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Efficacy and Safety of Fexinidazole in Children at Least 6 Years Old and Weighing Over 20 kg With Human African Trypanosomiasis (HAT) Due to T.b. Gambiense: a Prospective, Multicentre, Open Study, plug-in to the Pivotal Study

Sponsor
Drugs for Neglected Diseases (Other)
Overall Status
Completed
CT.gov ID
NCT02184689
Collaborator
(none)
125
Enrollment
1
Location
1
Arm
37.8
Actual Duration (Months)
3.3
Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The aim of the study is to assess the efficacy and safety of an oral regimen of fexinidazole (once daily for 10 days) in the treatment of stage 1 and stage 2 T.b. gambiense sleeping sickness in children at least 6 years old and over 20 kg bodyweight.

Condition or Disease Intervention/Treatment Phase
Phase 2/Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
125 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Efficacy and Safety of Fexinidazole in Children at Least 6 Years Old and Weighing Over 20 kg With Human African Trypanosomiasis (HAT) Due to T.b. Gambiense: a Prospective, Multicentre, Open Study, plug-in to the Pivotal Study
Actual Study Start Date :
May 3, 2014
Actual Primary Completion Date :
Dec 14, 2016
Actual Study Completion Date :
Jun 27, 2017

Arms and Interventions

Arm Intervention/Treatment
Experimental: Fexinidazole

Drug: fexinidazole

Outcome Measures

Primary Outcome Measures

  1. Outcome (success or failure) at the test of cure (ToC) [12 months after the end of treatment]

    Success at 12 months, adapted from the WHO criteria (51), is defined as a cured patient: Patient alive; AND no evidence of trypanosomes in any body fluid; AND WBC ≤20/µL in CSF.

Eligibility Criteria

Criteria

Ages Eligible for Study:
6 Years to 14 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:

  • Informed consent form signed by one of the parents or the child's legal representative

  • Child assent to participate in the study collected in the presence of an impartial witness

  • Age between 6 and 15 years old

  • 20 Kg bodyweight

  • Boy or girl

  • Able to ingest at least one complete meal per day (or at least one Plumpy'Nut® sachet)

  • Able to swallow 600mg fexinidazole tablets

  • Karnofsky index > 50

  • Presence of trypanosomes in blood and/or lymph and/or CSF

  • Permanent address and ability to comply with follow-up visit schedule

Exclusion Criteria:

  • Child refusing to be included in the trial

  • Bodyweight < 20 Kg

  • Severe malnutrition, defined as having a BMI below 16 (- 2 Z-score of the norm according to WHO 2007 Growth reference data)

  • Inability to take oral medication

  • Pregnancy or breastfeeding

  • Clinically relevant medical condition other than HAT that, in the Investigator's opinion, may jeopardize subject safety or interfere with participation in the study, including but not limited to significant liver or cardiovascular disease, active documented or suspected infection, central nervous system (CNS) trauma or seizure disorders, coma or altered consciousness

  • Severely deteriorated general condition, such as cardiovascular shock, respiratory distress, 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 findings, including ASAT and/or ALAT > 2 times ULN // Total bilirubin > 1.5 times ULN // Severe leukopenia (< 2000/mm3) // Potassium (K+) < 3.5 mmol // Any other clinically significant abnormal laboratory value (see details in Investigator Manual)

  • Pregnancy confirmed by a positive urine pregnancy test obtained within 24 hours (h) prior to start of study treatment (see Section 5.8.3 Contraception; p36) for girls over 12 years old and over

  • ECG abnormalities assessed by a central cardiologist

  • QTcF≥ 450 ms, as measured automatically (if first measurement is abnormal, a second assessment will be done at least 10-20 min later, with the patient in resting position).

  • Patients not tested for malaria and/or not treated adequately for this infection

  • Patients not treated adequately for soil transmitted helminthic diseases

Contacts and Locations

Locations

Site City State Country Postal Code
1 Kinshasa Congo, The Democratic Republic of the

Sponsors and Collaborators

  • Drugs for Neglected Diseases

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Drugs for Neglected Diseases
ClinicalTrials.gov Identifier:
NCT02184689
Other Study ID Numbers:
  • DNDiHATFEX006
First Posted:
Jul 9, 2014
Last Update Posted:
Jun 24, 2020
Last Verified:
Jun 1, 2020
Additional relevant MeSH terms:
Trypanosomiasis
Trypanosomiasis, African

Study Results

No Results Posted as of Jun 24, 2020