Study 4 of 40 for search of: Malawi
Previous Study Return to Search Results Next Study

  Full Text View  
  Tabular View  
  Contacts and Locations  
  No Study Results Posted  
  Related Studies  
Amodiaquine Plus Artesunate Versus Lapdap Plus Artesunate in the Treatment of Uncomplicated P. Falciparum Malaria in Malawi
This study is ongoing, but not recruiting participants.
Sponsors and Collaborators: Centers for Disease Control and Prevention
Ministry of Health and Population, Malawi
Information provided by: Centers for Disease Control and Prevention
ClinicalTrials.gov Identifier: NCT00164359
  Purpose

Sulfadoxine-pyrimethamine is the current first-line therapy for uncomplicated malaria in Malawi. Significant resistance of the P. falciparum malaria parasite to this drug has led to an imminent need for the government of Malawi to identify a new first-line therapy for uncomplicated malaria and to implement that new therapy as policy. This protocol is the second of two protocols whose combined purpose is to provide efficacy and side effect data on four antimalarial drug combinations that are candidates for the next first-line therapy for uncomplicated malaria in Malawi. This protocol aims to assess the acceptability and tolerability of amodiaquine in Malawi. It is a double-blind study comparing amodiaquine plus artesunate (AQ-Art, one of the candidate combination therapies) to chlorproguanil/dapsone plus artesunate (CD-Art, another of the candidate combination therapies) in persons 5 years and older, to see if there is a higher incidence of abdominal pain and/or refusal to take the therapy in the AQ-Art group. Amodiaquine was removed from the Malawian national drug registry in 1995 because of a perceived association with abdominal pain. Although no studies were conducted to substantiate this, consensus among clinicians was that patients were refusing amodiaquine with increasing frequency, citing abdominal pain as the reason, so the drug was removed from the registry. Results from this study, along with the efficacy data from the sister protocol in children under five years of age, will help guide the National Malaria Control Program of Malawi in selecting their next first-line antimalarial therapy.


Condition Intervention Phase
Malaria, Falciparum
Drug: Amodiaquine plus artesunate
Drug: chlorproguanil-dapsone plus artesunate
Phase IV

MedlinePlus related topics: Abdominal Pain Malaria
Drug Information available for: Artesunate Dapsone Amodiaquine Amodiaquine hydrochloride Chlorproguanil
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double-Blind, Active Control, Parallel Assignment, Safety/Efficacy Study
Official Title: A Double-Blind Randomised Trial to Assess the Tolerability of Amodiaquine Plus Artesunate (AQ-Art) Versus Chlorproguanil Plus Dapsone Plus Artesunate (CDA) in the Treatment of Uncomplicated P. Falciparum Malaria in Malawi

Further study details as provided by Centers for Disease Control and Prevention:

Primary Outcome Measures:
  • Incidence of abdominal pain on days 1, 2, and 3 in the two treatment groups

Secondary Outcome Measures:
  • Rate of adequate clinical and parasitological response at 14 days
  • Rate of adequate clinical and parasitological response at 28 days
  • Mean percent change in blood haemoglobin concentration between day 0 and day 28
  • Incidence of adverse events other than abdominal pain during the period of observation
  • Rate of Early Treatment Failure (per WHO definition)
  • Rate of Late Clinical Failure (per WHO definition)
  • Rate of Late Parasitological Failure (per WHO definition)
  • Percent of patients with a decrease in haemoglobin concentration
  • Percent of patients with a decrease in haemoglobin concentration of >= 2g/dl
  • Prevalence of parasitemia on Day 2
  • Prevalence of parasitemia on Day 3
  • Gametocyte prevalence on Day 14
  • Gametocyte prevalence on day 28

Estimated Enrollment: 212
Study Start Date: April 2005
Estimated Study Completion Date: September 2005
  Eligibility

Ages Eligible for Study:   5 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Age five years or older
  • Axillary temperature >= 37.5 degrees Celsius
  • Monoinfection with P. falciparum
  • Parasitemia between 2000 and 200000 parasites/microliter
  • Hemoglobin concentration >= 7g/dl
  • Consent by the patient of patient's adult guardian
  • Residence in the locality and willingness to attend for scheduled visits
  • Negative urine pregnancy test in women age twelve years and older

Exclusion Criteria:

  • Signs of severe or complicated malaria
  • altered consciousness
  • convulsions
  • prostration (inability to sit/stand/suck/drink)
  • respiratory distress or breathlessness
  • jaundice
  • abnormal breathing
  • hemoglobinuria
  • circulatory collapse
  • persistent vomiting (cannot keep down liquids)
  • evidence of a diagnosis other than malaria on physical examination
  • presence of mixed infection
  • presence of severe malnutrition (as evidenced by symmetrical edema involving at least the feet, light hair color, or cachexia)
  • contraindications to the antimalarial drugs used, especially history of allergy
  • history of receiving a drug with antimalarial activity in the week prior to enrollment
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00164359

Locations
Malawi, Lilongwe District
Kawale Health Center
Lilongwe, Lilongwe District, Malawi
Malawi, Machinga District
Machinga District Hospital
Liwonde, Machinga District, Malawi
Malawi, Nkhotakota District
Matiki Health Center
Dwangwa, Nkhotakota District, Malawi
Sponsors and Collaborators
Ministry of Health and Population, Malawi
Investigators
Principal Investigator: Rachel N Bronzan, MD, MPH Centers for Disease Control and Prevention
  More Information

Study ID Numbers: CDC-NCID-4538, PA#04018
Study First Received: September 9, 2005
Last Updated: September 9, 2005
ClinicalTrials.gov Identifier: NCT00164359  
Health Authority: United States: Federal Government

Keywords provided by Centers for Disease Control and Prevention:
malaria, falciparum
antimalarials

Study placed in the following topic categories:
Folic Acid
Artesunate
Protozoan Infections
Amodiaquine
Dapsone
Parasitic Diseases
Malaria
Chlorproguanil
Malaria, Falciparum

Additional relevant MeSH terms:
Anti-Infective Agents
Antiprotozoal Agents
Molecular Mechanisms of Pharmacological Action
Coccidiosis
Enzyme Inhibitors
Folic Acid Antagonists
Pharmacologic Actions
Antimalarials
Anti-Bacterial Agents
Antiparasitic Agents
Therapeutic Uses
Amebicides
Leprostatic Agents

ClinicalTrials.gov processed this record on January 16, 2009