Title
Pyronaridine-artesunate and Artemether-lumefantrine for the Treatment of Paediatric Malaria
Pyronaridine-artesunate and Artemether-lumefantrine for the Treatment of Paediatric Uncomplicated Falciparum Malaria in Western Kenya
Phase
Phase 3Lead Sponsor
Royal Tropical InstituteStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
MalariaIntervention/Treatment
artesunate coartem lumefantrine pyronaridine ...Study Participants
197The purpose of this study is to determine the efficacy of pyronaridine-artesunate and artemether-lumefantrine for the treatment of uncomplicated Plasmodium falciparum malaria in Kenyan children.
pyronaridine-artesunate: recommended dose according to body weight, once a day for three days.
artemether-lumefantrine: recommended dose according to body weight, twice a day for three days.
Inclusion Criteria: Children between 6 months and 12 years old, with a body weight of ≥5 kg; Living in the catchment area of the study (within a radius of ~10 km from St. Jude's Clinic, Mbita, Kenya); Having microscopically confirmed P. falciparum mono-infection (asexual parasite density 1,000-200,000 µL-1). Exclusion Criteria: Signs and symptoms of severe malaria (according to WHO criteria for severe malaria, (WHO 2012)) or any other severe illness necessitating parenteral treatment; Mixed Plasmodium infection; Clinically suspected (oedema, jaundice and/or ascites) or reported hepatic and/or renal impairment (any cause, as reported by parents/guardians and/or evident from medical history); Having anaemia with an Hb <6 g/dL; Evidence of severe malnutrition (severe wasting: z-score weight for age <-3 and severe stunting: z-score height for age <-3 (WHO 2009b)); Having received anti-malarial therapy in the previous two weeks; Known history of hypersensitivity, allergic or adverse reactions to artesunate, artemether-lumefantrine or other artemisinins; Participating in other anti-malarial drug intervention studies; Previous participation in the PAAL study, e.g. in the previous transmission season (each individual child can only take part in this study once); Not being available for follow-up.