Trial Outcomes & Findings for Efficacy, Safety, and PK of M5717 in Combination With Pyronaridine as Chemoprevention in Adults and Adolescents With Asymptomatic Plasmodium Falciparum Infection (CAPTURE-2) (NCT NCT05974267)

NCT ID: NCT05974267

Last Updated: 2026-02-06

Results Overview

The time (in days) to first recorded parasitemia (parasite count \>0) since the first negative blood smear (parasite count of 0) after treatment (followed at least by 1 subsequent visit with a negative blood film), i.e. the time without a positive blood smear. Median time and 95% CI was estimated using the Kaplan Meier method for each cohort.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

192 participants

Primary outcome timeframe

From treatment Day 1 up to End of observation period Day 64 (Week 10)

Results posted on

2026-02-06

Participant Flow

Participant milestones

Participant milestones
Measure
Cohort 1: M5717 (60 mg) + Pyronaridine
Participants received a single oral dose of M5717 60 milligrams (mg) plus pyronaridine tetraphosphate (pyronaridine) 720 mg (for participants more than equal to (≥) 65 kilograms \[kg\]) or pyronaridine 540 mg (for participants ≥ 45 to less than (\<) 65 kg) once daily in a single-day treatment regimen on Day 1 under fasting condition.
Cohort 2: M5717 (200 mg) + Pyronaridine
Participants received a single oral dose of M5717 200 milligrams (mg) along with pyronaridine tetraphosphate (pyronaridine)-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-in a single-day treatment regimen administered under fasting conditions on Day 1 under fasting condition.
Cohort 3: M5717 (660 mg)+ Pyronaridine
participants received a single oral dose of M5717 660 mg along with pyronaridine-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-as part of a single-day treatment regimen on Day 1 under fasting condition.
Cohort 4: Atovaquone-proguanil
Participants received three oral doses of Malarone-a fixed-dose combination of 1000 mg atovaquone and 400 mg proguanil-administered once daily over a 3-day treatment regimen.
Overall Study
STARTED
49
47
48
48
Overall Study
COMPLETED
29
27
32
32
Overall Study
NOT COMPLETED
20
20
16
16

Reasons for withdrawal

Reasons for withdrawal
Measure
Cohort 1: M5717 (60 mg) + Pyronaridine
Participants received a single oral dose of M5717 60 milligrams (mg) plus pyronaridine tetraphosphate (pyronaridine) 720 mg (for participants more than equal to (≥) 65 kilograms \[kg\]) or pyronaridine 540 mg (for participants ≥ 45 to less than (\<) 65 kg) once daily in a single-day treatment regimen on Day 1 under fasting condition.
Cohort 2: M5717 (200 mg) + Pyronaridine
Participants received a single oral dose of M5717 200 milligrams (mg) along with pyronaridine tetraphosphate (pyronaridine)-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-in a single-day treatment regimen administered under fasting conditions on Day 1 under fasting condition.
Cohort 3: M5717 (660 mg)+ Pyronaridine
participants received a single oral dose of M5717 660 mg along with pyronaridine-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-as part of a single-day treatment regimen on Day 1 under fasting condition.
Cohort 4: Atovaquone-proguanil
Participants received three oral doses of Malarone-a fixed-dose combination of 1000 mg atovaquone and 400 mg proguanil-administered once daily over a 3-day treatment regimen.
Overall Study
Lack of Efficacy
19
19
15
15
Overall Study
OTHER: THE PARENT OF THE PARTICIPANT WHO IS A MINOR, WITHDREW THE PARTICIPANT FROM THE TRIAL
1
0
0
0
Overall Study
Protocol Deviation
0
1
0
0
Overall Study
Withdrawal by Subject
0
0
1
1

Baseline Characteristics

Efficacy, Safety, and PK of M5717 in Combination With Pyronaridine as Chemoprevention in Adults and Adolescents With Asymptomatic Plasmodium Falciparum Infection (CAPTURE-2)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort 1: M5717 (60 mg) + Pyronaridine
n=49 Participants
Participants received a single oral dose of M5717 60 milligrams (mg) plus pyronaridine tetraphosphate (pyronaridine) 720 mg (for participants more than equal to (≥) 65 kilograms \[kg\]) or pyronaridine 540 mg (for participants ≥ 45 to less than (\<) 65 kg) once daily in a single-day treatment regimen on Day 1 under fasting condition.
Cohort 2: M5717 (200 mg) + Pyronaridine
n=47 Participants
Participants received a single oral dose of M5717 200 milligrams (mg) along with pyronaridine tetraphosphate (pyronaridine)-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-in a single-day treatment regimen administered under fasting conditions on Day 1 under fasting condition.
Cohort 3: M5717 (660 mg)+ Pyronaridine
n=48 Participants
participants received a single oral dose of M5717 660 mg along with pyronaridine-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-as part of a single-day treatment regimen on Day 1 under fasting condition.
Cohort 4: Atovaquone-proguanil
n=48 Participants
Participants received three oral doses of Malarone-a fixed-dose combination of 1000 mg atovaquone and 400 mg proguanil-administered once daily over a 3-day treatment regimen.
Total
n=192 Participants
Total of all reporting groups
Age, Continuous
23 Years
STANDARD_DEVIATION 8.6 • n=41 Participants
24 Years
STANDARD_DEVIATION 8.9 • n=1581 Participants
25 Years
STANDARD_DEVIATION 9.2 • n=4626 Participants
25 Years
STANDARD_DEVIATION 11.2 • n=72 Participants
25 Years
STANDARD_DEVIATION 9.5 • n=11 Participants
Sex: Female, Male
Female
20 Participants
n=41 Participants
16 Participants
n=1581 Participants
20 Participants
n=4626 Participants
19 Participants
n=72 Participants
75 Participants
n=11 Participants
Sex: Female, Male
Male
29 Participants
n=41 Participants
31 Participants
n=1581 Participants
28 Participants
n=4626 Participants
29 Participants
n=72 Participants
117 Participants
n=11 Participants
Race/Ethnicity, Customized
Ethnicity-Hispanic or Latino
1 Participants
n=41 Participants
2 Participants
n=1581 Participants
3 Participants
n=4626 Participants
0 Participants
n=72 Participants
6 Participants
n=11 Participants
Race/Ethnicity, Customized
Ethnicity-Not Hispanic or Latino
48 Participants
n=41 Participants
45 Participants
n=1581 Participants
44 Participants
n=4626 Participants
48 Participants
n=72 Participants
185 Participants
n=11 Participants
Race/Ethnicity, Customized
Ethnicity-Not Reported
0 Participants
n=41 Participants
0 Participants
n=1581 Participants
1 Participants
n=4626 Participants
0 Participants
n=72 Participants
1 Participants
n=11 Participants
Race/Ethnicity, Customized
Race-Black or African American
49 Participants
n=41 Participants
47 Participants
n=1581 Participants
48 Participants
n=4626 Participants
48 Participants
n=72 Participants
192 Participants
n=11 Participants

PRIMARY outcome

Timeframe: From treatment Day 1 up to End of observation period Day 64 (Week 10)

Population: The Full Analysis Set included all randomized participants.

