Trial of Artesunate Combination Therapy in Pakistan

NCT ID: NCT00959517

Last Updated: 2009-08-14

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

PHASE2

Total Enrollment

588 participants

Study Classification

INTERVENTIONAL

Study Start Date

2001-07-31

Study Completion Date

2006-08-31

Brief Summary

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This study is an evaluation of the benefit of adding artesunate to existing first and second line antimalarial therapies in Pakistan.

A placebo controlled trial was carried out to assess two potential benefits of Artesunate Combination Therapy (ACT): efficacy and potential for transmission reduction.

Detailed Description

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A randomised, double-blind placebo controlled study of the efficacy of chloroquine or sulphadoxine-pyrimethamine alone and in combination with primaquine or artesunate for the treatment of uncomplicated falciparum malaria.

Arms:

1. CQ
2. CQ+primaquine
3. CQ+ artesunate
4. SP
5. SP+primaquine
6. SP+artesunate

Patients were allocated to treatment groups using a pseudo-randomised table split by age and sex.

Primary outcomes:

* Clinical and parasitological cure/treatment failure by day 28.

Secondary outcomes:

* time to resolution of fever
* time to clearance of trophozoites
* time to clearance of gametocytes
* gametocyte carriage on or after day 7 after treatment

All clinical assessments and slide readings were carried out by staff blind to treatment arm. Slides were double read.

Conditions

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Uncomplicated Falciparum Malaria

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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CQ

Group Type EXPERIMENTAL

Chloroquine (CQ)

Intervention Type DRUG

CQ+PQ

Group Type EXPERIMENTAL

Chloroquine (CQ)

Intervention Type DRUG

primaquine (PQ)

Intervention Type DRUG

CQ + AS

Group Type EXPERIMENTAL

artesunate (AS)

Intervention Type DRUG

Recommended dosage over 3 days (for all interventions)

Chloroquine (CQ)

Intervention Type DRUG

SP

Group Type EXPERIMENTAL

sulphadoxine-pyrimethamine (SP)

Intervention Type DRUG

SP + PQ

Group Type EXPERIMENTAL

sulphadoxine-pyrimethamine (SP)

Intervention Type DRUG

primaquine (PQ)

Intervention Type DRUG

SP + AS

Group Type EXPERIMENTAL

artesunate (AS)

Intervention Type DRUG

Recommended dosage over 3 days (for all interventions)

sulphadoxine-pyrimethamine (SP)

Intervention Type DRUG

Interventions

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artesunate (AS)

Recommended dosage over 3 days (for all interventions)

Intervention Type DRUG

sulphadoxine-pyrimethamine (SP)

Intervention Type DRUG

Chloroquine (CQ)

Intervention Type DRUG

primaquine (PQ)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* presentation at basic health unit with suspected clinical malaria
* mono-infection infection with P. falciparum confirmed by microscopy
* over 2 years of age (no upper age restriction)
* weight over 5 kg (no upper weight restriction)
* if of child bearing age then non-pregnant and willing to remain so for the duration of the study
* greater than 1 asexual parasite per 10 fields
* understands and is willing to sign the consent form
* a resident in the study site willing to collaborate for a full period of follow-up
* no signs of severe malaria

Exclusion Criteria

* other serious disease (e.g., cardiac, renal or hepatic)
* in women of child bearing age, pregnancy
* allergy to any of the study drugs or related compounds
* reports to have used any malaria drugs in the last 21 days
* other species of malaria seen
* signs of severe malaria
Minimum Eligible Age

2 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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HealthNet TPO

OTHER

Sponsor Role collaborator

London School of Hygiene and Tropical Medicine

OTHER

Sponsor Role lead

Responsible Party

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London School of Hygiene & Tropical Medicine

Principal Investigators

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Mark W Rowland, PhD

Role: PRINCIPAL_INVESTIGATOR

London School of Hygiene and Tropical Medicine

Locations

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HealthNet International

Peshawar, , Pakistan

Site Status

Countries

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Pakistan

References

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Kolaczinski K, Leslie T, Ali I, Durrani N, Lee S, Barends M, Beshir K, Ord R, Hallett R, Rowland M. Defining Plasmodium falciparum treatment in South West Asia: a randomized trial comparing artesunate or primaquine combined with chloroquine or SP. PLoS One. 2012;7(1):e28957. doi: 10.1371/journal.pone.0028957. Epub 2012 Jan 31.

Reference Type DERIVED
PMID: 22303437 (View on PubMed)

Other Identifiers

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TDR A00017

Identifier Type: -

Identifier Source: secondary_id

T26/181/33 A00017

Identifier Type: -

Identifier Source: org_study_id

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