ClinicalTrials.gg
RecruitingNCT06632600Updated Nov 10, 2026

A Study of Efficacy, Safety, Tolerability of LXE408 in Participants With Chronic Chagas Disease.

A Phase 2 interventional study of LXE408 and Placebo in Chagas Disease, sponsored by Novartis Pharmaceuticals. Recruiting at 22 sites in 4 countries. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-11-10.

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

From the registry’s dates

  • Started Apr 2025; still recruiting 1 year 6 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
130
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

This study is to investigate the ability of LXE408 to clear or reduce the level of parasites in the blood of people with chronic Chagas disease. Participants must have chronic Chagas disease without severe organ dysfunction.

Read the detailed description

This is an interventional, phase 2, PoC (Proof of Concept) randomized, participant- and investigator-blinded, controlled, parallel group study, with 4 treatment arms. The purpose of this study is to assess the efficacy (anti-parasitological activity), safety, PK (pharmacokinetics), and PD (pharmacodynamics) of LXE408 in participants with CICD (chronic indeterminate Chagas disease) and chronic Chagas disease without severe cardiac or gastrointestinal dysfunction compared to placebo and to benznidazole.

02

Conditions studied

  • Chagas Disease

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Keywords

  • LXE408
  • Chronic Chagas disease
  • Chronic indeterminate Chagas disease
  • Chronic Chagas disease without severe organ dysfunction
  • CICD
  • Chronic CD
  • Trypanosoma cruzi
03

In context

Chagas Disease

73 studies on the registry are indexed under Chagas Disease; 5 are open to participants now.

This study's planned enrollment of 130 is above the median of 87 across 49 interventional studies indexed under Chagas Disease.

Browse Chagas Disease 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.

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

04

Who can participate

Ages eligible
18 Years to 60 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

  • Male or female participants aged ≥ 18 years to ≤ 60 years old
  • Confirmed diagnosis of T. cruzi infection
  • History that participant has been determined to be in chronic phase of CD
  • Written must be obtained before any assessment is performed, and participants should express understanding of the consent form and the study
  • Participants must be considered by the investigator eligible for and able to comply with local prescribing information for benznidazole
  • Ability and willingness to communicate well with the investigator/study site and comply with requirements of the study

Exclusion criteria

Exclusion Criteria:

  • Signs (on physical examination) and/or symptoms of CD in the acute phase as determined by the investigator at screening
  • History of CD treatment with benznidazole or nifurtimox at any time in the past
  • History of and/or current (at screening) symptoms or signs (physical examination findings) of moderate or severe CD-related gastrointestinal disease
  • Participants who weigh \< 50 kg or >90kg at screening
  • At sites conducting the MRI assessments, participants may participate in the overall study, but will be excluded from the MRI assessment if they have to MRI imaging
  • Any disease during screening that, in the opinion of the investigator, would put the safety of the participant at risk through participating, or which would affect the efficacy or safety analysis if the disease/condition exacerbated during the study, or would compromise participant compliance or preclude completion of the study
  • Documented history or current findings at screening of clinically significant cardiovascular conditions such as, but not limited to: unstable ischemic heart disease; Class III/IV heart failure (due to Chagas disease or other conditions); arrhythmias
  • Known or suspected ongoing, chronic or recurrent viral, bacterial or fungal infectious diseases including but not limited to: Tuberculosis, leishmaniasis, severe malaria, atypical mycobacterial infection, listeriosis, aspergillosis, or endemic mycoses, and/or documented positivity for (HIV) infection.

    • Participants with controlled HIV on antiretroviral therapy are eligible to participate if ≥ 500 at screening
  • History of lymphoproliferative disease or any known or history of malignancy of any organ system within the past 5 years prior to screening (except for basal cell carcinoma or actinic keratosis that have been treated with no evidence of recurrence in the past 3 months, carcinoma in situ of the cervix or non-invasive malignant colon polyps that have been removed)
  • Any surgical or medical condition which might significantly alter the absorption, distribution, metabolism, or excretion of drugs, or which may jeopardize the participant during the study period

    • Pancreatic injury or pancreatitis: If any single parameter of amylase or lipase exceeds 1.5x at screening Participants with known recurrent pancreatitis (more than 1 episode in lifetime, from any cause) are excluded
    • Liver disease or liver injury as indicated by abnormal liver function tests (LFTs):

Any single parameter of , AST, alkaline phosphatase must not exceed 1.5x ULN at screening Serum must not exceed the ULN at screening elevated serum bilirubin is not excluded if there is a documented history of Gilbert's Syndrome

  • History of renal disease as indicated by creatinine level above 1.5x ULN or microalbuminuria at screening; Evidence of urinary obstruction, or difficulty in voiding at screening; evidence of congenital renal abnormalities with known effect on renal function; calculated \<60 mL/min (\<0.835 mL/s) using the CKD-EPI formula for adults

    • Participants with screening hematology parameters outside of the thresholds
    • Current use of medications prohibited by the protocol at screening and/or baseline visits, or expected use of any prohibited medication during the study treatment period
  • Use of benznidazole in the blinded arms is prohibited until unblinding occurs after all participants complete Month 12.

