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Efficacy, Safety and Pharmacokinetic of ArtequinTM P. Falciparum Malaria

Primary Purpose

Malaria

Status
Completed
Phase
Phase 2
Locations
Gabon
Study Type
Interventional
Intervention
Artesunate-Mefloquine
Sponsored by
Albert Schweitzer Hospital
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Malaria focused on measuring Malaria, falciparum, Mefloquine, Artesunate, Artemisinin

Eligibility Criteria

undefined - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Male or female with a body weight ≥10 to 40 kg Patients suffering from acute uncomplicated Plasmodium falciparum malaria Malaria diagnosis confirmed by a positive blood smear with asexual forms of Plasmodium falciparum (i.e., identification of asexual parasite count ≥1,000 to 250,000 per mm3) Ear temperature 37.5°C or a history of fever within the last 48 hours Haemoglobin 7g/100ml Written informed consent and written consent from parents/guardian for children below age of consent (verbal consent in presence of literate witness is required for illiterate patients or parents/guardians). Exclusion Criteria: Patients with signs and symptoms of severe/complicated malaria requiring parenteral treatment (defined according to WHO Recommendations "Malaria Control Today", RBM Working Document, March 2005, see Appendix 2) Patients with known hypersensitivity or allergy to artemisinin derivatives or mefloquine or mefloquine chemically related compounds (for example quinine and quinidine) Patients who had received quinine or any artemisinin derivatives within 12 hours prior to study start Patients who had received any other adequate antimalarial drug therapy including antibiotics which might be active against malaria infection within 1 week prior to study start Patients who had received investigational (unlicensed) drugs as well as mefloquine within 30 days prior to study start Patients with known history of psychiatric disorders Patients with known history of cardiac diseases and arrhythmia Patients with known sickle cell disease Patients with clinical signs of or laboratory evidence for any other severe hepatic, renal, pulmonary, cardiac, metabolic, psychiatric, cancer or haematologic diseases Pregnancy or lactation

Sites / Locations

  • Medical Research Unit, Albert Schweitzer Hospital
  • Département de Parasitologie-Mycologie, Faculte de medecine

Outcomes

Primary Outcome Measures

Efficacy, Proportion of patients cured on day 28

Secondary Outcome Measures

Efficacy: day 14v cure rate, parasite and fever clearance time, parasite reduction rate, gametocytemia, in relation to blood concentrations of Dihydroartemisinin and mefloquine, safety, tolerability, acceptability
parasite and fever clearance time, parasite reduction rate, gametocytemia, in relation to blood concentrations of Dihydroartemisinin
Time to complete clearance of fever and parasitemia Assessment in relation to DHA and mefloquine blood levels
safety, tolerability, acceptability
Assessment of adverse events and reporting of tolerability, safety and acceptability

Full Information

First Posted
October 24, 2005
Last Updated
January 23, 2013
Sponsor
Albert Schweitzer Hospital
Collaborators
Mepha Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT00243737
Brief Title
Efficacy, Safety and Pharmacokinetic of ArtequinTM P. Falciparum Malaria
Official Title
Open-label, Stratified Study on the Efficacy, Safety and Pharmacokinetic Characteristics of Two Paediatric Formulations of ArtequinTM in Children With Acute Uncomplicated P. Falciparum Malaria
Study Type
Interventional

2. Study Status

Record Verification Date
January 2013
Overall Recruitment Status
Completed
Study Start Date
October 2005 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
April 2006 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Albert Schweitzer Hospital
Collaborators
Mepha Ltd.

