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Artemisinin Combination Therapies (ACTs) efficacy for uncomplicated falciparum malaria treatment in Burkina Faso
ISRCTN ISRCTN90823663
ClinicalTrials.gov identifier
Public title Artemisinin Combination Therapies (ACTs) efficacy for uncomplicated falciparum malaria treatment in Burkina Faso
Scientific title Efficacy and tolerability of artemether lumefantrine and amodiaquine artesunate for the treatment of uncomplicated falciparum malaria in Burkina Faso
Acronym N/A
Serial number at source N/A
Study hypothesis Artemether-lumefantrine (AL) and artesunate-amodiaquine are equally effective in the treatment of malaria in Burkina Faso.
Lay summary Lay summary under review 4
Ethics approval Centre Muraz Ethics Committee
Study design Randomized controlled open trial
Countries of recruitment Burkina Faso
Disease/condition/study domain Malaria
Participants - inclusion criteria 1. Age > 6 months
2. Weight > 5 kg
3. Fever (> 37.5ºC axillary) or history of fever in the previous 24 hours
4. Absence of any history of serious side effects to study medications
5. No evidence of a concomitant febrile illness
6. Provision of informed consent and agreement to follow-up for 28 days
7. No evidence of severe malaria or danger signs
8. Absence of repeated vomiting of study medications on day 0
9. P. falciparum mono-infection
10. Parasite density > 2000/ul and < 200,000/ul
Participants - exclusion criteria 1. Severe malaria
2. Unable to respect the follow up schedule
3. Known allergy to the study medication
4. Other chronic disease requiring care
Anticipated start date 29/09/2011
Anticipated end date 31/12/2012
Status of trial Ongoing
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants 780 patients
Interventions Subjects will be randomized to receive either artemether-lumefantrine (AL) or artesunate-amodiaquine (ASAQ). Subjects who fail initial therapy will receive quinine which is the standard treatment for recurrent malaria in Burkina Faso.

Subjects will be followed for 42 days and will be asked to return for follow-up
Primary outcome measure(s) Risk of treatment failure unadjusted and adjusted by genotyping at day 28 and tolerability
Secondary outcome measure(s) 1. Prevalence of fever on days 1-3
2. Prevalence of parasitemia on days 2 and 3
3. Change in mean hemoglobin level between days 0 and 28 (or day of treatment failure)
4. Prevalence of gametocytes during follow-up
5. Risk of serious adverse events during follow-up
6. Risk of adverse events of moderate or greater severity, at least possibly related to the study medications, excluding patients requiring quinine therapy
7. Selection of molecular markers associated with drug resistance
Sources of funding 1. Ministry of Health (Burkina Faso)
2. National Malaria Control Program (Burkina Faso)
Trial website
Publications
Contact name Prof  Jean Bosco  Ouedraogo
  Address BP 545
  City/town Bobo Dioulasso
  Zip/Postcode 150000
  Country Burkina Faso
Sponsor National Malaria Control Program (Burkina Faso)
  Address BP 7009
  City/town Ouagadougou
  Zip/Postcode 01
  Country Burkina Faso
Date applied 29/09/2011
Last edited 30/01/2012
Date ISRCTN assigned 30/01/2012
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