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CompletedNCT00206739Updated Mar 30, 2010

Intermittent Treatment With Sulfadoxine-pyrimethamine for Malaria Control in Infants

A Phase 4 interventional study of Sulfadoxine (12.5 mg)/Pyrimethamine (250 mg) in Malaria and Anemia, sponsored by Bernhard Nocht Institute for Tropical Medicine. Completed at 1 site in Ghana. Open to participants aged 2 Months to 4 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2010-03-30.

Sponsored by Bernhard Nocht Institute for Tropical Medicine · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
1,070
Allocation
Randomized
Ages
2 Months to 4 Months
Sex
All
01

Study summary

The purpose of this study is to assess the effectiveness of Intermittent Preventive Treatment in Infants (IPTi) with Sulfadoxine-Pyrimethamine to reduce the numbers of malaria attacks, episodes of anemia, and the overall morbidity and mortality

Read the detailed description

In order to define the effectiveness of Intermittent Preventive Treatment in Infants (IPTi) with Sulfadoxine-Pyrimethamine, a novel principle of malaria intervention, the following parameters are evaluated: i) the level of protection from malaria attacks and episodes of anemia during the treatment period, ii) the level of protection from severe malaria during the treatment period, iii) the effect on malaria morbidity after sustaining treatment, iv) the decrease of overall morbidity and mortality, including the number of hospital admissions and visits of hospital outpatient departments v) the influence of the intervention on the development of drug resistances, vi) the impact of the intervention on the development of immunity, vii) the possible influence of the intervention on sub-clinical organ dysfunction due to chronic Plasmodium falciparum infection. Parts of the study are performed in collaboration with the Laboratory of Research, Hospital Albert Schweitzer, Lambaréné, Gabon and the School of Medicine and Health Sciences, University of Development Studies, Tamale, Ghana

02

Conditions studied

  • Malaria
  • Anemia

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Keywords

  • Malaria
  • Anemia
  • IPTi
  • Intermittent Preventive Treatment in Infants
  • Sulfadoxine-Pyrimethamine
  • Chemoprophylaxis
  • Ghana
03

In context

Malaria

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

This study's enrollment of 1,070 is above the median of 220 across 1,027 interventional studies indexed under Malaria.

Browse Malaria studies →

Lead sponsor

Bernhard Nocht Institute for Tropical Medicine is the lead sponsor of 10 studies on the registry; 2 are open to participants now.

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

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Who can participate

Ages eligible
2 Months to 4 Months
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Informed consent by parent/guardian (written or oral)
  • Permanent residentship in the study area
  • Age of 3 months +/-4 weeks

Exclusion criteria

Exclusion Criteria:

  • Hypersensitivity to sulfonamides or pyrimethamine (skin rashes, evidence of hemolysis including dark urine and/or purpura, presumptive signs of bone marrow depression such as sore throat and/or mouth ulcers)
  • Other severe adverse events related to pyrimethamine-sulfadoxine application
  • Signs of severe hepatic or renal dysfunction not due to malaria
  • Other reasons after decision of the study physician
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Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
1,070 participants (actual)

Interventions

  • DrugSulfadoxine (12.5 mg)/Pyrimethamine (250 mg)
06

What researchers measure

Primary outcomes

  1. • Efficacy of an extended intermittent treatment with sulfadoxine-pyrimethamine for the control of clinical malaria and anemia (proportion and rates of children with one or more episodes of malaria or anemia in the age of 3 to 21 months of life)

  2. • Determination of the rate of clinical malaria and anemia after suspending an extended intermittent treatment for analysis of possible rebound effects

  3. • Evaluation of safety and adverse effects of the administration of single doses of sulfadoxine-pyrimethamine in infants and children

Secondary outcomes

  1. • Rate and time points of hospitalizations with anemia, malaria or other diseases

  2. • Rate and time points of severe anemia episodes

  3. • Proportion and rates of children with one or more episodes of malaria or anemia in the age of 3 to 12 months of life

