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Trial · NCT02625974

A Study to Learn How Well Nifurtimox Works and How Safe it is in Children Aged 0 to 17 Years With Chagas' Disease, an Inflammatory, Infectious Disease Caused by the Parasite Trypanosoma Cruzi

NCT02625974, Phase 3, Completed, Bayer; results first posted 2019-10-29

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Learn How Well Nifurtimox Works and How Safe it is in Children Aged 0 to 17 Years With Chagas' Disease, an Inflammatory, Infectious Disease Caused by the Parasite Trypanosoma Cruzi. Trials, record NCT02625974. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02625974

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study to Learn How Well Nifurtimox Works and How Safe it is in Children Aged 0 to 17 Years With Chagas' Disease, an Inflammatory, Infectious Disease Caused by the Parasite Trypanosoma Cruzi
NCT number
NCT02625974
Status
Completed
Phases
Phase 3
Enrollment
330 participants, actual
Lead sponsor
Bayer
Conditions
Chagas Disease
Interventions
Nifurtimox (Lampit, BAYA2502), Placebo
First posted
2015-12-09
Last updated
2024-08-19
Other registries' IDs
eudract:2022-001504-17
Results first posted
2019-10-29
Limitations and caveats
Abnormal findings on neurological examination by physical examination after Screening will be documented as AEs.

Source ClinicalTrials.gov

Registered outcomes42

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPart 1 - Percentage of Sero-reduction or Sero-conversion (Cured Subjects)At 12 months post-treatment
Cure is defined as sero-reduction (in subjects ≥8 months to \<18 years of age at randomization) or sero-conversion (in all subjects). Sero-reduction is defined as a ≥20% reduction in optical density \[OD\]) measured by two conventional ELISA serology tests and sero-conversion is defined as negative Immunoglobulin G (IgG) concentration measured by two conventional ELISA serology tests. Subjects who have missing conventional serology results at the 12 month time point were treated as failures (ie, no cure). For the primary objective in the study, superiority over placebo was confirmed if the lower limit of the 95% Confidence Interval (CI) for the nifurtimox (60-day regimen) cure rate is greater than 16%, the larger of the upper limits of the 95% CIs for historical placebo control.
PrimaryPart 2 - Incidence Rate of Seronegative Conversion in Subjects Received at Least One Dose of the 60-day Nifurtimox Treatment Regimen.Subjects participating in Part 2 were followed up for another 3 years, for a total follow-up period of 4 years after end of nifurtimox treatment in Part 1
Seronegative conversion measured by two types of assay (recombinant ELISA and indirect hemagglutination assay \[IHA\]) in subjects who were randomized and received at least one dose of the 60-day nifurtimox treatment regimen compared to an external control group of historical placebo patients with Chagas' disease. Incidence rate is the number of new cases of seronegative conversion over the study period (i.e., 4 years after end of nifurtimox treatment) divided by the person-time at risk. It was modelled using a Poisson distribution with a 2-sided 95% exact CI. Number of participants with events were reported.
SecondaryPart 1 - Nifurtimox Concentration Over Time in Plasma at Visit 2At Visit 2 (Day 1): Pre-dose and Post-dose at 5-10 minutes, 10-120 minutes, 2-4 hours, and 4-8 hoursMeasured in sub-population.
SecondaryPart 1 - Nifurtimox Concentration Over Time in Plasma at Visit 3At Visit 3 (Day 7): Pre-dose and Post-dose at 5-10 minutes, 10-120 minutes, 2-4 hours, and 4-8 hoursMeasured in sub-population.
SecondaryPart 1 - Nifurtimox Concentration Over Time in Plasma at Visit 6At Visit 6 (Day 30): Pre-dose and Post-dose at 5-10 minutes, 10-120 minutes, 2-4 hours, and 4-8 hoursThe evaluation was based on clinical examinations. Measured in sub-population.
SecondaryPart 1 - Nifurtimox Concentration Over Time in Plasma at Visit 8At Visit 8 (Day 60): Pre-dose and Post-dose at 5-10 minutes, 10-120 minutes, 2-4 hours, and 4-8 hoursMeasured in sub-population.
SecondaryPart 2 - Incidence Rate of Seronegative Conversion in Subjects Who Received at Least One Dose of the 30-day Nifurtimox Treatment RegimenSubjects participating in Part 2 were followed up for another 3 years, for a total follow-up period of 4 years after end of nifurtimox treatment in Part 1
Seronegative conversion measured by two types of assay (recombinant ELISA and indirect hemagglutination assay \[IHA\]) in subjects who were randomized and received at least one dose of the 30-day nifurtimox treatment regimen. Incidence rate is the number of new cases of seronegative conversion over the study period (i.e., 4 years after end of nifurtimox treatment) divided by the person-time at risk. It was modelled using a Poisson distribution with a 2-sided 95% exact CI. Number of participants with events were reported.
SecondaryPart 2 - ECG Signs of Established Chagas-related CardiomyopathySubjects participating in Part 2 were followed up for another 3 years, for a total follow-up period of 4 years after end of nifurtimox treatment in Part 1Summary of subjects by evidence of established Chagas-related cardiomyopathy as measured by electrocardiogram (ECG). Evidence of established Chagas-related cardiomyopathy: Total
SecondaryPart 2 - Serological Response of Established Chagas-related CardiomyopathySubjects participating in Part 2 were followed up for another 3 years, for a total follow-up period of 4 years after end of nifurtimox treatment in Part 1Summary of subjects by evidence of established Chagas-related cardiomyopathy as measured by Serological response. Evidence of established Chagas-related cardiomyopathy: Total
SecondaryPart 1 + Part 2 - Serial Reduction of Optical Density Values Measured by Total Purified Antigen ELISABaseline and Subjects participating in Part 2 were followed up for another 3 years, for a total follow-up period of 4 years after end of nifurtimox treatment in Part 1
Summary and change from baseline of optical density values measured by total purified antigen ELISA. Optical density is the measure of absorbance, and is defined as the ratio of the intensity of light falling upon a material and the intensity transmitted.

