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Visceral LeishmaniasisPhase 1NCT07809919

A First-in-human, Safety, Tolerability, and Pharmacokinetics Study of LXE408 in Healthy Subjects

A Phase 1 study testing LXE408 and Iohexol in people with Visceral Leishmaniasis and Chagas Disease, run by Novartis Pharmaceuticals at 1 site in United States.

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

The purpose of this first-in-human study is to generate the necessary safety, tolerability, and pharmacokinetics (PK) information that will support further clinical development of LXE408 for the treatment of patients with visceral leishmaniasis and potentially Chagas disease. Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Visceral Leishmaniasis, Chagas Disease
What is being tested?
LXE408 and Iohexol
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
88 participants
Where
1 siteUnited States
Study dates
21 Dec 2018to 27 Sep 2021
Phase
Phase 1
Are there results?
None posted in the registry

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 18 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Written informed consent must be obtained before any assessment is performed.
  • Healthy male and female subjects 18 to 65 years of age included, and in good health as determined by past medical history, physical examination, vital signs, electrocardiogram, and laboratory tests at screening and baseline.
  • At screening and baseline, vital signs (systolic and diastolic blood pressure and pulse rate) will be assessed in the sitting position and again in the standing position. Sitting vital signs should be within the following ranges:
  • oral body temperature between 35.0-37.5 °C
  • systolic blood pressure between 90-139 mmHg
  • diastolic blood pressure between 50-89 mmHg
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  • pulse rate between 40-90 bpm
  • Subjects must weigh at least 50 kg to participate in the study and must have a body mass index (BMI) within the range of 18 - 30 kg/m2. [BMI = Body weight (kg) / [Height (m)]2]
  • Able to communicate well with the investigator, to understand and comply with the requirements of the study.

Who cannot join

  • Use of other investigational drugs at the time of enrollment, or within 5 half-lives of enrollment, or within 30 days, whichever is longer; or longer if required by local regulations.
  • Known history or current clinically significant cardiac arrhythmias.
  • Significant illness which has not resolved within two (2) weeks prior to baseline.
  • Recent (within the last three years) and/or recurrent history of autonomic dysfunction (e.g., recurrent episodes of fainting, palpitations, etc.).
  • Recent (within the last three years) and/or recurrent history of acute or chronic bronchospastic disease (including asthma and chronic obstructive pulmonary disease, treated or not treated).
  • Chronic infection with Hepatitis B (HBV) or Hepatitis C (HCV). A positive HBV surface antigen (HBsAg) test, or if standard local practice, a positive HBV core antigen test, excludes a subject. Subjects with a positive HCV antibody test should have HCV RNA levels measured. Subjects with positive (detectable) HCV RNA should be excluded.
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  • Known family history or known presence of long QT syndrome.
  • History of immunodeficiency diseases, or a positive HIV (screening and confirmatory) test result.
  • History of malignancy of any organ system (other than localized basal cell carcinoma of the skin or in-situ cervical cancer), treated or untreated, within the past 5 years, regardless of whether there is evidence of local recurrence or metastases.
  • Donation or loss of 450 mL or more of blood within eight weeks prior to baseline, or longer if required by local regulation.
  • Plasma donation (450 mL) within 8 weeks prior to baseline.
  • Hemoglobin levels or platelet counts below the lower limit of normal for the laboratory.
  • History of drug abuse or unhealthy alcohol use within the 12 months prior to baseline, or evidence of such abuse as indicated by the laboratory assays conducted during screening #Unhealthy alcohol use is defined as a history of, or current alcohol misuse/abuse, defined as "Five or more drinks on the same occasion on each of 5 or more days in the past 30 days."
  • History of recreational cannabis use within four weeks prior to baseline. This exclusion criterion applies even if cannabis use is legalized where the site is located.
  • A history of clinically significant ECG abnormalities, or any of the following ECG abnormalities at screening or baseline:
  • PR > 200 msec
  • QRS complex > 120 msec
  • QTcF > 450 msec (males)
  • QTcF > 460 msec (females)
  • Pregnant or nursing (lactating) women.
  • Smokers based on urine cotinine levels. Urine cotinine levels will be measured during screening and at each baseline for all subjects. Smokers will be defined as any subject who reports tobacco use and/or who has a urine cotinine ≥ 500 ng/mL.
  • Other protocol-defined inclusion/exclusion may apply

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Vince and Associates PA and Vince and Associates Inc

    Overland Park, Kansas, 66212

Other trials in United States

About this study

Official title: A First-in-human, Randomized, Subject Blinded, Placebo Controlled, Single and Multiple Ascending Dose Study to Assess the Safety, Tolerability, and Pharmacokinetics of LXE408 in Healthy Subjects

The purpose of this first-in-human study is to generate the necessary safety, tolerability, and pharmacokinetics (PK) information that will support further clinical development of LXE408 for the treatment of patients with visceral leishmaniasis and potentially Chagas disease.

