Molecular Surveillance of Artemisinin Resistance Malaria in Myanmar

NCT ID: NCT02792816

Last Updated: 2016-06-08

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

Total Enrollment

550 participants

Study Classification

OBSERVATIONAL

Study Start Date

2009-06-30

Study Completion Date

2016-05-31

Brief Summary

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Efficacy and safety of the artemisinin combination therapy (ACT) in uncomplicated falciparum malaria patients in Myanmar and artemisinin molecular markers analysis

Detailed Description

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The investigators assessed the efficacy and safety of the ACT in uncomplicated falciparum malaria in different sentinel sites in Myanmar. The recruited patients were follow-up until day 28 or day-42 based on the ACTs. Day-0 samples were analysed for artemisinin molecular markers, (K13 kelch propeller, Pfmdr2, Pffd and Pfarps10).

Conditions

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Drug Resistance Plasmodium Falciparum Malaria

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Kawthaung Site

The efficacy and safety of the ACT in different sentinel sites will be assessed. The administrated anti-malarial were same and all will be administrated under direct observation. The dosage will be calculated by weight of the patients. Kawthaung is one of the sentinel site and located at the Southern Myanmar.

First line antimalarial in Myanmar (artemether-lumefrantrine, dihydroartemisinin-piperaquine, and artesunate-mefloquine)

Intervention Type DRUG

Being a observational cohort study, one of the ACT was selected in each study site to assess the efficacy and safety.

Myawaddy Site

The efficacy and safety of the ACT in different sentinel sites will be assessed. The administrated anti-malarial were same and all will be administrated under direct observation. The dosage will be calculated by weight of the patients. Myawaddy is one of the sentinel site and located at the northern part of the Southern Myanmar.

First line antimalarial in Myanmar (artemether-lumefrantrine, dihydroartemisinin-piperaquine, and artesunate-mefloquine)

Intervention Type DRUG

Being a observational cohort study, one of the ACT was selected in each study site to assess the efficacy and safety.

Thanbyuzayat Site

The efficacy and safety of the ACT in different sentinel sites will be assessed. The administrated anti-malarial were same and all will be administrated under direct observation. The dosage will be calculated by weight of the patients. Thanbyuzayat is one of the sentinel site and located at the northern part of the Southern Myanmar.

First line antimalarial in Myanmar (artemether-lumefrantrine, dihydroartemisinin-piperaquine, and artesunate-mefloquine)

Intervention Type DRUG

Being a observational cohort study, one of the ACT was selected in each study site to assess the efficacy and safety.

Shwegyin Site

The efficacy and safety of the ACT in different sentinel sites will be assessed. The administrated anti-malarial were same and all will be administrated under direct observation. The dosage will be calculated by weight of the patients. Shwegyin is one of the sentinel site and located at the southern part of the central Myanmar.

First line antimalarial in Myanmar (artemether-lumefrantrine, dihydroartemisinin-piperaquine, and artesunate-mefloquine)

Intervention Type DRUG

Being a observational cohort study, one of the ACT was selected in each study site to assess the efficacy and safety.

Magway Site

The efficacy and safety of the ACT in different sentinel sites will be assessed. The administrated anti-malarial were same and all will be administrated under direct observation. The dosage will be calculated by weight of the patients. Magway is one of the sentinel site and located at the middle part of the central Myanmar.

First line antimalarial in Myanmar (artemether-lumefrantrine, dihydroartemisinin-piperaquine, and artesunate-mefloquine)

Intervention Type DRUG

Being a observational cohort study, one of the ACT was selected in each study site to assess the efficacy and safety.

Rakhine Site

The efficacy and safety of the ACT in different sentinel sites will be assessed. The administrated anti-malarial were same and all will be administrated under direct observation. The dosage will be calculated by weight of the patients. Rakhine is one of the sentinel site and located at the western Myanmar.

First line antimalarial in Myanmar (artemether-lumefrantrine, dihydroartemisinin-piperaquine, and artesunate-mefloquine)

Intervention Type DRUG

Being a observational cohort study, one of the ACT was selected in each study site to assess the efficacy and safety.

Interventions

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First line antimalarial in Myanmar (artemether-lumefrantrine, dihydroartemisinin-piperaquine, and artesunate-mefloquine)

Being a observational cohort study, one of the ACT was selected in each study site to assess the efficacy and safety.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Plasmodium falciparum mono infection by microscopy
* Presence of axillary equal to or more than 37.5 degrees centigrade or history of fever during the past 24 hours
* Ability to swallow oral medication
* Ability and willingness to comply with the study protocol for the duration of the study and to comply with the study visit schedule
* Informed consent from the patient or from a parent or guardian in the case of children

Exclusion Criteria

* Presence of signs of severe falciparum malaria according to the definitions of World Health Organisation (WHO)
* Mixed or mono-infection with another Plasmodium species detected by microscopy
* Presence of severe malnutrition (defined as a child whose growth standard is below 3 z-score, has symmetrical oedema involving at least the feet or has a mid-upper arm circumference below 110 mm)
* Presence of febrile conditions due to diseases other than malaria (e.g. measles, acute lower respiratory tract infection, severe diarrhoea with dehydration) or other known underlying chronic or severe diseases (e.g. cardiac, renal and hepatic diseases, Human Immune Deficiency Virus (HIV)/Acquired Immune Deficiency Syndrom (AIDS)
* Regular medication, which may interfere with antimalarial pharmacokinetics
* History of hypersensitivity reactions or contraindications to any of the medicine(s) being tested or used as alternative treatment(s)
* A positive pregnancy test or breastfeeding
* Unable to or unwilling to take a pregnancy test or contraceptives
Minimum Eligible Age

3 Months

Maximum Eligible Age

69 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kangwon National University

OTHER

Sponsor Role collaborator

Department of Medical Research, Lower Myanmar

OTHER

Sponsor Role lead

Responsible Party

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Myat Htut Nyunt

Research Scientist

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Dr. Myat Phone Kyaw

Yangon, Yangon, Burma

Site Status

Countries

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Burma

References

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Nyunt MH, Soe MT, Myint HW, Oo HW, Aye MM, Han SS, Zaw NN, Cho C, Aung PZ, Kyaw KT, Aye TT, San NA, Ortega L, Thimasarn K, Bustos MDG, Galit S, Hoque MR, Ringwald P, Han ET, Kyaw MP. Clinical and molecular surveillance of artemisinin resistant falciparum malaria in Myanmar (2009-2013). Malar J. 2017 Aug 14;16(1):333. doi: 10.1186/s12936-017-1983-9.

Reference Type DERIVED
PMID: 28806957 (View on PubMed)

Other Identifiers

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KMRL_2016_02

Identifier Type: -

Identifier Source: org_study_id

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