A Double Blind Randomized Controlled Trial of Artemether-Lumefantrine Alone and in Combination With Ivermectin to Reduce Post-Treatment Malaria Transmission
Overview
- Phase
- Phase 1
- Intervention
- Artemether-lumefantrine combination
- Conditions
- Malaria
- Sponsor
- London School of Hygiene and Tropical Medicine
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- Safety
- Status
- Completed
- Last Updated
- 13 years ago
Overview
Brief Summary
The purpose of this study is to determine the safety and impact of ivermectin, administered as single or repeated dose, in combination with artemether-lumefantrine in reducing the proportion of mosquitoes that survive and become infected after feeding on a blood meal from a malaria-infected individual.
Investigators
Eligibility Criteria
Inclusion Criteria
- •asymptomatically infected individuals with any P. falciparum parasite density
Exclusion Criteria
- •age \< 15 years or \> 25 years
- •malaria parasite density ≥ 10,000 parasites/µL
- •clinical symptoms indicating severe malaria
- •axillary temperature ≥ 37.5°C
- •Body Mass Index (BMI) below 18 or above 32 kg/m2
- •haemoglobin concentration below 11 g/dL
- •taken ivermectin in the last three months
- •Loa loa as assessed by questionnaire, clinical examination and parasitological assessments
- •for women: pregnancy or lactation
- •known hypersensitivity to AL or IVM
Arms & Interventions
Artemether-Lumefantrine
Intervention: Artemether-lumefantrine combination
Artemether-Lumefantrine + single dose Ivermectin
Intervention: Artemether-lumefantrine combination + single dose Ivermectin
Artemether-Lumefantrine + repeated dose Ivermectin
Intervention: Artemether-lumefantrine combination + repeated dose Ivermectin
Outcomes
Primary Outcomes
Safety
Time Frame: 8 days
The number of adverse events; number of participants with abnormal haemoglobin, biochemistry or full blood count values
Secondary Outcomes
- Mosquitocidal activity(feeding experiments performed up to 8 days after enrolment; survival of mosquitoes determined up to day 10 after feeding)