Effectiveness of Oral Quinine and Artemether-Lumefantrine in the Treatment of Uncomplicated Malaria in Ugandan Children (QALE)

October 4, 2007 updated by: Makerere University
We will test the hypothesis that there is a difference in effectiveness of oral quinine in comparison to artemether Lumefantrine in the treatment of uncomplicated malaria in children.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Detailed Description

This study will be designed as an open randomized effectiveness study assessing the parasitological and clinical cure rates and adherence to oral quinine monotherapy in comparison to artemether-Lumefantrine. We will also describe some of the adverse events to the two drugs.The measurements will include age, sex, weight, hemoglobin levels on days 0, 7, 14 and 28, parasite density on days 0, 7, 14 and 28 and clinical examination findings. Adverse events will also be documented

Study Type

Interventional

Enrollment (Anticipated)

302

Phase

  • Phase 4

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Uganda
    • Central
      • Kampala, Central, Uganda, 256
        • Recruiting
        • Mulago National Referral Hospital
        • Contact:
        • Contact:
        • Sub-Investigator:
          • Moses Kamya, MMed

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

6 months to 5 years (Child)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  1. Aged between 6 and 59 months of age seen at the assessment centre during the study period
  2. With fever defined as axillary temperature ≥37.5 °C or history of fever in the past 24 h
  3. With a microscopically confirmed monoinfection of Plasmodium falciparum
  4. Able to tolerate oral therapy,
  5. Whose parents/guardians have provided written informed consent.

Exclusion Criteria:

  1. Children with a history of allergy to quinine, artemether-Lumefantrine or milk.
  2. Evidence of severe malaria.
  3. Residence at more than 20km from the health clinic.
  4. Evidence of a significant concomitant febrile illness that would require hospitalization or chronic medical illness

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: 1.Oral quinine
Patients will be given oral quinine at the dose of 10mg/kg 8 hourly for 7 days
Drug: Oral quinine
Quinine tablets given at 10mg/kg 8 hourly for 7 days
Active Comparator: 2. Coartem
Tablets
Drug: artemether-lumefantrine
Tablets taken twice daily for 3 days according to weight based guidelines.
Other Names:
  • Coartem

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
1. PCR adjusted parasitological cure rate on day 28. 2. Clinical cure rates on day 28.
Time Frame: 28 days
28 days

Secondary Outcome Measures

Outcome Measure
Time Frame
1. Fever clearance time assessed by self report. 2. Hemoglobin changes on day 0, 7, 14 and 28. 3. Safety profiles. 4. Adherence: measured by patient report and pill count on day 3 for the artemether-Lumefantrine group and day 7 for the quinine group.
Time Frame: 28 days
28 days

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Makerere University

Collaborators

Uganda Malaria Surveillance Project
Ministry of Health, Uganda

Investigators

  • Principal Investigator: Ambrose O Talisuna, PhD, Ministry of Health, Uganda

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

September 1, 2007

Study Completion (Anticipated)

April 1, 2008

Study Registration Dates

First Submitted

October 4, 2007

First Submitted That Met QC Criteria

October 4, 2007

First Posted (Estimate)

October 5, 2007

Study Record Updates

Last Update Posted (Estimate)

October 5, 2007

Last Update Submitted That Met QC Criteria

October 4, 2007

Last Verified

October 1, 2007

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • QALE07

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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