- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00623155
Seasonal Intermittent Preventive Treatment With Sulfadoxine-Pyrimethamine in Children in Mali
22. februar 2008 opdateret af: University of Bamako
Evaluation of a Malaria Transmission Target Strategy Based on the Periodic Treatment With Sulfadoxine-Pyrimethamine vs. Early Case Management
Recent, randomized controlled trials conducted in areas of perennial malaria transmission have shown that intermittent preventive treatment (IPT) given at the time of vaccination reduced the incidence of the first episode of malaria and severe anaemia during the first year of life by more than 50% without there being any rebound in the subsequent year.
However, in countries such as Mali, where malaria is highly seasonal and prevalent in older children, IPT in infants may not be the optimum way in which to use antimalarial drugs to prevent malaria.
An alternative approach is to give intermittent preventive treatment to children at risk just during the rainy season.
Here we propose (i) to evaluate the impact of two seasonal IPT (sIPT) with Sulfadoxine-pyrimethamine (SP) given at 8 weeks interval on the incidence of malaria disease in children of 6 months to 10 years in an area of seasonal transmission, in Kambila, Mali; (ii) to assess the impact of this strategy on the in vivo response of P. falciparum to SP; (iii) to assess the potential rebound effect of this strategy on the subsequent transmission season after the cessation.
Children 6 months-10 years in Kambila, Mali will randomized to receive either IPT with SP twice at 8 weeks interval or no IPT during the transmission season and will followed up for 12 months.
Subjects will be also followed during the subsequent transmission season to assess possible rebound effect.
Clinical malaria cases will be treated with SP and followed for 28 days to assess the in vivo response during both periods.
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Undersøgelsestype
Interventionel
Tilmelding (Faktiske)
262
Fase
- Ikke anvendelig
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
-
-
-
Bamako, Mali
- Malaria Research and Training Center, Faculty of Medicine Pharmacy and Dentistry, University of Bamako
-
-
Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
6 måneder til 10 år (Barn)
Tager imod sunde frivillige
Ja
Køn, der er berettiget til at studere
Alle
Beskrivelse
Inclusion Criteria:
- Age 6 months to 10 years
- Agree to seek initial medical care for all medical illness in the study clinic during the study period
- Written informed consent by a parent or legal garden,
- No plan to travel for a long time during the study period.
Exclusion Criteria:
- History of allergy to sulfa drugs or Sulfadoxine-pyrimethamine
- Chronic illness or symptomatic malaria at the time of enrollment
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Forebyggelse
- Tildeling: Randomiseret
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Ingen indgriben: 1
Kontrolgruppe
|
|
|
Eksperimentel: 2
Test group
|
Subjecs randomized to receive two intermittent preventive treatments with standard recommended treatment doses of Sulfadoxine-pyrimethamine at 8 weeks interval during the peak malaria transmission season.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
|---|
|
incidence rate of clinical malaria
|
|
in vivo adequate clinical and parasitological response of P. falciparum to SP
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Samarbejdspartnere
Efterforskere
- Studieleder: Ogobara Doumbo, MD, University of Bamako
- Ledende efterforsker: Alassane Dicko, MD, University of Bamako
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart
1. juli 2002
Primær færdiggørelse (Faktiske)
1. juli 2003
Studieafslutning (Faktiske)
1. januar 2004
Datoer for studieregistrering
Først indsendt
14. februar 2008
Først indsendt, der opfyldte QC-kriterier
22. februar 2008
Først opslået (Skøn)
25. februar 2008
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
25. februar 2008
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
22. februar 2008
Sidst verificeret
1. september 2002
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Infektioner
- Vektorbårne sygdomme
- Parasitiske sygdomme
- Protozoiske infektioner
- Malaria
- Molekylære mekanismer for farmakologisk virkning
- Anti-infektionsmidler
- Enzymhæmmere
- Antiprotozoale midler
- Antiparasitære midler
- Antimalariamidler
- Folinsyreantagonister
- Anti-infektionsmidler, urinveje
- Nyremidler
- Pyrimethamin
- Sulfadoxin
- Fanasil, pyrimethamin lægemiddel kombination
Andre undersøgelses-id-numre
- A10828
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med Malaria
-
Noguchi Memorial Institute for Medical ResearchMedical Research Center Unit The Gambia (MRCG)RekrutteringMalaria infektion | Malaria Asymptomatisk parasitæmi | Malaria Falciparum | Overførsel af malariaGhana
-
Medicines for Malaria VentureSwiss Tropical & Public Health Institute; Rinda Ubuzima, Rwanda; Swiss BioQuant og andre samarbejdspartnereIkke rekrutterer endnuMalaria | Malaria infektion | Malariaprofylakse | Malaria (Plasmodium Falciparum) | Malaria Falciparum | Malaria parasitæmi | MalariaforebyggelseRwanda
-
Medicines for Malaria VentureAsociacion Civil Selva AmazonicaAfsluttetPlasmodium Falciparum Malaria | Plasmodium Vivax MalariaPeru
-
Menzies School of Health ResearchNational Health and Medical Research Council, Australia; Wellcome Trust; National...AfsluttetVivax malaria | Falciparum malariaIndonesien
-
University of California, San FranciscoCenters for Disease Control and Prevention; University of Massachusetts... og andre samarbejdspartnereTrukket tilbagePlasmodium Falciparum Malaria | Plasmodium Vivax MalariaLaos
-
Menzies School of Health ResearchInternational Centre for Diarrhoeal Disease Research, Bangladesh; Addis... og andre samarbejdspartnereAfsluttetMalaria | Vivax malaria | Falciparum malariaEtiopien, Bangladesh, Indonesien
-
University of OxfordWellcome Trust; Ministry of public Health AfghanistanAfsluttetVivax malaria | Ukompliceret Falciparum MalariaAfghanistan
-
Gadjah Mada UniversityMenzies School of Health Research; Eijkman Institute for Molecular Biology og andre samarbejdspartnereAfsluttet
-
London School of Hygiene and Tropical MedicineWorld Health Organization; United Nations High Commissioner for Refugees; HealthNet TPO og andre samarbejdspartnereAfsluttetMalaria | Vivax malaria | Falciparum malariaPakistan
-
Menzies School of Health ResearchNational Health and Medical Research Council, Australia; Wellcome Trust; National...AfsluttetVivax malaria | Falciparum malariaIndonesien
Kliniske forsøg med Seasonal IPT in children - Sulfadoxine-pyrimethamine
-
London School of Hygiene and Tropical MedicineDepartment of State for Health and Social Welfare, The GambiaAfsluttet
-
London School of Hygiene and Tropical MedicineMinistry of Health, GhanaAfsluttet
-
University of California, San FranciscoCenters for Disease Control and Prevention; Uganda Malaria Surveillance...Trukket tilbageIntermitterende forebyggende behandling | Placental malariaUganda
-
Hospital Clinic of BarcelonaUkendt
-
National Institute of Allergy and Infectious Diseases...Trukket tilbage
-
London School of Hygiene and Tropical MedicineMedical Research CouncilAfsluttet
-
Centers for Disease Control and PreventionIfakara Health Research and Development CentreAfsluttet
-
ORIYOMI OMOTOYOSI AKINYOTUUniversity of IbadanAfsluttetMalaria hos gravide HIV+-patienterNigeria
-
National Institute of Allergy and Infectious Diseases...Afsluttet
-
University of Cape TownWorld Health Organization; Medical Research Council, South Africa; Global...Afsluttet