- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07819825
Artemisia Annua Infusion for the Treatment of Asymptomatic Plasmodium Falciparum Infection (ART-CT001)
Clinical Assessment of the Safety and Efficacy of Artemisia Annua Infusion Preparation for the Treatment of Asymptomatic Plasmodium Falciparum Infection in Semi-immune Adults in Gabon
The goal of this clinical trial is to determine whether Artemisia annua dried leaves, used as an infusion, can treat individuals with malaria parasites but no symptoms. The main question it aims to answer is:
Can Artemisia annua infusion be used to treat malaria?
Researchers will compare those receiving Artemisia annua infusion with those receiving an infusion of Centaurii herba (which has no effect on malaria parasites) to see whether all individuals treated with Artemisia annua infusion are cured, which should not be the case for those receiving Centaurii herba infusion.
Participants will
- drink Artemisia annua infusion over seven days (three days at our research centre and four days at their home
- visit the research centre once a week for three weeks after treatment for one month for safety reasons
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
For safety reasons, participants will be followed up daily for malaria-like symptoms and parasite counts until the end of treatment. Indeed, if they are not free of parasites after seven days of treatment, they will receive rescue treatment, which is the WHO-recommended malaria treatment.
Similarly, if the number of parasites in their blood increases or they develop malaria-like symptoms during treatment, they will receive rescue treatment.
Study Type
Enrollment (Estimated)
Phase
- Phase 1
Contacts and Locations
Study Contact
- Name: Jean Claude Dejon Agobé, MD
- Phone Number: 0024177989191
- Email: jcagobe@cermel.org
Study Locations
-
-
Gabon
-
Lambaréné, Gabon, Gabon, BP: 242
- Centre de Recherches Médicales de Lambaréné
-
Contact:
- Jean Claude Dejon Agobé, MD, PhD
- Phone Number: 0024177989191
- Email: jcagobe@cermel.org
-
Contact:
- Christian Chassem Lapue, MD
- Phone Number: 0024177989191
- Email: christian.chassem@cermel.org
-
Principal Investigator:
- Jean Claude Dejon Agobé, MD, PhD
-
Sub-Investigator:
- Christian Chassem Lapue, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age: 18 to 45 years
- Absence of fever (body temperature <37.5ºC axillary or <38.0°C oral, rectal or tympanic temperature)
- Asymptomatic P. falciparum infection with parasitemia between 500 and 2,000 asexual P. falciparum parasites per μl of blood
- Have been living in an endemic area for at least 5 years.
- Written informed consent from the participant
- Residence in the vicinity of the study centre
- Willingness to comply with the follow-up schedule
Exclusion Criteria:
- History of fever over the last 72 hours
- Non-Plasmodium falciparum infection
- Intake of any antimalarial drug or antibiotic with antimalarial activity within the previous 28 days and/or after half-life time
- Presence of signs and symptoms related by the medical doctor to malaria
- Known history or evidence of clinically significant medical disorders
- Severe malnutrition
- Haemoglobin concentration <7 g/dL
- Known hypersensitivity and contraindications to any study medication
- Pregnancy or lactation
- Participation in other interventional studies
Study Plan
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 |
|---|---|
|
Placebo Comparator: Control arm
|
The research team will prepare one litre of 'Herba Centaurii' infusion every morning, which will be given to the participants in three splits every 8 hours, under the supervision of the research team for seven consecutive days.
Other Names:
|
|
Experimental: Artemisia arm
|
Dried Artemisia annua leaves will be used to prepare an infusion by adding 5 mg of dried leaves to 1 litre of boiled water.
The mixture will be left to stand for 15 minutes, then stirred and strained before being administered to the participant.
Participants will receive 1 litre of this infusion (prepared each morning) per day for seven consecutive days.
The research team will administer the daily dose in three splits at 8-hour intervals.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of participants in whom the parasitaemia was cleared
Time Frame: On day 7 from the first day of treatment
|
No parasites detected in the thick blood smear (microscopic method)
|
On day 7 from the first day of treatment
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of participants cured
Time Frame: From the last day of treatment (day 7) to the end of the follow-up period on day 28
|
Defined as the absence of Plasmodium infection (including reinfections) following treatment, as determined by microscopy and adjusted by PCR, in the per-protocol and intention-to-treat populations.
|
From the last day of treatment (day 7) to the end of the follow-up period on day 28
|
|
Number of adverse events
Time Frame: From the first day of treatment (enrolment) to the end of the treatment period on day 7
|
Types, proportions, severity, and causality of adverse events will be recorded as measures of tolerability and safety
|
From the first day of treatment (enrolment) to the end of the treatment period on day 7
|
Collaborators and Investigators
Collaborators
Investigators
- Study Chair: Steffen Borrmann, Prof., Institut für Tropenmedizin, Universitätsklinikum Tübingen, Wilhelmstraße 27, 72074 Tübingen, Germany
- Study Chair: Ayôla Akim Adegnika, Prof., Centre de Recherches Médicales de Lambaréné
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- SRC-2024-04
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.