The time (in days) to first recorded parasitemia (parasite count \>0) since the first negative blood smear (parasite count of 0) after treatment (followed at least by 1 subsequent visit with a negative blood film), i.e. the time without a positive blood smear. Median time and 95% CI was estimated using the Kaplan Meier method for each cohort.

Outcome measures

Outcome measures
Measure
Cohort 1: M5717 60 mg
n=49 Participants
Participants received a single oral dose of M5717 60 milligrams (mg) once daily in a single-day treatment regimen on Day 1 under fasting condition.
Cohort 2: M5717 (200 mg) + Pyronaridine
n=47 Participants
Participants received a single oral dose of M5717 200 milligrams (mg) along with pyronaridine tetraphosphate (pyronaridine)-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-in a single-day treatment regimen administered under fasting conditions on Day 1 under fasting condition.
Cohort 3: M5717 (660 mg)+ Pyronaridine
n=48 Participants
Participants received a single oral dose of M5717 660 mg along with pyronaridine-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-as part of a single-day treatment regimen on Day 1 under fasting condition.
Cohort 4: Atovaquone-proguanil
n=48 Participants
Participants received three oral doses of Malarone-a fixed-dose combination of 1000 mg atovaquone and 400 mg proguanil-administered once daily over a 3-day treatment regimen.
Cohort 1, 2 and 3: Pyronaridine 720 mg
Participants received 720 mg for those weighing ≥ 65 kilograms (kg) as part of a single-day treatment regimen on Day 1 under fasting condition in Cohorts 1, 2 and 3.
Time to Parasitemia Since Negative Blood Smear After Treatment
62.0 days
Interval 49.0 to 100.0
60.0 days
Interval 47.0 to 100.0
NA days
Interval 61.0 to 100.0
Median not estimable due to an insufficient number of participants with events (parasitemia).
NA days
Interval 59.0 to 100.0
Median not estimable due to an insufficient number of participants with events (parasitemia).

SECONDARY outcome

Timeframe: From treatment Day 1 up to End of observation period Day 64 (Week 10)

Population: The Full Analysis Set included all randomized participants.

Percentage of participants with a positive blood smear (parasitemia) was reported. Parasitemia is the presence of parasites in blood (parasite count \>0).

Outcome measures

Outcome measures
Measure
Cohort 1: M5717 60 mg
n=49 Participants
Participants received a single oral dose of M5717 60 milligrams (mg) once daily in a single-day treatment regimen on Day 1 under fasting condition.
Cohort 2: M5717 (200 mg) + Pyronaridine
n=47 Participants
Participants received a single oral dose of M5717 200 milligrams (mg) along with pyronaridine tetraphosphate (pyronaridine)-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-in a single-day treatment regimen administered under fasting conditions on Day 1 under fasting condition.
Cohort 3: M5717 (660 mg)+ Pyronaridine
n=48 Participants
Participants received a single oral dose of M5717 660 mg along with pyronaridine-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-as part of a single-day treatment regimen on Day 1 under fasting condition.
Cohort 4: Atovaquone-proguanil
n=48 Participants
Participants received three oral doses of Malarone-a fixed-dose combination of 1000 mg atovaquone and 400 mg proguanil-administered once daily over a 3-day treatment regimen.
Cohort 1, 2 and 3: Pyronaridine 720 mg
Participants received 720 mg for those weighing ≥ 65 kilograms (kg) as part of a single-day treatment regimen on Day 1 under fasting condition in Cohorts 1, 2 and 3.
Percentage of Participants With Parasitemia (Positive Blood Smear)
53.1 percentage of participants
51.1 percentage of participants
35.4 percentage of participants
37.5 percentage of participants

SECONDARY outcome

Timeframe: From treatment Day 1 up to End of observation period Day 64 (Week 10)

Population: The Full Analysis Set included all randomized participants.

Percentage of participants with polymerase chain reaction (PCR)-adjusted Parasitemia (Thick Smear/Microscopy, after Adjustment for Parasitemia due to new Infections as determined by Genotyping using PCR Techniques) was reported.

Outcome measures

Outcome measures
Measure
Cohort 1: M5717 60 mg
n=49 Participants
Participants received a single oral dose of M5717 60 milligrams (mg) once daily in a single-day treatment regimen on Day 1 under fasting condition.
Cohort 2: M5717 (200 mg) + Pyronaridine
n=47 Participants
Participants received a single oral dose of M5717 200 milligrams (mg) along with pyronaridine tetraphosphate (pyronaridine)-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-in a single-day treatment regimen administered under fasting conditions on Day 1 under fasting condition.
Cohort 3: M5717 (660 mg)+ Pyronaridine
n=48 Participants
Participants received a single oral dose of M5717 660 mg along with pyronaridine-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-as part of a single-day treatment regimen on Day 1 under fasting condition.
Cohort 4: Atovaquone-proguanil
n=48 Participants
Participants received three oral doses of Malarone-a fixed-dose combination of 1000 mg atovaquone and 400 mg proguanil-administered once daily over a 3-day treatment regimen.
Cohort 1, 2 and 3: Pyronaridine 720 mg
Participants received 720 mg for those weighing ≥ 65 kilograms (kg) as part of a single-day treatment regimen on Day 1 under fasting condition in Cohorts 1, 2 and 3.
Percentage of Participants With Polymerase Chain Reaction (PCR)-Adjusted Parasitemia (Due to New Infections)
40.8 percentage of participants
36.2 percentage of participants
29.2 percentage of participants
31.3 percentage of participants

SECONDARY outcome

Timeframe: From treatment Day 1 up to End of observation period Day 64 (Week 10)

Population: The Full Analysis Set included all randomized participants.

