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CompletedNCT02563704Updated Oct 1, 2015

A Trial of the Efficacy of Artesunate and Three Quinine Regimens in the Treatment of Severe Malaria in Children at the Ebolowa Regional Hospital - Cameroon

A Phase 3 interventional study of Artesunate and Quinine in Malaria, sponsored by University of Yaounde 1. Completed. Open to participants aged 3 Months to 15 Years. Per ClinicalTrials.gov, last updated 2015-10-01.

Sponsored by University of Yaounde 1 · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
238
Allocation
Randomized
Ages
3 Months to 15 Years
Sex
All
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Study summary

The purpose of the study is to evaluate and compare the efficacy of parenteral artesunate with three quinine regimens in the treatment of severe malaria in children at the Ebolowa Regional Hospital located in the South region of Cameroon

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Conditions studied

  • Malaria

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Keywords

  • Artesunate
  • Quinine
  • Efficacy
  • Malaria
  • Children
  • Cameroon
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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 238 is close to the median of 220 across 1,027 interventional studies indexed under Malaria.

Browse Malaria studies →

Lead sponsor

University of Yaounde 1 is the lead sponsor of 9 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
3 Months to 15 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Children presenting with one or more signs of severity of malaria according to the 2013 Cameroon National Malaria Control Programme adopted criteria (impaired consciousness, abnormal behaviour, convulsions, prostration, persistent vomiting, jaundice, hyperthermia, acute respiratory distress, clinical acidosis, haemoglobinuria, cardiovascular shock, dehydration, abnormal bleeding, severe anaemia, renal impairment, hypoglycaemia and hyperparasitaemia)
  • and having an initial positive parasitaemia to Plasmodium falciparum
  • Other aetiologies of the presenting symptoms excluded
  • Written consent from parent(s)

Exclusion criteria

Exclusion Criteria:

  • Prior side effects to either artesunate or quinine administration
  • Severely malnourished children
  • Concomitant infection
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
238 participants (actual)

Study arms

  • Active comparator
    ARTES

    * Injectable Artesunate.Each vial contained 60 mg anhydrous artesunic acid, which was dissolved in 1 ml of 5% sodium bicarbonate (provided with the drug) and then mixed with 5 ml saline solution (provided with the drug) before injecting into an indwelling intravenous catheter. * Patients received 2.4 mg/kg bw of parenteral artesunate at H0, H12, H24 and thereafter once daily, for a minimum of 24 hours. * Patients exited from the protocol if they had clinically recovered and parasitaemia was negative.

    Drug: Artesunate

  • Active comparator
    QLD

    * Injectable quinine. Each vial contained 250 mg or 500 mg QB. * Patients received a loading dose of 16.6 mg/kg bw of QB by intravenous (IV) infusion over 4 hours followed 8 hours after the start of the loading dose, with a maintenance dose of QB at 8.3 mg/kg bw over 4 hours every 8 hours diluted in 10 ml/kg bw of 10% dextrose solution. * Patients received a minimum of 24 hours of parenteral treatment and exited from the protocol if they had clinically recovered and parasitaemia was negative.

    Drug: Quinine

  • Active comparator
    QNLD3

    * Injectable quinine. Each vial contained 250 mg or 500 mg QB. * Patients received 8.3 mg/kg bw of QB over 4 hours by IV infusion every 8 hours diluted in 10 ml/kg bw of 10% dextrose solution. * Patients received a minimum of 24 hours of parenteral treatment and exited from the protocol if they had clinically recovered and parasitaemia was negative.

    Drug: Quinine

  • Active comparator
    QNLD2

    * Injectable quinine. Each vial contained 250 mg or 500 mg QB. * Patients received 12.5 mg/kg bw of QB over 4 hours by IV infusion every 12 hours diluted in 10 ml/kg bw of 10% dextrose solution. * Patients received a minimum of 24 hours of parenteral treatment and exited from the protocol if they had clinically recovered and parasitaemia was negative.

    Drug: Quinine

Interventions

  • DrugArtesunate
  • DrugQuinine
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What researchers measure

Primary outcomes

  1. Fever clearance time

    Time frame: Time (in hours) from the onset of treatment till rectal temperature went down to 37.5°C for at least 24 hour

  2. Coma recovery time

    Time frame: Time (in hours) from the onset of treatment till the participant was fully conscious with a BCS of 5 or GCS of 15 for an average of 24 hours

  3. Time to sit unsupported

    Time frame: Time (in hours) from the onset of treatment till when the participant could sit unsupported for an average of 24 hours if the participant was unable to do so on admission

  4. Time to eat and drink

    Time frame: Time (in hours) from the onset of treatment till when the participant could eat and drink for an average of 24 hours if the participant was unable to do so on admission

  5. Parasite clearance time

    Time frame: Time (in hours) from the onset of treatment to the time of the first of two successive negative blood smear through hospital discharge, an average of one week

  6. Parasite reduction rate 24 hours after onset of treatment

    Time frame: 24 hours from onset of treatment

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Maka DE, Chiabi A, Obadeyi B, Mah E, Nguefack S, Nana P, Mbacham W, Mbonda E. Economic evaluation of artesunate and three quinine regimens in the treatment of severe malaria in children at the Ebolowa Regional Hospital-Cameroon: a cost analysis. Malar J. 2016 Dec 7;15(1):587. doi: 10.1186/s12936-016-1639-1. PubMed 27923381 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 1, 2015, 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
NCT02563704
Lead sponsor
University of Yaounde 1
Responsible party
ETHE MAKA Daniel (MD, University of Yaounde 1) — Principal investigator
First posted
Sep 30, 2015
Start date
Sep 2013
Primary completion
Mar 2014
Completion
Mar 2014
Last update
Oct 1, 2015

Study contacts

Elie MBONDA
study director · Faculty of Medicine and Biomedical Sciences, University of Yaounde I

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2015. You cannot join it, but the record below documents what was studied.

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