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RecruitingNCT05750628PLATINUMUpdated Jul 30, 2025

Platform Study to Evaluate the Efficacy and Safety of Anti-malarial Agents in Patients With Uncomplicated Plasmodium Falciparum Malaria

A Phase 2 interventional study of INE963 and KAE609 (Cipargamin) in Uncomplicated Plasmodium Falciparum Malaria, sponsored by Novartis Pharmaceuticals. Recruiting at 12 sites in 6 countries. Open to participants aged 2 Years to 100 Years. Per ClinicalTrials.gov, last updated 2025-07-30.

Primary conditionMalaria, FalciparumRegistry: MalariaReclassifiedWhy we changed it
Registry
Malaria — the first condition term the registry derived for this study.
ClinicalTrials.gg
Malaria, Falciparum
Why
  1. The study's listed conditions name Malaria, Falciparum, a narrower term within Malaria.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Novartis Pharmaceuticals (part of Novartis) · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jun 2026, 5 months ago, but the record still lists the study as recruiting.
  • Started Jan 2024; still recruiting 2 years 9 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
327
Allocation
Randomized
Ages
2 Years to 100 Years
Sex
All
01

Study summary

Platform study to evaluate the efficacy and safety of anti-malarial agents in patients with uncomplicated Plasmodium falciparum malaria

Read the detailed description

The purpose of this platform study is to evaluate the parasiticidal effect and potential for cure with different anti-malarial agents administered as monotherapy and/or in combination therapy with other anti-malarial agents in adults, adolescents, and children with uncomplicated Plasmodium falciparum malaria. Additionally, the safety, tolerability, and pharmacokinetics of these anti-malarial agents will be evaluated for dose selection for future studies.

02

Conditions studied

  • Uncomplicated Plasmodium Falciparum Malaria

Browse trials for

Keywords

  • malaria
  • uncomplicated malaria
  • Plasmodium falciparum
  • platform study
  • PLATINUM
03

In context

Malaria, Falciparum Reclassified

455 studies on the registry are indexed under Malaria, Falciparum; 37 are open to participants now.

This study's planned enrollment of 327 is above the median of 126 across 376 interventional studies indexed under Malaria, Falciparum.

Browse Malaria, Falciparum studies →

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,718 studies on the registry; 221 are open to participants now.

Of its 585 completed or terminated interventional studies of FDA-regulated products, 438 (75%) have results posted.

Compared within Malaria, Falciparum, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Malaria. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
2 Years to 100 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

  1. Male and female patients ≥18 years of age for Part A, ≥12 years of age for Part B and 2 to \<12 years of age for Part C at screening.
  2. Patients must have acute uncomplicated P. falciparum malaria mono infection at screening confirmed by a parasite count between 5,000 to 150,000 asexual parasite count/μl of blood for P. falciparum for Part A and between 1,000 to 150,000 asexual parasite count/μl of blood for Parts B and C.
  3. Patients in Part A must weigh between 40 kg and 90 kg. Patients in Part B must weigh between 35 kg and 90 kg at screening. Patients in Part C must weigh at least 10 kg at screening.
  4. Axillary temperature ≥ 37.5ºC or oral/tympanic/rectal temperature ≥ 38.0ºC; or history of fever during the previous 24 hours.

Exclusion criteria

Exclusion Criteria:

  1. Patients with signs and symptoms of severe/complicated malaria at screening or mixed Plasmodium infection (i.e., infection with more than one malaria species) at screening
  2. Moderate to severe anemia, chronic hemoglobinopathy ( level \< 8 g/dL), or known chronic underlying disease such as sickle cell disease at screening
  3. Known liver disease (e.g., chronic hepatitis, liver cirrhosis (compensated or decompensated), history of or C, hepatitis A or B vaccination in the last 3 months, known gallbladder or bile duct disease, acute or chronic pancreatitis. Clinical or laboratory evidence of any of the following at screening:

    • /ALT > 3 x the (ULN), regardless of the level of total
    • AST/ALT > 1.5 and ≤ 2 x ULN and total bilirubin is > ULN
    • Total bilirubin > 2 x ULN, regardless of the level of AST/ALT
  4. Any known/suspected or immunodeficient condition, including (HIV) infection at screening.
  5. Pregnant or nursing (lactating) women, women of , defined as all women physiologically capable of becoming pregnant, unless they are using methods of effective , and sexually active patients not willing to practice effective contraception.
  6. History or current diagnosis of abnormalities indicating significant risk of safety for patients participating in the study such as:

    • Concomitant clinically significant cardiac arrhythmias, e.g., sustained ventricular tachycardia, and clinically significant second or third degree AV block without a pacemaker
    • History of familial long syndrome or known family history of Torsades de Pointe.
    • Resting heart rate (physical exam or 12 lead ECG) \< 50 bpm

Other protocol-defined inclusion/exclusion criteria may apply.