Being tested
LXE408, Placebo, Iohexol
Keywords
LXE408, first-in-human study, Phase l, First-in-human, healthy subject, single ascending dose, multiple ascending dose, visceral leishmaniasis
Medical subject headings
Leishmaniasis, Visceral, Chagas Disease

What participants receive

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

  • LXE408Drug

    LXE408 comes in film coated tablets and is taken orally.

  • PlaceboDrug

    LXE408 matching placebo comes in film coated tablets and is taken orally.

  • IohexolDrug

    Iohexol is a nonionic, water-soluble radiographic contrast medium with a molecular weight of 821.14 and is administered to the participant via intravenous (IV) injection.

Study groups in NCT07809919
Study groupRoleWhat they receive
Part A - Single Ascending Dose (SAD): Cohort 1: LXE408/PlaceboExperimentalParticipants received a single ascending dose of LXE408 or Placebo (fasted).
Receives: Drug: LXE408; Drug: Placebo
Part A - SAD: Cohort 2: LXE408 /PlaceboExperimentalParticipants received a single ascending dose of LXE408 or Placebo (fasted).
Receives: Drug: LXE408; Drug: Placebo
Part A - SAD: Cohort 3a/b: LXE408/PlaceboExperimentalParticipants received a single ascending dose of LXE408 or Placebo (fasted and fed). This Cohort is divided into 2 parts: fasted and fed. Participants treated in cohort 3a (fasted) are mandated to return for cohort 3b (Food Effect) after at least a 7-day washout period between dosings.
Receives: Drug: LXE408; Drug: Placebo
Part A - SAD: Cohort 4: LXE408/PlaceboExperimentalParticipants received a single ascending dose of LXE408 or Placebo (fasted).
Receives: Drug: LXE408; Drug: Placebo
Part A - SAD: Cohort 5: LXE408/PlaceboExperimentalParticipants received a single ascending dose of LXE408 or Placebo (fasted).
Receives: Drug: LXE408; Drug: Placebo
Part B - Multiple ascending Dose (MAD): Cohort 1: LXE408/PlaceboExperimentalParticipants received multiple ascending doses of LXE408 once daily or Placebo.
Receives: Drug: LXE408; Drug: Placebo
Part B - MAD: Cohort 2: LXE408/PlaceboExperimentalParticipants received multiple ascending doses of LXE408 once daily or Placebo.
Receives: Drug: LXE408; Drug: Placebo
Part B - MAD: Cohort 3: LXE408/PlaceboExperimentalParticipants received multiple ascending doses of LXE408 mg once daily or Placebo.
Receives: Drug: LXE408; Drug: Placebo
Part B - MAD: Cohort 4: LXE408/PlaceboExperimentalParticipants received multiple ascending doses of LXE408 once daily or Placebo.
Receives: Drug: LXE408; Drug: Placebo
Part B - MAD: Cohort 5 (mGFR cohort): LXE408/PlaceboExperimentalParticipants in this Measured glomerular filtration rate (mGFR) cohort received multiple ascending doses of LXE408 and iohexol or Placebo and iohexol.
Receives: Drug: LXE408; Drug: Placebo; Drug: Iohexol
Part B - MAD: Cohort 6: LXE408/PlaceboExperimentalParticipants received multiple ascending doses of LXE408 once daily or Placebo.
Receives: Drug: LXE408; Drug: Placebo

What is being measured

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

  1. Parts A & B: Number of participants with Adverse Events, physical exam findings, vital signs, ECG findings, safety laboratory assessments including chemistry, hematology, and urinalysis results

    To assess the safety and tolerability of of single and multiple ascending oral doses of LXE408.

    Measured: Part A: Single Ascending Dose (SAD): 35 days; Part A: SAD (Food Effect): 63 days; Part B: Multiple Ascending Dose (MAD): 45 days

Secondary outcomes (10)
  1. Pharmacokinetics (PK) of LXE408 and its metabolite MAN519: AUC (AUC0-24; AUCtau, AUClast, AUCinf as relevant) Parts A (SAD) & B (MAD)

    AUC, Area under Curve, represents the total amount of a drug that is actively present in the body over a specific period.

    Measured: up to 72 hours post-dose for plasma PK in Part A, 48 hours post-dose for urine PK in Part A and Intensive PK samples for 24 hours post dose on Day 1 and 10 and trough samples from Day 2 to Day 9, in Part B

  2. Pharmacokinetics of MAN519: Metabolite to parent ratio (MPTR) for AUC: MTPR_AUC

    Metabolite-to-parent AUC ratio is the ratio of the overall exposure to a metabolite compared with the overall exposure to the parent drug.

