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Efficacy and safety of artemether-lumefantrine for the treatment of uncomplicated Plasmodium falciparum malaria in Al Tor Bin Qais in Hajah, Yemen.

Phase 4
Completed
Conditions
Malaria
Infection - Studies of infection and infectious agents
Registration Number
ACTRN12624000526572
Lead Sponsor
The Ministry of Public Health and Population
Brief Summary

Eighty-eight patients were enrolled in the study. All patients completed the 28 days follow-up, and all achieved adequate clinical and parasitological response showing 100% cure rate. No adverse events were reported. All but one patient (1.1%) were free of parasites at day 3. Samples on day 0 are being analyzed for mutations in K13 mutation known to be associated with artemisinin partial resistance.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
88
Inclusion Criteria

•age between 6 months and above, excluding female minors 12-17 years old and unmarried females aged 18 years and above;
•mono-infection with P. falciparum confirmed by positive blood smear (i.e. no mixed infection);
•parasitaemia of 500-200000 per micrometer asexual forms;
•presence of axillary temperature greater or equal 37.5 degrees centigrade or history of fever during the past 24 h;
•ability to swallow oral medication;
•ability and willingness to comply with the study protocol for the duration of the study and to comply with the study visit schedule;
•informed consent from the patient or from a parent or guardian in the case of children aged less than 18 years;
•informed assent from any minor participant aged from 12 to age of majority years; and
•consent for pregnancy testing from married female aged 18n years and above.

Exclusion Criteria

•presence of general danger signs in children aged under 12 years or signs of severe falciparum malaria according to the definitions of WHO;
•female aged from 12 years and below 18 years;
•weight under 5 kg;
•haemoglobin below 8 g per deciliter;
•mixed or mono-infection with another Plasmodium species detected by microscopy;
•presence of severe malnutrition defined as a child aged between 6-60 months who has a mid-upper arm circumference below 115 mm);
•presence of febrile conditions due to diseases other than malaria (e.g. measles, acute lower respiratory tract infection, severe diarrhea with dehydration) or other known underlying chronic or severe diseases (e.g. cardiac, renal and hepatic diseases, HIV/AIDS);
•regular medication, which may interfere with antimalarial pharmacokinetics;
•history of hypersensitivity reactions or contraindications to any of the medicine(s) being tested or used as alternative treatment(s);
•a positive pregnancy test or breastfeeding; and
•unable to or unwilling to take pregnancy test or to use contraception for married aged 18 years and above.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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