C3: Effectiveness of Artemether-Lumefantrine for Malaria Treatment of Children at Community Level in Tanzania

Sponsor
Karolinska University Hospital (Other)
Overall Status
Completed
CT.gov ID
NCT00454961
Collaborator
(none)
200
1

Study Details

Study Description

Brief Summary

The purpose of this clinical trial is to assess the effectiveness of artemether-lumefantrine (Coartem®) treatment provided by community health workers against uncomplicated malaria in children under 5 years of age in Kibaha District, Tanzania, during an extended follow-up of 42 days. The hypothesis is that artemether-lumefantrine treatment provided by community health workers will result in less than 85% PCR-corrected parasitological effectiveness by day 42, mainly due to partial non-compliance to full standard 6-dose regimen of the drug.

Condition or Disease Intervention/Treatment Phase
Phase 4

Study Design

Study Type:
Interventional
Anticipated Enrollment :
200 participants
Allocation:
Non-Randomized
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Effectiveness of Artemether-Lumefantrine Treatment Provided by Community Health Worker Against Uncomplicated Malaria in Children Under 5 Years of Age in Tanzania
Study Start Date :
Apr 1, 2007

Outcome Measures

Primary Outcome Measures

  1. Effectiveness (PCR adjusted parasitological cure rate) of artemether-lumefantrine []

  2. during 42 days follow-up. []

Eligibility Criteria

Criteria

Ages Eligible for Study:
N/A to 5 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  1. Aged <5 years

  2. Weight >5 kg

  3. Suffering from acute uncomplicated P. falciparum malaria confirmed by RDT. Later microscopy using Giemsa-stained thick film will be made to ensure asexual parasite density of 2000 to 200 000 parasites/µL

  4. Having a history of fever in the preceding 24 h

  5. Able to ingest tablets orally

  6. Willing and able to attend stipulated follow-up visits

  7. With written informed consent from parent/guardian for children to participate in the trial.

Exclusion Criteria:
Presenting with any of the following "danger signs of severe malaria":
  1. Convulsions (>1 episode within previous 24 hours)

  2. Lethargic/unconscious

Contacts and Locations

Locations

Site City State Country Postal Code
1 Kibaha District Kibaha Tanzania

Sponsors and Collaborators

  • Karolinska University Hospital

Investigators

  • Study Director: Anders Björkman, Professor, Karolinska University Hospital

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
, ,
ClinicalTrials.gov Identifier:
NCT00454961
Other Study ID Numbers:
  • CCC-2007
First Posted:
Apr 2, 2007
Last Update Posted:
Oct 25, 2007
Last Verified:
Oct 1, 2007

Study Results

No Results Posted as of Oct 25, 2007