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CoSAM Trial

An adaptive multi-arm trial to improve clinical outcomes among children recovering from complicated severe acute malnutrition

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
PACTR
Registry ID
PACTR202311478928378
Enrollment
673
Registered
2023-11-06
Start date
2024-01-01
Completion date
Unknown
Last updated
2026-09-14

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

Conditions

HIV/AIDS Neonatal Diseases Nutritional, Metabolic, Endocrine

Interventions

Arm 1 Standard of Care Control
Arm 2 Antimicrobial
Arm 3 Psychosocial Support

Sponsors

Queen Mary University of London
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Age 6-59 months, of either sex 2. Hospitalised with complicated severe acute malnutrition, as per WHO definitiona 3. Started transition from therapeutic milk feeds to RUTF 4. Caregiver willing and able to attend the study clinic for all visits 5. Caregiver able and willing to give informed consent

Exclusion criteria

Exclusion criteria: 1. Any acute or chronic condition which mean that receipt of one or more study interventions, or participation in the trial, would not be advisable

Design outcomes

Primary

MeasureTime frame
A composite of death or hospitalisation or failed nutritional recovery

Secondary

MeasureTime frame
• Change in weight-for-height Z-score between baseline and 24 weeks postrandomisation • Change in mid-upper arm circumference between baseline and 24 weeks postrandomisation • Change in weight-for-age Z-score between baseline and 24 weeks postrandomisation • Change in height-for-age Z-score between baseline and 24 weeks postrandomisation • Suspected or confirmed tuberculosis, pneumonia, diarrhoea, or malaria through 24 weeks post-randomisation

Countries

Kenya, Zambia, Zimbabwe

Contacts

Public ContactAaron Konzani Tembo

Clinical Research and Compliance Manager at TROPGAN

aaron@tropgan.net+260962161076

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Sep 19, 2026