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This study evaluates four different artemisinin-based drug combinations for treating uncomplicated malaria in African children. Infants and children, generally aged 6 to 59 months, with microscopically confirmed Plasmodium falciparum malaria were able to take part. Sponsored by the Institute of Tropical Medicine, Belgium, the study was conducted in Phase 3 and has been completed.
The summary above is a plain-language rendering of the official record. The original English title is shown for reference.
Criteria are reproduced from the ClinicalTrials.gov record in the original English. Only the trial team can determine eligibility.
Inclusion Criteria: * Males and Females aged between 6 months and 59 months inclusive. In the sites where CDA is tested all recruited children will be aged between 12 months and 59 months inclusive (this arm was discontinued on 17th February 2008). This criterion applies only for the recruitment in the first follow up. For the second follow up, children having been included in the first follow up are eligible, regardless of their age. * Body weight of 5 Kg and above. * Microscopically confirmed, monoinfection of Plasmodium falciparum (parasitaemia ≥ 2,000/μL to 200,000/μL). * Fever (axillary temperature at ≥ 37.5°C) or history of fever in the previous 24 hours. * Haemoglobin value ≥ 7.0 g/dl; * Signed (or thumb-printed whenever parents/guardians are illiterate) informed consent by the parents or guardians. Note the informed consent will be asked only at recruitment and will cover the whole period of the study, including second active follow up and passive case detection. * Parents' or guardians' willingness and ability to comply with the study protocol for the duration of the trial. Exclusion Criteria: * Participation in any other investigational drug study (antimalarial or others) during the previous 30 days. * Known hypersensitivity to the study drugs. * Severe malaria. * Danger signs: not able to drink or breast-feed, vomiting (\> twice in 24hours), recent history of convulsions (\>1 in 24h), unconscious state, unable to sit or stand. * Presence of intercurrent illness or any condition (cardiac, renal, hepatic diseases) which in the judgement of the investigator would place the subject at undue risk or interfere with the results of the study, including known G6PD deficiency. * Severe malnutrition (defined as weight for height \<70% of the median NCHS/WHO reference). * Ongoing prophylaxis with drugs having antimalarial activity such as cotrimoxazole for the prevention of Pneumocystis carinii pneumonia in children born to HIV+ women.