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.

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.

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.

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

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.

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.

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.

QT and QTc

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

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

05

Study design

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

Study arms

  • Experimental
    Cohort A1: Dose Level 1 INE963

    Cohort A1: Dose Level 1 INE963

    Drug: INE963

  • Experimental
    Cohort A1: Dose Level 2 INE963

    Cohort A1: Dose Level 2 INE963

    Drug: INE963

  • Experimental
    Cohort A1: Dose Level 3 INE963

    Cohort A1: Dose Level 3 INE963

    Drug: INE963

  • Experimental
    Cohort B1: Cipargamin + INE963

    Cohort B1: Cipargamin + INE963

    Drug: KAE609 (Cipargamin)

  • Active comparator
    Cohort B1: SoC (Coartem)

    Cohort B1: SoC (Coartem)

    Drug: SoC (Coartem)

  • Experimental
    Cohort B2: Cipargamin + KLU156

    Cohort B2: Cipargamin + KLU156

    Drug: KAE609 (Cipargamin) · Drug: KLU156

  • Active comparator
    Cohort B2: SoC (Coartem)

    Cohort B2: SoC (Coartem)

    Drug: SoC (Coartem)

  • Experimental
    Cohort C2: Cipargamin + KLU156

    Cohort C2: Cipargamin + KLU156

    Drug: KAE609 (Cipargamin) · Drug: KLU156

  • Active comparator
    Cohort C2: SoC (Coartem)

    Cohort C2: SoC (Coartem)

    Drug: SoC (Coartem)

  • Experimental
    Cohort A1: Dose Level 4 INE963

    Cohort A1: Dose level 4 INE963

    Drug: INE963

Interventions

06

What researchers measure

Primary outcomes

  1. Part A: parasite clearance time (PCT)

    Part A: To assess the parasite clearance time (PCT) of oral doses of an anti-malarial agent administered as monotherapy in patients with uncomplicated P. falciparum malaria. PCT is defined as the time from the first positive blood slide at inclusion to the time of the first negative slide followed by two consecutive slides.

    Time frame: up to Day 7

  2. Part B and C: polymerase chain reaction (PCR) corrected adequate clinical and parasitological response (ACPR)

    Part B and C: To assess the 28-day cure rate of an anti malarial agent administered orally as combination therapy versus the standard of care (SoC) in patients with uncomplicated P. falciparum malaria. ACPR is defined as the absence of parasitemia on Study Day 29 irrespective of axillary temperature, without previously meeting any of the criteria of Early Treatment Failure (ETF) or Late Clinical Failure (LCF) or Late Parasitological Failure (LPF).

    Time frame: Day 29

Secondary outcomes

  1. Part A: PCR-corrected and uncorrected ACPR

    Part A: To assess the 28-day cure rate of an anti malarial agent administered orally as monotherapy in patients with uncomplicated P. falciparum malaria

    Time frame: Day 29

  2. Parts B and C: PCT

    Part B and C: To assess the parasite clearance time (PCT) of oral combinations of anti malarial agents versus the standard of care (SoC) in patients with uncomplicated P. falciparum malaria

    Time frame: up to Day 7

  3. Parts B and C: PCR-uncorrected ACPR

    Part B and C: To assess the 28-day cure rate of an anti malarial agent administered orally as combination therapy versus the SoC in patients with uncomplicated P. falciparum malaria

    Time frame: Day 29

  4. Area under the concentration-time curve from time zero to the last measurable concentration sampling time (AUClast) of the anti-malarial agents (wherever possible)

    To characterize the pharmacokinetics (PK) of each anti-malarial agent administered orally as monotherapy \[Part A\] and/or as combination therapy \[Parts B and C\] in patients with uncomplicated P. falciparum malaria. AUClast is the area under the curve (AUC) from time zero to the last measurable concentration sample time (tlast)

    Time frame: Day 22

  5. Area under the concentration-time curve from time zero to infinity (AUCinf) of the anti-malarial agents (wherever possible)

    To characterize PK of each anti-malarial agent administered orally as monotherapy \[Part A\] and/or as combination therapy \[Parts B and C\] in patients with uncomplicated P. falciparum malaria. AUCinf is the AUC from time zero to infinity.