Percentage of participants with polymerase chain reaction (PCR)-adjusted Parasitemia (Thick Smear/Microscopy, after Adjustment for Parasitemia due to Recrudescence as determined by Genotyping using PCR Techniques) was reported.

Outcome measures

Outcome measures
Measure
Cohort 1: M5717 60 mg
n=49 Participants
Participants received a single oral dose of M5717 60 milligrams (mg) once daily in a single-day treatment regimen on Day 1 under fasting condition.
Cohort 2: M5717 (200 mg) + Pyronaridine
n=47 Participants
Participants received a single oral dose of M5717 200 milligrams (mg) along with pyronaridine tetraphosphate (pyronaridine)-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-in a single-day treatment regimen administered under fasting conditions on Day 1 under fasting condition.
Cohort 3: M5717 (660 mg)+ Pyronaridine
n=48 Participants
Participants received a single oral dose of M5717 660 mg along with pyronaridine-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-as part of a single-day treatment regimen on Day 1 under fasting condition.
Cohort 4: Atovaquone-proguanil
n=48 Participants
Participants received three oral doses of Malarone-a fixed-dose combination of 1000 mg atovaquone and 400 mg proguanil-administered once daily over a 3-day treatment regimen.
Cohort 1, 2 and 3: Pyronaridine 720 mg
Participants received 720 mg for those weighing ≥ 65 kilograms (kg) as part of a single-day treatment regimen on Day 1 under fasting condition in Cohorts 1, 2 and 3.
Percentage of Participants With PCR-adjusted Parasitemia (Due to Recrudescence)
4.1 percentage of participants
12.8 percentage of participants
4.2 percentage of participants
4.2 percentage of participants

SECONDARY outcome

Timeframe: Time from dosing to the first negative (no parasites) blood film (microscopy) , assessed up to 12 weeks

Population: The Full Analysis Set included all randomized participants. Here overall number of participants analyzed signifies participants who had a baseline parasite density of \>0.

Parasite clearance time defined as time from dosing to the first negative (no parasites) blood film (microscopy). Median parasite clearance time was estimated by Kaplan-Meier method

Outcome measures

Outcome measures
Measure
Cohort 1: M5717 60 mg
n=49 Participants
Participants received a single oral dose of M5717 60 milligrams (mg) once daily in a single-day treatment regimen on Day 1 under fasting condition.
Cohort 2: M5717 (200 mg) + Pyronaridine
n=47 Participants
Participants received a single oral dose of M5717 200 milligrams (mg) along with pyronaridine tetraphosphate (pyronaridine)-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-in a single-day treatment regimen administered under fasting conditions on Day 1 under fasting condition.
Cohort 3: M5717 (660 mg)+ Pyronaridine
n=46 Participants
Participants received a single oral dose of M5717 660 mg along with pyronaridine-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-as part of a single-day treatment regimen on Day 1 under fasting condition.
Cohort 4: Atovaquone-proguanil
n=47 Participants
Participants received three oral doses of Malarone-a fixed-dose combination of 1000 mg atovaquone and 400 mg proguanil-administered once daily over a 3-day treatment regimen.
Cohort 1, 2 and 3: Pyronaridine 720 mg
Participants received 720 mg for those weighing ≥ 65 kilograms (kg) as part of a single-day treatment regimen on Day 1 under fasting condition in Cohorts 1, 2 and 3.
Parasite Clearance Time
24.1 hours
Interval 6.2 to 39.0
24.2 hours
Interval 12.2 to 39.8
24.0 hours
Interval 12.1 to 48.2
25.0 hours
Interval 24.1 to 48.0

SECONDARY outcome

Timeframe: Up to End of Study (approximately 12 Weeks)

Population: Safety Analysis Set includes all participants who were administered any dose of any study intervention.

An adverse event (AE) was defined as any untoward medical occurrence in a participant administered with study drug which does not necessarily had a causal relationship with the treatment. An AE was any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with use of a medicinal product, whether or not considered related to the medicinal product. A serious adverse event (SAE) was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. TEAE was defined as AEs starting or worsening after the first intake of the study drug. TEAEs included both serious TEAEs and non-serious TEAEs. Treatment-related TEAEs: reasonably related to study intervention.

Outcome measures

Outcome measures
Measure
Cohort 1: M5717 60 mg
n=49 Participants
Participants received a single oral dose of M5717 60 milligrams (mg) once daily in a single-day treatment regimen on Day 1 under fasting condition.
Cohort 2: M5717 (200 mg) + Pyronaridine
n=47 Participants
Participants received a single oral dose of M5717 200 milligrams (mg) along with pyronaridine tetraphosphate (pyronaridine)-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-in a single-day treatment regimen administered under fasting conditions on Day 1 under fasting condition.
Cohort 3: M5717 (660 mg)+ Pyronaridine
n=48 Participants
Participants received a single oral dose of M5717 660 mg along with pyronaridine-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-as part of a single-day treatment regimen on Day 1 under fasting condition.
Cohort 4: Atovaquone-proguanil
n=48 Participants
Participants received three oral doses of Malarone-a fixed-dose combination of 1000 mg atovaquone and 400 mg proguanil-administered once daily over a 3-day treatment regimen.
Cohort 1, 2 and 3: Pyronaridine 720 mg
Participants received 720 mg for those weighing ≥ 65 kilograms (kg) as part of a single-day treatment regimen on Day 1 under fasting condition in Cohorts 1, 2 and 3.
Number of Participants With Treatment-Emergent Adverse Events (TEAE), Serious TEAEs and Treatment Related TEAEs
Participants with TEAEs
31 Participants
27 Participants
31 Participants
28 Participants
Number of Participants With Treatment-Emergent Adverse Events (TEAE), Serious TEAEs and Treatment Related TEAEs
Participants with Serious TEAEs
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants With Treatment-Emergent Adverse Events (TEAE), Serious TEAEs and Treatment Related TEAEs
Participants with Treatment-related TEAEs
6 Participants
11 Participants
5 Participants
8 Participants

SECONDARY outcome

Timeframe: Predose, 1, 2, 4, 6, 8, and 12 hours on Day 1 and 24 hours on Day 2

Population: Pharmacokinetic (PK) analysis set included all participants, who received 1 dose of M5717, had no clinically important protocol deviations/important events affecting PK, \& provide at least 1 measurable post-dose concentration. Here, "Overall Number of Participants Analyzed" signifies those participants who were evaluable for the outcome measure.

