Status:

ACTIVE_NOT_RECRUITING

Pharmacokinetics and Pharmacodynamics of the Gametocytocidal and Post-treatment Chemoprotective Effects of Antimalarials

Lead Sponsor:

Johns Hopkins Bloomberg School of Public Health

Collaborating Sponsors:

Tropical Diseases Research Centre

Conditions:

Uncomplicated Falciparum Malaria

Eligibility:

All Genders

6-59 years

Phase:

PHASE2

PHASE3

Brief Summary

Single-center phase II/III clinical investigation of the pharmacokinetics and pharmacodynamics of artemether-lumefantrine and dihydroartemisinin-piperaquine for gametocyte clearance and post-treatment...

Detailed Description

Artemisinin-based combination therapies (ACTs) are the first-line agents for uncomplicated falciparum malaria. Artemether-lumefantrine (AL) is the most widely adopted ACT in sub-Saharan Africa for cas...

Eligibility Criteria

Inclusion

  • Weight ≥10 kg
  • Any indication for malaria diagnostic testing as determined by a treating provider (e.g., fever or history of fever)
  • P. falciparum parasitemia (by microscopy) of any density not meeting criteria for severe malaria
  • Ability to swallow oral medication
  • Ability and willingness of parents or guardians to comply with study protocol for the duration of the study and to comply with the study follow-up visit schedule
  • Residence within hospital catchment area
  • Signed informed consent obtained from a legal representative of the participant

Exclusion

  • Complicated or severe falciparum malaria as defined by WHO criteria
  • Hemoglobin concentration \< 7 g/dL
  • Use of any drug with antimalarial activity within the prior 4 weeks
  • History of hypersensitivity reaction or intolerance to AL or DP
  • Co-infection with Plasmodium spp. other than P. falciparum as determined by microscopy
  • Confirmed or suspected concurrent acute infection other than malaria (e.g. measles, acute lower respiratory tract infection)
  • Current therapy with QT interval-prolonging agents
  • Family history of sudden cardiac death or personal history of cardiac disease
  • Residence outside the study area, or plan to leave the study area
  • Residence in foster care or otherwise under government supervision
  • Previous enrollment in the study, or enrollment in any other investigational drug trial during the previous 30 days
  • Presence of any other condition or abnormality that in the opinion of the investigator would compromise the safety of the participant or the quality of the data

Key Trial Info

Start Date :

June 19 2019

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2026

Estimated Enrollment :

182 Patients enrolled

Trial Details

Trial ID

NCT04009343

Start Date

June 19 2019

End Date

December 1 2026

Last Update

December 17 2025

Active Locations (1)

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1

Tropical Diseases Research Centre

Ndola, Copperbelt, Zambia