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ACT for the Home Management in Malagasy Children

Assessment of the Use of Fixed Doses of Artesunate Plus Amodiaquine Combination for the Home Management of Presumed Malaria in Malagasy Children

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT00612547
Enrollment
1200
Registered
2008-02-11
Start date
2008-02-29
Completion date
2009-02-28
Last updated
2009-02-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Fever, Suspected Malaria

Keywords

Protozoan Infections, Communicable Diseases, Malaria Infection, Malaria, falciparum, Malaria, vivax, Artesunate Amodiaquine

Brief summary

The purpose of this study is to assess the feasibility, the acceptability and the effectiveness of the use of the Artesunate + Amodiaquine Fixed Dose Combination for the home management of presumed malaria in Malagasy children by the community-based service providers.

Detailed description

Primary objective To assess the feasibility, the acceptability and the effectiveness of the use of the Artesunate + Amodiaquine Fixed Dose Combination for the home management of presumed malaria in Malagasy children by the community-based service providers Secondary objectives To assess the reliability of the use of the malaria rapid diagnostic tests (RDT) by the community-based service providers in the Malagasy home management strategy To assess the frequency of short-term and long-term side effects of the Artesunate + Amodiaquine Fixed Dose Combination used for the home management of presumed malaria in Malagasy children by the community-based service providers To assess the real burden of the malaria in children under the age of five years in 2 different epidemiological strata of Madagascar (central highlands and equatorial strata) Type of study Follow-up of a cohort of 1200 children under the age of five years during 1 year Studied population All children under the age of five years (2 months to 5 years) having fever and consulting the community-based service provider, residing in the zone covered by the community-based service provider throughout the entire follow-up period Investigators Four community-based service providers, four field physicians and two supervisors number of district: 2 (Moramanga and Manakara) condition: fever intervention: artesunate + amodiaquine phase: phase IV

Interventions

DRUGArtesunate + Amodiaquine Fixed Dose Combination (CoArsucam)

Tablet: Children aged between 2 and 11 months: Artesunate 25 mg + Amodiaquine 67.5 mg et Children aged between 12 and 59 months: Artesunate 50 mg + Amodiaquine 135 mg Per os one intake per day/3 day

Sponsors

National Malaria Control Programme, Madagascar
Lead SponsorOTHER_GOV
Population Services International
CollaboratorOTHER
Reggio Terzo Mondo
CollaboratorUNKNOWN
Santé Net
CollaboratorUNKNOWN
Inter Aide Santé,
CollaboratorUNKNOWN
Adventist Development and Relief Agency
CollaboratorOTHER
SAF FJKM
CollaboratorUNKNOWN
Sanofi
CollaboratorINDUSTRY
Institut Pasteur de Madagascar
CollaboratorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
2 Months to 5 Years
Healthy volunteers
No

Inclusion criteria

* All children under the age of five years (2 months to 5 years) having fever and consulting the community-based service provider, residing in the zone covered by the community-based service provider throughout the entire follow-up period, having signed an informed consent

Exclusion criteria

* Children with no informed consent

Design outcomes

Primary

MeasureTime frame
Assessment of the councils delivered by the community-based service provider to the parents or guardians of children and assessment of the observance of the treatment given by the parents or guardians.one year

Secondary

MeasureTime frame
To assess the Artesunate + Amodiaquine Fixed Dose Combination in term of effectiveness, tolerance, safety:; the reliability of the RDT; the real burden of the malaria in children under the age of five years in 2 different epidemiological strata.one year

Countries

France

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026