AUC0-inf was calculated by combining AUC0-t and AUCextra. AUC extra represents an extrapolated value obtained by Clast/ λz, where Clast is the calculated blood concentration at the last sampling time point at which the measured blood concentration is at or above the Lower Limit of quantification (LLQ) and λz is the apparent terminal rate constant determined by log-linear regression analysis of the measured blood concentrations of the terminal log-linear phase.

Outcome measures

Outcome measures
Measure
Cohort 1: M5717 60 mg
n=45 Participants
Participants received a single oral dose of M5717 60 milligrams (mg) once daily in a single-day treatment regimen on Day 1 under fasting condition.
Cohort 2: M5717 (200 mg) + Pyronaridine
n=44 Participants
Participants received a single oral dose of M5717 200 milligrams (mg) along with pyronaridine tetraphosphate (pyronaridine)-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-in a single-day treatment regimen administered under fasting conditions on Day 1 under fasting condition.
Cohort 3: M5717 (660 mg)+ Pyronaridine
n=43 Participants
Participants received a single oral dose of M5717 660 mg along with pyronaridine-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-as part of a single-day treatment regimen on Day 1 under fasting condition.
Cohort 4: Atovaquone-proguanil
n=99 Participants
Participants received three oral doses of Malarone-a fixed-dose combination of 1000 mg atovaquone and 400 mg proguanil-administered once daily over a 3-day treatment regimen.
Cohort 1, 2 and 3: Pyronaridine 720 mg
n=33 Participants
Participants received 720 mg for those weighing ≥ 65 kilograms (kg) as part of a single-day treatment regimen on Day 1 under fasting condition in Cohorts 1, 2 and 3.
Area Under the Blood Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of M5717 and Pyronaridine
613.64 hour*nanogram per milliliter(hour*ng/mL)
Geometric Coefficient of Variation 1.1
2292.02 hour*nanogram per milliliter(hour*ng/mL)
Geometric Coefficient of Variation 0.5
9988.92 hour*nanogram per milliliter(hour*ng/mL)
Geometric Coefficient of Variation 0.4
5985.14 hour*nanogram per milliliter(hour*ng/mL)
Geometric Coefficient of Variation 0.5
6418.17 hour*nanogram per milliliter(hour*ng/mL)
Geometric Coefficient of Variation 0.3

SECONDARY outcome

Timeframe: Predose, 1, 2, 4, 6, 8, and 12 hours on Day 1 and 24 hours on Day 2

Population: Pharmacokinetic (PK) analysis set included all participants, who received 1 dose of M5717, had no clinically important protocol deviations/important events affecting PK, \& provide at least 1 measurable post-dose concentration. Here, "Overall Number of Participants Analyzed" signifies those participants who were evaluable for the outcome measure.

AUC from time zero to 24 hours post dose, calculated using the mixed log linear trapezoidal rule (linear up, log down) using the nominal dosing interval.

Outcome measures

Outcome measures
Measure
Cohort 1: M5717 60 mg
n=45 Participants
Participants received a single oral dose of M5717 60 milligrams (mg) once daily in a single-day treatment regimen on Day 1 under fasting condition.
Cohort 2: M5717 (200 mg) + Pyronaridine
n=44 Participants
Participants received a single oral dose of M5717 200 milligrams (mg) along with pyronaridine tetraphosphate (pyronaridine)-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-in a single-day treatment regimen administered under fasting conditions on Day 1 under fasting condition.
Cohort 3: M5717 (660 mg)+ Pyronaridine
n=43 Participants
Participants received a single oral dose of M5717 660 mg along with pyronaridine-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-as part of a single-day treatment regimen on Day 1 under fasting condition.
Cohort 4: Atovaquone-proguanil
n=99 Participants
Participants received three oral doses of Malarone-a fixed-dose combination of 1000 mg atovaquone and 400 mg proguanil-administered once daily over a 3-day treatment regimen.
Cohort 1, 2 and 3: Pyronaridine 720 mg
n=33 Participants
Participants received 720 mg for those weighing ≥ 65 kilograms (kg) as part of a single-day treatment regimen on Day 1 under fasting condition in Cohorts 1, 2 and 3.
Area Under the Blood Concentration-Time Curve From Time Zero to 24 Hours Post-dose (AUC 0-24) of M5717 and Pyronaridine
205.87 h*ng/mL
Geometric Coefficient of Variation 0.4
743.74 h*ng/mL
Geometric Coefficient of Variation 0.5
3303.65 h*ng/mL
Geometric Coefficient of Variation 0.4
1594.05 h*ng/mL
Geometric Coefficient of Variation 0.6
1742.89 h*ng/mL
Geometric Coefficient of Variation 0.4

SECONDARY outcome

Timeframe: Predose, 1, 2, 4, 6, 8, and 12 hours on Day 1 and 24 hours on Day 2

Population: Pharmacokinetic (PK) analysis set included all participants, who received 1 dose of M5717, had no clinically important protocol deviations/important events affecting PK, \& provide at least 1 measurable post-dose concentration. Here, "Overall Number of Participants Analyzed" signifies those participants who were evaluable for the outcome measure.

Area under the blood concentration vs time curve from time zero to the last sampling time t at which the concentration was at or above the lower limit of quantification (LLQQ). AUC0-t was to be calculated according to the mixed log-linear trapezoidal rule.

Outcome measures

Outcome measures
Measure
Cohort 1: M5717 60 mg
n=45 Participants
Participants received a single oral dose of M5717 60 milligrams (mg) once daily in a single-day treatment regimen on Day 1 under fasting condition.
Cohort 2: M5717 (200 mg) + Pyronaridine
n=44 Participants
Participants received a single oral dose of M5717 200 milligrams (mg) along with pyronaridine tetraphosphate (pyronaridine)-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-in a single-day treatment regimen administered under fasting conditions on Day 1 under fasting condition.
Cohort 3: M5717 (660 mg)+ Pyronaridine
n=43 Participants
Participants received a single oral dose of M5717 660 mg along with pyronaridine-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-as part of a single-day treatment regimen on Day 1 under fasting condition.
Cohort 4: Atovaquone-proguanil
n=99 Participants
Participants received three oral doses of Malarone-a fixed-dose combination of 1000 mg atovaquone and 400 mg proguanil-administered once daily over a 3-day treatment regimen.
Cohort 1, 2 and 3: Pyronaridine 720 mg
n=33 Participants
Participants received 720 mg for those weighing ≥ 65 kilograms (kg) as part of a single-day treatment regimen on Day 1 under fasting condition in Cohorts 1, 2 and 3.
Area Under the Blood Concentration-Time Curve From Time Zero to the Last Sampling Time (AUC 0-tlast) of M5717 and Pyronaridine
455.40 h*ng/mL
Geometric Coefficient of Variation 0.5
2040.41 h*ng/mL
Geometric Coefficient of Variation 0.5
9635.73 h*ng/mL
Geometric Coefficient of Variation 0.4
5393.62 h*ng/mL
Geometric Coefficient of Variation 0.6
5793.71 h*ng/mL
Geometric Coefficient of Variation 0.4

SECONDARY outcome

Timeframe: Predose, 1, 2, 4, 6, 8, and 12 hours on Day 1 and 24 hours on Day 2

Population: Pharmacokinetic (PK) analysis set included all participants, who received 1 dose of M5717, had no clinically important protocol deviations/important events affecting PK, \& provide at least 1 measurable post-dose concentration. Here, "Overall Number of Participants Analyzed" signifies those participants who were evaluable for the outcome measure.

