolite SSR97213

Area under the plasma concentration versus time curve from time 0 to infinity.

Time frame:
Pre-dose, 1, 4, 6, 8, 12, 24, 72, 168, 336 and 672 hours post-dose
Reported as:
Geometric mean · micrograms*hour per milliliter
Pharmacokinetics: Area Under the Concentration Curve From Time 0 to Infinity of Ferroquine and Its Active Metabolite SSR97213
micrograms*hour per milliliterFerroquine 400 mgFerroquine 400 mg + Artefenomel 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mg
FQ15.5 ± 4717.81 ± 4316.3 ± 6316.87 ± 59
SSR9721319.58 ± 5320.09 ± 4817.94 ± 6918.32 ± 68
SecondaryPharmacokinetics: Terminal Half-life of Ferroquine

Terminal t1/2 is defined as the time required for the plasma concentration of a drug to decrease by half of its initial concentration.

Time frame:
Pre-dose, 1, 4, 6, 8, 12, 24, 72, 168, 336 and 672 hours post-dose

No measurements were reported for this outcome.

Adverse events

Collected over From Baseline up to Day 28. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Ferroquine 400 mg0/35 (0%)0/35 (0%)13/35 (37.1%)
Ferroquine 400 mg + Artefenomel 300 mg0/36 (0%)0/36 (0%)17/36 (47.2%)
Ferroquine 400 mg + Artefenomel 600 mg0/36 (0%)1/36 (2.8%)17/36 (47.2%)
Ferroquine 400 mg + Artefenomel 1000 mg0/33 (0%)0/33 (0%)22/33 (66.7%)
Most frequent serious events
Most frequent serious events
EventFerroquine 400 mgFerroquine 400 mg + Artefenomel 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mg
MalariaInfections and infestations0/350/361/360/33
Most frequent other events
Showing 10 of 13
Most frequent other events
EventFerroquine 400 mgFerroquine 400 mg + Artefenomel 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mg
VomitingGastrointestinal disorders3/353/365/3610/33
HeadacheNervous system disorders3/356/361/367/33
MalariaInfections and infestations7/356/367/366/33
PyrexiaGeneral disorders0/352/361/364/33
DizzinessNervous system disorders0/350/362/364/33
Abdominal painGastrointestinal disorders1/354/360/362/33
DiarrhoeaGastrointestinal disorders0/351/360/362/33
NauseaGastrointestinal disorders1/351/362/362/33
RhinitisInfections and infestations0/351/362/362/33
ThrombocytopeniaBlood and lymphatic system disorders2/350/360/360/33

Baseline characteristics

Analysis was performed on all randomized participants.

Age, Continuous
Age, Continuous(years)Ferroquine 400 mgFerroquine 400 mg + Artefenomel 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mgTotal
Mean25.4 ± 13.2021.8 ± 11.4920.7 ± 8.5722.2 ± 11.2822.5 ± 11.26
Sex: Female, Male
Sex: Female, Male(Participants)Ferroquine 400 mgFerroquine 400 mg + Artefenomel 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mgTotal
Female2328262097
Male128101343
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Ferroquine 400 mgFerroquine 400 mg + Artefenomel 300 mgFerroquine 400 mg + Artefenomel 600 mgFerroquine 400 mg + Artefenomel 1000 mgTotal
American Indian or Alaska Native00000
Asian00000
Native Hawaiian or Other Pacific Islander00000
Black or African American35363533139
White00000
More than one race00000
Unknown or Not Reported00101
08

Study locations

7 sites
  • Investigational Site Number 2040001
    Cotonou, Benin
  • Investigational Site Number 8540002
    Banfora, Burkina Faso
  • Investigational Site Number 8540001
    Ouagadougou, 01 BP218, Burkina Faso
  • Investigational Site Number 2660002
    Lambarene, Gabon
  • Investigational Site Number 2660001
    Libreville, B.P. 4009, Gabon
  • Investigational Site Number 4040002
    Siaya, Kenya
  • Investigational Site Number 8000001
    Tororo, Uganda
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 21, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03660839
Lead sponsor
Sanofi
Collaborators
Medicines for Malaria Venture
Responsible party
Sponsor
First posted
Sep 7, 2018
Start date
Sep 11, 2018
Primary completion
Nov 6, 2019
Completion
Nov 6, 2019
Results posted
Dec 2, 2020
Last update
Mar 21, 2022

Study contacts

Clinical Sciences & Operations
study director · Sanofi

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drugs tested here: Artefenomel · Ferroquine

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