Status:

COMPLETED

Pharmacokinetic of Mefloquine-Artesunate in Plasmodium Falciparum Malaria Infection in Pregnancy

Lead Sponsor:

Institute of Tropical Medicine, Belgium

Collaborating Sponsors:

Centre Muraz

Liverpool School of Tropical Medicine

Conditions:

Plasmodium Falciparum Malaria

Eligibility:

FEMALE

18-49 years

Phase:

PHASE2

PHASE3

Brief Summary

Malaria in pregnancy is a major public health problem in Sub-Saharan Africa. Over the past decades, P. falciparum has shown increasing resistance to chloroquine and Sulphadoxine-Pyrimethamine, which h...

Detailed Description

Malaria during pregnancy constitutes a major public health problem in Sub-Saharan Africa, where it increases the risk of low birth weight (\<2500g), infant mortality, infant morbidity during the first...

Eligibility Criteria

Inclusion

  • Plasmodium falciparum monoinfection (any density)
  • At least 18 years old;
  • Haemoglobin at leats 7 g/dL;
  • Residence within the health facility catchment's area;
  • Willing to adhere to the study requirements
  • Willing to deliver in health facility
  • Ability to provide written informed consent
  • EITHER pregnant women in the 2nd or 3rd trimester (cases)or non-pregnant women between the ages of 18 and 49 years (controls).

Exclusion

  • Pregnancy 1st trimester
  • History of known pregnancy complications or bad obstetric history such as repeated stillbirths or eclampsia;
  • Known major illnesses likely to influence pregnancy outcome including diabetes mellitus, severe renal or heart disease, or active tuberculosis;
  • Current cotrimoxazole prophylaxis or ARV treatment;
  • Any significant presenting illness that requires hospitalization, including severe malaria;
  • Intent to move out of the study catchment area before delivery or deliver at relative's home out of the catchment area.
  • Prior enrollment in the study or concurrent enrollment in another study.
  • Unable to take oral medication
  • Clear evidence of treatment with antimicrobials with antimalarial activity (erythromycin or other macrolides, co-trimoxazole or other sulfonamides, any tetracycline including doxycycline, quinolones and clindamycin) or exposure to antimalarial drugs within the week prior enrollment.
  • History of allergy or hypersensivity to interventional drugs
  • Patients taking drugs with possible interaction with study drugs (i.e. digoxin or warfarin)
  • History or family history of epilepsy or psychiatric disorder
  • Presence of signs and symptoms of severe malaria
  • Inability to tolerate oral medication (repeated vomiting, impairment of consciousness). Vomiting of any of the treatment doses will lead to exclusion from the pharmacokinetic sampling.

Key Trial Info

Start Date :

October 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 1 2009

Estimated Enrollment :

48 Patients enrolled

Trial Details

Trial ID

NCT00701961

Start Date

October 1 2008

End Date

July 1 2009

Last Update

September 14 2010

Active Locations (1)

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Centre Muraz

Nanoro, Burkina Faso