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Sponsors and Collaborators: |
Albert Schweitzer Hospital Mepha Ltd. |
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Information provided by: | Albert Schweitzer Hospital |
ClinicalTrials.gov Identifier: | NCT00243737 |
Treatment of Plasmodium falciparum malaria in Africa is increasingly difficult. Resistance to cheap efficient antimalarial drugs poses an increasing threat. The rapid emergence of resistance to sulfadoxine - pyrimethamine, already seen in East Africa is growing and is likely to have an striking impact on mortality in many other African regions where no obvious alternatives are available. WHO recommends the use of drug combinations containing artemisinin compounds, i.e., artemisinin-based combination therapies (ACT). Previous clinical trials have shown that the combination of artesunate with mefloquine is highly effective and well tolerated in the treatment of multidrug-resistant falciparum malaria, retaining the benefit of rapidity of action while augmenting cure rates, and apparently slowing the development of mefloquine resistance. Compliance with sequential combination regimen of antimalarial drugs is notoriously poor. Therefore, in order to limit the development of resistance to both drugs and ameliorate patients’ compliance to antimalarial treatments, an optimal simultaneous combination regimen of artesunate and mefloquine in a practical single blister pack has been developed by Mepha Ltd. and successfully tested. The currently available
Condition | Intervention | Phase |
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Malaria |
Drug: Artesunate-Mefloquine |
Phase II |
Study Type: | Interventional |
Study Design: | Treatment, Non-Randomized, Open Label, Uncontrolled, Parallel Assignment, Safety/Efficacy Study |
Official Title: | Open-Label, Stratified Study on the Efficacy, Safety and Pharmacokinetic Characteristics of Two Paediatric Formulations of ArtequinTM in Children With Acute Uncomplicated P. Falciparum Malaria |
Estimated Enrollment: | 70 |
Study Start Date: | October 2005 |
Estimated Study Completion Date: | April 2006 |
Artequin dosages could only be tested in children able to swallow tablets and with a body weight of more than 20 kg. However, there is a great need for an Artequin formulation for smaller children unable to swallow tablets.
The new Artequin Paediatric oral formulation is a flavoured, taste-masked preparation of granules of 50 mg artesunate and 125 mg mefloquine as a fixed-dose combination (once daily in one single Stickpack, i.e. 3 Stickpacks for a 3-day treatment). It is suitable for children with up to 20 kg body weight (with a range of 10-20 kg).
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Male or female with a body weight ≥10 to 40 kg
Exclusion Criteria:
Patients with signs and symptoms of severe/complicated malaria requiring parenteral treatment (defined according to WHO Recommendations “Malaria Control Today”, RBM Working Document, March 2005, see Appendix 2)
Gabon | |
Département de Parasitologie-Mycologie, Faculte de medecine | |
Libreville, Gabon | |
Medical Research Unit, Albert Schweitzer Hospital | |
Lambarene, Gabon |
Principal Investigator: | Maryvonne Kombila, Prof Dr | Département de Parasitologie-Mycologie, Faculté de médecine |
Study ID Numbers: | AM-P 001-2005 |
Study First Received: | October 24, 2005 |
Last Updated: | May 23, 2006 |
ClinicalTrials.gov Identifier: | NCT00243737 History of Changes |
Health Authority: | Gabon: Ministry of Health |
Malaria falciparum Mefloquine Artesunate Artemisinin |
Artesunate Anti-Infective Agents Antimalarials Protozoan Infections Artemisinins |
Artemisinine Parasitic Diseases Malaria Mefloquine Malaria, Falciparum |
Artesunate Protozoan Infections Anti-Infective Agents Antiprotozoal Agents Coccidiosis Malaria Pharmacologic Actions |
Malaria, Falciparum Antimalarials Antiparasitic Agents Therapeutic Uses Parasitic Diseases Amebicides Mefloquine |