Trial of the Effectiveness of AQ/AS, SP/AQ and SP/CQ for Uncomplicated Malaria in Gambian Children

NCT ID: NCT00118807

Last Updated: 2006-01-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1800 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-08-31

Study Completion Date

2004-02-29

Brief Summary

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The purpose of this trial is to compare the effectiveness of three combination treatments for uncomplicated malaria when given in operational settings, without supervision of doses other than the first dose.

Detailed Description

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Children aged 0.5-10 years presenting at health centres with fever or history of fever and other symptoms suggestive of malaria will be screened; children found to have uncomplicated Plasmodium falciparum malaria will be randomized to receive treatment with AS/AQ, SP/AQ or SP/CQ. A drug dispenser will supervise the first dose of medication and subsequent doses will be given to the child's parent to be administered at home, unsupervised by the study team. Patients will be visited at home three days later. Unused medication will be counted and the mother will be asked about the number of doses the child received and any side effects. Children will be seen again 2 and 4 weeks after treatment to collect finger prick samples for packed cell volume (PCV) and malaria microscopy. The primary endpoint is clinical failure by day 28. Analysis will be by intention to treat.

Conditions

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Malaria

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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Amodiaquine plus artesunate (AQ/AS)

Intervention Type DRUG

Sulfadoxine-pyrimethamine plus chloroquine (SP/CQ)

Intervention Type DRUG

Sulfadoxine-pyrimethamine plus amodiaquine (SP/AQ)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Presentation at health centre with febrile illness
* Monoinfection with P. falciparum
* Parasitaemia \>=500/microlitre
* Fever or history of fever

Exclusion Criteria

* Signs of severe or complicated malaria (persistent vomiting with or without dehydration, history of convulsion during the present illness, inability to sit or stand, parasitaemia \>200,000/ul)
* Severe malnutrition
* Clinically evident concomitant disease
* PCV \<20%
* History of allergy to the study medications
* Residence outside the study area and hence difficult to follow up
Minimum Eligible Age

6 Months

Maximum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical Research Council

OTHER_GOV

Sponsor Role collaborator

National Malaria Control Programme, The Gambia

OTHER_GOV

Sponsor Role collaborator

London School of Hygiene and Tropical Medicine

OTHER

Sponsor Role lead

Principal Investigators

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Sam K Dunyo, PhD

Role: PRINCIPAL_INVESTIGATOR

Medical Research Council

Paul J Milligan, PhD

Role: PRINCIPAL_INVESTIGATOR

London School of Hygiene and Tropical Medicine

Locations

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Medical Research Council Laboratories

Banjul, City of Banjul, The Gambia

Site Status

Countries

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The Gambia

Other Identifiers

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MRC SCC No. 940

Identifier Type: -

Identifier Source: secondary_id

SCC940

Identifier Type: -

Identifier Source: org_study_id