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Evaluation of the efficacy and safety of Artemether +Lumefantrine (Coartem®) with low-dose Primaquine for the treatment of uncomplicated Plasmodium falciparum and Plasmodium vivax malaria in three sites of Savanakhet, Salavanh, and Attopue province, Lao PDR (2022)

Phase 4
Recruiting
Conditions
Malaria
Infection - Studies of infection and infectious agents
Registration Number
ACTRN12623000241639
Lead Sponsor
Ministry of Health
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
300
Inclusion Criteria

•aged 6 months up to 60 years old;
•mono-infection with P. falciparum and P. vivax confirmed by positive blood smear (no mixed infection);
•P. falciparum parasitaemia of 250-100,000/µl asexual forms;
•P. vivax parasitaemia of 250-60,000/µl asexual forms
•presence of axillary temperature equal or more than 37.5 °C 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; and
•Informed consent from the patient or from a parent or guardian in the case of children.
•informed assent from any minor participant aged from 12 to 18 years; and
•consent for pregnancy testing from female of child-bearing age (defined as age > 12 years and sexually active).

Exclusion Criteria

•presence of general danger signs in children aged under 5 years or signs of severe falciparum malaria according to the definitions of WHO );
•mixed or mono-infection with another Plasmodium species detected by microscopy;
•presence of severe malnutrition (defined as a child whose growth standard is below –3 z-score, has symmetrical oedema involving at least the feet or has a mid-upper arm circumference < 110 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);
•Women age 12-18 years old
•a positive pregnancy test or lactating
•Unable to or unwilling to take contraceptives for pregnancy negative married women of child- bearing age.

Study & Design

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