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Uncomplicated MalariaNCT00460369

Treatment of Uncomplicated Malaria in Benin

A study testing sulfadoxine-pyrimethamine, artemether-lumefantrine and amodiaquine-artesunate coformulation in people with Uncomplicated Malaria, run by Institut de Recherche pour le Developpement at 1 site in Benin.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Malaria is a life-threatening disease especially in small children. A high degree of Plasmodium falciparum resistance to chloroquine has already spread to South-Benin where this study is taking place. Read more about this study

Who is it for?
Ages 6 to 119 months
Conditions the study is for
Uncomplicated Malaria
What is being tested?
sulfadoxine-pyrimethamine, artemether-lumefantrine and amodiaquine-artesunate coformulation
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
240 participants
Where
1 siteBenin
Study dates
Apr 2007to Nov 2007
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 6 to 119 months
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • 6-119 months old
  • fever or history of fever of less than 24 hours
  • p falciparum parasitemia > 1000 trophozoïtes/µL
  • informed consent signed

Who cannot join

  • < 5 kg
  • danger or severity signs of malaria
  • known underlying chronic disease
  • Hb < 5g/dL
  • adequate malaria treatment taken within 3 days before visit

Trial locations and contacts

1 site in 1 country.

Benin1 site
  • Centre de santé

    Allada

Other trials in Benin

About this study

Official title: Sulfadoxine-Pyrimethamine Versus Artemether-Lumefantrine Versus Amodiaquine-Artesunate Coformulation in Uncomplicated Plasmodium Falciparum Malaria : an Open Randomized Study

Malaria is a life-threatening disease especially in small children. A high degree of Plasmodium falciparum resistance to chloroquine has already spread to South-Benin where this study is taking place. In the past few years, the recommendation for a first-line treatment in this area has moved from chloroquine to sulfadoxine-pyrimethamine (SP). There is growing evidence that Plasmodium falciparum resistance to SP has come to South-Benin. The aim of the study is to compare the efficacy of SP to two compact artemisinin-based therapies (ACT): artemether-lumefantrine and the amodiaquine-artesunate coformulation. ACT will be unsupervised.

The primary endpoint is an effectiveness comparison (PCR corrected) at day 28. Secondary outcomes are effectiveness comparisons (PCR corrected) at day 14 and 42 and a study on the relationships between ACT PK data (day 3) and outcome.

Read more

Expected total enrollment: 225 patients

Study start: April 2007; expected completion: December 2007

Being tested
sulfadoxine-pyrimethamine, artemether-lumefantrine, amodiaquine-artesunate coformulation
Keywords
uncomplicated malaria, children, treatment, effectiveness

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • sulfadoxine-pyrimethamineDrug

    Also called Fansidar

    tablets 1,25/25 mg

    1 tablet per 20 kg of body weight Single drug intake

  • artemether-lumefantrineDrug

    Also called coartem

    tablets 20/120 mg

    • 1 tablet twice daily for 3 days below 15 kg of bodyweight
    • 2 tablets twice daily for 3 days below 24 kg of bodyweight
    • 3 tablets twice daily for 3 days below 35 kg of bodyweight
  • amodiaquine-artesunate coformulationDrug

    Also called coarsucam

    one 25mg/67,5mg tablet, once daily for 3 days below 9 kg

    one 50/135mg tablet, once daily for 3 days below 18 kg

Study groups in NCT00460369
Study groupRoleWhat they receive
1Active comparatorsulfadoxine-pyrimethamine
Receives: Drug: sulfadoxine-pyrimethamine
2Active comparatorartemether-lumefantrine
Receives: Drug: artemether-lumefantrine
3Active comparatoramodiaquine-artesunate coformulation
Receives: Drug: amodiaquine-artesunate coformulation

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. efficacy

    Measured: day 28

Secondary outcomes (2)
  1. effectiveness comparisons (PCR corrected)

    Measured: day 14 and day 42

  2. incidence of adverse events

    Measured: day 42

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Apr 2007 (estimated)
  2. Study startApr 2007
  3. Primary completionNov 2007
  4. Study completionNov 2007

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
240 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00460369
Sponsor's protocol ID
Malariallada
Status last verified
Apr 2008
First submitted
12 Apr 2007
Last updated
14 Apr 2008
Results posted
No
Data monitoring committee
Yes

Publications

  • Faucher JF, Aubouy A, Adeothy A, Cottrell G, Doritchamou J, Gourmel B, Houze P, Kossou H, Amedome H, Massougbodji A, Cot M, Deloron P. Comparison of sulfadoxine-pyrimethamine, unsupervised artemether-lumefantrine, and unsupervised artesunate-amodiaquine fixed-dose formulation for uncomplicated plasmodium falciparum malaria in Benin: a randomized effectiveness noninferiority trial. J Infect Dis. 2009 Jul 1;200(1):57-65. doi: 10.1086/599378.

    PubMed 19469703

Questions about this trial

What is this clinical trial studying?

A study testing sulfadoxine-pyrimethamine, artemether-lumefantrine and amodiaquine-artesunate coformulation in people with Uncomplicated Malaria, run by Institut de Recherche pour le Developpement at 1 site in Benin.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 14 Apr 2008. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Benin. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

efficacy (time frame: day 28). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00460369, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Apr 2008.

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