Pharmacokinetics and Pharmacodynamics of Intravenous Artesunate for Severe Malaria Treatment

NCT ID: NCT01122134

Last Updated: 2010-05-13

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

UNKNOWN

Total Enrollment

20 participants

Study Classification

OBSERVATIONAL

Study Start Date

2010-05-31

Study Completion Date

2010-09-30

Brief Summary

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Intravenous artesunate is highly effective with rapid schizonticidal action and improved clinical outcome

Detailed Description

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The current first line treatment for severe malaria in Uganda is intravenous quinine with artemisinin derivatives as an alternative. Intravenous artesunate, a water soluble artemisinin derivative is more effective than quinine with faster schizonticidal action and improved clinical outcome. It is generally well tolerated and safe. This study aims is to assess the pharmacokinetics, pharmacodynamics and safety of IV artesunate in treatment of severe malaria in adults admitted to Mulago National Referral and Teaching hospital, Uganda.

Conditions

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Severe Malaria

Study Design

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Study Time Perspective

PROSPECTIVE

Study Groups

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20 adults with severe malaria

20 adult patients admitted with severe malaria

intravenous artesunate

Intervention Type DRUG

Intravenous artesunate in a dose of 2.4 mg/kg at start of treatment, 2.4 mg/kg 12 hours later and 2.4 mg/kg/day until the patient is able to tolerate oral therapy. The minimum duration of IV treatment will be 24 hours.

Interventions

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intravenous artesunate

Intravenous artesunate in a dose of 2.4 mg/kg at start of treatment, 2.4 mg/kg 12 hours later and 2.4 mg/kg/day until the patient is able to tolerate oral therapy. The minimum duration of IV treatment will be 24 hours.

Intervention Type DRUG

Other Intervention Names

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ArtesunĀ®

Eligibility Criteria

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Inclusion Criteria

1. Patients aged 18 years and above
2. With severe malaria according to the following ciriteria:
3. A positive blood smear for malaria with P. falciparum mono-infection with parasitemia \> 500 parasites/ul of blood
4. Who according to the attending physician require parenteral treatment and admission for malaria
5. Willing to participate in the study
6. Who are or whose first degree parents/caretakers are able to provide written informed consent

Exclusion Criteria

1. Patients with history of prior antimalarial use within the last 72 hours
2. Pregnant women
3. Patients with contraindications to taking the study drugs
4. Patients taking known inhibitors or inducers of cytochrome P450 -
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Makerere University

OTHER

Sponsor Role lead

Responsible Party

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INTERACT, Makerere University

Principal Investigators

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Pauline Byakika-Kibwika, MSc, MMed

Role: PRINCIPAL_INVESTIGATOR

Makerere University

Locations

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Mulago National Referral hospital

Kampala, , Uganda

Site Status

Countries

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Uganda

Facility Contacts

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Pauline Byakika-Kibwika, MSc, MMed

Role: primary

+256 772 626885

Mohammed Lamorde, MBBS

Role: backup

+256 772 185590

References

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Byakika-Kibwika P, Lamorde M, Mayito J, Nabukeera L, Mayanja-Kizza H, Katabira E, Hanpithakpong W, Obua C, Pakker N, Lindegardh N, Tarning J, de Vries PJ, Merry C. Pharmacokinetics and pharmacodynamics of intravenous artesunate during severe malaria treatment in Ugandan adults. Malar J. 2012 Apr 27;11:132. doi: 10.1186/1475-2875-11-132.

Reference Type DERIVED
PMID: 22540954 (View on PubMed)

Other Identifiers

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CPR 07

Identifier Type: -

Identifier Source: org_study_id

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