Treatment Efficacy and Malaria TRANSmission After Artemisinin Combination Therapy 2 (TRANSACT2)
NCT01939886 · Status: COMPLETED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 219
Last updated 2013-11-28
Summary
Artemisinin combination therapy (ACT) with artemether lumefantrine (AL) is currently the first line treatment policy in Kenya. AL is an efficacious drug that also has the capacity to reduce malaria transmission to mosquitoes. Nevertheless, there is concern about the development of parasite resistance against AL. Clinical trials in Asia showed that mefloquine-artesunate (MQ-AS) may be more efficacious than AL and may have a more pronounced beneficial effect on post-treatment malaria transmission. MQ-AS is registered and used in Kenya but there have been no reported direct comparisons of AL and MQ-AS with clinical and transmission endpoints (i.e. adequately clearing parasites and preventing transmission to mosquitoes).
Screening for molecular markers that are related to parasite susceptibility to ACT drugs and to post-ACT treatment malaria transmission can assist strategies to prevent the development and spread of ACT resistance.
In the current study, we compare AL and MQ-AS for the treatment of uncomplicated malaria. Our endpoints are i) clinical efficacy, ii) post-treatment gametocytaemia by molecular techniques.
In the current study, the investigators compare AL and MQ-AS for the treatment of uncomplicated malaria. The investigators endpoints are
clinical efficacy post-treatment gametocytaemia by molecular techniques
Conditions
Interventions
- DRUG
-
Mefloquine - Artesunate
- DRUG
-
Artemether-lumefantrine combination
Sponsors & Collaborators
-
Kilimanjaro Christian Medical Centre, Tanzania
collaborator OTHER -
Radboud University Medical Center
collaborator OTHER - collaborator OTHER
-
London School of Hygiene and Tropical Medicine
lead OTHER
Principal Investigators
-
Patrick Sawa, MB.Ch.B, MSc. · KCMC/ICIPE
-
Jaffu Chilongola, PhD · KCMC
-
Colin Sutherland, PhD · London School of Hygiene and Tropical Medicine
-
Henk Schallig, PhD · KIT, Amsterdam
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 6 Months
- Max Age
- 10 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-04-30
- Primary Completion
- 2013-11-30
- Completion
- 2013-11-30
Countries
- Kenya
Study Locations
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