Coartem or Coarnate for uncomplicated malaria and parasite carriage in Rwanda

ISRCTN ISRCTN91805477
DOI https://doi.org/10.1186/ISRCTN91805477
Secondary identifying numbers No.187/RNEC/2010
Submission date
23/08/2010
Registration date
25/10/2010
Last edited
25/10/2010
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 Stephen Rulisa
Scientific

Kigali University Teaching Hospital
Department of Clinical research
BP 655
Kigali
655
Rwanda

Study information

Study designOpen label randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typePrevention
Participant information sheet Not available in web format, please use contact details below to request a patient information sheet
Scientific titleAn open labeled randomised trial of Coartem vs. Co-Arinate for uncomplicated malaria and parasite carriage in Rwanda
Study acronymCoCo Trial
Study objectivesCoarinate is as effective as coartem
Ethics approval(s)The Rwanda National Ethics Committee approved on the 31st of March 2010 (ref: No.187 /RNEC / 2010)
Health condition(s) or problem(s) studiedMalaria
InterventionPatients will be randomised to receive

1. Coartem (arthemeter lumifantrine)
5-14 kg 20 mg arthemeter+120 mg lumefantrine 2/day for 3 days
15-24 kg: 40 mg arthemeter+ 240 mg lumefantrine 2/day for 3 days
25-34 kg: 60 mg arthemeter+360 mg lumefantrine 2/day for 3 days
34+ kg: 80 mg arthemeter + 480 mg lumefantirne 2/day for 3 days

2. Co-arinate (artesunate + sulfamethoxypyrazine + pyrimethamine)
5-14 kg: 50 mg artesunate+125mg sulfamethoxypyrazine+6.25mg pyrimethamine (t=0 and12 and 24 hrs later)
15-25 kg: 100 mg artesunate+250mg sulfamethoxypyrazine+12.5 mg pyrimethamine (t=0 and 12 and 24 hrs later)
25-34 kg: 150 mg artesunate+ 375 mg sulfamethoxypyrazine+ 18.75 mg pyrimethamine (t=0 and 12 and 24 hrs later)
35+ kg: 200 mg artesunate+500 mg sulfamethoxypyrazine+25 mg pyrimethamine (t=0 and 12 and 24 hrs later)

All drugs will be given orally. Follow-up of all participants will be at day 0, day 1, day 7, day 14, day 21, day 28, day 35 and day 42.
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase IV
Drug / device / biological / vaccine name(s)Coartem, coarnate
Primary outcome measureParasite clearance as per WHO guidelines:
Full parasitological an clinical responses after 42 days of follow-up as measured by microscopy examination. At every follow-up visit a microscopy slide will be examined for parasites and counted against 200 whole blood count (WBC).
Secondary outcome measuresGametocyte carriage:
At day 0,day 1, day 7 and day 14 blood samples (50 ul on filter paper) will be collected for molecular analysis of gametocytes. After nucleic acid extraction analysis will be done with NASBA and results will be expressed as gametocytes/ul
Overall study start date15/09/2010
Completion date30/06/2011

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit6 Months
SexNot Specified
Target number of participants900
Key inclusion criteria1. Either sex, age > 6 months
2. Simple malaria
Key exclusion criteriaSevere malaria
Date of first enrolment15/09/2010
Date of final enrolment30/06/2011

Locations

Countries of recruitment

  • Rwanda

Study participating centre

Kigali University Teaching Hospital
Kigali
655
Rwanda

Sponsor information

INTERACT - Centre for Poverty related Communicable Diseases (CPCD) (Rwanda)
Not defined

Boulevard de la revolution
Kigali
00
Rwanda

Funders

Funder type

Research organisation

INTERACT (Rwanda)

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