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Efficacy and safety of rectal artesunate in paediatric patients - a randomised controlled study (Ghana and Tanzania)

Completed
Conditions
Malaria
Infections and Infestations
Registration Number
ISRCTN78768405
Lead Sponsor
ICEF/UNDP/World Bank/WHO - Special Programme for Research and Training in Tropical Diseases (TDR)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
246
Inclusion Criteria

1. Aged 3 to 24 months
2. Suspected malaria with no other obvious cause of illness
3. P. falciparum asexual parasitaemia greater than ++ (5 - 10 parasites/High Power Field [HPF])
4. Unable to eat, suck or drink, or repeatedly vomiting (more than three episodes over past 24 hours); or prostrate (unable to sit or stand if previously able to do so)
5. History of convulsions over the preceding 24 hours or impaired consciousness (Blantyre Coma Score less than five)
6. Parent/guardian informed consent

Exclusion Criteria

1. Ability to tolerate oral intake
2. Acute diarrhoea defined as the presence of more than three episodes of watery stools in the preceding 24 hours
3. History of allergy to artemisinin compounds and/or quinine

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
28-day disease-free survival, defined as patients who survived the 28-day period of follow-up with the peripheral blood free of the original genotype of malaria parasites.
Secondary Outcome Measures
NameTimeMethod
The parasitological outcomes and tolerability of a single dose of the rectal artesunate in children aged 3 to 24 months with non per os falciparum malaria.
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