Clearance of a drug was a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Apparent body clearance of the drug from blood, CL= Dose/AUC0-inf.

Outcome measures

Outcome measures
Measure
Cohort 1: M5717 60 mg
n=45 Participants
Participants received a single oral dose of M5717 60 milligrams (mg) once daily in a single-day treatment regimen on Day 1 under fasting condition.
Cohort 2: M5717 (200 mg) + Pyronaridine
n=44 Participants
Participants received a single oral dose of M5717 200 milligrams (mg) along with pyronaridine tetraphosphate (pyronaridine)-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-in a single-day treatment regimen administered under fasting conditions on Day 1 under fasting condition.
Cohort 3: M5717 (660 mg)+ Pyronaridine
n=43 Participants
Participants received a single oral dose of M5717 660 mg along with pyronaridine-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-as part of a single-day treatment regimen on Day 1 under fasting condition.
Cohort 4: Atovaquone-proguanil
n=99 Participants
Participants received three oral doses of Malarone-a fixed-dose combination of 1000 mg atovaquone and 400 mg proguanil-administered once daily over a 3-day treatment regimen.
Cohort 1, 2 and 3: Pyronaridine 720 mg
n=33 Participants
Participants received 720 mg for those weighing ≥ 65 kilograms (kg) as part of a single-day treatment regimen on Day 1 under fasting condition in Cohorts 1, 2 and 3.
Apparent Total Body Clearance From Blood (CL/f) of M5717 and Pyronaridine
97.77 Liter per Hours (L/h)
Geometric Coefficient of Variation 1.1
87.25 Liter per Hours (L/h)
Geometric Coefficient of Variation 0.5
66.07 Liter per Hours (L/h)
Geometric Coefficient of Variation 0.4
90.22 Liter per Hours (L/h)
Geometric Coefficient of Variation 0.5
112.18 Liter per Hours (L/h)
Geometric Coefficient of Variation 0.3

SECONDARY outcome

Timeframe: Predose, 1, 2, 4, 6, 8, and 12 hours on Day 1 and 24 hours on Day 2

Population: Pharmacokinetic (PK) analysis set included all participants, who received 1 dose of M5717, had no clinically important protocol deviations/important events affecting PK, \& provide at least 1 measurable post-dose concentration. Here, "Overall Number of Participants Analyzed" signifies those participants who were evaluable for the outcome measure.

Cmax was obtained directly from the concentration versus time curve.

Outcome measures

Outcome measures
Measure
Cohort 1: M5717 60 mg
n=45 Participants
Participants received a single oral dose of M5717 60 milligrams (mg) once daily in a single-day treatment regimen on Day 1 under fasting condition.
Cohort 2: M5717 (200 mg) + Pyronaridine
n=44 Participants
Participants received a single oral dose of M5717 200 milligrams (mg) along with pyronaridine tetraphosphate (pyronaridine)-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-in a single-day treatment regimen administered under fasting conditions on Day 1 under fasting condition.
Cohort 3: M5717 (660 mg)+ Pyronaridine
n=43 Participants
Participants received a single oral dose of M5717 660 mg along with pyronaridine-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-as part of a single-day treatment regimen on Day 1 under fasting condition.
Cohort 4: Atovaquone-proguanil
n=99 Participants
Participants received three oral doses of Malarone-a fixed-dose combination of 1000 mg atovaquone and 400 mg proguanil-administered once daily over a 3-day treatment regimen.
Cohort 1, 2 and 3: Pyronaridine 720 mg
n=33 Participants
Participants received 720 mg for those weighing ≥ 65 kilograms (kg) as part of a single-day treatment regimen on Day 1 under fasting condition in Cohorts 1, 2 and 3.
Maximum Observed Blood Concentration (Cmax) of M5717 and Pyronaridine
15.19 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 0.6
59.69 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 0.6
254.50 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 0.5
157.81 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 0.6
166.46 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 0.4

SECONDARY outcome

Timeframe: Predose, 1, 2, 4, 6, 8, and 12 hours on Day 1 and 24 hours on Day 2

Population: Pharmacokinetic (PK) analysis set included all participants, who received 1 dose of M5717, had no clinically important protocol deviations/important events affecting PK, \& provide at least 1 measurable post-dose concentration. Here, "Overall Number of Participants Analyzed" signifies those participants who were evaluable for the outcome measure.

Terminal half-life is the time measured for the concentration to decrease by one half. Terminal half-life calculated by natural log 2 divided by lambda z.

Outcome measures

Outcome measures
Measure
Cohort 1: M5717 60 mg
n=45 Participants
Participants received a single oral dose of M5717 60 milligrams (mg) once daily in a single-day treatment regimen on Day 1 under fasting condition.
Cohort 2: M5717 (200 mg) + Pyronaridine
n=44 Participants
Participants received a single oral dose of M5717 200 milligrams (mg) along with pyronaridine tetraphosphate (pyronaridine)-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-in a single-day treatment regimen administered under fasting conditions on Day 1 under fasting condition.
Cohort 3: M5717 (660 mg)+ Pyronaridine
n=43 Participants
Participants received a single oral dose of M5717 660 mg along with pyronaridine-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-as part of a single-day treatment regimen on Day 1 under fasting condition.
Cohort 4: Atovaquone-proguanil
n=99 Participants
Participants received three oral doses of Malarone-a fixed-dose combination of 1000 mg atovaquone and 400 mg proguanil-administered once daily over a 3-day treatment regimen.
Cohort 1, 2 and 3: Pyronaridine 720 mg
n=33 Participants
Participants received 720 mg for those weighing ≥ 65 kilograms (kg) as part of a single-day treatment regimen on Day 1 under fasting condition in Cohorts 1, 2 and 3.
Apparent Terminal Half-life (t1/2) of M5717 and Pyronaridine
46.013 hour
Geometric Coefficient of Variation 1.3
64.663 hour
Geometric Coefficient of Variation 0.4
90.234 hour
Geometric Coefficient of Variation 0.5
264.15 hour
Geometric Coefficient of Variation 0.4
246.94 hour
Geometric Coefficient of Variation 0.6

