Pan African Clinical Trials Registry

South African Medical Research Council, South African Cochrane Centre
PO Box 19070, Tygerberg, 7505, South Africa
Telephone: +27 21 938 0506 / +27 21 938 0834 Fax: +27 21 938 0836
Email: pactradmin@mrc.ac.za Website: pactr.samrc.ac.za
Trial no.: PACTR202508592564689 Date of Registration: 12/08/2025
Trial Status: Registered in accordance with WHO and ICMJE standards
TRIAL DESCRIPTION
Public title A Phase 2A study of a novel antimalarial pyrrolidinamide in adult patients with uncomplicated P. falciparum malaria
Official scientific title A Phase 2A Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of a Novel Antimalarial Pyrrolidinamide at Different Doses and Dose Durations, in Adult Patients with Uncomplicated P. falciparum Malaria
Brief summary describing the background and objectives of the trial Background Malaria is a major infectious disease caused by Plasmodium parasites and transmitted by infected female Anopheles mosquitoes. Despite the fact that 5 different species can cause malaria in humans (falciparum, vivax, malariae, ovale and knowlesi), P. falciparum is responsible for the highest mortality. In 2023, there were an estimated 263 million cases of malaria, an increase of about 14 million cases over 2022. Deaths reached 597,000 compared to 608,000 in 2021. Most of the deaths occurred in the African region (95%) [WHO, 2024]. Historically, antimalarials have been designed to kill the intraerythrocytic stages of the parasite lifecycle that are directly responsible for the symptoms of the disease. Based on a high throughput whole cell phenotypic screen, a new pyrrolidinamide class of antimalarials was selected for further research [Gamo, 2010]. Within this novel antimalarial pyrrolidinamide series, GSK3772701 was identified as the most balanced compound; it is a compound able to kill parasite asexual blood stages. Objectives: To investigate the safety and tolerability of GSK3772701 after single and repeat oral doses in adult patients with uncomplicated P. falciparum malaria. To evaluate the PK profile of single and repeat oral doses of GSK3772701 in adult patients with uncomplicated P. falciparum malaria. To evaluate the efficacy of single and repeat oral doses of GSK3772701 in adult patients with uncomplicated P. falciparum malaria. To characterize the PK/PD relationship. To evaluate P. falciparum genetic polymorphisms and potency of GSK3772701. To assess the safety of GSK3772701 for individual parameters after single and repeat oral doses in adult patients with uncomplicated P. falciparum malaria.
Type of trial Non-Randomised
Acronym (If the trial has an acronym then please provide)
Disease(s) or condition(s) being studied Infections and Infestations
Sub-Disease(s) or condition(s) being studied Malaria
Purpose of the trial Treatment: Drugs
Anticipated trial start date 03/02/2026
Actual trial start date
Anticipated date of last follow up 15/03/2027
Actual Last follow-up date
Anticipated target sample size (number of participants) 70
Actual target sample size (number of participants)
Recruitment status Not yet recruiting
Publication URL
Secondary Ids Issuing authority/Trial register
STUDY DESIGN
Intervention assignment Allocation to intervention If randomised, describe how the allocation sequence was generated Describe how the allocation sequence/code was concealed from the person allocating the participants to the intervention arms Masking If masking / blinding was used
Crossover: all participants receive all interventions in different sequence during study Non-randomised Allocation Sequence/Code was not concealed Open-label(Masking Not Used)
INTERVENTIONS
Intervention type Intervention name Dose Duration Intervention description Group size Nature of control
Experimental Group GSK3772701 600 mg Participants receive a single GSK3772701 600 mg dose on Day 1. 1 day A 600 mg dose of GSK3772701 administered orally, as 4 capsules of 150 mg. 14
Experimental Group GSK3772701 900 mg Participants receive a single GSK3772701 900 mg dose on Day 1. 1 day A 900 mg dose of GSK3772701 administered orally, as 6 capsules of 150 mg. 14
Experimental Group GSK3772701 150 mg Participants receive a daily 150 mg dose of GSK3772701 on Day 1 and Day 2. 2 days A daily 150 mg dose of GSK3772701 administered orally on Day 1 and Day 2, as 1 capsule. 14
Experimental Group GSK3772701 400 mg Participants receive a daily 400 mg dose of GSK3772701 on Day 1 and Day 2. 2 days A daily 400 mg dose of GSK3772701 administered orally on Day 1 and Day 2, as 2 capsules of 150 mg and 1 capsule of 100 mg. 14
Experimental Group GSK3772701 50 mg Participants receive a daily 50 mg dose of GSK3772701 on Day 1, Day 2 and Day 3. 3 days A daily 50 mg dose of GSK3772701 administered orally on Day 1, Day 2 and Day 3, as 1 capsule. 14