    Time frame: Day 22

  6. Maximum observed concentration (Cmax) of the anti-malarial agents

    To characterize PK of each anti-malarial agent administered orally as monotherapy \[Part A\] and/or as combination therapy \[Parts B and C\] in patients with uncomplicated P. falciparum malaria. Cmax is the maximum (peak) observed plasma, blood, serum, or other blood fluid drug concentration after single dose administration.

    Time frame: Day 22

  7. Time to reach maximum observed concentration (Tmax)

    To characterize PK of each anti-malarial agent administered orally as monotherapy \[Part A\] and/or as combination therapy \[Parts B and C\] in patients with uncomplicated P. falciparum malaria. Tmax is the time to reach maximum (peak) plasma, blood, serum, or other body fluid drug concentration after single dose administration.

    Time frame: Day 22

  8. Elimination half-life (T1/2) of the anti-malarial agents (wherever possible)

    To characterize PK of each anti-malarial agent administered orally as monotherapy \[Part A\] and/or as combination therapy \[Parts B and C\] in patients with uncomplicated P. falciparum malaria. T1/2 is the elimination half-life associated with the terminal slope of a semi-logarithmic concentration-time curve.

    Time frame: Day 22

  9. Total body clearance (CL/F) of the anti-malarial agents (wherever possible)

    To characterize PK of each anti-malarial agent administered orally as monotherapy \[Part A\] and/or as combination therapy \[Parts B and C\] in patients with uncomplicated P. falciparum malaria. Cl/F is the total body clearance of drug from the plasma.

    Time frame: Day 22

  10. Apparent volume of distribution (V/F) of the anti-malarial agents (wherever possible)

    To characterize PK of each anti-malarial agent administered orally as monotherapy \[Part A\] and/or as combination therapy \[Parts B and C\] in patients with uncomplicated P. falciparum malaria. V/F is the apparent volume of distribution during terminal phase.

    Time frame: Day 22

  11. Incidence and severity of Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Incidence and severity of AEs and SAEs by treatment group, including changes in vital signs, electrocardiograms (ECGs), and laboratory results qualifying and reported as AEs.

    Time frame: Day 43

07

Study locations

12 of 12 sites recruiting
  • Novartis Investigative Site
    Banfora, Burkina Faso
    Recruiting
  • Novartis Investigative Site
    Nanoro, BP 18, Burkina Faso
    Recruiting
  • Novartis Investigative Site
    Abidjan, 13BP972, Côte d’Ivoire
    Recruiting
  • Novartis Investigative Site
    Azaguié, BP 173, Côte d’Ivoire
    Recruiting
  • Novartis Investigative Site
    Lambaréné, BP 242, Gabon
    Recruiting
  • Novartis Investigative Site
    Libreville, BP 1437, Gabon
    Recruiting
  • Novartis Investigative Site
    Kintampo, 92037, Ghana
    Recruiting
  • Novartis Investigative Site
    Navrango, VWJ6+8WF, Ghana
    Recruiting
  • Novartis Investigative Site
    Ahero, Kisumu County 40100, Kenya
    Recruiting
  • Novartis Investigative Site
    Kisumu, 40100, Kenya
    Recruiting
  • Novartis Investigative Site
    Kampala, Uganda
    Recruiting
  • Novartis Investigative Site
    Tororo, 10102, Uganda
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 30, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05750628
Responsible party
Sponsor
First posted
Mar 2, 2023
Start date
Jan 23, 2024
Primary completion
Jun 9, 2026 (estimated)
Completion
Jun 23, 2026 (estimated)
Last update
Jul 30, 2025

Study contacts

Novartis Pharmaceuticals
Contact
novartis.email@novartis.com
+41613241111
Novartis Pharmaceuticals
Contact

Oversight

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

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Studies of the drugs tested here: INE963 · NITD 609 · KLU156

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