- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00354380
Safety and Efficacy of Methylene Blue Combined With Artesunate or Amodiaquine for Malaria Treatment in Children of Burkina Faso: a Pilot Study
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Objectives: The primary objective of this trial is to study the safety of the combination methylene blue (MB)-artesunate (AS) and MB-amodiaquine (AQ) given over three days in 6-10 year old children with uncomplicated falciparum malaria in a malaria endemic area compared to the safety of a three days AS-AQ regimen. Secondary objectives are to investigate the efficacy of MB-AS and MB-AQ.
Population: Children aged 6-10 years with uncomplicated malaria from Nouna town.
Sample size: N= 180 (n=60 for each group).
Treatment: The participants in the MB-AS group will receive orally twice daily 9mg/kg MB combined with once daily 4mg/kg AS over 3 days. The participants in the MB-AQ group will receive orally twice daily 9mg/kg MB combined with once daily 10mg/kg AQ over 3 days. The participants of the comparator group will receive a 3 day regimen of once daily oral AS (4mg/kg) combined with once daily AQ (10mg/kg).
Endpoints: The primary endpoint is the number of adverse events (AE) after drug intake until day 28. Secondary endpoints are the number of serious adverse events (SAE), adequate clinical and parasitological response (ACPR) rate on day 28, clinical and parasitological failure rates on day 3, 7, 14 and 28, changes in haematocrit until day 28, and fever and parasite clearance time.
Undersøgelsestype
Fase
- Fase 2
Kontakter og lokationer
Studiesteder
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Nouna, Burkina Faso
- Nouna District Hospital
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion criteria:
- 6-10 year old children
- Ability to swallow tablets
- Uncomplicated malaria caused by P. falciparum
- Asexual parasites ≥ 2000/µl and < 200000/µl
- Axillary temperature ≥ 37.5°C
- Burkinabe nationality
- Informed consent
Exclusion Criteria:
- Complicated or severe malaria
- Any apparent significant disease
- Anaemia (haematocrit < 21%)
- Treated in the same trial before
- Antimalarial treatment prior to inclusion (last three days), except children having been treated with chloroquine
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
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Incidence of observed and self-reported non-serious adverse events over the 28 days observation period (definition chapter 11)
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Sekundære resultatmål
Resultatmål |
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Parasit clearance tid
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Feberopklaringstid
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Rate for tidlig behandlingssvigt (ETF).
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Rate for sent klinisk svigt (LCF) ved D14 og D28
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Rate for sent parasitologisk fejl (LPF) ved D14 og D28
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Incidence of serious adverse events (definition: chapter 11) over the 28 days observation period
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ACPR rate until D28
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Change in haematocrit after 2, 3, 7, 14 and 28 days compared to baseline
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Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Ledende efterforsker: Olaf Mueller, MD, MPH, Heidelberg University
- Ledende efterforsker: Peter Meissner, MD, MSc Trop Paed, Heidelberg University
Publikationer og nyttige links
Generelle publikationer
- Coulibaly B, Zoungrana A, Mockenhaupt FP, Schirmer RH, Klose C, Mansmann U, Meissner PE, Muller O. Strong gametocytocidal effect of methylene blue-based combination therapy against falciparum malaria: a randomised controlled trial. PLoS One. 2009;4(5):e5318. doi: 10.1371/journal.pone.0005318. Epub 2009 May 5.
- Zoungrana A, Coulibaly B, Sie A, Walter-Sack I, Mockenhaupt FP, Kouyate B, Schirmer RH, Klose C, Mansmann U, Meissner P, Muller O. Safety and efficacy of methylene blue combined with artesunate or amodiaquine for uncomplicated falciparum malaria: a randomized controlled trial from Burkina Faso. PLoS One. 2008 Feb 20;3(2):e1630. doi: 10.1371/journal.pone.0001630.
Datoer for undersøgelser
Studer store datoer
Studiestart
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Infektioner
- Vektorbårne sygdomme
- Parasitiske sygdomme
- Protozoiske infektioner
- Malaria
- Molekylære mekanismer for farmakologisk virkning
- Anti-infektionsmidler
- Antivirale midler
- Enzymhæmmere
- Antineoplastiske midler
- Antiprotozoale midler
- Antiparasitære midler
- Antimalariamidler
- Anthelmintika
- Skistosomicider
- Antiplatyhelmintiske midler
- Artesunate
- Methylen blå
- Amodiaquine
Andre undersøgelses-id-numre
- SFB544-A8-ASMB2006
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