Assessment of the Efficacy of Sulphadoxine-Pyrimethamine for Intermittent Preventive Treatment of Malaria in Pregnancy in Uganda
Overview
- Phase
- Phase 4
- Intervention
- Sulfadoxine-pyrimethamine
- Conditions
- Intermittent Preventive Treatment
- Sponsor
- University of California, San Francisco
- Locations
- 1
- Primary Endpoint
- Parasite clearance
- Status
- Withdrawn
- Last Updated
- 11 years ago
Overview
Brief Summary
The effectiveness of sulfadoxine-pyrimethamine (SP) as intermittent preventive treatment in pregnancy in malaria-endemic areas the effectiveness and efficacy of SP may be compromised by increased SP resistance. This study will evaluate the efficacy of SP by giving SP to asymptomatic parasitemic pregnant women and following them to determine the rates of parasite clearance.
Investigators
Eligibility Criteria
Inclusion Criteria
- •16-26 weeks gestation based on LMP or ultrasound or fundal height
- •Axillary temperature \<37.5 degrees C
- •Informed consent
- •HIV status known and negative
- •Blood smear positive for falciparum malaria
Exclusion Criteria
- •History of hypersensitivity reaction to SP or components of SP
- •Axillary temperature ≥37.5 degrees C
- •History of receipt of antimalarials or antibiotics with antimalarial activity\* in the past month
- •Residence \> 30 km from the ANC clinic or unwillingness to return for follow-up visits
- •Hemoglobin level \< 5 gm/dL
- •These medications include all antimalarials, rifampin, doxycycline, clindamycin, tetracycline, erythromycin, azithromycin, chloramphenicol.
Arms & Interventions
SP
Asymptomatic parasitemic pregnant women who receive the standard dose of sulfadoxine-pyrimethamine for prevention of placental malaria
Intervention: Sulfadoxine-pyrimethamine
Outcomes
Primary Outcomes
Parasite clearance
Time Frame: 42 days
Clearance of parasites in pregnant women with asymptomatic parasitemia after administration of SP