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Trial registered on ANZCTR
Registration number
ACTRN12611000407998
Ethics application status
Not yet submitted
Date submitted
4/04/2011
Date registered
19/04/2011
Date last updated
19/04/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
Efficacy and safety of artemether+lumefantrine for the treatment of uncomplicated Plasmodium falciparum malaria in Tak and Ranong provinces of Thailand
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Scientific title
Efficacy and safety of artemether+lumefantrine for the treatment of uncomplicated Plasmodium falciparum malaria in Tak and Ranong provinces of Thailand
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Secondary ID [1]
259908
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Uncomplicated falciparum malaria patients
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Condition category
Condition code
Infection
265663
265663
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0
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Other infectious diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Artemether-lumefantrine (Coartem 'Registered Trademark') combination. A total dose of artemether 2mg/kg and lumefantrine 12 mg/kg (One tablet contains 20 mg artemether and 120 mg lumefantrine) two times a day for three days will be given.
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Intervention code [1]
264331
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Treatment: Drugs
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Comparator / control treatment
The study will be done in 2 sentinel sites. No control treatment.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Treatment outcomes will be classified on the basis of an assessment of the parasitological and clinical outcome of antimalarial treatment according to the latest World Health Organization (WHO) guidelines. Thus, all patients will be classified as having early treatment failure, late clinical failure, late parasitological failure or an adequate clinical and parasitological response.
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Assessment method [1]
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Timepoint [1]
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Day 1, 2, 3, 7, 14, 21, 28, 35 and 42
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Secondary outcome [1]
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The incidence of any adverse event such as nausea, vomiting, diarrhea, etc. will be documented. All patients will be asked routinely about the previous symptoms and about symptoms that have emerged since the previous follow-up visit. When clinically indicated, patients will be evaluated and treated appropriately. All adverse events will be recorded on the case report form. Serious adverse events must be reported to the sponsor.
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Assessment method [1]
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Timepoint [1]
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Day 1, 2, 3, 7, 14, 21, 28, 35 and 42
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Eligibility
Key inclusion criteria
-Age 6 months and above;
-Mono-infection with Plasmodium falciparum detected by microscopy
-P. falciparum parasitaemia of 500-1000000/ul asexual forms
-presence of axillary or tympanic temperature equal or more than 37.5C or history of fever during the past 24 h
-Ability to swallow oral medication
-Ability and willingness to comply with the study protocol for the duration of the study and to comply with the study visit schedule and
-Informed consent from the patient or from a parent or guardian in the case of children
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Minimum age
6
Months
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
-Presence of general danger signs in children aged under 5 years or signs of severe falciparum malaria according to the definitions of WHO -mixed or mono-infection with another Plasmodium species detected by microscopy -presence of severe malnutrition (defined as a child whose growth standard is below -3 z-score, has symmetrical oedema involving at least the feet or has a mid-upper arm circumference <110 mm) -presence of febrile conditions due to diseases other than malaria or other known underlying chronic or severe diseases -Regular medication, which may interfere with antimalarial pharmacokinetics -history of hypersensitivity reactions or contraindications to any of the medicine being tested or used as alternative treatment -Female of child-bearing potential with ages 12-17 years old inclusive -A positive pregnancy test or breastfeeding -Unable to or unwilling to take contraceptives for pregnancy negative married women of child-bearing age
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/05/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
3335
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Thailand
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State/province [1]
3335
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Ranong
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Country [2]
3336
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Thailand
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State/province [2]
3336
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Tak
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Funding & Sponsors
Funding source category [1]
264794
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Other
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Name [1]
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World Health Organization
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Address [1]
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WHO-Mekong Malaria Programme (MMP) Faculty of Tropical Medicine, Mahidol University, 400/6 Ratchawithi Road, 10400 Bangkok, Thailand
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Country [1]
264794
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Thailand
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Primary sponsor type
Government body
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Name
Bureau of Vector-Borne Diseases
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Address
Department of Disease Control, Ministry of Public Health, Tiwanon Road, Muang District, Nonthaburi 11000
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Country
Thailand
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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The Ethical Committee for Research in Human Subjects
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Ethics committee address [1]
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Department of Disease Control, Ministry of Public Health, Tiwanon Road, Muang District, Nonthaburi 11000
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Ethics committee country [1]
266767
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Thailand
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Date submitted for ethics approval [1]
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07/04/2011
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Approval date [1]
266767
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Ethics approval number [1]
266767
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Summary
Brief summary
Title: Efficacy and safety of artemether+lumefrantine for the treatment of uncomplicated Plasmodium falciparum malaria in Tak and Ranong provinces in Thailand Background: Current first-line treatment for P. falciparum in Thailand is a 3-day artesunate-mefloquine combination. The second-line treatment is 7-day quinine-doxycycline combination. Study conducted in 2008 in 5 sentinel sites revealed high efficacy of the 3-day artesunate-mefloquine combination (96.8-100%). In 2009, the efficacy of the artesunate-mefloquine combination declined to 87-92.7% in 4 sentinel sites. The monitoring the efficacy of the first line treatment to generate valuable information for updating the national treatment policy is critical. Objective: To assess the efficacy and safety of artemether+lumefantrine for the treatment of uncomplicated Plasmodium falciparum malaria in Tak, and Ranong provinces of Thailand Methods: Antimalarial drug efficacy trials will be conducted in 2 sites for uncomplicated falciparum infection. The participants will be febrile patients aged 6 months and above with confirmed uncomplicated P. falciparum infection. Falciparum malaria patients will be treated with Artemether-lumefantrine (Coartem 'Registered Trademark') combination. A total dose of artemether 2mg/kg and lumefantrine 12 mg/kg two times a day for three days. Clinical and parasitological parameters will be monitored over a 42-day follow-up period to evaluate drug efficacy for falciparum malaria. The study will be conducted from May 2011 - May 2012. The results of this study will be used to assist the Ministry of Public Health of Thailand in assessing the current national treatment guidelines for uncomplicated P. falciparum malaria.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr. Kanungnit Congpuong
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Address
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Bureau of Vector-Borne Disease,
Department of Disease Control,
Ministry of Public Health,
Tiwanon Road, Muang District,
Nonthaburi, 11000
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Country
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Thailand
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Phone
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662 965 9608
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Fax
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662 591 8422
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr. Kanungnit Congpuong
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Address
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Bureau of Vector-Borne Disease,
Department of Disease Control,
Ministry of Public Health,
Tiwanon Road, Muang District,
Nonthaburi, 11000
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Country
6607
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Thailand
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Phone
6607
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662 965 9608
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Fax
6607
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662 591 8422
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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