Efficacy and Safety of Fexinidazole in Patients With Stage 1 or Early Stage 2 Human African Trypanosomiasis (HAT) Due to T.b. Gambiense: a Prospective, Multicentre, Open-label Cohort Study, plug-in to the Pivotal Study
1 other identifier
interventional
230
1 country
1
Brief Summary
The purpose of this study is to demonstrate the treatment success of fexinidazole, at one year follow-up visit, in HAT stage 1 and early stage 2 patients.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Apr 2014
Typical duration for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 30, 2014
CompletedFirst Submitted
Initial submission to the registry
May 15, 2014
CompletedFirst Posted
Study publicly available on registry
June 23, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 9, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
April 25, 2017
CompletedJune 24, 2020
June 1, 2020
2.4 years
May 15, 2014
June 23, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Outcome (success or failure) at the test of cure (ToC) visit 12 months after the end of treatment (EOT).
12 months after end of treatment (day 11)
Secondary Outcomes (1)
Success or failure at each visit between the End of treatment and 18 months visit.
End of treatment (day 11) to last follow-up visit (18 months)
Other Outcomes (1)
Safety
From signature of informed consent to 18 months Follow up visit
Study Arms (1)
Fexinidazole
EXPERIMENTALInterventions
Eligibility Criteria
You may qualify if:
- Signed informed consent
- years old or more
- Male or female
- Ability to ingest at least one complete meal per day (or at least one Plumpy'Nut® sachet)
- Karnofsky index \> 50
- Presence of trypanosomes in blood or lymph
- Absence of trypanosomes in CSF
- Permanent address and ability to comply with the follow-up visit schedule
- Patient agreeing to be hospitalized to receive the treatment
You may not qualify if:
- Severely malnutrition, defined as BMI \< 16.
- Inability to take oral medication.
- Pregnancy or breastfeeding (a urine pregnancy test will be performed in all women of childbearing age within 24 h prior to treatment).
- Clinically relevant medical condition other than HAT that, in the Investigator's opinion, may jeopardize patient safety or interfere with participation in the study, including but not limited to significant liver or cardiovascular disease, documented or suspected active infection (including AIDS), CNS trauma or seizure disorders, coma or altered consciousness.
- Severely deteriorated general condition, e.g. cardiovascular shock, respiratory distress syndrome, or terminal illness.
- Any medical condition (except HAT specific symptoms) hindering communication with the Investigator as required for the completion of this study.
- Any contraindication to imidazole products (known hypersensitivity to imidazoles).
- History of HAT treatment in the past 2 years.
- Patients previously enrolled in the study or having already received fexinidazole.
- Expected follow-up difficulties (migrants, refugees, itinerant vendors, etc.).
- Current alcohol or drug abuse.
- Clinically significant abnormal laboratory value, such as:
- Alanine aminotransferase (ALAT) and/or aspartate aminotransferase (ASAT) \> 2 times ULN
- Total bilirubin (TBIL) \> 1.5 times ULN
- Severe leukopenia (\< 2000/mm3)
- +5 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Unknown Facility
Kinshasa, Democratic Republic of the Congo
Related Publications (1)
Kande Betu Ku Mesu V, Mutombo Kalonji W, Bardonneau C, Valverde Mordt O, Ngolo Tete D, Blesson S, Simon F, Delhomme S, Bernhard S, Mahenzi Mbembo H, Mpia Moke C, Lumeya Vuvu S, Mudji E'kitiak J, Akwaso Masa F, Mukendi Ilunga M, Mpoyi Muamba Nzambi D, Mayala Malu T, Kapongo Tshilumbwa S, Botalema Bolengi F, Nkieri Matsho M, Lumbala C, Scherrer B, Strub-Wourgaft N, Tarral A. Oral fexinidazole for stage 1 or early stage 2 African Trypanosoma brucei gambiense trypanosomiasis: a prospective, multicentre, open-label, cohort study. Lancet Glob Health. 2021 Jul;9(7):e999-e1008. doi: 10.1016/S2214-109X(21)00208-4.
PMID: 34143998DERIVED
MeSH Terms
Interventions
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 15, 2014
First Posted
June 23, 2014
Study Start
April 30, 2014
Primary Completion
October 9, 2016
Study Completion
April 25, 2017
Last Updated
June 24, 2020
Record last verified: 2020-06