  4. • Antibody responses against parasite antigens

  5. • Multiplicity of P. falciparum infections

  6. • Proportion of P. falciparum isolates with SP resistance

  7. • Influence of host genetic variants on the rate of P. falciparum infections

07

Study locations

1 site
  • Kumasi Centre for Collaborative Research in Tropical Medicine
    Kumasi, Ashanti Region, Ghana
08

References and documents

Publications

  • Schellenberg D, Menendez C, Kahigwa E, Aponte J, Vidal J, Tanner M, Mshinda H, Alonso P. Intermittent treatment for malaria and anaemia control at time of routine vaccinations in Tanzanian infants: a randomised, placebo-controlled trial. Lancet. 2001 May 12;357(9267):1471-7. doi: 10.1016/S0140-6736(00)04643-2. PubMed 11377597 ↗
  • Menendez C, Kahigwa E, Hirt R, Vounatsou P, Aponte JJ, Font F, Acosta CJ, Schellenberg DM, Galindo CM, Kimario J, Urassa H, Brabin B, Smith TA, Kitua AY, Tanner M, Alonso PL. Randomised placebo-controlled trial of iron supplementation and malaria chemoprophylaxis for prevention of severe anaemia and malaria in Tanzanian infants. Lancet. 1997 Sep 20;350(9081):844-50. doi: 10.1016/S0140-6736(97)04229-3. PubMed 9310602 ↗
  • Massaga JJ, Kitua AY, Lemnge MM, Akida JA, Malle LN, Ronn AM, Theander TG, Bygbjerg IC. Effect of intermittent treatment with amodiaquine on anaemia and malarial fevers in infants in Tanzania: a randomised placebo-controlled trial. Lancet. 2003 May 31;361(9372):1853-60. doi: 10.1016/s0140-6736(03)13504-0. PubMed 12788572 ↗
  • Verhoef H, West CE, Nzyuko SM, de Vogel S, van der Valk R, Wanga MA, Kuijsten A, Veenemans J, Kok FJ. Intermittent administration of iron and sulfadoxine-pyrimethamine to control anaemia in Kenyan children: a randomised controlled trial. Lancet. 2002 Sep 21;360(9337):908-14. doi: 10.1016/S0140-6736(02)11027-0. Erratum In: Lancet 2002 Oct 19;360(9341):1256. PubMed 12354473 ↗
  • May J, Adjei S, Busch W, Gabor JJ, Issifou S, Kobbe R, Kreuels B, Lell B, Schwarz NG, Adjei O, Kremsner PG, Grobusch MP. Therapeutic and prophylactic effect of intermittent preventive anti-malarial treatment in infants (IPTi) from Ghana and Gabon. Malar J. 2008 Oct 1;7:198. doi: 10.1186/1475-2875-7-198. PubMed 18828899 ↗
  • Kobbe R, Adjei S, Kreuzberg C, Kreuels B, Thompson B, Thompson PA, Marks F, Busch W, Tosun M, Schreiber N, Opoku E, Adjei O, Meyer CG, May J. Malaria incidence and efficacy of intermittent preventive treatment in infants (IPTi). Malar J. 2007 Dec 9;6:163. doi: 10.1186/1475-2875-6-163. PubMed 18067679 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 30, 2010, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00206739
Lead sponsor
Bernhard Nocht Institute for Tropical Medicine
Collaborators
German Federal Ministry of Education and Research, Deutscher Akademischer Austausch Dienst, The Volkswagen Foundation
First posted
Sep 21, 2005
Start date
Jan 2003
Primary completion
Sep 2005
Completion
Sep 2005
Last update
Mar 30, 2010

Study contacts

Ohene Adjei, Prof. Dr.
principal investigator · Kumasi Centre for Collaborative Research in Tropical Medicine
Jürgen May, PD Dr.
study director · Bernhard Nocht Institute for Tropical Medicine Hamburg, Infection Epidemiology

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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

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