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CompletedNCT00203736Updated Nov 16, 2006

A Randomised Efficacy Study of Combination Antimalarials to Treat Uncomplicated Malaria

An interventional study of Sulfadoxine-pyrimethamine and Artesunate plus sulfadoxine-pyrimethamine in Malaria, sponsored by University of Cape Town. Completed at 2 sites in Mozambique. Open to participants aged 12 Months and older. Per ClinicalTrials.gov, last updated 2006-11-16.

Sponsored by University of Cape Town · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
240
Allocation
Randomized
Ages
12 Months and older
Sex
All
01

Study summary

The purpose of this study is to compare the efficacy of sulfadoxine-pyrimethamine plus artesunate with that of sulfadoxine-pyrimethamine on its own for the treatment of uncomplicated malaria.

Read the detailed description

Resistance of Plasmodium falciparum to anti-malarial drugs is a serious impediment to malaria control. In the South East African Combination Anti-malarial Therapy (SEACAT) evaluation, there is an evaluation of the phased introduction of combination anti-malarial therapy (CAT) in Mozambique, Swaziland and South Africa. In order to facilitate formulation of effective regional drug policy and provide a database for decision-making on the implementation of CAT, it is essential that the in vivo response to CAT be investigated. This will be achieved through the SEACAT 01 protocol which is a component of the SEACAT evaluation described in another file on this website. However, in selected Mozambique sites where the intensity of malaria transmission is high, a direct parallel group comparison of monotherapy (SP) with CAT (artesunate, AS, plus SP) will be conducted according to a specific amendment (Amendment 4) to the SEACAT 01 protocol. Amendment 4 is presented in this separate file on the website for clarity.

02

Conditions studied

  • Malaria

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Keywords

  • Malaria
  • Efficacy
  • Pharmacokinetic
  • Gametocyte
  • Molecular Markers
  • Sulfadoxine-pyrimethamine
  • Artesunate
  • Artemisinin
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In context

Malaria

1,299 studies on the registry are indexed under Malaria; 86 are open to participants now.

This study's enrollment of 240 is close to the median of 220 across 1,027 interventional studies indexed under Malaria.

Browse Malaria studies →

Lead sponsor

University of Cape Town is the lead sponsor of 109 studies on the registry; 13 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
12 Months and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male or female, older than 12 months.
  • Weight > 10 kg.
  • Diagnoses of uncomplicated acute P. falciparum malaria parasitaemia of up to 500 000 asexual parasite/mcl blood with axillary temperature of greater than and equal to 37.50C or history of fever.
  • Documented informed consent.
  • Lives close enough to the health centre for reliable follow up.

Exclusion criteria

Exclusion Criteria:

  • Has received anti-malarial treatment in the past 7 days.
  • Is infected with other malarial species (such subjects will be excluded retrospectively).
  • Severely ill (based on WHO Criteria for severe malaria ) or if patient is considered, in the opinion of the investigator or designee, to have moderately severe malaria (e.g. prostrate, repeated vomiting, dehydrated).
  • Has received cotrimoxazole or chloramphenicol in the past 7 days.
  • History of G6PD deficiency.
  • Is pregnant.
  • Has a history of allergy to any sulphonamide (for SP) or artemisinin derivative (for artesunate and co-artemether).
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
240 participants

Interventions

  • DrugSulfadoxine-pyrimethamine
  • DrugArtesunate plus sulfadoxine-pyrimethamine
06

What researchers measure

Primary outcomes

  1. Therapeutic efficacy defined as: Adequate Clinical and Parasitological Response (ACPR), Early Treatment Failure (ETF), Late Treatment Failure (LTF), defined as Late Clinical Failure (LCF) and Late Parasitological Failure (LPF)

  2. Sensitive or parasitological failure (RI, early and late, RII, RIII)

  3. Parasitological failures will be classified as recrudescence or re-infection (or indeterminate) using GLURP and MSP I & II markers

  4. Parasite clearance time

  5. Fever clearance time

Secondary outcomes

  1. Association between study treatment and gametocyte carriage

  2. Pharmacokinetics by measurement of whole blood levels of Sulfadoxine and Pyrimethamine

  3. Correlation of frequency of DHFR and DHPS mutations with parasitological outcome

  4. Tolerability by describing adverse events and changes in haematological parameters

  5. Capacity by describing the training and development of study teams

07

Study locations

2 sites
  • Catuane Clinic
    Catuane, Matutuine, Mozambique
  • Namaacha Clinic
    Namaacha, Mozambique
08

References and documents

Publications

  • Allen EN, Little F, Camba T, Cassam Y, Raman J, Boulle A, Barnes KI. Efficacy of sulphadoxine-pyrimethamine with or without artesunate for the treatment of uncomplicated Plasmodium falciparum malaria in southern Mozambique: a randomized controlled trial. Malar J. 2009 Jun 26;8:141. doi: 10.1186/1475-2875-8-141. PubMed 19558654 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 16, 2006, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00203736
Lead sponsor
University of Cape Town
Collaborators
World Health Organization, Medical Research Council, South Africa, Global Fund
First posted
Sep 20, 2005
Start date
Jan 2003
Completion
Oct 2003
Last update
Nov 16, 2006

Study contacts

Karen Barnes, MBChB
principal investigator · University of Cape Town
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2005. You cannot join it, but the record below documents what was studied.

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