    • Use of other drugs at the time of study drug dosing
    • History of multiple and recurring allergies or allergy to the investigational compound/compound class being used in this study or to benznidazole
    • History of drug abuse or unhealthy alcohol use within the 12 months prior to dosing
    • Pregnant or nursing (lactating/breast-feeding) women
    • Women of , defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of during dosing and for 5 days after stopping of investigational drug and benznidazole
    • Participants who, in the opinion of the investigator, will not be able to comply with study procedures or visits, adhere to dosing schedule, or other otherwise be in compliance with study requirements

Other protocol-defined inclusion/exclusion criteria may apply.

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

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.

CD4 count

The number of CD4 cells, a type of white blood cell, in a given amount of blood. It is used to follow how well the immune system is doing in HIV.

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.

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.

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.

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
130 participants (estimated)

Study arms

  • Experimental
    LXE408 28 days

    LXE408 administered by oral route

  • Experimental
    LXE408 14 days and Placebo 14 days

    LXE408 administered by oral route, followed by Placebo administered by oral route

    Drug: LXE408 · Drug: Placebo

  • Placebo comparator
    Placebo 28 days

    Placebo administered by oral route

    Drug: Placebo

  • Active comparator
    Benznidazole 60 days

    Benznidazole administered by oral route

    Drug: Benznidazole

Interventions

  • DrugLXE408

    LXE408 administered by oral route

  • DrugPlacebo

    Placebo administered by oral route

  • Benznidazole administered by oral route (administered as standard of care)

06

What researchers measure

Primary outcomes

  1. Presence or absence of sustained parasitological clearance using polymerase chain reaction (PCR) results over 6 months - LXE408 28 days versus placebo.

    The parasitological load will be measured using polymerase chain reaction (PCR) at 2 months, 4 months, and at 6 months. At each timepoint, multiple samples are evaluated. The participant will be considered negative at a visit if the parasite is not detectable in all samples at a visit and positive if the parasite level is detectable in at least one sample. Sustained parasitological clearance is achieved if participant is negative at all 3 visits.

    Time frame: At Months 2, 4, and 6

Secondary outcomes

  1. Presence or absence of sustained parasitological clearance using polymerase chain reaction (PCR) results over 6 months - LXE408 -14 days versus placebo

    The parasitological load will be measured using polymerase chain reaction (PCR) at 2 months, 4 months, and at 6 months. At each timepoint, multiple samples are evaluated. The participant will be considered negative at a visit if the parasite is not detectable in all samples at a visit and positive if the parasite level is detectable in at least one sample. Sustained parasitological clearance is achieved if participant is negative at all 3 visits.

    Time frame: At Months 2, 4, and 6

  2. Presence or absence of sustained parasitological clearance using polymerase chain reaction (PCR) results over 6 months-LXE408 - 28 days and 14 days versus benznidazone

    The parasitological load will be measured using polymerase chain reaction (PCR) at 2 months, 4 months, and at 6 months. At each timepoint, multiple samples are evaluated. The participant will be considered negative at a visit if the parasite is not detectable in all samples at a visit and positive if the parasite level is detectable in at least one sample. Sustained parasitological clearance is achieved if participant is negative at all 3 visits.

    Time frame: At Months 2, 4, and 6

  3. Presence or absence of early parasitological clearance

    The parasitological load will be measured using polymerase chain reaction (PCR). The participant will be considered negative at a visit if the parasite is not detectable in all samples at a visit and positive if the parasite level is detectable in at least one sample.

    Time frame: At Day 7, 14 and 28

  4. Presence or absence of sustained parasitological clearance over 12 months by PCR testing

    The parasitological load will be measured using polymerase chain reaction (PCR). The participant will be considered negative at a visit if the parasite is not detectable in all samples at a visit and positive if the parasite level is detectable in at least one sample. Sustained parasitological clearance is achieved if participant is negative at all subsequent visits.

    Time frame: 12 Months

  5. Time to parasitological clearance based on serial PCR testing

    Time to parasitological clearance based on PCR by treatment will be estimated using the Kaplan-Meier approach.

    Time frame: 12 Months

  6. Presence or absence of seroreversion using conventional serology

    Seroreversion as measured by conventional serology will be evaluated at 6 and 12-month study visits. Seroreversion is determined by the proportion of participants achieving serology changes from positive at baseline to negative at each time point.

