ClinicalTrials.gg
CompletedNCT05593666Updated Apr 30, 2026

A Phase II, Multicentre, Randomized, Two-arm Blinded Study to Assess the Efficacy and Safety of Two LXE408 Regimens for Treatment of Patients With Primary Visceral Leishmaniasis

A Phase 2 interventional study of LXE408 and Placebo in Primary Visceral Leishmaniasis, sponsored by Drugs for Neglected Diseases. Completed at 2 sites in India. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-30.

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

Phase
Phase 2
Study type
Interventional
Enrollment
101
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a phase II, multicentre, randomized, two-arm blinded study with an open label calibrator arm in adults and adolescents (≥12 years) with confirmed primary VL.

Read the detailed description

This study is run by DNDi with Novartis as co-development partner

02

Conditions studied

  • Primary Visceral Leishmaniasis
03

In context

Leishmaniasis, Visceral

68 studies on the registry are indexed under Leishmaniasis, Visceral; 7 are open to participants now.

This study's enrollment of 101 is below the median of 132 across 48 interventional studies indexed under Leishmaniasis, Visceral.

Browse Leishmaniasis, Visceral studies →

Lead sponsor

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.

04

Who can participate

Ages eligible
18 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

  • Male and female patients ≥ 18 years (at the time of the screening visit) who are able to comply with the study protocol. Following a favourable interim analysis result, patients ≥12 \<18 years will also be enrolled in the trial
  • Patients for whom written has been obtained (if aged 18 years and over) or signed by parent(s) or legal guardian for patients under 18 years of age. In the case of minors, assent from the child also needs to be obtained
  • Primary symptomatic VL (defined as typical parameters including, but not limited to, fever for > 2 weeks, weight loss, and splenomegaly)
  • Visualization of Leishmania amastigotes by microscopy in tissue samples (spleen or bone marrow)

Exclusion criteria

Exclusion Criteria:

  • Clinical signs of severe VL (jaundice, spontaneous bleeding, edema, ascites, coma, organ failure)
  • Laboratory abnormalities including /SGPT > 3 times , total > 1.5 times ULN, creatinine >1.5 times ULN, amylase or lipase > 1.5 times ULN, \< 6 g/dL or other abnormal laboratory parameters which, in the opinion of the investigator, may indicate severe VL
  • Patients with history of previous leishmaniasis and confirmed relapse
  • Patients with para-kala-azar dermal leishmaniasis
  • Patients with severe malnutrition (for children ≥12-\<18 years: -for-age WHO reference curves by sex, z score \< -3; for adults ≥18 years: BMI \< 16)
  • History of congenital or acquired immunodeficiency, including positive (test at screening)
  • Known to amphotericin B deoxycholate or any other constituents of AmBisome®
  • Concomitant infections such as tuberculosis, severe malaria, or any other serious underlying disease that may interfere with the disease assessment (e.g., cardiac, renal, hepatic, haematologic, and pancreatic)
  • Infection with (HBV) or virus (HCV). A positive HBV surface antigen (HBsAg) test, or if standard local practice, a positive HBV core antigen test, excludes a subject. Patients with a positive HCV antibody test should have HCV RNA levels measured. Patients with positive (detectable) HCV RNA should be excluded.
  • Pregnant or nursing (lactating) women
  • Women of who do not accept to have a pregnancy test done at screening and/or who do not agree to use highly effective while taking the drug and for 5 half-lives or 5 days, whichever is longer, after stopping the investigational drug.
  • Sexually active males unwilling to use a condom during intercourse while taking the investigational drug and for 5 half-lives or 5 days, whichever is longer, after stopping the investigational drug.
Terms in these criteria, in plain language(14)

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.

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

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.

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.

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.

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.

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.

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.

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.

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 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
101 participants (actual)

Study arms

  • Experimental
    LXE408 short regimen

    LXE408 once daily for seven days (followed by 7 days of placebo).