SECONDARY outcome

Timeframe: Predose, 1, 2, 4, 6, 8, and 12 hours on Day 1 and 24 hours on Day 2

Population: Pharmacokinetic (PK) analysis set included all participants, who received 1 dose of M5717, had no clinically important protocol deviations/important events affecting PK, \& provide at least 1 measurable post-dose concentration. Here, "Overall Number of Participants Analyzed" signifies those participants who were evaluable for the outcome measure.

Time to reach the maximum blood concentration (Tmax) was obtained directly from the concentration versus time curve.

Outcome measures

Outcome measures
Measure
Cohort 1: M5717 60 mg
n=45 Participants
Participants received a single oral dose of M5717 60 milligrams (mg) once daily in a single-day treatment regimen on Day 1 under fasting condition.
Cohort 2: M5717 (200 mg) + Pyronaridine
n=44 Participants
Participants received a single oral dose of M5717 200 milligrams (mg) along with pyronaridine tetraphosphate (pyronaridine)-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-in a single-day treatment regimen administered under fasting conditions on Day 1 under fasting condition.
Cohort 3: M5717 (660 mg)+ Pyronaridine
n=43 Participants
Participants received a single oral dose of M5717 660 mg along with pyronaridine-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-as part of a single-day treatment regimen on Day 1 under fasting condition.
Cohort 4: Atovaquone-proguanil
n=99 Participants
Participants received three oral doses of Malarone-a fixed-dose combination of 1000 mg atovaquone and 400 mg proguanil-administered once daily over a 3-day treatment regimen.
Cohort 1, 2 and 3: Pyronaridine 720 mg
n=33 Participants
Participants received 720 mg for those weighing ≥ 65 kilograms (kg) as part of a single-day treatment regimen on Day 1 under fasting condition in Cohorts 1, 2 and 3.
Time to Reach the Maximum Blood Concentration (Tmax) of M5717 and Pyronaridine
4.067 hour
Interval 1.05 to 141.07
4.00 hour
Interval 1.0 to 12.1
4.00 hour
Interval 1.08 to 175.57
2.10 hour
Interval 1.0 to 7.42
2.08 hour
Interval 1.0 to 12.08

SECONDARY outcome

Timeframe: Predose, 1, 2, 4, 6, 8, and 12 hours on Day 1 and 24 hours on Day 2

Population: Pharmacokinetic (PK) analysis set included all participants, who received 1 dose of M5717, had no clinically important protocol deviations/important events affecting PK, \& provide at least 1 measurable post-dose concentration. Here, "Overall Number of Participants Analyzed" signifies those participants who were evaluable for the outcome measure.

The Vz/f was defined as the theoretical volume in which the total amount of required to uniformly distribute to produce the desired plasma concentration. Apparent volume of distribution after oral dose (Vz/F) was influenced by the fraction absorbed. The Vz/f was calculated by dividing the dose with area under the concentration time curve from time zero to infinity multiplied with terminal elimination rate constant Lambda(z). Vz/f=Dose/AUC(0-inf) multiply Lambda(z).

Outcome measures

Outcome measures
Measure
Cohort 1: M5717 60 mg
n=45 Participants
Participants received a single oral dose of M5717 60 milligrams (mg) once daily in a single-day treatment regimen on Day 1 under fasting condition.
Cohort 2: M5717 (200 mg) + Pyronaridine
n=44 Participants
Participants received a single oral dose of M5717 200 milligrams (mg) along with pyronaridine tetraphosphate (pyronaridine)-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-in a single-day treatment regimen administered under fasting conditions on Day 1 under fasting condition.
Cohort 3: M5717 (660 mg)+ Pyronaridine
n=43 Participants
Participants received a single oral dose of M5717 660 mg along with pyronaridine-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-as part of a single-day treatment regimen on Day 1 under fasting condition.
Cohort 4: Atovaquone-proguanil
n=99 Participants
Participants received three oral doses of Malarone-a fixed-dose combination of 1000 mg atovaquone and 400 mg proguanil-administered once daily over a 3-day treatment regimen.
Cohort 1, 2 and 3: Pyronaridine 720 mg
n=33 Participants
Participants received 720 mg for those weighing ≥ 65 kilograms (kg) as part of a single-day treatment regimen on Day 1 under fasting condition in Cohorts 1, 2 and 3.
Apparent Volume of Distribution (Vz/F) During the Terminal Phase of M5717 and Pyronaridine
6490.76 liter
Geometric Coefficient of Variation 0.5
8140.36 liter
Geometric Coefficient of Variation 0.4
8601.43 liter
Geometric Coefficient of Variation 0.5
34383.091 liter
Geometric Coefficient of Variation 0.5
39966.70 liter
Geometric Coefficient of Variation 0.7

Adverse Events

Cohort 1: M5717 (60 mg) + Pyronaridine

Serious events: 0 serious events
Other events: 31 other events
Deaths: 0 deaths

Cohort 2: M5717 (200 mg) + Pyronaridine

Serious events: 1 serious events
Other events: 27 other events
Deaths: 0 deaths

Cohort 3: M5717 (660 mg)+ Pyronaridine

Serious events: 0 serious events
Other events: 31 other events
Deaths: 0 deaths

Cohort 4: Atovaquone-proguanil

Serious events: 0 serious events
Other events: 28 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Cohort 1: M5717 (60 mg) + Pyronaridine
n=49 participants at risk
Participants received a single oral dose of M5717 60 milligrams (mg) plus pyronaridine tetraphosphate (pyronaridine) 720 mg (for participants more than equal to (≥) 65 kilograms \[kg\]) or pyronaridine 540 mg (for participants ≥ 45 to less than (\<) 65 kg) once daily in a single-day treatment regimen on Day 1 under fasting condition.
Cohort 2: M5717 (200 mg) + Pyronaridine
n=47 participants at risk
Participants received a single oral dose of M5717 200 milligrams (mg) along with pyronaridine tetraphosphate (pyronaridine)-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-in a single-day treatment regimen administered under fasting conditions on Day 1 under fasting condition.
Cohort 3: M5717 (660 mg)+ Pyronaridine
n=48 participants at risk
participants received a single oral dose of M5717 660 mg along with pyronaridine-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-as part of a single-day treatment regimen on Day 1 under fasting condition.
Cohort 4: Atovaquone-proguanil
n=48 participants at risk
Participants received three oral doses of Malarone-a fixed-dose combination of 1000 mg atovaquone and 400 mg proguanil-administered once daily over a 3-day treatment regimen.
Injury, poisoning and procedural complications
Lower limb fracture
0.00%
0/49 • End of Study (approximately 12 Weeks)
2.1%
1/47 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)

