Title
Pharmacokinetics of Dihydroartemisinin-Piperaquine in the Treatment of Uncomplicated Malaria in Children in Burkina Faso
Phase
Phase 4Lead Sponsor
University of California, San FranciscoStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Uncomplicated MalariaIntervention/Treatment
piperaquine dihydroartemisinin ...Study Participants
NoneThis 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.
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