    Drug: LXE408 · Other: Placebo

  • Experimental
    LXE408 long regimen

    LXE408 once daily for 14 days

    Drug: LXE408

  • Active comparator
    Standard of care

    AmBisome® 10 mg/kg IV single dose (SDA)

    Drug: AmBisome®

Interventions

  • DrugLXE408

    Film-coated tablets

  • OtherPlacebo

    Placebo film-coated tablets

  • Sterile lyophilised powder in a 15 mL sterile clear glass vial

06

What researchers measure

Primary outcomes

  1. Proportion of patients with initial cure at Day 28 for LXE408

    Initial cure defined as clinical improvement of Visceral leishmaniasis (VL), absence of parasites in the spleen or bone marrow (microscopy), and no rescue therapy on or before Day 28.

    Time frame: Day 28

Secondary outcomes

  1. Proportion of patients with initial cure at Day 28 for AmBisome®

    Initial cure defined as clinical improvement of Visceral leishmaniasis (VL), absence of parasites in the spleen or bone marrow (microscopy), and no rescue therapy on or before Day 28.

    Time frame: Day 28

  2. Proportion of patients with definitive cure at Day 180 for LXE408 and AmBisome®

    Definitive cure described as initial cure at Day 28, no requirement for rescue treatment throughout the study, no death associated to VL and absence of any clinical parameters of VL at Day 180.

    Time frame: Day 180

  3. Mortality

    All-cause mortality and mortality not associated with Visceral leishmaniasis (VL)

    Time frame: Days 28 and 180

  4. Cmax for LXE408

    Maximum Observed Blood-drug Concentrations for LXE408

    Time frame: Days 1 and 7

  5. Tmax for LXE408

    Time to Reach Maximum Blood-drug Concentrations for LXE408

    Time frame: Days 1 and 7

  6. AUCtau for LXE408

    Area Under The Plasma Concentration-time Curve Over A Dosing Interval for LXE408

    Time frame: Days 1 and 7

  7. CLss/F for LXE408

    Apparent Clearance for LXE408

    Time frame: Days 1 and 7

  8. Cmax for Amphotericin B

    Maximum Observed Blood-drug Concentrations for Amphotericin B

    Time frame: Days 1 and 7

  9. AUC0-24h for Amphotericin B

    Area under the plasma concentration-time curve from time zero to 24h for Amphotericin B

    Time frame: Day 1

  10. AUC0-infinity for Amphotericin B

    Area under the plasma concentration-time curve from time zero to infinity for Amphotericin B

    Time frame: Day 1

  11. Blood parasite clearance

    Blood parasite clearance over time, as measured by quantitative polymerase chain reaction (qPCR) from blood samples at defined time points and at any suspicion of relapse during the trial.

    Time frame: Baseline and Days 1, 3, 5, 7, 10, 14, 28 and 56

  12. Proportion of patients with a positive loop-mediated isothermal amplification (LAMP) from blood samples

    Proportion of patients with a positive loop-mediated isothermal amplification (LAMP) from blood samples at defined time points and at any suspicion of relapse during the trial.

    Time frame: Baseline and Days 28 and 56

  13. Tissue parasite loads

    Tissue parasite loads, as measured by qPCR from tissue samples (spleen or bone marrow) collected at defined time points and at any suspicion of relapse during the trial.

    Time frame: Baseline and Day 28

  14. Proportion of patients with a positive loop-mediated isothermal amplification (LAMP) from tissue samples

    Proportion of patients with a positive loop-mediated isothermal amplification (LAMP) from tissue samples at defined time points and at any suspicion of relapse during the trial.

    Time frame: Baseline and Day 28

07

Study locations

2 sites
  • DrugsNeglectedD Investigational Site
    Bīhar, India
  • DrugsNeglectedD Investigational Site
    Patna, India
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Dec 2022 to primary completion in Apr 2025, 27 months.

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

Registered
Oct 20, 2022
First posted
Oct 25, 2022
StartActual
Dec 27, 2022
Primary completionActual
Apr 15, 2025
CompletionActual
Dec 22, 2025
Last update
Apr 30, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 30, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05593666
Lead sponsor
Drugs for Neglected Diseases
Responsible party
Sponsor
First posted
Oct 25, 2022
Start date
Dec 27, 2022
Primary completion
Apr 15, 2025
Completion
Dec 22, 2025
Last update
Apr 30, 2026

Oversight

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

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This study is completed, as verified in Apr 2026. 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: LXE408

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