Other adverse events

Other adverse events
Measure
Cohort 1: M5717 (60 mg) + Pyronaridine
n=49 participants at risk
Participants received a single oral dose of M5717 60 milligrams (mg) plus pyronaridine tetraphosphate (pyronaridine) 720 mg (for participants more than equal to (≥) 65 kilograms \[kg\]) or pyronaridine 540 mg (for participants ≥ 45 to less than (\<) 65 kg) once daily in a single-day treatment regimen on Day 1 under fasting condition.
Cohort 2: M5717 (200 mg) + Pyronaridine
n=47 participants at risk
Participants received a single oral dose of M5717 200 milligrams (mg) along with pyronaridine tetraphosphate (pyronaridine)-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-in a single-day treatment regimen administered under fasting conditions on Day 1 under fasting condition.
Cohort 3: M5717 (660 mg)+ Pyronaridine
n=48 participants at risk
participants received a single oral dose of M5717 660 mg along with pyronaridine-either 720 mg for those weighing ≥ 65 kilograms (kg) or 540 mg for those weighing between ≥ 45 kg and \< 65 kg-as part of a single-day treatment regimen on Day 1 under fasting condition.
Cohort 4: Atovaquone-proguanil
n=48 participants at risk
Participants received three oral doses of Malarone-a fixed-dose combination of 1000 mg atovaquone and 400 mg proguanil-administered once daily over a 3-day treatment regimen.
Infections and infestations
Malaria
28.6%
14/49 • Number of events 14 • End of Study (approximately 12 Weeks)
25.5%
12/47 • Number of events 12 • End of Study (approximately 12 Weeks)
20.8%
10/48 • Number of events 10 • End of Study (approximately 12 Weeks)
14.6%
7/48 • Number of events 7 • End of Study (approximately 12 Weeks)
Infections and infestations
Nasopharyngitis
8.2%
4/49 • Number of events 4 • End of Study (approximately 12 Weeks)
4.3%
2/47 • Number of events 2 • End of Study (approximately 12 Weeks)
4.2%
2/48 • Number of events 2 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Infections and infestations
Pharyngitis
0.00%
0/49 • End of Study (approximately 12 Weeks)
2.1%
1/47 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Infections and infestations
Plasmodium ovale infection
2.0%
1/49 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Infections and infestations
Rhinitis
4.1%
2/49 • Number of events 2 • End of Study (approximately 12 Weeks)
2.1%
1/47 • Number of events 1 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
4.2%
2/48 • Number of events 2 • End of Study (approximately 12 Weeks)
Infections and infestations
Schistosomiasis
6.1%
3/49 • Number of events 3 • End of Study (approximately 12 Weeks)
2.1%
1/47 • Number of events 1 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Infections and infestations
Tinea versicolour
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Infections and infestations
Tonsillitis
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Infections and infestations
Upper respiratory tract infection
6.1%
3/49 • Number of events 3 • End of Study (approximately 12 Weeks)
8.5%
4/47 • Number of events 4 • End of Study (approximately 12 Weeks)
8.3%
4/48 • Number of events 4 • End of Study (approximately 12 Weeks)
4.2%
2/48 • Number of events 2 • End of Study (approximately 12 Weeks)
Infections and infestations
Urinary tract infection
4.1%
2/49 • Number of events 2 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
6.2%
3/48 • Number of events 3 • End of Study (approximately 12 Weeks)
6.2%
3/48 • Number of events 3 • End of Study (approximately 12 Weeks)
Injury, poisoning and procedural complications
Ligament sprain
2.0%
1/49 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Investigations
Alanine aminotransferase increased
0.00%
0/49 • End of Study (approximately 12 Weeks)
2.1%
1/47 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
4.2%
2/48 • Number of events 2 • End of Study (approximately 12 Weeks)
Investigations
Aspartate aminotransferase increased
6.1%
3/49 • Number of events 3 • End of Study (approximately 12 Weeks)
6.4%
3/47 • Number of events 3 • End of Study (approximately 12 Weeks)
4.2%
2/48 • Number of events 2 • End of Study (approximately 12 Weeks)
10.4%
5/48 • Number of events 5 • End of Study (approximately 12 Weeks)
Investigations
Blood alkaline phosphatase increased
10.2%
5/49 • Number of events 5 • End of Study (approximately 12 Weeks)
12.8%
6/47 • Number of events 6 • End of Study (approximately 12 Weeks)
6.2%
3/48 • Number of events 3 • End of Study (approximately 12 Weeks)
14.6%
7/48 • Number of events 7 • End of Study (approximately 12 Weeks)
Investigations
Blood bilirubin increased
14.3%
7/49 • Number of events 7 • End of Study (approximately 12 Weeks)
8.5%
4/47 • Number of events 4 • End of Study (approximately 12 Weeks)
8.3%
4/48 • Number of events 4 • End of Study (approximately 12 Weeks)
8.3%
4/48 • Number of events 4 • End of Study (approximately 12 Weeks)
Investigations
Blood creatinine increased
0.00%
0/49 • End of Study (approximately 12 Weeks)
4.3%
2/47 • Number of events 2 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Investigations
Blood pressure systolic increased
0.00%
0/49 • End of Study (approximately 12 Weeks)
4.3%
2/47 • Number of events 2 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Investigations
Protein total decreased
0.00%
0/49 • End of Study (approximately 12 Weeks)
4.3%
2/47 • Number of events 2 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Investigations
Red blood cell count increased
0.00%
0/49 • End of Study (approximately 12 Weeks)
2.1%
1/47 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Investigations
Respiratory rate increased
2.0%
1/49 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Investigations
White blood cell count increased
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Metabolism and nutrition disorders
Decreased appetite
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Metabolism and nutrition disorders
Hypercalcaemia
0.00%
0/49 • End of Study (approximately 12 Weeks)
2.1%
1/47 • Number of events 1 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Metabolism and nutrition disorders
Hyperchloraemia
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
4.2%
2/48 • Number of events 2 • End of Study (approximately 12 Weeks)
Metabolism and nutrition disorders
Hypercreatininaemia
6.1%
3/49 • Number of events 3 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
4.2%
2/48 • Number of events 2 • End of Study (approximately 12 Weeks)
6.2%
3/48 • Number of events 3 • End of Study (approximately 12 Weeks)
Metabolism and nutrition disorders
Hyperglycaemia
0.00%
0/49 • End of Study (approximately 12 Weeks)
2.1%
1/47 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Metabolism and nutrition disorders
Hypochloraemia
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Metabolism and nutrition disorders
Hypoglycaemia
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
4.2%
