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Efficacy and safety of artemether-lumefantrine for the treatment of uncomplicated Plasmodium falciparum malaria in Eritrea
ISRCTN ISRCTN79195095
ClinicalTrials.gov identifier
Public title Efficacy and safety of artemether-lumefantrine for the treatment of uncomplicated Plasmodium falciparum malaria in Eritrea
Scientific title
Acronym N/A
Serial number at source RPC239; Eritrea2
Study hypothesis The general objective of this study is to assess the therapeutic efficacy and safety of artemether-lumefantrine for the treatment of uncomplicated P. falciparum malaria in three sentinel sites in Eritrea.
Lay summary
Ethics approval Ethics approval gained from:
1. Ministry of Health Eritrea on the 18th July 2007 (ref: 15124/6716/07)
2. Research Ethics Review Committee of the World Health Organization (ERC WHO) on the 28th August 2007 (ref: RPC239)
Study design Clinical trial, surveillance, single arm study
Countries of recruitment Eritrea
Disease/condition/study domain Malaria
Participants - inclusion criteria 1. All ages, 6 months and above
2. Single infection with P. falciparum
3. Parasitaemia of 1,000 - 100, 000 asexual forms per µl
4. Axillary temperature of 37.5°C or oral/rectal temperature of 38°C, or history of fever in the previous 24 hours
5. Ability to swallow oral medication
6. Ability and willingness to comply with the study protocol for the duration of the study and to comply with the study visit schedule
7. Informed consent from the patient or from a parent or guardian in case of children
Participants - exclusion criteria 1. Presence of general danger signs among children less than 5 years old or other signs of severe and complicated falciparum malaria according to current WHO definitions
2. Mixed or mono-infection with another Plasmodium species
3. Presence of severe malnutrition defined as a child whose weight-for-height is below 3 Standard Deviation (SD)
4. Presence of febrile conditions due to diseases other than malaria (measles, acute lower tract respiratory infection, severe diarrhoea with dehydration, etc.), or other known underlying chronic or severe diseases (e.g. cardiac, renal, hepatic diseases, Human Immunodeficiency Virus [HIV]/Acquired Immune Deficiency Syndrome [AIDS])
5. History of hypersensitivity reactions to any of the drug(s) being tested or used as alternative treatment
6. Pregnancy or positive pregnancy test or lactating
Anticipated start date 03/09/2007
Anticipated end date 03/03/2008
Status of trial Completed
Patient information material
Target number of participants 180
Interventions Artemether and lumefantrine six doses over three days orally (per os) according to manufacturer recommendations. As this is a surveilllance study there is no control group.

Contact details of Principal Investigator:
Dr Tewolde Ghebremeskel Woldeghabir
Ministry of Health
Asmarat
P.O. Box 212
Eritrea
Tel: +291 (0)1 125 529
Fax: +291 (0)1 122 899
Email: tewoldeg@moh.gov.er or tewoldeg2003@yahoo.com
Primary outcome measure(s) To measure the clinical and parasitological efficacy (Adequate Clinical and Parasitological Response [ACPR]).
Secondary outcome measure(s) 1. To differentiate recrudescence from new infections by the Polymerase Chain Reaction (PCR) analysis
2. To measure the clinical and parasitological efficacy PCR corrected
Sources of funding World Health Organization (WHO) (Switzerland)
Trial website
Publications
Contact name Dr  Pascal  Ringwald
  Address World Health Organization
20 Avenue Appia
  City/town Geneva 27
  Zip/Postcode CH-1211
  Country Switzerland
  Tel +41 (0)22 791 34 69
  Fax +41 (0)22 791 48 24
  Email ringwaldp@who.int
Sponsor World Health Organization (WHO) (Switzerland)
  Address 20 Avenue Appia
  City/town Geneva 27
  Zip/Postcode CH-1211
  Country Switzerland
  Tel +41 (0)22 791 34 69
  Fax +41 (0)22 791 48 24
  Email ringwaldp@who.int
  Sponsor website: http://www.who.int/malaria/
Date applied 07/09/2007
Last edited 15/10/2008
Date ISRCTN assigned 07/09/2007
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