Intermittent Treatment With Sulfadoxine-pyrimethamine for Malaria Control in Infants

NCT ID: NCT00206739

Last Updated: 2010-03-30

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

PHASE4

Total Enrollment

1070 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-01-31

Study Completion Date

2005-09-30

Brief Summary

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The purpose of this study is to assess the effectiveness of Intermittent Preventive Treatment in Infants (IPTi) with Sulfadoxine-Pyrimethamine to reduce the numbers of malaria attacks, episodes of anemia, and the overall morbidity and mortality

Detailed Description

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In order to define the effectiveness of Intermittent Preventive Treatment in Infants (IPTi) with Sulfadoxine-Pyrimethamine, a novel principle of malaria intervention, the following parameters are evaluated: i) the level of protection from malaria attacks and episodes of anemia during the treatment period, ii) the level of protection from severe malaria during the treatment period, iii) the effect on malaria morbidity after sustaining treatment, iv) the decrease of overall morbidity and mortality, including the number of hospital admissions and visits of hospital outpatient departments v) the influence of the intervention on the development of drug resistances, vi) the impact of the intervention on the development of immunity, vii) the possible influence of the intervention on sub-clinical organ dysfunction due to chronic Plasmodium falciparum infection. Parts of the study are performed in collaboration with the Laboratory of Research, Hospital Albert Schweitzer, Lambaréné, Gabon and the School of Medicine and Health Sciences, University of Development Studies, Tamale, Ghana

Conditions

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Malaria Anemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Interventions

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Sulfadoxine (12.5 mg)/Pyrimethamine (250 mg)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Informed consent by parent/guardian (written or oral)
* Permanent residentship in the study area
* Age of 3 months +/-4 weeks

Exclusion Criteria

* Hypersensitivity to sulfonamides or pyrimethamine (skin rashes, evidence of hemolysis including dark urine and/or purpura, presumptive signs of bone marrow depression such as sore throat and/or mouth ulcers)
* Other severe adverse events related to pyrimethamine-sulfadoxine application
* Signs of severe hepatic or renal dysfunction not due to malaria
* Other reasons after decision of the study physician
Minimum Eligible Age

2 Months

Maximum Eligible Age

4 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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German Federal Ministry of Education and Research

OTHER_GOV

Sponsor Role collaborator

Deutscher Akademischer Austausch Dienst

OTHER

Sponsor Role collaborator

The Volkswagen Foundation

OTHER

Sponsor Role collaborator

Bernhard Nocht Institute for Tropical Medicine

OTHER_GOV

Sponsor Role lead

Principal Investigators

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Ohene Adjei, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

Kumasi Centre for Collaborative Research in Tropical Medicine

Jürgen May, PD Dr.

Role: STUDY_DIRECTOR

Bernhard Nocht Institute for Tropical Medicine Hamburg, Infection Epidemiology

Locations

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Kumasi Centre for Collaborative Research in Tropical Medicine

Kumasi, Ashanti Region, Ghana

Site Status

Countries

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Ghana

References

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Schellenberg D, Menendez C, Kahigwa E, Aponte J, Vidal J, Tanner M, Mshinda H, Alonso P. Intermittent treatment for malaria and anaemia control at time of routine vaccinations in Tanzanian infants: a randomised, placebo-controlled trial. Lancet. 2001 May 12;357(9267):1471-7. doi: 10.1016/S0140-6736(00)04643-2.

Reference Type BACKGROUND
PMID: 11377597 (View on PubMed)

Menendez C, Kahigwa E, Hirt R, Vounatsou P, Aponte JJ, Font F, Acosta CJ, Schellenberg DM, Galindo CM, Kimario J, Urassa H, Brabin B, Smith TA, Kitua AY, Tanner M, Alonso PL. Randomised placebo-controlled trial of iron supplementation and malaria chemoprophylaxis for prevention of severe anaemia and malaria in Tanzanian infants. Lancet. 1997 Sep 20;350(9081):844-50. doi: 10.1016/S0140-6736(97)04229-3.

Reference Type BACKGROUND
PMID: 9310602 (View on PubMed)

Massaga JJ, Kitua AY, Lemnge MM, Akida JA, Malle LN, Ronn AM, Theander TG, Bygbjerg IC. Effect of intermittent treatment with amodiaquine on anaemia and malarial fevers in infants in Tanzania: a randomised placebo-controlled trial. Lancet. 2003 May 31;361(9372):1853-60. doi: 10.1016/s0140-6736(03)13504-0.

Reference Type BACKGROUND
PMID: 12788572 (View on PubMed)

Verhoef H, West CE, Nzyuko SM, de Vogel S, van der Valk R, Wanga MA, Kuijsten A, Veenemans J, Kok FJ. Intermittent administration of iron and sulfadoxine-pyrimethamine to control anaemia in Kenyan children: a randomised controlled trial. Lancet. 2002 Sep 21;360(9337):908-14. doi: 10.1016/S0140-6736(02)11027-0.

Reference Type BACKGROUND
PMID: 12354473 (View on PubMed)

May J, Adjei S, Busch W, Gabor JJ, Issifou S, Kobbe R, Kreuels B, Lell B, Schwarz NG, Adjei O, Kremsner PG, Grobusch MP. Therapeutic and prophylactic effect of intermittent preventive anti-malarial treatment in infants (IPTi) from Ghana and Gabon. Malar J. 2008 Oct 1;7:198. doi: 10.1186/1475-2875-7-198.

Reference Type DERIVED
PMID: 18828899 (View on PubMed)

Kobbe R, Adjei S, Kreuzberg C, Kreuels B, Thompson B, Thompson PA, Marks F, Busch W, Tosun M, Schreiber N, Opoku E, Adjei O, Meyer CG, May J. Malaria incidence and efficacy of intermittent preventive treatment in infants (IPTi). Malar J. 2007 Dec 9;6:163. doi: 10.1186/1475-2875-6-163.

Reference Type DERIVED
PMID: 18067679 (View on PubMed)

Related Links

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http://www.kccr.de/kccr/

Homepage of the Kumasi Centre for Collaborative Research (study site)

Other Identifiers

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01KA0202

Identifier Type: -

Identifier Source: secondary_id

01KA0202-K7.3

Identifier Type: -

Identifier Source: org_study_id

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