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Therapeutic Efficacy Study of Pyrimethamine/Sulfdoxine (Fansidar®) for the Treatment of Uncomplicated Falciparum Malaria in the Peruvian Amazon

Therapeutic Efficacy Study of Pyrimethamine / Sulfdoxine (Fansidar®) for the Treatment of Uncomplicated Falciparum Malaria in the Peruvian Amazon

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00951106
Enrollment
Unknown
Registered
2009-08-04
Start date
1998-01-31
Completion date
2009-08-31
Last updated
2010-07-27

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

Conditions

Malaria, Falciparum, Malaria, Vivax

Keywords

Peru, Sulfadoxine-pyrimethamine, Drug resistance

Brief summary

The purpose of this study is to determine the efficacy of pyrimethamine/sulfdoxine (Fansidar®) for the treatment of uncomplicated falciparum malaria in the Peruvian Amazon. Reports in the mid 1990s indicated that Fansidar was failing to cure patients with confirmed falciparum malaria. The study design was based on accepted WHO parasitological and clinical outcomes to determine the overall efficacy of Fansider and inform the Peruvian National Malaria Control authorities as to the continued wisdom of recommending Fansidar as first line treatment for uncomplicated falciparum malaria in the Peruvian Amazon.

Interventions

DRUGPyrimethamine/sulfdoxine (Fansidar)

Sponsors

Walter Reed Army Institute of Research (WRAIR)
Lead SponsorFED

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
6 Months to No maximum
Healthy volunteers
No

Inclusion criteria

* Pf monoinfection with asexual forms * Parasite density of greater than 500 per mcl and less than 200 parasites per oil immersion field (MINSA quantification of 4 plus) * Age \> 6 months * Temperature greater than 38C (101F) * Available and willing to return for follow-up

Exclusion criteria

* Presence of any of the following danger signs or symptoms suggestive of severe malaria * Not able to drink or breastfeed * Repeated vomiting (unable to keep anything down) * Convulsions during present illness * Lethargic or unconscious state * Unable to sit or stand up * Respiratory distress * Jaundice (observation) or dark urine (by history) * Severe anemia (Hemoglobin \< 5 g/dl) * Hypotension (systolic BP \< 80 mm Hg in adults and \< 50 mm Hg in children under the age of 5 * Presence of another significant illness or chronic disease * Known pregnancy (by history) * History of hypersensitivity to medication used in the test

Design outcomes

Primary

MeasureTime frame
Determine the efficacy of pyrimethamine/sulfdoxine (Fansidar) for the treatment of uncomplicated falciparum malaria in the Peruvian Amazon.28 days after dose

Countries

Peru

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Apr 2, 2026