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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
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
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.
Studietype
Inschrijving (Geschat)
Fase
- Fase 1
Contacten en locaties
Studiecontact
- Naam: Jean Claude Dejon Agobé, MD
- Telefoonnummer: 0024177989191
- E-mail: jcagobe@cermel.org
Studie Locaties
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Gabon
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Lambaréné, Gabon, Gabon, BP: 242
- Centre de Recherches Médicales de Lambaréné
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Contact:
- Jean Claude Dejon Agobé, MD, PhD
- Telefoonnummer: 0024177989191
- E-mail: jcagobe@cermel.org
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Contact:
- Christian Chassem Lapue, MD
- Telefoonnummer: 0024177989191
- E-mail: christian.chassem@cermel.org
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Hoofdonderzoeker:
- Jean Claude Dejon Agobé, MD, PhD
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Onderonderzoeker:
- Christian Chassem Lapue, MD
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-
Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
Accepteert gezonde vrijwilligers
Beschrijving
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
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Placebo-vergelijker: Bedieningsarm
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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.
Andere namen:
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Experimenteel: Artemisia arm
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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.
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Number of participants in whom the parasitaemia was cleared
Tijdsspanne: On day 7 from the first day of treatment
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No parasites detected in the thick blood smear (microscopic method)
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On day 7 from the first day of treatment
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Number of participants cured
Tijdsspanne: From the last day of treatment (day 7) to the end of the follow-up period on day 28
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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.
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From the last day of treatment (day 7) to the end of the follow-up period on day 28
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Number of adverse events
Tijdsspanne: From the first day of treatment (enrolment) to the end of the treatment period on day 7
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Types, proportions, severity, and causality of adverse events will be recorded as measures of tolerability and safety
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From the first day of treatment (enrolment) to the end of the treatment period on day 7
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Medewerkers en onderzoekers
Onderzoekers
- Studie stoel: Steffen Borrmann, Prof., Institut für Tropenmedizin, Universitätsklinikum Tübingen, Wilhelmstraße 27, 72074 Tübingen, Germany
- Studie stoel: Ayôla Akim Adegnika, Prof., Centre de Recherches Médicales de Lambaréné
Studie record data
Bestudeer belangrijke data
Studie start (Geschat)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- SRC-2024-04
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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