2/48 • Number of events 2 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Metabolism and nutrition disorders
Hyponatraemia
0.00%
0/49 • End of Study (approximately 12 Weeks)
4.3%
2/47 • Number of events 2 • End of Study (approximately 12 Weeks)
4.2%
2/48 • Number of events 2 • End of Study (approximately 12 Weeks)
6.2%
3/48 • Number of events 3 • End of Study (approximately 12 Weeks)
Musculoskeletal and connective tissue disorders
Arthralgia
2.0%
1/49 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
4.2%
2/48 • Number of events 2 • End of Study (approximately 12 Weeks)
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Musculoskeletal and connective tissue disorders
Costochondritis
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Skin and subcutaneous tissue disorders
Blister
0.00%
0/49 • End of Study (approximately 12 Weeks)
2.1%
1/47 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Investigations
Eosinophil count increased
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Investigations
Heart rate decreased
0.00%
0/49 • End of Study (approximately 12 Weeks)
2.1%
1/47 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Investigations
Lymphocyte count increased
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Investigations
Monocyte count increased
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Investigations
Neutrophil count increased
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Investigations
pH urine increased
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Gastrointestinal disorders
Toothache
2.0%
1/49 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Gastrointestinal disorders
Vomiting
0.00%
0/49 • End of Study (approximately 12 Weeks)
2.1%
1/47 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
4.2%
2/48 • Number of events 2 • End of Study (approximately 12 Weeks)
General disorders
Asthenia
2.0%
1/49 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
General disorders
Chills
0.00%
0/49 • End of Study (approximately 12 Weeks)
2.1%
1/47 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
General disorders
Fatigue
2.0%
1/49 • Number of events 1 • End of Study (approximately 12 Weeks)
2.1%
1/47 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
General disorders
Malaise
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
General disorders
Pain
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
General disorders
Pyrexia
0.00%
0/49 • End of Study (approximately 12 Weeks)
4.3%
2/47 • Number of events 2 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
4.2%
2/48 • Number of events 2 • End of Study (approximately 12 Weeks)
General disorders
Vessel puncture site haematoma
2.0%
1/49 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Hepatobiliary disorders
Hyperbilirubinaemia
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Immune system disorders
Allergy to arthropod sting
2.0%
1/49 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Infections and infestations
Bacterial infection
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Infections and infestations
Body tinea
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Infections and infestations
Bronchitis
2.0%
1/49 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Infections and infestations
Conjunctivitis
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Infections and infestations
Furuncle
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Infections and infestations
Gastroenteritis
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Infections and infestations
Laryngitis
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Gastrointestinal disorders
Gastritis
2.0%
1/49 • Number of events 1 • End of Study (approximately 12 Weeks)
2.1%
1/47 • Number of events 1 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Gastrointestinal disorders
Gastrooesophageal reflux disease
0.00%
0/49 • End of Study (approximately 12 Weeks)
2.1%
1/47 • Number of events 1 • End of Study (approximately 12 Weeks)
4.2%
2/48 • Number of events 2 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Gastrointestinal disorders
Nausea
2.0%
1/49 • Number of events 1 • End of Study (approximately 12 Weeks)
4.3%
2/47 • Number of events 2 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Blood and lymphatic system disorders
Anaemia
2.0%
1/49 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Blood and lymphatic system disorders
Neutropenia
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Blood and lymphatic system disorders
Thrombocytopenia
0.00%
0/49 • End of Study (approximately 12 Weeks)
2.1%
1/47 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Cardiac disorders
Bradycardia
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
4.2%
2/48 • Number of events 2 • End of Study (approximately 12 Weeks)
Gastrointestinal disorders
Abdominal pain
0.00%
0/49 • End of Study (approximately 12 Weeks)
4.3%
2/47 • Number of events 2 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Gastrointestinal disorders
Abdominal pain upper
2.0%
1/49 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Gastrointestinal disorders
Diarrhoea
2.0%
1/49 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Gastrointestinal disorders
Enteritis
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Musculoskeletal and connective tissue disorders
Hypercreatinaemia
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/49 • End of Study (approximately 12 Weeks)
2.1%
1/47 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Nervous system disorders
Dizziness
2.0%
1/49 • Number of events 1 • End of Study (approximately 12 Weeks)
4.3%
2/47 • Number of events 2 • End of Study (approximately 12 Weeks)
10.4%
5/48 • Number of events 5 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Nervous system disorders
Headache
14.3%
7/49 • Number of events 7 • End of Study (approximately 12 Weeks)
6.4%
3/47 • Number of events 3 • End of Study (approximately 12 Weeks)
12.5%
6/48 • Number of events 6 • End of Study (approximately 12 Weeks)
18.8%
9/48 • Number of events 9 • End of Study (approximately 12 Weeks)
Reproductive system and breast disorders
Heavy menstrual bleeding
2.0%
1/49 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Respiratory, thoracic and mediastinal disorders
Allergic cough
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Respiratory, thoracic and mediastinal disorders
Cough
2.0%
1/49 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)
Respiratory, thoracic and mediastinal disorders
Sneezing
0.00%
0/49 • End of Study (approximately 12 Weeks)
0.00%
0/47 • End of Study (approximately 12 Weeks)
0.00%
0/48 • End of Study (approximately 12 Weeks)
2.1%
1/48 • Number of events 1 • End of Study (approximately 12 Weeks)

Additional Information

Communication Center

Merck Healthcare KGaA, Darmstadt Germany, an affiliate of Merck KGaA, Darmstadt, Germany

Phone: +49-6151-72-5200

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place