C3: Effectiveness of Artemether-Lumefantrine for Malaria Treatment of Children at Community Level in Tanzania
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
Outcome Measures
Primary Outcome Measures
- Effectiveness (PCR adjusted parasitological cure rate) of artemether-lumefantrine []
- during 42 days follow-up. []
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Aged <5 years
-
Weight >5 kg
-
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
-
Having a history of fever in the preceding 24 h
-
Able to ingest tablets orally
-
Willing and able to attend stipulated follow-up visits
-
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":
-
Convulsions (>1 episode within previous 24 hours)
-
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.- CCC-2007