Clinical Investigation of In-vivo Susceptibility of P.Falciparum to Artesunate in Western Cambodia
NCT00493363 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 40
Last updated 2018-05-04
Summary
There are worrying signs that parasitological responses to the artemisinin drugs for uncomplicated falciparum malaria are slower than elsewhere in the world.If responses to artesunate are poor it is essential to have characterised the blood concentration profile as well as the parasitological response to differentiate resistance from abnormal pharmacokinetics.
The primary objective of the study is to assess the level of resistance to artemisinin derivatives in Western Cambodia.
A detailed evaluation of 2 different artesunate containing regimens in patients with uncomplicated malaria will be performed. Patients will be randomised to receive either a) Artesunate 2mg/kg/day for 7 days or b) Artesunate 4mg/kg/day for 3 days plus mefloquine 15mg/kg on day 3 and 10mg/kg on day 4 The effect on parasite clearance and cure will be assessed in relation to blood concentrations of the antimalarial drugs ('PK-PD').
Conditions
- Falciparum Malaria
Interventions
- DRUG
-
Artesunate
Artesunate 2 mg/kg/day for 7 days
- DRUG
-
Artesunate + Mefloquine
Artesunate 4mg/kg/day for 3 days plus mefloquine 15mg/kg on day 3 and 10mg/kg on day 4
Sponsors & Collaborators
- collaborator OTHER
-
NCHADS - Ministry of Health of Cambodia
collaborator OTHER -
Mahidol University
collaborator OTHER -
Institut Pasteur
collaborator INDUSTRY -
FHI 360
collaborator OTHER -
Li Ka Shing Foundation
collaborator OTHER -
University of Oxford
lead OTHER
Principal Investigators
-
Nicholas J White, DSc,FRCP,FRS · Oxford University/ Mahidol University
-
Duong Socheat, MD · National Malaria Control Programme Cambodia
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 6 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2007-06-30
- Primary Completion
- 2009-12-31
- Completion
- 2009-12-31
Countries
- Cambodia
Study Locations
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