Outcomes42

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPart 1 - Percentage of Sero-reduction or Sero-conversion (Cured Subjects)At 12 months post-treatmentPercentage of subjectsNUMBER
PRIMARYPart 2 - Incidence Rate of Seronegative Conversion in Subjects Received at Least One Dose of the 60-day Nifurtimox Treatment Regimen.Subjects participating in Part 2 were followed up for another 3 years, for a total follow-up period of 4 years after end of nifurtimox treatment in Part 1ParticipantsNUMBER
SECONDARYPart 1 - Nifurtimox Concentration Over Time in Plasma at Visit 2At Visit 2 (Day 1): Pre-dose and Post-dose at 5-10 minutes, 10-120 minutes, 2-4 hours, and 4-8 hoursug/LMEDIAN
SECONDARYPart 1 - Nifurtimox Concentration Over Time in Plasma at Visit 3At Visit 3 (Day 7): Pre-dose and Post-dose at 5-10 minutes, 10-120 minutes, 2-4 hours, and 4-8 hoursug/LMEDIAN
SECONDARYPart 1 - Nifurtimox Concentration Over Time in Plasma at Visit 6At Visit 6 (Day 30): Pre-dose and Post-dose at 5-10 minutes, 10-120 minutes, 2-4 hours, and 4-8 hoursug/LMEDIAN
SECONDARYPart 1 - Nifurtimox Concentration Over Time in Plasma at Visit 8At Visit 8 (Day 60): Pre-dose and Post-dose at 5-10 minutes, 10-120 minutes, 2-4 hours, and 4-8 hoursug/LMEDIAN
SECONDARYPart 2 - Incidence Rate of Seronegative Conversion in Subjects Who Received at Least One Dose of the 30-day Nifurtimox Treatment RegimenSubjects participating in Part 2 were followed up for another 3 years, for a total follow-up period of 4 years after end of nifurtimox treatment in Part 1ParticipantsNUMBER
SECONDARYPart 2 - ECG Signs of Established Chagas-related CardiomyopathySubjects participating in Part 2 were followed up for another 3 years, for a total follow-up period of 4 years after end of nifurtimox treatment in Part 1ParticipantsNUMBER
SECONDARYPart 2 - Serological Response of Established Chagas-related CardiomyopathySubjects participating in Part 2 were followed up for another 3 years, for a total follow-up period of 4 years after end of nifurtimox treatment in Part 1ParticipantsNUMBER
SECONDARYPart 1 + Part 2 - Serial Reduction of Optical Density Values Measured by Total Purified Antigen ELISABaseline and Subjects participating in Part 2 were followed up for another 3 years, for a total follow-up period of 4 years after end of nifurtimox treatment in Part 1Optical densityMEAN

Results by group603

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Part 1 - Percentage of Sero-reduction or Sero-conversion (Cured Subjects)Nifurtimox 60 Days / Arm 132.995% Confidence Interval 26.4 to 39.3Percentage of subjects
Part 1 - Percentage of Sero-reduction or Sero-conversion (Cured Subjects)Nifurtimox 30 Days, Then Placebo 30 Days / Arm 218.995% Confidence Interval 11.2 to 26.7Percentage of subjects
Part 2 - Incidence Rate of Seronegative Conversion in Subjects Received at Least One Dose of the 60-day Nifurtimox Treatment Regimen.Nifurtimox 60 Days / Arm 116Participants
Part 1 - Nifurtimox Concentration Over Time in Plasma at Visit 2Nifurtimox 60 Days / Arm 1PredoseNAFull Range NA to 26.8ug/L
Part 1 - Nifurtimox Concentration Over Time in Plasma at Visit 2Nifurtimox 30 Days, Then Placebo 30 Days / Arm 2PredoseNAFull Range NA to NAug/L
Part 1 - Nifurtimox Concentration Over Time in Plasma at Visit 2Nifurtimox 60 Days / Arm 15 - 10 MIN POSTNAFull Range NA to 154.8ug/L
Part 1 - Nifurtimox Concentration Over Time in Plasma at Visit 2Nifurtimox 30 Days, Then Placebo 30 Days / Arm 25 - 10 MIN POST21.1Full Range NA to 695.0ug/L
Part 1 - Nifurtimox Concentration Over Time in Plasma at Visit 2Nifurtimox 60 Days / Arm 110 - 120 MIN POST78.2Full Range 5.8 to 847.5ug/L
Part 1 - Nifurtimox Concentration Over Time in Plasma at Visit 2Nifurtimox 30 Days, Then Placebo 30 Days / Arm 210 - 120 MIN POST49.0Full Range NA to 524.3ug/L
Part 1 - Nifurtimox Concentration Over Time in Plasma at Visit 2Nifurtimox 60 Days / Arm 12 - 4 HOURS POST215.4Full Range 77.9 to 516.3ug/L