    Time frame: At Month 6 and Month 12

  7. Occurrence and severity of treatment emergent adverse events during the study

    Incidence and severity of AEs by treatment group, including changes in the vital signs, electrocardiogram and laboratory results qualifying and reported as AEs.

    Time frame: Up to 12 Months

  8. Occurrence of adverse events resulting in treatment discontinuation

    Incidence of AEs that result in treatment discontinuation.

    Time frame: Up to 12 Months

  9. Occurrence of all-cause mortality through end of study visit

    Incidence of death through the end of study visit.

    Time frame: Up to 48 Months

  10. Maximum plasma concentration (Cmax) of LXE408

    Cmax is defined as the maximum (peak) observed concentration following a dose.

    Time frame: At Day 1, 7, 14, 28

  11. Time to maximum plasma concentration (Tmax) of LXE408

    Tmax is defined as the time to reach maximum (peak) concentration following a dose.

    Time frame: At Day 1, 7, 14, 28

  12. Area under the plasma concentration-time curve from time 0 to 8 hours post-dose (AUC0-8)

    AUC0-8 will be calculated by non-compartmental methods based on LXE408 plasma concentration data.

    Time frame: At Day 1, 7, 14, 28

  13. Pre-dose concentration

    Pre-dose concentration is the observed plasma concentration that is just prior to the beginning of, or at the end of a dosing interval.

    Time frame: At Day 14 and Day 28

07

Study locations

21 of 22 sites recruiting
  • Olive View UCLA Educ and Res Ins
    Sylmar, California 91342, United States
    Recruiting
  • University of Florida Shands
    Gainesville, Florida 32610-0486, United States
    Recruiting
  • Boston Medical Center
    Boston, Massachusetts 02118, United States
    Recruiting
  • Baylor College of Medicine
    Houston, Texas 77030-3411, United States
    Recruiting
    • Gaby McLucas · Contactmclucas@bcm.edu
    • Eva Clark · Principal investigator
  • Novartis Investigative Site
    CABA, Buenos Aires C1221ADC, Argentina
    Recruiting
  • Novartis Investigative Site
    CABA, Buenos Aires C1407FWE, Argentina
    Recruiting
  • Novartis Investigative Site
    Córdoba, Córdoba Province X5016KEH, Argentina
    Recruiting
  • Novartis Investigative Site
    Caba, C1015ABO, Argentina
    Recruiting
  • Novartis Investigative Site
    Corrientes, W3400CDS, Argentina
    Recruiting
  • Novartis Investigative Site
    Formosa, P3600KGC, Argentina
    Recruiting
  • Novartis Investigative Site
    Montes Claros, Minas Gerais 39401-001, Brazil
    Recruiting
  • Novartis Investigative Site
    Recife, Pernambuco 50100-060, Brazil
    Recruiting
  • Novartis Investigative Site
    Rio de Janeiro, Rio de Janeiro 21040-360, Brazil
    Recruiting
  • Novartis Investigative Site
    Porto Alegre, Rio Grande do Sul 90601-000, Brazil
    Recruiting
  • Novartis Investigative Site
    São Caetano do Sul, São Paulo 09521-160, Brazil
    Recruiting
  • Novartis Investigative Site
    São Paulo, São Paulo 01232-010, Brazil
    Recruiting
  • Novartis Investigative Site
    Barranquilla, Atlántico 080005, Colombia
    Recruiting
  • Novartis Investigative Site
    Yopal, Casanare Department 850009, Colombia
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Novartis Investigative Site
    Bogotá, 110131, Colombia
    Recruiting
  • Novartis Investigative Site
    Bogotá, 111411, Colombia
    Recruiting
  • Novartis Investigative Site
    Floridablanca, 681017, Colombia
    Recruiting
  • Novartis Investigative Site
    San Gil, 684031, Colombia
    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.

Data sharing details ↗ · www.clinicalstudydatarequest.com

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Minor edits
Nothing that changes what the study is or who can join. Edited: verification date
2 updates, last Nov 10, 2026
Show all 2 updates
  1. Nov 10, 2026
    Minor edits only
    + 1 other change: verification date
  2. Oct 15, 2026
    Minor edits only
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06632600
Responsible party
Sponsor
First posted
Oct 9, 2024
Start date
Apr 28, 2025
Primary completion
Jul 22, 2027 (estimated)
Completion
Jan 21, 2031 (estimated)
Last update
Nov 10, 2026

Study contacts

Novartis Pharmaceuticals
Contact
novartis.email@novartis.com
1-888-669-6682
Novartis Pharmaceuticals
Contact
+41613241111

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 drug tested here: LXE408

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