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Sponsors and Collaborators: |
Radboud University Kilimanjaro Christian Medical Centre, APRIORI programme European Union, FP7-HEALTH-2007-Grant agreement no.: 201889 |
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Information provided by: | Radboud University |
ClinicalTrials.gov Identifier: | NCT00868465 |
Artemisinin combination therapy (ACT) with artemether lumefantrine (AL) is currently the first line treatment policy in Tanzania. AL is an efficacious drug that also has the capacity to reduce malaria transmission to mosquitoes. Nevertheless, there is concern about the development of parasite resistance against AL and there have been very few clinical trials that compared different ACT regimens. A recent clinical trial shows that the combination of dihydroartemisinin-piperaquine (DP) may be more efficacious than AL and may have a more pronounced beneficial effect on post-treatment malaria transmission. Screening for molecular markers that are related to parasite susceptibility to ACT drugs and to post-ACT treatment malaria transmission can assist in preventing the development and spread of ACT resistance. In the current study, the investigators compared AL and DP for the treatment of uncomplicated malaria. The investigators endpoints are
Condition | Intervention |
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Uncomplicated Malaria |
Drug: Artemether-Lumefantrine Drug: Dihydroartemisinin-piperaquine |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Double Blind (Subject, Caregiver, Outcomes Assessor), Active Control, Parallel Assignment, Efficacy Study |
Estimated Enrollment: | 600 |
Study Start Date: | April 2009 |
Estimated Study Completion Date: | September 2009 |
Estimated Primary Completion Date: | August 2009 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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1: Active Comparator
Artemether-lumefantrine; currently the first line treatment in Tanzania
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Drug: Artemether-Lumefantrine
Treatment with artemether-lumefantrine (AL; Coartem; Novartis Pharma), administered as half a tablet (20 mg of artemether and 120 mg of lumefantrine) per 5 kg of body weight in a 6-dose regimen (at enrolment and 8, 20, 32, 44, and 56 h [+/-90 min] after the initiation of treatment). AL is currently the first line treatment in Tanzania
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2: Experimental
Dihydroartemisinin-piperaquine, alternative ACT
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Drug: Dihydroartemisinin-piperaquine
Dihydroartemisinin-piperaquine (DP; Artekin; Duocotexin, Holley Pharm, 40 mg dihydroartemisinin/320 mg piperaquine tablets), with a dihydroartemisinin dose of 2.5 mg per kilogram and a piperaquine phosphate dose of 20 mg per kilogram daily for 3 days. DH is registered in Tanzania as Artekin and has been tested extensively in Asia and recently in clinical trials in Uganda and Rwanda
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Ages Eligible for Study: | 6 Months to 10 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contact: Teun Bousema, PhD | +255 782390707 | jt_bousema@yahoo.co.uk |
Contact: Seif Shekalaghe, MD | +255 755470472 | sshekalaghe@yahoo.com |
Kenya, Suba District | |
International Centre for Insect Physiology and Ecology - St. Judes Clinic | Recruiting |
Mbita, Suba District, Kenya | |
Contact: Patrick Sawa, MD +254 59 22620 psawa@mbita.mimcom.net | |
Contact: Hortance Manda, PhD +254 59 22217 hmanda@mbita.mimcom.net | |
Principal Investigator: Patrick Sawa, MD | |
Tanzania, Kilimanjaro Region | |
Kilimanjaro Christian Medical Centre, Magugu Field Site | Not yet recruiting |
Moshi, Kilimanjaro Region, Tanzania | |
Contact: Seif Shekalaghe, MD +255 755470472 sshekalaghe@yahoo.com | |
Contact: Frank Mosha, PhD +255 784317316 fwmosha@hotmail.com | |
Principal Investigator: Seif Shekalaghe, MD |
Responsible Party: | Kilimanjaro Christian Medical Centre ( Teun Bousema ) |
Study ID Numbers: | TRANSACT09 |
Study First Received: | March 24, 2009 |
Last Updated: | April 6, 2009 |
ClinicalTrials.gov Identifier: | NCT00868465 History of Changes |
Health Authority: | Tanzania: National Institute for Medical Research; Kenya: KEMRI Ethical Review Committee |
Benflumetol Protozoan Infections Artemether-lumefantrine combination Clotrimazole Miconazole Artemisinine Tioconazole Malaria |
Anthelmintics Artemether Piperaquine Antimalarials Artemisinins Antifungal Agents Parasitic Diseases Dihydroquinghaosu |
Benflumetol Protozoan Infections Anti-Infective Agents Antiprotozoal Agents Antiplatyhelmintic Agents Coccidiosis Anthelmintics Malaria Schistosomicides Pharmacologic Actions |
Artemether Piperaquine Antimalarials Antiparasitic Agents Artemisinins Antifungal Agents Therapeutic Uses Parasitic Diseases Dihydroquinghaosu Coccidiostats |