Control Group NA N/A N/A N/A 0 Uncontrolled
ELIGIBILITY CRITERIA
List inclusion criteria List exclusion criteria Age Category Minimum age Maximum age Gender
• Male and female patients aged 18 to 65 years. • Presence of malaria due to mono-infection with P. falciparum confirmed by: – Fever, as defined by axillary temperature >=37.5°C or oral/tympanic temperature >=38°C and, – Microscopically confirmed P. falciparum malaria parasite mono-infection, – A parasite count between 2,000 to 60,000 asexual parasite count/µL of blood for P. falciparum. • Have a BMI between >=18 and <=30 kg/m2. • Able to swallow oral medication. • Signed informed consent, acknowledging understanding and willingness to comply with the requirements of the study. If the patient is unable to write, thumb print consent, signed by an impartial witness is permitted according to local ethical considerations. • Contraceptive use by women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. • A female participant is eligible to participate if she is not pregnant or breastfeeding, and one of the following conditions applies: - Is a woman of non-childbearing potential (WONCBP) or - Is a woman of childbearing potential (WOCBP) and using an acceptable contraceptive method, from Study Day 1, and during the study intervention period (40 +/-3 days). • Patients with signs and symptoms of severe/complicated malaria according to the WHO 2024 Criteria. • Mixed Plasmodium infection, i.e., infection with more than one malaria (plasmodium) species (by microscopy; participant to be withdrawn from study treatment if PCR subsequently indicates presence of mixed infection). • Abnormal values: QTcF >450 msec or QTcF >480 msec for patients with bundle branch block. • Any clinically significant ECG abnormalities at Screening unrelated to malaria (including but not limited to, second degree AV block (Mobitz Type 2), complete heart block, ST changes, atrial fibrillation, atrial flutter, supraventricular tachycardia, ventricular tachycardia, prolonged QT interval. • History of malignancy (or current malignancy) of any organ system (other than localized carcinoma of the skin), treated or untreated, within the past 5 years, regardless of whether there is evidence of local recurrence or metastases. • Creatinine >=2 x ULN. • Significant illness within two weeks prior to screening. • Positive HIV antibody test at screening, or history of HIV infection based on past positive test result, clinical record or current treatment. • Severe vomiting, defined as more than 3 times in the 24 hours before screening or inability to tolerate oral treatment. • Severe diarrhoea defined as more than 3 watery stools per day in the 24 hours before screening. • Known history or evidence (based on clinical examination or investigation) of uncontrolled active cardiovascular disease (including hypertension), respiratory disease (including active tuberculosis even if treatment is ongoing), liver cirrhosis or liver disease (based on prior investigation, clinical signs and/or interpretation of liver enzymes), other active hepatic, renal, gastrointestinal, immunological, neurological, endocrine, infectious, or psychiatric disease. • Anaemia (Hb <=8.0g/dl) or known clinically important chronic underlying haematological disease such as sickle cell disease at screening. • Significant chronic medical conditions which in the opinion of the investigator preclude enrolment into the study. • Have received any antimalarial treatment in the preceding 6 weeks (see Section 6.10), as determined by history or medical record. • Prior enrolment in this study and receipt of treatment with GSK3772701. • Use of other investigational drugs at the time of enrolment, or within 6 weeks, or 5 half-lives prior to enrolment into this study, whichever is longer; or longer if required by local regulations, and for any other limitation of participation in an investigational trial based on local regulations. • History of hypersensitivity to the study drug or drug formulation and capsule (Hypromellose (hydroxypropyl methylcellulose)) constituents. • History of drug or alcohol abuse within 3 months prior to dosing, or clinical evidence of such abuse. • Participants who in the opinion of the Investigator are unsuitable for participation in the study or cannot be enrolled due to logistical reasons. • ALT >2.0 x ULN. • Total bilirubin >1.5 x ULN; Participants with Gilbert’s syndrome can be included with total bilirubin >1.5xULN as long as direct bilirubin is <=1.5xULN. • Current or chronic history of liver disease or known hepatic or biliary abnormalities (with the exception of Gilbert’s syndrome or asymptomatic gallstones). • Presence of hepatitis B surface antigen (HBsAg) at screening or within 3 months prior to first dose of study intervention. • Positive hepatitis C antibody test result at screening or within 3 months prior to first dose of study intervention. Note: Participants with positive hepatitis C antibody due to prior resolved disease can be enrolled, only if a confirmatory negative Hepatitis C RNA test is obtained. • Positive hepatitis C RNA test result at screening or within 3 months prior to first dose of study intervention. Note: Test is optional and participants with negative Hepatitis C antibody test are not required to also undergo Hepatitis C RNA testing. Adolescent: 13 Year-18 Year,Adult: 19 Year-44 Year,Aged: 65+ Year(s),Middle Aged: 45 Year(s)-64 Year(s) 18 Year(s) 65 Year(s) Both
