Ignite Creation Date:
2024-05-05 @ 5:03 PM
Last Modification Date:
2024-10-26 @ 9:27 AM
Study NCT ID:
NCT00374205
Status:
TERMINATED
Last Update Posted:
2007-11-27
First Post:
2006-09-08
Brief Title:
Randomized Trial on Effectiveness of ACTs in Ghana
Sponsor:
Bernhard Nocht Institute for Tropical Medicine
Organization:
Bernhard Nocht Institute for Tropical Medicine
Study Overview
Official Title:
A Comparative Assessment of the Effectiveness of Artemether Plus Lumefantrine Versus Artesunate Plus Amodiaquine for the Treatment of Children With Uncomplicated Plasmodium Falciparum Malaria
Status:
TERMINATED
Status Verified Date:
2007-11
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Interim analysis showed more LCFs in one of the treatment arms
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of this study is to compare the effectiveness and safety of two Artemisinin Combination Therapies ACTs for the treatment of children with uncomplicated Plasmodium falciparum malaria
Detailed Description:
Childhood mortality related to Plasmodium falciparum malaria is on the rise with more than 1 million deaths per year in Sub-Saharan Africa In the context of growing drug-resistance to antimalarials health officials are calling for rapid replacement of failing drugs by combining antimalarial drugs Artemisinin Combination Antimalarial Therapies ACTs are in the focus of malaria control programmes and are recommended for first-line treatment in African countries ACTs have been reported to be highly effective as artemisinin derivatives cause a rapid and substantial decrease in the parasite load when used for treating patients with malaria and resistance to artemisinin is still lacking However the short half-lives of artemisinins result in frequent recrudescent infections when used alone and therefore much interest lays on the choice of the combination partner drug ACTs also have been proposed as a means of reducing transmission by the reduction of gametocytes and of delaying the spread of drug resistance and prolonging the therapeutic life span of Nevertheless drug resistance of parasites to the respective partner drug is a matter of concern Artesunate-amodiaquine AQ and artemether-lumefantrine AL are two registered fixed-dose artemisinin combination chemotherapies used in Africa which are GMP-manufactured at industrial scale There is still limited data from randomised controlled trials to support the general effectiveness of these two ACTs in Africa including Ghana More data is needed to compare these two therapies to make evidence-based first-line treatment decisions Importantly it is difficult to predict how combination therapy may affect the spread of drug resistance and monitoring drug resistance markers should be embedded in these trials to guide drug policy decision
The aim of this open-labelled randomised drug trial is to compare the effectiveness and safety of artesunate-amodiaquine Arsucam against artemether plus lumefantrine Coartem for the treatment of children under five years of age with uncomplicated Plasmodium falciparum malaria
The aim of this open-labelled randomised drug trial is to compare the effectiveness and safety of artesunate-amodiaquine Arsucam against artemether plus lumefantrine Coartem for the treatment of children under five years of age with uncomplicated Plasmodium falciparum malaria
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None