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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01055002
Registration number
NCT01055002
Ethics application status
Date submitted
21/01/2010
Date registered
25/01/2010
Date last updated
27/06/2011
Titles & IDs
Public title
A Pilot Study to Test Activity of Antimalarial Drugs Against an Induced Malaria Infection in Healthy Volunteers
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Scientific title
A Pilot Phase II Study of the Efficacy of Antimalarial Drugs Against Plasmodium Falciparum by Experimental Challenge With a Low Dose of Blood Stage Parasites in Healthy Male Volunteers
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Secondary ID [1]
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QP09C08
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Healthy
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Non-smokers
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - Blood stage parasite (BSP) inoculum
Active comparator: Artemether/lumefantrine tablets - Artemether (20 mg) and Lumefantrine (120 mg) tablets: Four tablets taken as a single dose twice a day with fatty food for three days (total dose of 24 tablets in 6 doses) on days 6-8
Active comparator: Atovaquone/Proguanil HCl tablets - Atovaquone (250 mg) and Proguanil HCl (100 mg) tablets: Four tablets taken as a single dose daily for 3 days (total dose of 12 tablets) on days 6-8
Treatment: Other: Blood stage parasite (BSP) inoculum
Inoculum of human red blood cells infected with falciparum malaria administered intravenously on Day 1
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Parasite clearance rates by PCR
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Assessment method [1]
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Timepoint [1]
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1-7 days after drug treatment
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Secondary outcome [1]
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Parasite growth rates by PCR
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Assessment method [1]
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Timepoint [1]
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1-6 days after inoculation
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Eligibility
Key inclusion criteria
* Males aged 18-45 years who do not live alone
* BMI within 18-30
* Understand the procedures and risks involved
* Contactable for the duration of the study
* Non-smokers and in good health
* Good venous access
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Minimum age
18
Years
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Maximum age
45
Years
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Sex
Males
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
* History of malaria
* Been in a malaria-endemic country within 12 months
* Evidence of cardiovascular risk
* Splenectomy
* History of severe allergic reactions after vaccination of infusion
* Any serious chronic illness
* Inherited genetic anomaly
* Any volunteers wishing to donate blood to the blood bank in the future
* Retinal or visual field changes
* Diagnosis of chronic severe psychiatric condition
* Hospitalisation within 5 years for psychiatric illness, suicide attempt or danger to self or others
* Receiving psychiatric drugs (some exceptions)
* Known QTc prolongation
* Family history of cardiac anomalies
* Recent or current therapy with an antibiotic or drug with potential antimalarial activity
* Known hypersensitivity to artemether or lumefantrine, atovaquone or proguanil hydrochloride or any of the excipients
* Concomitant use of any drug which is metabolised by the cytochrome enzyme CYP2D6 OR drugs that are known to prolong the QTc interval
* Use of corticosteroids, anti-inflammatory drugs, any immunomodulators or anticoagulants. Currently receiving or have previously received immunosuppressive therapy, including systemic steroids including ACTH or inhaled steroids in dosages which are associated with hypothalamicpituitary- adrenal axis suppression such as 1mg/kg/day of prednisone or its equivalent or chronic use of inhaled high potency corticosteroids
* Presence of acute infectious disease or fever
* Evidence of acute illness within the four weeks before trial prior to screening
* Significant intercurrent disease of any type, in particular liver, renal, cardiac, pulmonary, neurologic, rheumatologic, or autoimmune disease by history, physical examination, and/or laboratory studies including urinalysis
* Alcohol consumption greater than community norms
* A history of drug habituation, or any prior intravenous usage of an illicit substance
* Medical requirement for intravenous immunoglobulin or blood transfusions
* Participation in any investigational product study within the 8 weeks preceding the study
* Participation in any research study involving significant blood sampling, or blood donation to a blood bank during the 8 weeks preceding the study
* Have ever received a blood transfusion
* Positive test for HIV, Hepatitis B, hepatitis C, Human T-cell Lymphotropic Virus I & II (HTLVI & HTLVII), and syphilis
* Any clinically significant biochemical or haematologic abnormality (Hb must be =13.5g/dL)
* Ingestion of any poppy seeds within the 48 hours prior to the screening blood test
* Detection of any recreational drug listed in the urine drug screen
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Study design
Purpose of the study
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/01/2010
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/08/2010
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Sample size
Target
16
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
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Q-Pharm Clinics, Royal Brisbane and Women's Hospital - Brisbane
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Recruitment postcode(s) [1]
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4006 - Brisbane
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Funding & Sponsors
Primary sponsor type
Other
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Name
Medicines for Malaria Venture
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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Queensland Institute of Medical Research
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Address [1]
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Other collaborator category [2]
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Commercial sector/industry
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Name [2]
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Q-Pharm Pty Limited
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Address [2]
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Other collaborator category [3]
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Commercial sector/industry
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Name [3]
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Trident Clinical Research Pty Ltd
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Address [3]
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Country [3]
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a pilot study of a protocol for inducing a falciparum malaria infection in healthy volunteers in order to test the activity of novel agents being developed as drugs for the treatment of uncomplicated malaria. In this pilot study, 16 healthy male volunteers will be administered a low level malaria infection via infected human red blood cells. After 6 days they will be administered one of two registered antimalarial treatments (8 volunteers for each treatment) in order to define the rate of clearance of the infection. This information will be used to design similar future studies for the initial assessment of the efficacy of novel antimalarial drugs in development.
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Trial website
https://clinicaltrials.gov/study/NCT01055002
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Trial related presentations / publications
McCarthy JS, Sekuloski S, Griffin PM, Elliott S, Douglas N, Peatey C, Rockett R, O'Rourke P, Marquart L, Hermsen C, Duparc S, Mohrle J, Trenholme KR, Humberstone AJ. A pilot randomised trial of induced blood-stage Plasmodium falciparum infections in healthy volunteers for testing efficacy of new antimalarial drugs. PLoS One. 2011;6(8):e21914. doi: 10.1371/journal.pone.0021914. Epub 2011 Aug 22.
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Public notes
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Contacts
Principal investigator
Name
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James McCarthy, MD FRACP
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Address
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Queensland Institute of Medical Research
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01055002
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