Therapeutic Efficacy Study of AL and DP in Western Kenya
NCT05060198 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 340
Last updated 2021-09-29
Summary
Artemether-lumefantrine (AL) was adopted as first-line antimalarial therapy in Kenya in 2006, and dihydroartemisinin-piperaquine (DP) as the second-line therapy in 2010. In order to monitor the efficacy and potential development of resistance of Plasmodium falciparum parasites to these two drugs, we will conduct an in-vivo study to monitor the efficacy of these antimalarial therapies.
A standardized World Health Organization (WHO) in-vivo efficacy study will be conducted in western Kenya among children 6-59 months of age with symptomatic, uncomplicated malaria visiting the out-patient department of hospitals and/or clinics in western Kenya.
In this study, 350 children will be randomly assigned to be treated with either AL or DP. Clinical, parasitologic, and hematologic parameters will be monitored over a 42-day follow-up period. Molecular analysis will be conducted to determine the frequency of markers of antimalarial resistance, and to differentiate recrudescence from reinfection. Results from this antimalarial drug efficacy study will be used to assist the Kenya national malaria control program (NMCP) in evaluating the national malaria treatment policy.
Conditions
- Malaria,Falciparum
Interventions
- DRUG
-
Artemether-lumefantrine (AL)
AL is the current first-line antimalarial in Kenya, per Kenya Ministry of Health.
- DRUG
-
Dihydroartemisinin-piperaquine (DP)
DP is the current second-line antimalarial in Kenya, per Kenya Ministry of Health.
Sponsors & Collaborators
-
Centers for Disease Control and Prevention
collaborator FED -
Kenya Medical Research Institute
lead OTHER
Principal Investigators
-
Simon Kariuki, PhD · Kenya Medical Research Institute
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 6 Months
- Max Age
- 59 Months
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-06-17
- Primary Completion
- 2017-03-13
- Completion
- 2020-12-31
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