4. Oversight

5. Study Description

Brief Summary
Treatment of Plasmodium falciparum malaria in Africa is increasingly difficult. Resistance to cheap efficient antimalarial drugs poses an increasing threat. The rapid emergence of resistance to sulfadoxine - pyrimethamine, already seen in East Africa is growing and is likely to have an striking impact on mortality in many other African regions where no obvious alternatives are available. WHO recommends the use of drug combinations containing artemisinin compounds, i.e., artemisinin-based combination therapies (ACT). Previous clinical trials have shown that the combination of artesunate with mefloquine is highly effective and well tolerated in the treatment of multidrug-resistant falciparum malaria, retaining the benefit of rapidity of action while augmenting cure rates, and apparently slowing the development of mefloquine resistance. Compliance with sequential combination regimen of antimalarial drugs is notoriously poor. Therefore, in order to limit the development of resistance to both drugs and ameliorate patients' compliance to antimalarial treatments, an optimal simultaneous combination regimen of artesunate and mefloquine in a practical single blister pack has been developed by Mepha Ltd. and successfully tested. The currently available
Detailed Description
Artequin dosages could only be tested in children able to swallow tablets and with a body weight of more than 20 kg. However, there is a great need for an Artequin formulation for smaller children unable to swallow tablets. The new Artequin Paediatric oral formulation is a flavoured, taste-masked preparation of granules of 50 mg artesunate and 125 mg mefloquine as a fixed-dose combination (once daily in one single Stickpack, i.e. 3 Stickpacks for a 3-day treatment). It is suitable for children with up to 20 kg body weight (with a range of 10-20 kg).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Malaria
Keywords
Malaria, falciparum, Mefloquine, Artesunate, Artemisinin

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
70 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Artesunate-Mefloquine
Primary Outcome Measure Information:
Title
Efficacy, Proportion of patients cured on day 28
Secondary Outcome Measure Information:
Title
Efficacy: day 14v cure rate, parasite and fever clearance time, parasite reduction rate, gametocytemia, in relation to blood concentrations of Dihydroartemisinin and mefloquine, safety, tolerability, acceptability
Title
parasite and fever clearance time, parasite reduction rate, gametocytemia, in relation to blood concentrations of Dihydroartemisinin
Description
Time to complete clearance of fever and parasitemia Assessment in relation to DHA and mefloquine blood levels
Title
safety, tolerability, acceptability
Description
Assessment of adverse events and reporting of tolerability, safety and acceptability

10. Eligibility

Sex
All
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female with a body weight ≥10 to 40 kg Patients suffering from acute uncomplicated Plasmodium falciparum malaria Malaria diagnosis confirmed by a positive blood smear with asexual forms of Plasmodium falciparum (i.e., identification of asexual parasite count ≥1,000 to 250,000 per mm3) Ear temperature 37.5°C or a history of fever within the last 48 hours Haemoglobin 7g/100ml Written informed consent and written consent from parents/guardian for children below age of consent (verbal consent in presence of literate witness is required for illiterate patients or parents/guardians). Exclusion Criteria: Patients with signs and symptoms of severe/complicated malaria requiring parenteral treatment (defined according to WHO Recommendations "Malaria Control Today", RBM Working Document, March 2005, see Appendix 2) Patients with known hypersensitivity or allergy to artemisinin derivatives or mefloquine or mefloquine chemically related compounds (for example quinine and quinidine) Patients who had received quinine or any artemisinin derivatives within 12 hours prior to study start Patients who had received any other adequate antimalarial drug therapy including antibiotics which might be active against malaria infection within 1 week prior to study start Patients who had received investigational (unlicensed) drugs as well as mefloquine within 30 days prior to study start Patients with known history of psychiatric disorders Patients with known history of cardiac diseases and arrhythmia Patients with known sickle cell disease Patients with clinical signs of or laboratory evidence for any other severe hepatic, renal, pulmonary, cardiac, metabolic, psychiatric, cancer or haematologic diseases Pregnancy or lactation
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Maryvonne Kombila, Prof Dr
Organizational Affiliation
Département de Parasitologie-Mycologie, Faculté de médecine
Official's Role
Principal Investigator
Facility Information:
Facility Name
Medical Research Unit, Albert Schweitzer Hospital
City
Lambarene
Country
Gabon
Facility Name
Département de Parasitologie-Mycologie, Faculte de medecine
City
Libreville
Country
Gabon

12. IPD Sharing Statement

Citations:
PubMed Identifier
20361381
Citation
Bouyou-Akotet MK, Ramharter M, Ngoungou EB, Mamfoumbi MM, Mihindou MP, Missinou MA, Kurth F, Belard S, Agnandji ST, Issifou S, Heidecker JL, Trapp S, Kremsner PG, Kombila M. Efficacy and safety of a new pediatric artesunate-mefloquine drug formulation for the treatment of uncomplicated falciparum malaria in Gabon. Wien Klin Wochenschr. 2010 Mar;122(5-6):173-8. doi: 10.1007/s00508-010-1317-1.
Results Reference
derived

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Efficacy, Safety and Pharmacokinetic of ArtequinTM P. Falciparum Malaria

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