Role of rapid diagnostic testing in the context of home management of childhood fever with Coartem®: an open randomised controlled trial in a rural and seasonal malaria transmission area of Burkina Faso

ISRCTN ISRCTN09602471
DOI https://doi.org/10.1186/ISRCTN09602471
Secondary identifying numbers A60486
Submission date
17/04/2007
Registration date
25/05/2007
Last edited
10/09/2007
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Franco Pagnoni
Scientific

World Health Organization
20 Avenue Appia
Geneva-27
CH-1211
Switzerland

Study information

Study designOpen randomised, controlled, clinical trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeDiagnostic
Scientific title
Study objectivesCommunity level treatment of malaria and/or acute respiratory infections guided by malaria Rapid Diagnostic Testing (RDT) and respiratory rate counting improves clinical recovery rate of children with febrile disease.
Ethics approval(s)Approval received from the Comité d’ethique pour la Recherche en Santé du Burkina (CERS-B) on the 15th February 2007.
Health condition(s) or problem(s) studiedMalaria, acute respiratory infection
InterventionPatients were randomised between:
1. Treatment with Coartem® and/or cotrimoxazole based on rapid diagnosis test results and respiratory rate count
2. Presumptive treatment with Coartem®, on day three after the onset of the treatment

Principal Investigator:
Tiono Alfred
Centre National de Recherche et de Formation sur le Paludisme
01 BP 2208
Ouagadougou 01
Burkina Faso
Tel: +226 70 28 57 26
Email: t.alfred@fasonet.bf
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Coartem®, cotrimoxazole
Primary outcome measureClinical recovery rate at 72 hours after treatment (defined as apyrexia and axillary temperature less than 37.5°C).
Secondary outcome measures1. Evaluate influence of the seasonal variation of malaria transmission on the impact, measured at eight days post onset of the treatment
2. Assess the cost-effectiveness of RDT in the context of the HMM strategy with Coartem®, measured at the end of the study
3. Describe the operational feasibility and acceptability of RDT in the context of the HMM strategy with Coartem®, measured at the end of the study
Overall study start date01/05/2007
Completion date01/05/2008

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit6 Months
Upper age limit59 Months
SexBoth
Target number of participants1200
Key inclusion criteria1. Written informed consent from parent/guardian
2. Aged 6 to 59 months
3. Weight equals 5 kg
4. Willing to comply with the study procedures
5. History of fever within the last 24 hours or documented fever (axillary temperature equals 37.5°C)
Key exclusion criteria1. Severe malaria
2. Danger signs (unable to drink or eat, incoercible vomiting, convulsions, prostration)
3. History of allergic reaction to the study drugs
4. History of treatment with artemisinin derivatives in the past seven days
5. Previous participation in this study
Date of first enrolment01/05/2007
Date of final enrolment01/05/2008

Locations

Countries of recruitment

  • Burkina Faso
  • Switzerland

Study participating centre

World Health Organization
Geneva-27
CH-1211
Switzerland

Sponsor information

UNICEF/UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases (TDR)
Research organisation

World Health Organization
20 Avenue Appia
Geneva-27
CH-1211
Switzerland

Website http://www.who.int/tdr/topics/mim/default.htm
ROR logo "ROR" https://ror.org/01f80g185

Funders

Funder type

Research organisation

Multilateral Initiative on Malaria (MIM)

No information available

United Nations Children's Fund (UNICEF)/United Nations Development Programme (UNDP)/World Bank/World Health Organization (WHO) - Special Programme for Research and Training in Tropical Diseases (TDR)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan