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Uncomplicated Plasmodium Falciparum MalariaPhase 3KALUMANCT05842954

Efficacy, Safety and Tolerability of KLU156 in Adults and Children With Uncomplicated P. Falciparum Malaria

A Phase 3 study testing KLU156 and Coartem in people with Uncomplicated Plasmodium Falciparum Malaria, run by Novartis Pharmaceuticals at 32 sites in 12 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study aimed to confirm the efficacy, safety and tolerability of KLU156, a fixed dose combination of ganaplacide (KAF156) and a solid dispersion formulation of lumefantrine (lumefantrine-SDF), when administered once daily for three days in adults and children ≥ 10 kg of body weight suffering from uncomplicated P. Read more about this study

Who is it for?
Ages 2 months to 100 years
What is being tested?
KLU156 and Coartem
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,720 participants
Where
32 sitesin 12 countries
Study dates
7 Mar 2024to 25 Nov 2025
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 2 months to 100 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Male or female patients ≥ 10 kg of body weight.
  • Microscopically confirmed diagnosis of uncomplicated P. falciparum malaria with an asexual P. falciparum parasitemia ≥ 1,000 and ≤ 200,000 parasites/µL at the time of pre-screening with or without other Plasmodium spp. co-infection.
  • Axillary temperature ≥ 37.5 ºC or oral temperature ≥ 38.0 ºC or tympanic/rectal temperature ≥ 38.5 ºC; or history of fever during the previous 24 hours (at least documented verbally)
  • Negative pregnancy test for patients of childbearing potential
  • Signed informed consent was obtained before any assessment is performed; for minors, signed informed consent was obtained from parent/legal guardian. If the parent/legal guardian was unable to read and write, then a witnessed consent according to local ethical standards was permitted. Patients who were capable of providing assent, must have provided it along with parent/legal guardian consent or as per local ethical standards
  • The patient and/or their parent/legal guardian was able to understand and comply with protocol requirements, instructions and protocol-stated restrictions and was likely to complete the study as planned.

Who cannot join

  • Signs and symptoms of severe malaria according to WHO 2015 (World Health Organization)
  • Concurrent febrile illnesses (e.g., typhoid fever, known or suspected dengue fever, known COVID19)
  • Severe malnutrition. For patients ≥ 12 years: body mass index (BMI) < 16.0. For children < 12 years: less than 70% of median normalized WHO reference weight or very low mid-upper arm circumference (MUAC < 115 mm)
  • Repeated vomiting (defined as > 3 times in the 24 hours prior to start of screening) or severe diarrhea (defined as > 3 watery stools in the 24 hours prior to start of screening)
  • Clinically relevant abnormalities of electrolyte balance which required correction, e.g., hypokalemia, hypocalcemia or hypomagnesemia
  • Anemia (hemoglobin level <7 g/dL)
Show all 14Show fewer
  • Any surgical or medical condition which might have significantly altered the absorption, distribution, metabolism, or excretion of drugs (e.g., Human immunodeficiency virus (HIV) patients on antiretroviral therapy (ART) or tuberculosis (TB) patients on treatment), or which may have jeopardized the patient in case of participation in the study.
  • Any of the following:
  • Aspartate Aminotransferase/ Alanine Aminotransferase (AST/ALT) > 3 x the upper limit of normal (ULN), regardless of the level of total bilirubin
  • Total bilirubin > 3 x ULN
  • Resting QT interval corrected by Fridericia's formula (QTcF) > 450 ms at screening
  • Prior antimalarial therapy or antibiotics with antimalarial activity within minimum of their five plasma half-lives (or within 4 weeks of screening if half-life was unknown)
  • History or family history of long QT syndrome or sudden cardiac death, or any other clinical condition known to prolong the QTc interval, such as history of symptomatic cardiac arrhythmias, clinically relevant bradycardia or severe heart disease
  • Pregnant or nursing (lactating) patients.

Trial locations and contacts

32 sites in 12 countries.

32 sites in 12 countries

Burkina Faso5 sites
  • Novartis Investigative Site

    Banfora

  • Novartis Investigative Site

    Bobo-Dioulasso

  • Novartis Investigative Site

    Nanoro, BP 18

  • Novartis Investigative Site

    Ouagadougou

  • Novartis Investigative Site

    Sabou

Other trials in Burkina Faso

Democratic Republic of the Congo5 sites
  • Novartis Investigative Site

    Kenge, Kwango

  • Novartis Investigative Site

    Kimpese, Bas-Congo Province

  • Novartis Investigative Site

    Kisantu, Bas-Congo Province

  • Novartis Investigative Site

    Lubumbashi, Du Haut Katanga, 7010

  • Novartis Investigative Site

    Masi-Manimba, Kwilu

Other trials in Democratic Republic of the Congo

Rwanda4 sites
  • Novartis Investigative Site

    Gicumbi, Northern Province

  • Novartis Investigative Site

    Kigali

  • Novartis Investigative Site

    Rubavu

  • Novartis Investigative Site

    Rusizi

Other trials in Rwanda

Côte d’Ivoire3 sites
  • Novartis Investigative Site

    Abidjan, 13 BP 972

  • Novartis Investigative Site

    Agboville

  • Novartis Investigative Site

    Azaguié

Other trials in Côte d’Ivoire

Kenya3 sites
  • Novartis Investigative Site

    Kombewa, 40102

  • Novartis Investigative Site

    Nairobi, 00200

  • Novartis Investigative Site

    Siaya, 2300

Other trials in Kenya

Tanzania3 sites
  • Novartis Investigative Site

    Bagamoyo, 78373

  • Novartis Investigative Site

    Korogwe Tanga, 9653

  • Novartis Investigative Site

    Tanga, 5004

Other trials in Tanzania

Gabon2 sites
  • Novartis Investigative Site

    Lambaréné, BP 242

  • Novartis Investigative Site

    Libreville, BP 1437

Other trials in Gabon

Ghana2 sites
  • Novartis Investigative Site

    Kintampo, 92037

  • Novartis Investigative Site

    Navrango, VWJ6+8WF

Other trials in Ghana

Zambia2 sites
  • Novartis Investigative Site

    Nchelenge, Luapula Province, 70100

  • Novartis Investigative Site

    Ndola, 71769

Other trials in Zambia

Mali1 site
  • Novartis Investigative Site

    Sotouba

Other trials in Mali

Niger1 site
  • Novartis Investigative Site

    Niamey, 8003

Other trials in Niger

Uganda1 site
  • Novartis Investigative Site

    Tororo, 10102

Other trials in Uganda

About this study

Official title: A Randomized, Open-label, Multicenter Study to Compare Efficacy, Safety and Tolerability of KLU156 With Coartem® in the Treatment of Uncomplicated Plasmodium Falciparum Malaria in Adults and Children Followed by an Extension Phase With Repeated KLU156 Treatment

This study aimed to confirm the efficacy, safety and tolerability of KLU156, a fixed dose combination of ganaplacide (KAF156) and a solid dispersion formulation of lumefantrine (lumefantrine-SDF), when administered once daily for three days in adults and children ≥ 10 kg of body weight suffering from uncomplicated P. falciparum malaria (with or without other Plasmodium spp. co-infection).

In the extension phase, the safety, tolerability and efficacy of repeated treatment with KLU156 was assessed for a maximum of approximately 18 months in patients who did not experience early treatment failure (ETF), who did not experience any study treatment-related SAE (Serious Adverse Event) previously and who gave informed consent to participate in the Extension phase.

Read the detailed description

The purpose of this study was to confirm the efficacy, safety and tolerability of KLU156 in patients with uncomplicated P. falciparum malaria (with or without other Plasmodium spp. co-infection) by demonstrating that KLU156 is non-inferior to Coartem.

  • The total study duration was up to approximately 20 months.
  • The treatment duration was 3 days for each malaria episode.
  • The visit frequency was Days 1-3 (hospitalized) and 5 follow-up visits (Days 4, 8, 22, 29 and 43) in the Core phase and Days 1-3 (hospitalized) and 3 follow-up visits (Days 4, 8 and 29) in the Extension phase.

This study had two different primary outcomes depending on the submission (US New Drug Application (NDA) or non-US submissions).

Protocol amendment 01 increased the minimum body weight requirement for study participation from ≥ 5 kg to ≥ 10 kg and revised the statistical analysis plan to exclude patients < 10 kg from the main analyses.

Being tested
KLU156, Coartem
Keywords
malaria, Plasmodium falciparum, KLU156, Coartem, artemether, lumefantrine, ganaplacide
Medical subject headings
Malaria, Malaria, Falciparum

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • KLU156Drug

    Oral use. KLU156 (400/480 mg) was the dose for patients with a bodyweight ≥ 35kg. Patients < 35kg took a fraction of the dose according to weight group as defined in the protocol.

  • CoartemDrug

    Oral use. Dosing was selected based on patient's body weight as per product's label.

Study groups in NCT05842954
Study groupRoleWhat they receive
KLU156ExperimentalKLU156 once daily (QD) for 3 days under fed conditions (light meal).
Receives: Drug: KLU156
CoartemActive comparatorCoartem twice a day (BID) for 3 days under fed conditions.
Receives: Drug: Coartem
KLU156 (Participants with <10 kg Body Weight)ExperimentalKLU156 once daily (QD) for 3 days under fed conditions (light meal).
Receives: Drug: KLU156
Coartem (Participants with <10 kg Body Weight)Active comparatorCoartem twice a day (BID) for 3 days under fed conditions.
Receives: Drug: Coartem

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Core Phase: PCR-corrected Adequate Clinical and Parasitological Response (ACPR) at Day 29

    PCR-corrected Adequate Clinical and Parasitological Response (ACPR) at Day 29 is defined as the percentage of participants who are clinically well and have no recrudescence (reappearance of the original malaria infection) by 29 days after treatment, with PCR genotyping used to distinguish new infections from recrudescence. This primary outcome was applicable to the non-US submission.

    Measured: Day 29 (i.e., 28 days post-first dose administration)

  2. Core Phase: Uncorrected ACPR (US NDA Submission) at Day 29

    Uncorrected ACPR at Day 29 is defined as the percentage of participants who are clinically well and have no malaria parasite reappearance detected by Day 29 after treatment, without using parasite genotyping to distinguish new infections from recrudescence of the original infection. This primary outcome was applicable to US New Drug Application (NDA) submission.

    Measured: Day 29

Secondary outcomes (16)
  1. Core Phase: PCR-corrected ACPR at Days 22 and 43

    To confirm the efficacy of KLU156 by assessing PCR-corrected ACPR at additional time points.

    Measured: Days 22 and 43 (i.e., 21 and 42 days post-first dose administration)

  2. Core Phase: Uncorrected ACPR at Days 22 and 43

    To confirm the efficacy of KLU156 by assessing uncorrected ACPR at additional time points.

    Measured: Days 22 and 43 (i.e., 21 and 42 days post-first dose administration)

  3. Core Phase: Percentage of Participants With Recrudescence

    Recrudescence is defined as appearance of asexual parasites after clearance of initial infection with a genotype identical to that of parasites present at baseline. Recrudescence had to be confirmed by PCR analysis.

    Measured: Days 22, 29 and 43

  4. Core Phase: Percentage of Participants With New Infection

    New infection is defined as appearance of asexual parasites after clearance of initial infection with a genotype different from those parasites present at baseline. New infection had to be confirmed by PCR analysis.

    Measured: Days 22, 29 and 43

  5. Core Phase: Fever Clearance Time

    Fever clearance time is defined as time from the first dose until the first time the axillary body temperature decreased below and remained below 37.5°C axillary or 38.0°C oral/tympanic/rectal for at least a further 24 hours.

    Measured: Up to Day 3

  6. Core Phase: Parasite Clearance Time

    Parasite clearance time is defined as time from the first dose until the first total and continued disappearance of asexual parasite forms which remained at least a further 48 hours.

    Measured: Up to Day 3

  7. Core Phase: Gametocyte Clearance Time

    To confirm the efficacy of KLU156 by assessing gametocyte clearance between the two treatment arms

    Measured: Up to Day 3

  8. Core Phase: Percentage of Participants With Parasitemia

    For the parasitemia assessment, blood sampling can be done by means of a finger prick except when the timing for parasitology assessments coincides with time for clinical laboratory tests, in which case, blood sample can be taken from the venous blood collected for clinical laboratory analyses.

