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临床试验/NCT02411994
NCT02411994已完成3 期

Pyronaridine-artesunate and Artemether-lumefantrine for the Treatment of Paediatric Uncomplicated Falciparum Malaria in Western Kenya

Royal Tropical Institute1 个研究点 分布在 1 个国家目标入组 197 人开始时间: 2015年10月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
已完成
发起方
入组人数
197
试验地点
1
主要终点
PCR-corrected adequate clinical and parasitological response (ACPR)

研究概览

简要总结

The purpose of this study is to determine the efficacy of pyronaridine-artesunate and artemether-lumefantrine for the treatment of uncomplicated Plasmodium falciparum malaria in Kenyan children.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Investigator, Outcomes Assessor)

入排标准

年龄范围
6 Months 至 12 Years(Child)
性别
All
接受健康志愿者

入选标准

  • Children between 6 months and 12 years old, with a body weight of ≥5 kg;
  • Living in the catchment area of the study (within a radius of ~10 km from St. Jude's Clinic, Mbita, Kenya);
  • Having microscopically confirmed P. falciparum mono-infection (asexual parasite density 1,000-200,000 µL-1).

排除标准

  • Signs and symptoms of severe malaria (according to WHO criteria for severe malaria, (WHO 2012)) or any other severe illness necessitating parenteral treatment;
  • Mixed Plasmodium infection;
  • Clinically suspected (oedema, jaundice and/or ascites) or reported hepatic and/or renal impairment (any cause, as reported by parents/guardians and/or evident from medical history);
  • Having anaemia with an Hb <6 g/dL;
  • Evidence of severe malnutrition (severe wasting: z-score weight for age <-3 and severe stunting: z-score height for age <-3 (WHO 2009b));
  • Having received anti-malarial therapy in the previous two weeks;
  • Known history of hypersensitivity, allergic or adverse reactions to artesunate, artemether-lumefantrine or other artemisinins;
  • Participating in other anti-malarial drug intervention studies;
  • Previous participation in the PAAL study, e.g. in the previous transmission season (each individual child can only take part in this study once);
  • Not being available for follow-up.

研究组 & 干预措施

Pyronaridine-artesunate

Experimental

pyronaridine-artesunate: recommended dose according to body weight, once a day for three days.

干预措施: Pyronaridine-artesunate (Drug)

Artemether-lumefantrine

Active Comparator

artemether-lumefantrine: recommended dose according to body weight, twice a day for three days.

干预措施: Artemether-lumefantrine combination (Drug)

结局指标

主要结局

PCR-corrected adequate clinical and parasitological response (ACPR)

时间窗: day 28 after initial dose

次要结局

  • parasite clearance time(up to 7 days after initial dose)
  • transmission potential to mosquitos(day 7 after initial dose)
  • PCR-corrected adequate clinical and parasitological response (ACPR)(day 42 after initial dose)
  • crude adequate clinical and parasitological response (ACPR)(day 28, day 42 after initial dose)
  • gametocyte clearance time(up to 7 days after initial dose)

研究者

发起方
Royal Tropical Institute
申办方类型
Other
责任方
Sponsor

研究点 (1)

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