    Measured: up to 72 hours post-dose for plasma PK in Part A, 48 hours post-dose for urine PK in Part A and Intensive PK samples for 24 hours post dose on Day 1 and 10 and trough samples from Day 2 to Day 9, in Part B

  3. PK of LXE408 and its metabolite (MAN519) Parts A & B: Tmax

    Tmax, Time to Maximum, refers to the time required for a drug to reach its maximum concentration in the body.

    Measured: up to 72 hours post-dose for plasma PK in Part A, 48 hours post-dose for urine PK in Part A and Intensive PK samples for 24 hours post dose on Day 1 and 10 and trough samples from Day 2 to Day 9, in Part B

  4. PK of LXE408 and its metabolite (MAN519) Parts A & B: Cmax

    Cmax, the maximum plasma concentration, is the highest peak concentration of a drug observed in the body's systemic circulation.

    Measured: up to 72 hours post-dose for plasma PK in Part A, 48 hours post-dose for urine PK in Part A and Intensive PK samples for 24 hours post dose on Day 1 and 10 and trough samples from Day 2 to Day 9, in Part B

  5. PK of LXE408 Parts A & B: CL/F

    CL/F (Apparent Clearance) represents the efficiency of drug removal from the body following extravascular administration.

    Measured: up to 72 hours post-dose for plasma PK in Part A, 48 hours post-dose for urine PK in Part A and Intensive PK samples for 24 hours post dose on Day 1 and 10 and trough samples from Day 2 to Day 9, in Part B

  6. PK of LXE408 Parts A & B: V/F

    V/F represents the apparent volume of distribution for a drug administered through a non-intravenous route.

    Measured: up to 72 hours post-dose for plasma PK in Part A, 48 hours post-dose for urine PK in Part A and Intensive PK samples for 24 hours post dose on Day 1 and 10 and trough samples from Day 2 to Day 9, in Part B

  7. PK of LXE408 Part A (excluding Cohort 3b, Food effect cohort): Ae

    Ae stands for the cumulative amount of an unchanged drug excreted in the urine. It is a critical parameter used to measure how much of the active, unmetabolized medication is expelled from the body via the kidneys over a specific period of time.

    Measured: up to 72 hours post-dose for plasma PK in Part A, 48 hours post-dose for urine PK in Part A

  8. PK of LXE408 Part A (excluding Cohort 3b, Food effect cohort): CLR

    CLR stands for renal clearance. It is the volume of plasma completely cleared of a drug by the kidneys per unit of time. It represents the rate at which the kidneys filter, secrete, and excrete a specific medication into the urine.

    Measured: up to 72 hours post-dose for plasma PK in Part A, 48 hours post-dose for urine PK in Part A

  9. PK of LXE408 and its metabolite (MAN519) Parts A & B: T1/2

    T1/2 (half-life) is the time required for the concentration of a drug in the body or bloodstream to reduce by exactly 50%.

    Measured: up to 72 hours post-dose for plasma PK in Part A, 48 hours post-dose for urine PK in Part A and and Intensive PK samples for 24 hours post dose on Day 1 and 10 and trough samples from Day 2 to Day 9, in Part B

  10. Plasma clearance of iohexol (measured glomerular filtration rate (mGFR) cohort) (Part B only)

    To measure renal function (glomerular filtration rate (GFR)) after administration of LXE408.

    Measured: Day -1 (before LXE408 administration), Day 5 & Day 10 (Post LXE408 administration) at 0,0.5,1,2,3,4,6,8,10,12 hours (post- iohexol dose)

Timeline

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

  1. First posted9 Sep 2026
  2. Study start21 Dec 2018
  3. Primary completion27 Sep 2021
  4. Study completion27 Sep 2021

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 1
Primary purpose
Other
Allocation
Randomised
Intervention model
Sequential
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
88 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07809919
Sponsor's protocol ID
CLXE408X2101
Status last verified
Sep 2026
First submitted
26 Aug 2026
Last updated
9 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing LXE408 and Iohexol in people with Visceral Leishmaniasis and Chagas Disease, run by Novartis Pharmaceuticals at 1 site in United States.

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 9 inclusion and 22 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 9 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Parts A & B: Number of participants with Adverse Events, physical exam findings, vital signs, ECG findings, safety laboratory assessments including chemistry, hematology, and urinalysis results (time frame: Part A: Single Ascending Dose (SAD): 35 days; Part A: SAD (Food Effect): 63 days; Part B: Multiple Ascending Dose (MAD): 45 days). 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 9 Sep 2026.

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