    Measured: 12, 24, 48 and 72 hours after treatment

  9. Core Phase: Clearance of Gametocytes in Participants With Gametocytemia at Baseline

    Assessed by microscopy. Baseline was pre-first dose administration.

    Measured: From baseline up to Day 43

  10. Core Phase: Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) and AEs of Grade 3 Severity or Higher

    Incidence and severity of TEAEs by treatment group, including changes in vital signs, electrocardiograms (ECGs), and laboratory results qualifying and reported as AEs. Severity was graded according to the Common Terminology Criteria for Adverse Events (CTCAE): Grade 1 (Mild), Grade 2 (Moderate), Grade 3 (Severe), Grade 4 (Life-threatening), and Grade 5 (Death).

    Measured: Day 43

  11. Core Phase: Percentage of Participants With Treatment-emergent Serious Adverse Events (SAEs), Graded by Severity

    Incidence and severity of treatment-emergent SAEs by treatment group, including changes in vital signs, electrocardiograms (ECGs), and laboratory results qualifying and reported as AEs. Severity was graded according to the Common Terminology Criteria for Adverse Events (CTCAE): Grade 1 (Mild), Grade 2 (Moderate), Grade 3 (Severe), Grade 4 (Life-threatening), and Grade 5 (Death).

    Measured: Day 43

  12. Extension Phase: PCR-corrected ACPR

    To evaluate PCR-corrected ACPR over repeated treatment with KLU156 in adults and children ≥ 10 kg of body weight suffering from uncomplicated malaria caused by P. falciparum (with or without other Plasmodium spp. co-infection). Patients were instructed to return to the study site whenever symptoms suggestive of malaria occurred. At each suspected malaria episode, eligibility for KLU156 treatment was reassessed, including confirmation of malaria diagnosis.

    Measured: Up to Day 29 for each KLU156 treatment episode

  13. Extension Phase: Uncorrected ACPR

    To evaluate uncorrected ACPR over repeated treatment with KLU156 in adults and children ≥ 10 kg of body weight suffering from uncomplicated malaria caused by P. falciparum (with or without other Plasmodium spp. co-infection).

    Measured: Up to Day 29 for each KLU156 treatment episode

  14. Extension Phase: Percentage of Participants With KLU156-related AEs by Malaria Episode

    To assess the safety and tolerability over repeated treatment with KLU156 in adults and children ≥ 10 kg of body weight suffering from uncomplicated malaria caused by P. falciparum (with or without other Plasmodium spp. co-infection).

    Measured: Up to approximately 18 months

  15. Extension Phase: Percentage of Participants With SAEs by Severity and Malaria Episode

    To assess the safety and tolerability over repeated treatment with KLU156 in adults and children ≥ 10 kg of body weight suffering from uncomplicated malaria caused by P. falciparum (with or without other Plasmodium spp. co-infection).

    Measured: Up to approximately 18 months

  16. Extension Phase: Gametocyte Carriage Over Time

    To assess gametocyte carriage over time by malaria episode in the extension phase

    Measured: Up to Day 29 for each KLU156 treatment episode

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 May 2023
  2. Study start7 Mar 2024
  3. Primary completion27 Jun 2025
  4. Study completion25 Nov 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
1,720 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05842954
Sponsor's protocol ID
CKLU156A12301
Other IDs
2022-002675-10
Acronym
KALUMA
Status last verified
Oct 2026
First submitted
24 Apr 2023
Last updated
4 Nov 2026
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing KLU156 and Coartem in people with Uncomplicated Plasmodium Falciparum Malaria, run by Novartis Pharmaceuticals at 32 sites in 12 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 4 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 32 sites in Burkina Faso, Democratic Republic of the Congo, Rwanda, Côte d’Ivoire, Kenya and 7 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 4 Nov 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Core Phase: PCR-corrected Adequate Clinical and Parasitological Response (ACPR) at Day 29 (time frame: Day 29 (i.e., 28 days post-first dose administration)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Nov 2026.

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