| E.1 Medical condition or disease under investigation |
| E.1.1 | Medical condition(s) being investigated |
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| E.1.1.1 | Medical condition in easily understood language |
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| E.1.1.2 | Therapeutic area | Diseases [C] - Parasitic Diseases [C03] |
| MedDRA Classification |
| E.1.2 Medical condition or disease under investigation |
| E.1.2 | Version | 28.0 |
| E.1.2 | Level | PT |
| E.1.2 | Classification code | 10016234 |
| E.1.2 | Term | Fascioliasis |
| E.1.2 | System Organ Class | 10021881 - Infections and infestations |
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| E.1.3 | Condition being studied is a rare disease | Yes |
| E.2 Objective of the trial |
| E.2.1 | Main objective of the trial |
To evaluate safety and tolerability of Egaten administered as two 10 mg/kg doses given approximately 12 hours apart in subjects with fascioliasis.
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| E.2.2 | Secondary objectives of the trial |
To evaluate clinical response in acute and chronic Fascioliasis subjects on Day 10 To evaluate clinical cure rate in Acute Fascioliasis subjects on, Day 30, Day 60 and Day 90. To evaluate parasitological cure rate of chronic fascioliasis subjects at Day 10, Day 30, Day 60 and Day 90. To evaluate clinical cure rate of chronic fascioliasis subjects at Day 30, Day 60 and Day 90.
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| E.2.3 | Trial contains a sub-study | No |
| E.3 | Principal inclusion criteria |
1. Written informed consent must be obtained before any study protocol specific assessment is performed other than procedures performed as part of standard of care.
2. Subjects (Adult and pediatric subjects ≥ 6 years of age and ≥ 18 kg of weight) with confirmed diagnosis of fascioliasis.
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| E.4 | Principal exclusion criteria |
2. Subjects with known hypersensitivity to triclabendazole and/or to other benzimidazole derivatives or to any of the excipients in Egaten. 6. Females (including under the age of 18) known to be pregnant or testing positive for pregnancy at screening. 7. Lactating women unwilling to discontinue lactation up to 72 hours after the second dose administration or as per local guidelines. 10. Subjects with medical history of QT prolongation or a history of symptoms compatible with a long QT interval or on medication which prolong the QT interval. 11. Patients with a resting QTcF ≥480 msec or inability to determine the QTcF interval at screening.
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| E.5 End points |
| E.5.1 | Primary end point(s) |
Safety/tolerability assessments (incidence of serious adverse events (SAEs), adverse events (AEs), and laboratory assessments)
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| E.5.1.1 | Timepoint(s) of evaluation of this end point |
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| E.5.2 | Secondary end point(s) |
At Day 10, improvement or resolution of baseline signs and symptoms At Day 30, Day 60 and Day 90, proportion of subjects with: • Resolution of baseline signs and symptoms. • Improvement in baseline lab parameters. • Improvement in baseline ultrasound findings. Proportion of subjects with absence of fasciola eggs confirmed by stool examination at Day 10, Day 30, Day 60 and Day 90. At Day 30, Day 60 and Day 90 proportion of subjects with : • Resolution of baseline signs and symptoms. • Improvement in baseline lab parameters. • Improvement in baseline ultrasound findings.
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| E.5.2.1 | Timepoint(s) of evaluation of this end point |
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| E.6 and E.7 Scope of the trial |
| E.6 | Scope of the trial |
| E.6.1 | Diagnosis | No |
| E.6.2 | Prophylaxis | No |
| E.6.3 | Therapy | No |
| E.6.4 | Safety | Yes |
| E.6.5 | Efficacy | Yes |
| E.6.6 | Pharmacokinetic | No |
| E.6.7 | Pharmacodynamic | No |
| E.6.8 | Bioequivalence | No |
| E.6.9 | Dose response | No |
| E.6.10 | Pharmacogenetic | No |
| E.6.11 | Pharmacogenomic | No |
| E.6.12 | Pharmacoeconomic | No |
| E.6.13 | Others | No |
| E.7 | Trial type and phase |
| E.7.1 | Human pharmacology (Phase I) | No |
| E.7.1.1 | First administration to humans | No |
| E.7.1.2 | Bioequivalence study | No |
| E.7.1.3 | Other | No |
| E.7.1.3.1 | Other trial type description | |
| E.7.2 | Therapeutic exploratory (Phase II) | No |
| E.7.3 | Therapeutic confirmatory (Phase III) | No |
| E.7.4 | Therapeutic use (Phase IV) | Yes |
| E.8 Design of the trial |
| E.8.1 | Controlled | No |
| E.8.1.1 | Randomised | No |
| E.8.1.2 | Open | Yes |
| E.8.1.3 | Single blind | No |
| E.8.1.4 | Double blind | No |
| E.8.1.5 | Parallel group | No |
| E.8.1.6 | Cross over | No |
| E.8.1.7 | Other | No |
| E.8.2 | Comparator of controlled trial |
| E.8.2.1 | Other medicinal product(s) | No |
| E.8.2.2 | Placebo | No |
| E.8.2.3 | Other | No |
| E.8.2.4 | Number of treatment arms in the trial | 1 |
| E.8.3 |
Will this trial be conducted at a single site globally?
| No |
| E.8.4 | Will this trial be conducted at multiple sites globally? | Yes |
| E.8.6 Trial involving sites outside the EEA |
| E.8.6.2 | Trial being conducted completely outside of the EEA | Yes |
| E.8.6.3 | Specify the countries outside of the EEA in which trial sites are planned |
| Colombia |
| Egypt |
| Peru |
| Türkiye |
| Viet Nam |
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| E.8.7 | Trial has a data monitoring committee | No |
| E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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| E.8.9 Initial estimate of the duration of the trial |
| E.8.9.2 | In all countries concerned by the trial years | 5 |