Status:

TERMINATED

Artesunate Plus Sulfadoxine-pyrimethamine Pharmacokinetics, Efficacy, Gametocytes Carriage and Birth Outcomes in Pregnant Women With Malaria

Lead Sponsor:

Professor Karen I Barnes

Collaborating Sponsors:

Global Fund

Medical Research Council, South Africa

Conditions:

Malaria

Eligibility:

FEMALE

18+ years

Phase:

NA

Brief Summary

The main purpose of this study is to compare the drug levels of artesunate and sulfadoxine-pyrimethamine found in pregnant women with malaria to those drug levels found in non-pregnant women from othe...

Detailed Description

The resistance of Plasmodium falciparum to anti-malarial drugs is a serious impediment to the control of malaria, and this poses a particular problem for the treatment of pregnant women, a group espec...

Eligibility Criteria

Inclusion

  • Pregnant female, older than 18 years, \> 35kg.
  • Gestational age \> 16 weeks (fundal height \> 16cm) and below 36 weeks gestation.
  • Diagnoses of uncomplicated acute P. falciparum malaria parasitaemia of up to 250 000 asexual parasites/ul blood with axillary temperature of greater than or equal to 37.5°C or history of fever (defined as fever within the previous 24 hours).
  • Documented written informed consent.
  • Lives close enough to the study site for reliable follow up and is willing to attend ANC and follow-up visits regularly.
  • Is willing to stop taking folate for 7 days if applicable.

Exclusion

  • Has received anti-malarial treatment in the past 7 days.
  • Severely ill (based on WHO Criteria for severe malaria ) or if patient is considered, in the opinion of the investigator or designee, to have moderately severe malaria (e.g. prostrate, repeated vomiting, dehydrated) or other danger signs (Appendix 2).
  • Known hepatic or renal impairment
  • Has received chloramphenicol or tetracyclines (including doxycycline) in the past 7 days or is likely to require these during the study period.
  • History of G6PD deficiency.
  • Has a history of allergy to any of the study drugs (including other sulphonamides e.g. cotrimoxazole, or other artemisinin derivatives e.g. co-artemether).
  • Serious underlying disease that in the opinion of the clinic team and/or Principal Investigator would make the patient unsuitable for the study in terms of their safety or study analysis.
  • Imminent delivery expected.
  • Prior inclusion in this study

Key Trial Info

Start Date :

April 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 1 2007

Estimated Enrollment :

3 Patients enrolled

Trial Details

Trial ID

NCT00331708

Start Date

April 1 2006

End Date

July 1 2007

Last Update

October 26 2016

Active Locations (1)

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Ndlavela Health Centre

Ndlavela, Maputo, Mozambique