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Multi-Centre Trial Comparing Three Artemisinin-Based Combination Treatments on P. Falciparum Malaria

Phase 3
Completed
Conditions
Plasmodium Falciparum Malaria
Registration Number
NCT00484900
Lead Sponsor
Dafra Pharma
Brief Summary

The purpose of this open randomised multi-centre clinical trial is to test the hypothesis that three pills of the fixed dose combination artesunate/sulfamethoxypyrazine/pyrimethamine, administered over 24 hours is not inferior in efficacy to the same drug administered over 48 hours and that the fixed dose combination artesunate/sulfamethoxypyrazine/pyrimethamine As/SMP fdc, independently of the duration of its dose interval, is not inferior in efficacy to 6 - 24 pills (number of pills administered to respectively children and adults)of the 60 hours treatment of artemether/lumefantrine for the treatment of uncomplicated P. falciparum malaria.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1390
Inclusion Criteria
  • age at least 6 months,
  • weight at least 5 kg,
  • residing in one of the four countries (Mali, Cameroon, Sudan, Rwanda),
  • able to receive oral treatment,
  • having an axillary body temperature of more than 37,5 degrees Celsius or history of fever within the proceeding 24 hours,
  • suffering from a mono specific P. falciparum infection with a parasite density between 2000 and 200000 asexual forms per micro litre of blood.
Exclusion Criteria
  • presence of severe or complicated malaria (WHO 2000),
  • severe concomitant pathology or one that needs a medical follow-up incompatible with the study,
  • allergic to one of the drugs involved in this study,
  • pregnant (reported pregnancy, detected clinically or with the β HCG test),
  • use of one of the anti-malaria drugs involved in this study during 28 days preceding inclusion.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
PCR corrected Adequate Clinical and Parasitological Responseon day 28 (follow-up period)
Early treatment failurebetween day 0 and day 3
Late clinical failurebetween day 4 and day 28
Late parasitological failurebetween day 7 and day 28
Secondary Outcome Measures
NameTimeMethod
Parasitic clearance28 day follow-up period
Fever clearance28 day follow-up period
Parasitological re-infection28 day follow-up period
Gametocyte carriage28 day follow-up period
Safety - Adverse events28 day follow-up period
Haemoglobin levels28 day follow-up period
Clinical and biological tolerance (Haemogram + Lever tests)28 day follow-up period

Trial Locations

Locations (4)

Cameroon Baptist Convention Clinic of Biyem-Assi

🇨🇲

Yaounde, Cameroon

Health centres Rwamagana and Muhima

🇷🇼

Kigali, Rwanda

Health centres of Samako, Kolle and Bancoumane

🇲🇱

Bamako, Mali

Alhara Alola Health centre

🇸🇩

New Halfa, Sudan

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