Phase 3, Multi-center, Prospective, Randomized, Double-blind, Placebo- Controlled Study to Evaluate the Effectiveness and Safety of ZP5-9676 for the Treatment of Soil Transmitted Helminthiasis (STH)

Sponsor
Zero Point Five Therapeutics (Industry)
Overall Status
Not yet recruiting
CT.gov ID
NCT06128447
Collaborator
(none)
300
2
2
21
150
7.1

Study Details

Study Description

Brief Summary

This is a Phase 3, multi-center, prospective, randomized, double-blind, placebo-controlled study to evaluate the effectiveness, safety, and tolerability of ZP5-9676 compared to placebo for the treatment of STH infections. Approximately 300 participants will be enrolled, randomized at the Baseline visit (Day 1) to one of the following treatments in a 1:1 ratio of active and placebo.

Condition or Disease Intervention/Treatment Phase
  • Drug: ZP5-9676 600 mg dose
  • Drug: Placebo
Phase 3

Detailed Description

Approximately 300 infected participants will be enrolled to ensure that there is a minimum of 114 hookworm-infected participants evaluable for the Test of Cure study visit (Day 14). Some participants may be co-infected and will be included in each tally.

Participants will be randomized (1:1) to one of the treatments below followed by standard of care treatment:

  • Treatment A: ZP5-9676 600 mg dose

  • Treatment B: Placebo

Study Design

Study Type:
Interventional
Anticipated Enrollment :
300 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Intervention Model Description:
prospective, randomized, double-blind, placebo-controlled studyprospective, randomized, double-blind, placebo-controlled study
Masking:
Triple (Participant, Care Provider, Investigator)
Primary Purpose:
Treatment
Official Title:
A Phase 3, Multi-center, Prospective, Randomized, Double-blind, Placebo- Controlled Study to Evaluate the Effectiveness and Safety of ZP5-9676 for the Treatment of Hookworm (Ancylostoma Duodenale and Necator Americanus), Ascaris Lumbricoides, and Trichuris Trichiura in Pediatric and Adult Participants
Anticipated Study Start Date :
Apr 1, 2024
Anticipated Primary Completion Date :
Dec 1, 2025
Anticipated Study Completion Date :
Dec 31, 2025

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: Treatment A

ZP5-9676 600 mg dose

Drug: ZP5-9676 600 mg dose
oral, chewable tablet formulation of flubendazole

Placebo Comparator: Treatment B

Placebo

Drug: Placebo
Matching placebo

Outcome Measures

Primary Outcome Measures

  1. Cure rates [14 days]

    Cure rates (CRs) for each STH

Secondary Outcome Measures

  1. Egg reduction [14 days]

    Egg reduction rates (ERRs) for hookworm

  2. Cure rates [14 days]

    Cure rates of hookworm

Eligibility Criteria

Criteria

Ages Eligible for Study:
6 Months to 59 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  1. Provide a signed informed consent form from the participant or parent/guardian, and assent by participant(as applicable per local requirements) and understand and agree to comply with required procedures in the study.

  2. Male or female, who are 6 months to 59 years old, inclusive, and live in a high STH prevalence area

  3. Positive for hookworm (A. duodenale or N. americanus), A. lumbricoides, and/or T. trichiura on microscopic examination of fecal samples.

  4. Females of childbearing potential must use an acceptable method of contraception as determined by the Investigator from the initial Screening visit through 35 days after study drug administration. A female is considered to be of childbearing potential from menarche until after menopause (age >45 years with no menses for 12 months without an alternative medical cause) unless permanently sterile. Acceptable methods include abstinence, hormonal contraceptives, intrauterine device/system, vasectomy in the sole male sexual partner, tubal ligation, or double-barrier contraceptive method (male condom with female cervical cap, diaphragm, or sponge) with spermicide.

  5. Otherwise healthy based on medical history, physical examination, vital signs, and concomitant medications for inclusion.

Exclusion Criteria:
  1. Severe anemia (hemoglobin< 8 g/dL1).

  2. Active diarrhea (passage of ≥3 loose or liquid stools per day).

  3. Children (6 months to 17 years old) with significant wasting (moderate and severe-below minus two standard deviations from median weight for height of reference population).

  4. Women who are pregnant.

  5. Hypersensitivity or allergy to ZP5-9676 or any inert ingredients in the chewable formulation or other medications in the benzimidazole class.

  6. Taken ZP5-9676 or any other treatment for STH infection within 30 days of screening or randomization.

  7. Used an investigational medical device within 30 days of screening.

  8. Preplanned surgery procedures within 30 days of screening.

  9. History of a medical disorder causing difficulty in chewing or swallowing.

  10. Participation in any investigational drug (including vaccine) trial within 30 days or six half-lives of the test drug's biologic activity, whichever is longer, before the start of the study (time of first dose).

  11. Participation in an interventional clinical study within 30 days of screening.

  12. Any condition that interferes with the ability to understand or comply with the requirements of the study.

  13. Any other medical condition, serious illness, or other circumstance that would place the subject at increased risk, as determined by the Investigator

Contacts and Locations

Locations

Site City State Country Postal Code
1 Clínica de Vacinas Americaninhas Brazil
2 Noguchi Memorial Institute for Medical Research Accra Ghana

Sponsors and Collaborators

  • Zero Point Five Therapeutics

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Zero Point Five Therapeutics
ClinicalTrials.gov Identifier:
NCT06128447
Other Study ID Numbers:
  • ZP5-9676-301
First Posted:
Nov 13, 2023
Last Update Posted:
Nov 15, 2023
Last Verified:
Nov 1, 2023
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of Nov 15, 2023