Study to Assess Bioequivalence of 30 and 120 mg Nifurtimox Tablets in Chronic Chagas' Patients

NCT01927224 | Completed Phase 1

• 1 other identifier: 16004
• Study Type: interventional
• Target: 37
• Locations: 1 country
• Sites: 1

Brief Summary

This study will evaluate the bioequivalence as well as safety and tolerability of a novel 30 mg tablet of nifurtimox compared to the corresponding marketed 120 mg tablet in adult subjects suffering from chronic Chagas' disease when administered after a high-fat / high-calorie test meal. This study is a necessary step for the development of an age appropriate pediatric oral dosage form for the treatment of Chagas' disease in endemic countries according to the recommendations provided by current international guidelines (EMA Guideline on Clinical Development of Medicinal Products, EMA Note for Guidance on Oral Dosage Forms).

Conditions

Chagas Disease

Outcome Measures

Primary Outcomes (2)

• Area under the drug-concentration vs. time curve of nifurtimox from time 0 to the last data point [AUC(0-tn)]

  0-24 hours

• Maximum drug concentration of nifurtimox in plasma (Cmax)

  Up to 24 hours

Secondary Outcomes (1)

• Number of participants with adverse events as a measure of safety and tolerability

  Up to 8 weeks

Study Arms (2)

Nifurtimox (Group 1)

EXPERIMENTAL

Descriptive pharmacokinetic group

Drug: Nifurtimox (BAYa2502) (4 x 30 mg tablet); Drug: Nifurtimox (BAYa2502) (slurry of 4 x 30 mg tablets in tap water)

Nifurtimox (Group 2)

EXPERIMENTAL

The assessment of bioequivalence of the two formulation (30mg vs.120mg)

Drug: Nifurtimox (BAYa2502) (4 x 30 mg tablet); Drug: Nifurtimox (BAYa2502) (120 mg tablet)

Interventions

Nifurtimox (BAYa2502) (4 x 30 mg tablet) DRUG

120 mg single dose as four 30 mg tablets after a high fat, high calorie meal

Nifurtimox (Group 1); Nifurtimox (Group 2)

Nifurtimox (BAYa2502) (slurry of 4 x 30 mg tablets in tap water) DRUG

120 mg single dose as aqueous slurry in tap water produced from four 30 mg tablets; ingestion after a high fat, high calorie meal

Nifurtimox (Group 1)

Nifurtimox (BAYa2502) (120 mg tablet) DRUG

120 mg single dose as one 120 mg tablet after a high fat, high calorie meal

Nifurtimox (Group 2)

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Upon consent, women of childbearing potential must use 2 forms of highly effective contraception for the duration of the study and for 12 weeks after the last drug administration. The definition of highly effective contraception will be left at the discretion of the investigator and will be in line with ICH Topic M 3 (R2): Non-Clinical Safety Studies for the Conduct of Human Clinical Trials and Marketing Authorization for Pharmaceuticals
• Male subjects who are sterile, not sexually active or agree to use 2 forms of highly effective contraception during the study and for 12 weeks after receiving the study drug. The definition of highly effective contraception will be left at the discretion of the investigator and will be in line with ICH ICH Topic M 3 (R2): Non-Clinical Safety Studies for the Conduct of Human Clinical Trials and Marketing Authorization for Pharmaceuticals
• Male/female subject diagnosed with chronic Chagas' disease: Previous diagnosis of acute or chronic Chagas' disease by a health clinic prior to screening for the study. The diagnosis of chronic Chagas' disease may be made by clinical findings, supported by antibody titers if available. If there is a known history of acute disease, it is preferable to have documentation of parasites on the blood smear if available
• Age: 18 to 45 years (inclusive) at the first screening visit
• Body mass index (BMI): above/equal 18 and below/equal 29.9 kg / m²

You may not qualify if:

• Incompletely cured pre-existing diseases (except chronic Chagas) for which it can be assumed that the absorption, distribution, metabolism, elimination and effects of the study drugs will not be normal
• Acute Chagas'disease (During the acute phase, the parasite on a blood smear may be seen under a microscope. Different antibodies are present, depending on the course of the disease)
• Known hypersensitivity to the study drugs (active substances or excipients of the preparations)
• Unstable or uncontrolled medical condition such as hypertension or diabetes; decompensated heart failure, gastrointestinal (GI) conditions that would interfere with the absorption of the study drug (e.g. GI ulceration, peptic ulceration, GI bleeding, gastroesophageal reflux, or other GI disease affecting gastroesophageal junction), conditions that could potentially have an impact on drug metabolism ar elimination (renal, hepatic such as known hepatic or biliary abnormalities), or any clinically relevant active infections in the opinion of the investigator within 4 weeks before the screening visit e.g. clinically relevant history or presence of significant respiratory (e.g., interstitial lung disease), hematological, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, metabolic (e.g., diabetes), and dermatological or connective tissue disease
• Use of systemic or topical medicines or substances which oppose the study objectives or which might influence them within 4 weeks before the first study drug administration, e.g. an investigational drug, any drug altering gastrointestinal motility and /or gastric pH (e.g. antacids, anticholinergic, para-sympatholytics), any drug known to induce liver enzymes (e.g. dexamethasone, barbiturates, St. John's Wort \[hypericum perforatum\]), any drug known to inhibit liver enzymes (e.g. ketoconazole, macrolides)
• Clinically relevant findings in the electrocardiogram (ECG) such as a second- or third-degree AV block, prolongation of the QRS complex over 120 msec or of the QTc-interval over 450 msec
• Systolic blood pressure below 100 or above 140 mmHg (after at least 15 min supine)
• Diastolic blood pressure below 50 or above 90 mmHg (after at least 15 min supine)
• Heart rate below 45 or above 95 beats / min (after at least 15 min supine)
• Findings that would exclude the subject in the physician's judgment e.g. enlarged liver, irregular heartbeat, undiagnosed acute illness, melanoma

Sponsors & Collaborators

• Bayer: lead

Study Sites (1)

Unknown Facility

Buenos Aires, Ciudad Auton. de Buenos Aires, C1425BAB, Argentina

Location

MeSH Terms

Conditions

Chagas Disease

Interventions

Nifurtimox; Tablets

Condition Hierarchy (Ancestors)

Trypanosomiasis; Euglenozoa Infections; Protozoan Infections; Parasitic Diseases; Infections; Vector Borne Diseases

Intervention Hierarchy (Ancestors)

Nitrofurans; Nitro Compounds; Organic Chemicals; Thiazines; Sulfur Compounds; Furans; Heterocyclic Compounds, 1-Ring; Heterocyclic Compounds; Dosage Forms; Pharmaceutical Preparations

Study Officials

• Bayer Study Director

  Bayer

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 20, 2013
• First Posted: August 22, 2013
• Study Start: November 1, 2013
• Primary Completion: May 1, 2014
• Study Completion: September 1, 2014
• Last Updated: October 16, 2015

Record last verified: 2015-09

Locations

AR (1)