Malaria Infections and Infestations Malaria
Conditions
Interventions
Subjects will be randomized to receive treatment with amodiaquine sulfadoxine pyrimethamine or artemether lumefantrine. Subjects in amodiaquine group will receive placebo to ensure the same number of
Sponsors
Institute of Research in Health Sciences (Institut de Recherches en Sciences de la Sante [IRSS]) (Burkina Faso)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Age =6 months 2. Fever (=37.5 or history of fever in the last 24 hours) 3. Provision of informed consent 4. P. falciparum mono infection 5. Parasite density >2000 microliters and =200,000 microliters
Exclusion criteria
Exclusion criteria: 1. Evidence of severe malaria 2. History of side effects to the investigational product 3. Pregnancy 4. Repeated vomiting of study medication on day 0 5. Hemoglobin <5 g/Dl 6. Evidence of concomitant febrile illness
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The risk of clinical and parasitological treatment failure after 28 days of follow-up. Pairwise comparisons between regimens will be made on based on a per protocol analysis. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Risk of clinical failure after 14 days of follow-up 2. Risk of rescue therapy after 28 days of follow-up 3. Risk of fever during the first 3 days of follow-up: presence or absence of objective fever (axillary temperature >37.5 °C) or patient report of fever on days 1, 2, 3 4. Risk of parasitemia on follow-up days 2 and 3: proportion of positive versus negative thick blood smears on days 2 and 3 5. Change in mean hemoglobin from day 0 to 28 or day of repeat therapy 6. Proportion gametocytemic: presence versus absence of gametocytes on any follow-up thick blood smear; proportion gametocytemic on days 2, 3, 7, 14, 21, and 28 7. Risk of serious adverse events: proportion of patients experiencing any serious adverse event in each treatment group during the 28-day follow-up period, excluding treatment failures 8. Risk of adverse events of moderate or greater severity, at least possibly related to the study medications, excluding treatment failures | — |
Countries
Burkina Faso
Outcome results
None listed