ETHICS APPROVAL
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
No 29/08/2025 Comite National Ethique pour Recherche
Ethics Committee Address
Street address City Postal code Country
Minitere de La Recherche Scientifique et de Innovation Luxembourg 1009 Gabon
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
No 03/11/2025 Infectious Disease Research Ethic Committee
Ethics Committee Address
Street address City Postal code Country
P.O. Box 22418 Kampala, Uganda Kampala 25601 Uganda
OUTCOMES
Type of outcome Outcome Timepoint(s) at which outcome measured
Primary Outcome Number of participants with serious adverse events (SAEs) overall, treatment related, and by severity A SAE is defined as any untoward medical occurrence that, at any dose: results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study participant; abnormal pregnancy outcomes; or any other situation according to medical or scientific judgment. The intensity of SAEs is assessed as per the Division of Acquired Immunodeficiency Syndrome (DAIDS) criteria Version 2.1 where grades are defined based on numeric criteria as follows Grade 1: mild; Grade 2: moderate; Grade 3: severe; Grade 4: potentially life-threatening; Grade 5: death. A higher grade indicates greater severity. Any = occurrence of the event regardless of intensity grade and treatment relationship. Treatment related = occurrence of the event which, in the investigator’s opinion, is related to the administered treatment regardless of the intensity grade. From the date of informed consent signing, up to 24 hours prior to Day 1 - up to Day 40, end of the follow-up period
Primary Outcome Number of participants with non-serious AEs overall, treatment related, and by severity An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. The intensity of non-serious AEs is assessed using the DAIDS criteria Version 2.1 where grades are defined based on numeric criteria as follows Grade 1: mild; Grade 2: moderate; Grade 3: severe; Grade 4: potentially life-threatening; Grade 5: death. A higher grade indicates greater severity. Any = occurrence of the event regardless of intensity grade and treatment relationship. Treatment related = occurrence of the event which, in the investigator’s opinion, is related to the administered treatment regardless of the intensity grade. From Day 1 up to Day 40
Secondary Outcome Area under the concentration (AUC) - time curve (AUC[0-t]) of GSK3772701 AUC(0-t) is defined as the area under the concentration-time curve from time zero to the time of the last evaluable concentration. From Day 1 to Day 7
Secondary Outcome AUC(0-t) extrapolated to infinity (AUC[0-inf]) of GSK3772701 AUC(0-inf) is defined as the area under the concentration-time curve extrapolated to infinity calculated as: AUC(0-inf) = AUC(0-t) + C(t) / λz. From Day 1 to Day 7
Secondary Outcome Maximum observed concentration (Cmax) of GSK3772701 From Day 1 to Day 7
Secondary Outcome Time to maximum observed drug concentration (Tmax) of GSK3772701 Tmax is defined as time to reach the Cmax. From Day 1 to Day 7
Secondary Outcome Apparent terminal half-life (t1/2) of GSK3772701 Apparent terminal phase half-life in plasma (and blood), calculated as loge (2)/λz. From Day 1 to Day 7
Secondary Outcome Trough concentration (Ctau) of GSK3772701 following multiple dose administration Ctau is defined as the trough/pre-dose concentration after dosing interval, tau. From Day 2 to Day 7
Secondary Outcome Observed accumulation ratio (R) of GSK3772701 for AUC [AUC(Ro)] following multiple dose administration AUC-tau (Ro) is defined as the accumulation ratio for AUC(0-tau) comparing last day of dosing to Day 1. From Day 2 or Day 3 to Day 7, compared to Day 1
Secondary Outcome Observed accumulation ratio of GSK3772701 based on Cmax (RCmax) following multiple doses Cmax (RCmax) is defined as the accumulation ratio for Cmax comparing last day of dosing to Day 1. From Day 2 or Day 3 to Day 7, compared to Day 1
RECRUITMENT CENTRES
Name of recruitment centre Street address City Postal code Country
CERMEL BP 242 Lambarene 1437 Libreville Gabon
Infectious Diseases Research Collaboration Plot no 3 Nakasero Hill Lane Kampala NA Uganda
