Malaria, Falciparum
Conditions
Keywords
Uncomplicated Falciparum Malaria, Plasmodium falciparum, Antimalarial treatment, Sevuparin/DF02, Adjuvant therapy, Malanil, Peripheral blood parasitemia, Rosette formation, Maximum tolerated dose
Brief summary
The purpose of this study is to determine the tolerability and pharmacokinetics of Sevuparin/DF02 when administered as an i.v. infusion in combination with Malanil® (atovaquone/proguanil) as anti-malarial treatment in subjects affected with uncomplicated malaria. The study will also assess the potential of Sevupatin/DF02 to reduce infected erythrocyte sequestration and rosette formation. The study consists of a dose escalation part (part 1) followed by an open labelled, randomized comparison of treatment with Sevuparin/DF02 and Malanil® versus Malanil® alone (part 2).
Interventions
Sevuparin 4 times per day and malanil according to label
malanil according to label
Sponsors
Study design
Eligibility
Inclusion criteria
* Presence of acute uncomplicated P. falciparum malaria, confirmed by positive blood smear with asexual forms of a single species (P. falciparum) * Counts of asexual forms of P. falciparum: 10 000- 100 000/ul with or without gametocytaemia * Presence of fever defined as \> 38°C tympanic temperature or a history of fever within the last 24 hours
Exclusion criteria
* Mixed infection with other Plasmodium species * Any criteria of severe or complicated malaria as defined by the WHO, 2010 * Use of high doses aspirin (more than 100 mg/day) or dual anti-platelet therapy or use of heparin,Low Molecular Weight Heparin (LMWH) or warfarin * Presence of significant anemia as defined by Hb \<8 g/dL or Hct \< 25% * A platelet count \< 50,000/μL * Presence of febrile conditions caused by diseases other than malaria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Dose limiting toxicities according to specified criteria | During treatment and 14 days post treatment follow-up. |
| Area under the curve of late stage peripheral blood parasitemia over time (Part 2). | 72 hours |
Countries
Thailand