Participant flow14

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Part 1STARTEDNifurtimox 60 Days / Arm 1219
Part 1STARTEDNifurtimox 30 Days, Then Placebo 30 Days / Arm 2111
Part 1Received TreatmentNifurtimox 60 Days / Arm 1219
Part 1Received TreatmentNifurtimox 30 Days, Then Placebo 30 Days / Arm 2111
Part 1COMPLETEDNifurtimox 60 Days / Arm 1210
Part 1COMPLETEDNifurtimox 30 Days, Then Placebo 30 Days / Arm 2108
Part 1NOT COMPLETEDNifurtimox 60 Days / Arm 19
Part 1NOT COMPLETEDNifurtimox 30 Days, Then Placebo 30 Days / Arm 23
Part 2STARTEDNifurtimox 60 Days / Arm 1197
Part 2STARTEDNifurtimox 30 Days, Then Placebo 30 Days / Arm 298

Adverse events58

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal painGastrointestinal disordersNifurtimox 60-day Regimen1921927
otherAbdominal painGastrointestinal disordersNifurtimox 30-day Regimen911111
otherAbdominal pain upperGastrointestinal disordersNifurtimox 60-day Regimen1521920
otherAbdominal pain upperGastrointestinal disordersNifurtimox 30-day Regimen41115
otherDiarrhoeaGastrointestinal disordersNifurtimox 60-day Regimen1621917
otherDiarrhoeaGastrointestinal disordersNifurtimox 30-day Regimen61117
otherNauseaGastrointestinal disordersNifurtimox 60-day Regimen1921924
otherNauseaGastrointestinal disordersNifurtimox 30-day Regimen1411115
otherVomitingGastrointestinal disordersNifurtimox 60-day Regimen3321957
otherVomitingGastrointestinal disordersNifurtimox 30-day Regimen1011111

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityNifurtimox 60-day Regimen0219
Total, all-cause mortalityNifurtimox 30-day Regimen0111
Total, other adverse eventsNifurtimox 60-day Regimen128219
Total, other adverse eventsNifurtimox 30-day Regimen51111
Total, serious adverse eventsNifurtimox 60-day Regimen6219
Total, serious adverse eventsNifurtimox 30-day Regimen3111

Papers5

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
8937280RESULTPubMed
9790423RESULTPubMed
33412557RESULTPubMed
36975790DERIVEDPubMed
37352322DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons8

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Nifurtimox 60 Days / Arm 1 vs Nifurtimox 30 Days, Then Placebo 30 Days / Arm 2: Part 1 - Number of Subjects With Abnormal Urinalysis Findings Considered as Clinically Significant or Reported as Adverse Events (AEs)
Trial comparisons
Nifurtimox 60 Days / Arm 1 vs Nifurtimox 30 Days, Then Placebo 30 Days / Arm 2: Part 1 - Number of Subjects With Abnormal ECG Findings Considered as Clinically Significant by InvestigatorsTrial comparisons
Nifurtimox 60 Days / Arm 1 vs Nifurtimox 30 Days, Then Placebo 30 Days / Arm 2: Part 1 - Number of Subjects With Clinical Signs/ Symptoms of Chagas Disease at Visit 10Trial comparisons
Nifurtimox 60 Days / Arm 1 vs Nifurtimox 30 Days, Then Placebo 30 Days / Arm 2: Part 1 - Number of Subjects With Clinical Signs/ Symptoms of Chagas Disease at Visit 1Trial comparisons
Nifurtimox 60 Days / Arm 1 vs Nifurtimox 30 Days, Then Placebo 30 Days / Arm 2: Part 1 - Number of Subjects With Clinical Signs/ Symptoms of Chagas Disease at Visit 11Trial comparisons
Nifurtimox 60 Days / Arm 1 vs Nifurtimox 30 Days, Then Placebo 30 Days / Arm 2: Part 1 - Number of Subjects With Clinical Signs/ Symptoms of Chagas Disease at Visit 9Trial comparisons
Nifurtimox 60-day Regimen vs Nifurtimox 30-day Regimen: deaths from any causeTrial comparisons
Nifurtimox 60-day Regimen vs Nifurtimox 30-day Regimen: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02625974

GET https://conductscience.org/api/trials/v1/NCT02625974/registered?page=2