FUNDING SOURCES
Name of source Street address City Postal code Country
GlaxoSmithKline Research And Development Limited 79 New Oxford Street London WC1A 1DG United Kingdom
SPONSORS
Sponsor level Name Street address City Postal code Country Nature of sponsor
Primary Sponsor GlaxoSmithKline Research And Development Limited 79 New Oxford Street London WC1A 1DG United Kingdom Commercial Sector/Industry
COLLABORATORS
Name Street address City Postal code Country
CONTACT PEOPLE
Role Name Email Phone Street address
Principal Investigator Ghyslain Mombo Ngoma ghyslain.mombongoma@cermel.org +24177989191 BP 242 Lambarene
City Postal code Country Position/Affiliation
Libreville Gabon Principal Investigator
Role Name Email Phone Street address
Principal Investigator Adoke Yeka yadoke@yahoo.com +256772473533 Plot no 3 Nakasero Hill Lane
City Postal code Country Position/Affiliation
Kampala Uganda Principal Investigator
Role Name Email Phone Street address
Public Enquiries Michelle Botha michelle.botha@iqvia.com +27126712334 BCX Building, 3rd floor, Lenchen avenue
City Postal code Country Position/Affiliation
Centurion South Africa Regulatory
Role Name Email Phone Street address
Scientific Enquiries GlaxoSmithKline Research And Development Limited GSKClinicalSupportHD@gsk.com +18773793718 79 New Oxford Street
City Postal code Country Position/Affiliation
London WC1A 1DG United Kingdom NA
REPORTING
Share IPD Description Additional Document Types Sharing Time Frame Key Access Criteria
Yes Study Sponsor will assess requests from qualified researchers for anonymized individual patient-level data and related study documents. Data sharing is subject to certain criteria, conditions, and exceptions. For further information, refer to https://www.gsk-studyregister.com/About_GSK_Patient_Level_Data_Sharing_Final_13July2023.pdf Clinical Study Report,Informed Consent Form,Statistical Analysis Plan,Study Protocol Anonymized IPD will be made available within 6 months of publication of primary, key secondary and safety results for studies in product with approved indication(s) or asset(s) with development terminated across all indications. Anonymized IPD is shared with researchers whose proposals are approved by an Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months, but an extension may be granted, when justified, for up to 6 months.
URL Results Available Results Summary Result Posting Date First Journal Publication Date
https://www.gsk-studyregister.com/About_GSK_Patient_Level_Data_Sharing_Final_13July2023.pdf No
Result Upload 1: Result Upload 2: Result Upload 3: Result Upload 4: Result Upload 5:
Result URL Hyperlinks Link To Protocol
Result URL Hyperlinks
Changes to trial information
Section Name Field Name Date Reason Old Value Updated Value
Trial Information Trial description 12/08/2025 Updated The study will evaluate the safety and efficacy of a new antimalarial drug GSK3772701 (a pyrrolidinamide), using different doses and treatment durations, in adult participants with uncomplicated Plasmodium (P.) falciparum malaria. Background Malaria is a major infectious disease caused by Plasmodium parasites and transmitted by infected female Anopheles mosquitoes. Despite the fact that 5 different species can cause malaria in humans (falciparum, vivax, malariae, ovale and knowlesi), P. falciparum is responsible for the highest mortality. In 2023, there were an estimated 263 million cases of malaria, an increase of about 14 million cases over 2022. Deaths reached 597,000 compared to 608,000 in 2021. Most of the deaths occurred in the African region (95%) [WHO, 2024]. Historically, antimalarials have been designed to kill the intraerythrocytic stages of the parasite lifecycle that are directly responsible for the symptoms of the disease. Based on a high throughput whole cell phenotypic screen, a new pyrrolidinamide class of antimalarials was selected for further research [Gamo, 2010]. Within this novel antimalarial pyrrolidinamide series, GSK3772701 was identified as the most balanced compound; it is a compound able to kill parasite asexual blood stages. Objectives: To investigate the safety and tolerability of GSK3772701 after single and repeat oral doses in adult patients with uncomplicated P. falciparum malaria. To evaluate the PK profile of single and repeat oral doses of GSK3772701 in adult patients with uncomplicated P. falciparum malaria. To evaluate the efficacy of single and repeat oral doses of GSK3772701 in adult patients with uncomplicated P. falciparum malaria. To characterize the PK/PD relationship. To evaluate P. falciparum genetic polymorphisms and potency of GSK3772701. To assess the safety of GSK3772701 for individual parameters after single and repeat oral doses in adult patients with uncomplicated P. falciparum malaria.