Overview

Efficacy of Artemether/Lumefantrine for the Treatment of Uncomplicated Malaria.

Status:
Completed
Trial end date:
2013-08-01
Target enrollment:
0
Participant gender:
All
Summary
Artemether-lumefantrine has been used in Tanzania as first-line treatment for uncomplicated malaria since 2007. Nonetheless, a report of increased proportion of patients with parasitaemia on day 1 following treatment with artemisinin based combination therapies has emerged from Kenya. Similarly, resistance against artemisinins has been confirmed in South-East Asia and it can spread to Africa. Therefore, the purpose of this study was to assess the efficacy of Artemether-lumefantrine for the treatment of uncomplicated malaria among children after five years of wide scale use of the drug in Tanzania.
Phase:
Phase 4
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Richard Mwaiswelo
Collaborator:
Karolinska Institutet
Treatments:
Artemether
Artemether-lumefantrine combination
Artemether, Lumefantrine Drug Combination
Artemisinins
Lumefantrine
Criteria
Inclusion Criteria:

- Mono-infection with P. falciparum

- Parasitaemia level of 2000 - 200,000/μL

- Absence of danger signs or signs of severe malaria

- Axillary temperature ≥ 37.5°C or history of fever 24 hours prior to coming to the
facility

- Absence of other concomitant infections like pneumonia which can cause fever

- No use of antimalarial drug two weeks prior to the study

- Consent to comply to the protocol.

Exclusion Criteria:

- Presence of general danger signs or signs of severe falciparum malaria

- Severe malnutrition

- Febrile condition due to diseases other than malaria, such as measles, acute lower
respiratory infection or other known chronic diseases

- Regular medication which might interfere with antimalarial pharmacokinetics

- History of hypersensitivity reactions or contraindications to any medicine being used
in the trial.