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ACT for the Home Management in Malagasy Children

This study is currently recruiting participants.
Verified by National Malaria Control Programme, Madagascar, October 2008

Sponsors and Collaborators: National Malaria Control Programme, Madagascar
Population Service International
Reggio Terzo Mondo
Santé Net
Inter Aide Santé,
Adventist Development and Relief Agency
SAF FJKM
Sanofi-Aventis
Institut Pasteur de Madagascar
Information provided by: National Malaria Control Programme, Madagascar
ClinicalTrials.gov Identifier: NCT00612547
  Purpose

The purpose of this study is to assess the feasibility, the acceptability and the effectiveness of the use of the Artesunate + Amodiaquine Fixed Dose Combination for the home management of presumed malaria in Malagasy children by the community-based service providers.


Condition Intervention
Fever
Suspected Malaria
Drug: Artesunate + Amodiaquine Fixed Dose Combination (CoArsucam)

MedlinePlus related topics:   Fever    Malaria   

Drug Information available for:   Artesunate    Amodiaquine    Amodiaquine hydrochloride   

U.S. FDA Resources

Study Type:   Observational
Study Design:   Cohort, Prospective
Official Title:   Assessment of the Use of Fixed Doses of Artesunate Plus Amodiaquine Combination for the Home Management of Presumed Malaria in Malagasy Children

Further study details as provided by National Malaria Control Programme, Madagascar:

Primary Outcome Measures:
  • Assessment of the councils delivered by the community-based service provider to the parents or guardians of children and assessment of the observance of the treatment given by the parents or guardians. [ Time Frame: one year ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • To assess the Artesunate + Amodiaquine Fixed Dose Combination in term of effectiveness, tolerance, safety:; the reliability of the RDT; the real burden of the malaria in children under the age of five years in 2 different epidemiological strata. [ Time Frame: one year ] [ Designated as safety issue: No ]

Biospecimen Retention:   Samples With DNA

Biospecimen Description:

Whole blood


Estimated Enrollment:   1200
Study Start Date:   February 2008
Estimated Study Completion Date:   May 2009
Estimated Primary Completion Date:   May 2009 (Final data collection date for primary outcome measure)

Groups/Cohorts Assigned Interventions
Observation
Children under the age of five years (2 months to 5 years) residing in the zone covered by the community-based service provider throughout the entire follow-up period
Drug: Artesunate + Amodiaquine Fixed Dose Combination (CoArsucam)

Tablet:

Children aged between 2 and 11 months: Artesunate 25 mg + Amodiaquine 67.5 mg et Children aged between 12 and 59 months: Artesunate 50 mg + Amodiaquine 135 mg Per os one intake per day/3 day


Detailed Description:

Primary objective

To assess the feasibility, the acceptability and the effectiveness of the use of the Artesunate + Amodiaquine Fixed Dose Combination for the home management of presumed malaria in Malagasy children by the community-based service providers

Secondary objectives

To assess the reliability of the use of the malaria rapid diagnostic tests (RDT) by the community-based service providers in the Malagasy home management strategy

To assess the frequency of short-term and long-term side effects of the Artesunate + Amodiaquine Fixed Dose Combination used for the home management of presumed malaria in Malagasy children by the community-based service providers

To assess the real burden of the malaria in children under the age of five years in 2 different epidemiological strata of Madagascar (central highlands and equatorial strata)

Type of study

Follow-up of a cohort of 1200 children under the age of five years during 1 year

Studied population

All children under the age of five years (2 months to 5 years) having fever and consulting the community-based service provider, residing in the zone covered by the community-based service provider throughout the entire follow-up period Investigators Four community-based service providers, four field physicians and two supervisors number of district: 2 (Moramanga and Manakara)

condition: fever intervention: artesunate + amodiaquine phase: phase IV

  Eligibility
Ages Eligible for Study:   2 Months to 5 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample

Study Population

community sample


Criteria

Inclusion Criteria:

  • All children under the age of five years (2 months to 5 years) having fever and consulting the community-based service provider, residing in the zone covered by the community-based service provider throughout the entire follow-up period, having signed an informed consent

Exclusion Criteria:

  • Children with no informed consent
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00612547

Contacts
Contact: Didier Ménard, Pharm, PhD     (261) 20 22 412 72     dmenard@pasteur.mg    
Contact: Arsène ratsimbasoa, MD     (261) 20 22 412 72     arsene@pasteur.mg    

Locations
Madagascar
Institut Pasteur de Madagascar     Recruiting
      Antananarivo, Madagascar, 101
      Contact: Didier Ménard, Pharm, PhD     (261) 20 22 412 72     dmenard@pasteur.mg    
      Contact: Arsène Ratsimbasoa, MD     (261) 20 22 412 72     arsene@pasteur.mg    
      Principal Investigator: Didier Ménard, Pharm, PhD            

Sponsors and Collaborators
National Malaria Control Programme, Madagascar
Population Service International
Reggio Terzo Mondo
Santé Net
Inter Aide Santé,
Adventist Development and Relief Agency
SAF FJKM
Sanofi-Aventis
Institut Pasteur de Madagascar

Investigators
Study Chair:     Benjamin Ramarosandratana, MD     National Malaria Control Programme    
  More Information


Responsible Party:   Institut Pasteur de Madagascar ( Didier Ménard, Head of the Malaria Research Unit )
Study ID Numbers:   ACTComMada
First Received:   January 28, 2008
Last Updated:   October 14, 2008
ClinicalTrials.gov Identifier:   NCT00612547
Health Authority:   Madagascar: Ministry of Health

Keywords provided by National Malaria Control Programme, Madagascar:
Protozoan Infections  
Communicable Diseases  
Malaria Infection  
Malaria, falciparum
Malaria, vivax
Artesunate Amodiaquine

Study placed in the following topic categories:
Artesunate
Fever
Protozoan Infections
Amodiaquine
Malaria, Vivax
Parasitic Diseases
Malaria
Malaria, Falciparum

Additional relevant MeSH terms:
Anti-Infective Agents
Antimalarials
Antiparasitic Agents
Antiprotozoal Agents
Coccidiosis
Therapeutic Uses
Amebicides
Pharmacologic Actions

ClinicalTrials.gov processed this record on October 23, 2008




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