Pharmacokinetics of Dihydroartemisinin-Piperaquine in the Treatment of Uncomplicated Malaria in Children in Burkina Faso
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Purpose
This will be an open-label trial in Burkina Faso assessing the pharmacokinetics of the antimalarial combination of dihydroartemisinin/piperaquine (DP, Duocotexcin) in children. Dihydroartemisinin-piperaquine is a promising candidate for first-line therapy of malaria. We hypothesize that the disposition and pharmacokinetics of DP will be altered in children, and this will alter the efficacy and/or toxicity of DP. We will test this hypothesis in this open-label trial in Burkina Faso. The target population includes residents, aged 6 months to 10 years in Bobo-Dioulasso. Children who present to the study clinics with symptoms suggestive of malaria will be screened with a thick blood smear. Subjects who meet selection criteria of treatment efficacy will be treated and followed up for 42 days. Pharmacokinetic sampling for DP will occur on selected follow-up days.
| Condition | Intervention | Phase |
|---|---|---|
|
Uncomplicated Malaria |
Drug: Dihydroartemisinin-Piperaquine |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Intervention Model: Single Group Assignment Masking: Open Label |
Eligibility| Ages Eligible for Study: | 6 Months to 10 Years |
| Genders Eligible for Study: | Both |
Inclusion Criteria:
- Positive screening thick blood smear
- Fever (> 37.5ºC axillary) or history of fever in the previous 24 hours
- Age ≥ 6 months to 10 years
- Weight > 5 kg
- Absence of any history of serious side effects to study medications
- No evidence of a concomitant febrile illness in addition to malaria
- No history of antimalarial use in the previous two weeks
- P. falciparum mono-infection
- Parasite density 2000-200,000/ul
- Provision of informed consent and ability to participate in 42-day follow-up
Exclusion Criteria:
- Danger signs or evidence of severe malaria
- Hemoglobin levels < 5.0 gm/dL
Contacts and Locations| Contact: Jean-Bosco Ouedraogo, M.D., PhD | 226-36-32-15 | jbouedraogo.irss@fasonet.bf |
| Principal Investigator: | Sunil Parikh, M.D., M.P.H. | University of California, San Francisco |
| Principal Investigator: | Philip J Rosenthal, M.D. | University of California, San Francsico |
| Principal Investigator: | Jean-Bosco Ouedraogo, M.D., PhD | Institut de Receherche en Sciences de la Sante Bobo-Dioulasso |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00845533 History of Changes |
| Other Study ID Numbers: | H40380-31179-01 |
| Study First Received: | February 17, 2009 |
| Last Updated: | February 17, 2009 |
| Health Authority: | United States: Institutional Review Board Burkina Faso: Ministry of Health |
Additional relevant MeSH terms:
|
Malaria Protozoan Infections Parasitic Diseases Dihydroquinghaosu Artemisinins Piperaquine |
Antimalarials Antiprotozoal Agents Antiparasitic Agents Anti-Infective Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 22, 2013