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OPTIMAL DP dosing for malaria preventive treatment in Malawian infants

A pharmacokinetic randomised interventional study to optimise dihydroartemisinin-piperaquine dosing for malaria preventive treatment in Malawian infants

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
PACTR
Registry ID
PACTR202211575727659
Enrollment
220
Registered
2022-11-08
Start date
2022-11-01
Completion date
Unknown
Last updated
2026-01-27

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

Conditions

Malaria Paediatrics

Interventions

Sponsors

Liverpool School of Tropical Medicine
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Inclusion criteria • Infants from 2.5 months (10 weeks) whose parent/guardian has provided informed consent • No symptoms of malaria at the time of recruitment • Parent or guardian willing to adhere to study procedures including infant follow-up

Exclusion criteria

Exclusion criteria: Exclusion criteria • Known allergy or contraindication to any study drugs • Known HIV exposure • Pre-existing medical history of significant comorbidities that may influence drug exposure, e.g. renal, liver, gastrointestinal or cardiac diseases • Severe anaemia (haemoglobin (Hb) <7 g/dL) • Infant (breastfeeding mother) on medications that are known to have clinically significant interactions with DP • Participation in another clinical trial

Design outcomes

Primary

MeasureTime frame
Age- and body-weight-related changes in pharmacokinetic properties of piperaquine (such as clearance and volume of distribution) in infants receiving IPTi-DP Association between the incidence of malaria and pharmacokinetic parameters. This will be achieved by comparing the Incidence of malaria from 2.5 months to 12 months of age, evaluated by comparing 1) DP exposed and unexposed infants and 2) primary pharmacokinetic parameters of piperaquine and the difference in piperaquine clearance (and other pharmacokinetic parameters such as trough concentrations) between infants who develop an episode of malaria and those who do not Recommendations for optimised DP dosing regimens for malaria intermittent preventive treatment in infants Safety and tolerability of IPTi-DP

Secondary

MeasureTime frame
Association between piperaquine pharmacokinetic exposure parameters and possible determinants of drug exposure such as nutritional status (weight for age z-score [WAZ], height for age [HAZ], weight for height z-score [WHZ], mid-upper arm circumference [MUAC]) and sex

Countries

Malawi

Contacts

Public ContactClifford Banda

Site Principal Investigator

cgbanda@mlw.mw+265982631500

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Feb 4, 2026