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Trial registered on ANZCTR
Registration number
ACTRN12615000106538
Ethics application status
Approved
Date submitted
11/12/2014
Date registered
5/02/2015
Date last updated
5/02/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
Efficacy and safety of artemisinin-based combination therapy: artesunate-amodiaquine (ASAQ) and artemether-lumefantrine (AL) in the treatment of uncomplicated falciparum malaria in 4 provinces of Burundi
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Scientific title
Efficacy and safety of artemisinin-based combination therapy: artesunate-amodiaquine (ASAQ) and artemether-lumefantrine (AL) in the treatment of uncomplicated falciparum malaria in 4 provinces of Burundi
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Secondary ID [1]
285828
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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
293744
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Condition category
Condition code
Infection
294044
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0
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Other infectious diseases
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Patients with confirmed falciparum malaria from 4 provinces of Burundi (Bujumbura, Makamba, Karuzi and Gitega) will be treated with artesunate (4mg/kg)-amodiaquine (10 mg/kg) once daily for three days and will be followed for up to 28 days with fixed scheduled clinical and parasitological assessements. Three formulations of fixed combination tablets of artesunate-amodiaquine will be used: 25/67.5 mg; 50/135mg and 100/270 mg). Number of tablet(s) to be adminsitered is based on body weight according to the national policy. Once the target number of patients have been enrolled, a second cohort will be treated with artemether (4 mg/kg)-lumefantrine 25 mg/kg) given in two daily doses for three days and will be followed for up to 28 days with fixed scheduled clinical and parasitological assessements. Fixed combination tablet containing 20 mg artemether and 120 mg lumefantrine will be used: the number of tablets to be administered for the morning and evening dose is based on body weight according to the national policy. All doses for both treatments will be administered under supervsion of medical staff.
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Intervention code [1]
290807
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Not applicable
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Comparator / control treatment
None
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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proportion of patients with PCR-corrected adequate clinical and parasitological response according to WHO criteria
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Assessment method [1]
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Timepoint [1]
293822
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Day 28
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Secondary outcome [1]
311941
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Incidence of adverse events. Known or possible adverse events associated with ASAQ include anorexia, abdominal pain, nausea, fatique, drowziness, dizziness, insomnia and cough. Known or possible adverse events associated to AL include fever, cough, vomiting, anorexia and headache
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Assessment method [1]
311941
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Timepoint [1]
311941
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Day 28
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Eligibility
Key inclusion criteria
children aged 6 months to 10 years
monoinfection with P falciparum confirmed by microscopy
parasitemia between 1000-200000 parasites (asexual) per microliter
fever (equal or greater than 37.5 celsius) or history of fever within past 24 hours
able to swallow oral medication
ability and willingness to follow protocol procedures and schedule of assessments
written informed consent from parent or guardian
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Minimum age
6
Months
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Maximum age
10
Years
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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 danger and signs of severe malaria
mixed infection or infection of than P. falciparum detected by microscopy
severely malnourished
fever due to other diseases (measles, acute lower respiratory tract infection, severa diarrhea); chronic or severe hepatic, renal or cardiac diseases; HIV/AIDS
clinical signs of acute jaundice
abnormal level of granulocytes or liver transaminases
regular medication that could interfere with antimalarial pharmacokinetics;
history of hypersensitivity reactions or contraindications to any medicines being used
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Study design
Purpose
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Duration
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Selection
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Timing
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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
15/02/2015
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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
528
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
6545
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Burundi
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State/province [1]
6545
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Karuzi, Makamba, Bujumbura Mairie and Gitega
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Ministry of Health
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Address [1]
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Avenue de l'Hopital No 5
Bujumbura
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Country [1]
290400
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Burundi
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Primary sponsor type
Government body
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Name
Ministry of Public Health
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Address
Avenue de l'Hopital No 5
Bujumbura
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Country
Burundi
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Secondary sponsor category [1]
289118
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Other Collaborative groups
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Name [1]
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World Health Organisation
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Address [1]
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20 avenue Appia
1211 Geneva 11
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Country [1]
289118
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Switzerland
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Secondary sponsor category [2]
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Charities/Societies/Foundations
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Name [2]
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The Global Funds to Fight AIDS,TB and MALARIA
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Address [2]
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Chemin de Blandonnet 8
1214 Vernier
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Country [2]
289119
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Switzerland
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Ethics Research Committee, World Health Organisation
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Ethics committee address [1]
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20 avenue Appia 1211 Geneva 11
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Ethics committee country [1]
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Switzerland
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Date submitted for ethics approval [1]
292093
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Approval date [1]
292093
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17/11/2014
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Ethics approval number [1]
292093
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RPC623
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Summary
Brief summary
This is an observational study to monitor the efficacy and safety of artesunate-amodiaquine and artemether-lumefantrine in the treatment of uncomplicated falciparum malaria in children recruited from 4 provinces of Burundi. The protocol follows the standard WHO methods for surveillance of antimalrial drug efficacy.
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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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Prof Dr NDAYIKUNDA Claudette
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Address
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Centre Hospitalier Universitaire de Kamenge
Boulevard du 28 novembre
Bujumbura
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Country
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Burundi
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Phone
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+257 77721631
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Dr NDAYIKUNDA Claudette
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Address
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Centre Hospitalier Universitaire de Kamenge
Boulevard du 28 novembre
Bujumbura
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Country
53455
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Burundi
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Phone
53455
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+257 77721631
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Fax
53455
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Email
53455
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[email protected]
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Contact person for scientific queries
Name
53456
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Dr NDAYIKUNDA Claudette
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Address
53456
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Centre Hospitalier Universitaire de Kamenge
Boulevard du 28 novembre
Bujumbura
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Country
53456
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Burundi
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Phone
53456
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+257 77721631
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Fax
53456
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Email
53456
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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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