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CompletedNCT05889052Updated Sep 8, 2026

Perennial Malaria Chemoprevention (PMC) in Cameroon

An observational study in Anemia and Malaria, sponsored by London School of Hygiene and Tropical Medicine. Completed at 1 site in Cameroon. Open to participants aged Up to 9 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-08.

Sponsored by London School of Hygiene and Tropical Medicine · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
2,138
Ages
Up to 9 Months
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 28 studies in Anemia by London School of Hygiene and Tropical Medicine — 1 open to participants now, 1 under way, 1 of them phase 3. Anemia · London School of Hygiene and Tropical Medicine.

Started
2023
with 1 other
Observational
5 of 28
none open now
Registered
26th of 28
by date

Among the 28 studies in Anemia by London School of Hygiene and Tropical Medicine, this one is one of 2 that started in 2023, is one of 5 observational ones, and was the 26th registered.

By phase

28 studies; the count open now beside each. This study's row is marked.

No phase14 · 0 open
Phase 36 · 1 open
Observationalthis study5 · 0 open
Other kind1 · 0 open
Phase 2/31 · 0 open
Phase 41 · 0 open

By the year they started

First in 2000; this study’s year is marked. 2 started in 2023.

Size and results

Median enrollment 2,941 across the 22 interventional studies, 906 across the 6 observational. Of the 25 that completed or were terminated, 0 (0%) have results posted.

Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 28 studies in Anemia by London School of Hygiene and Tropical Medicine, or all of them as a file.
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Study summary

The Plus Project will assess the impact, operational feasibility, efficacy, effectiveness, and cost-effectiveness of PMC. Specifically, the impact evaluation will involve monitoring a passive cohort of all children in the study area reporting all doses of SP received and the number of confirmed cases of malaria and anaemia, as well as a prospective active cohort of children who will have seven home visits over an 18-month period. The total number of participants is expected to be approximately 2,080 children in the areas served by 35 health centres in Cameroon. The results of this study will allow direct evaluation of the protective efficacy of PMC on malaria incidence, severe anaemia, and malaria mortality.

Read the detailed description

Despite impressive progress in recent years, malaria continues to impose a heavy morbidity and mortality burden. Ninety-five percent of the estimated 247 million malaria cases and 619,000 deaths worldwide in 2021 occurred in the World Health Organization (WHO) Africa Region [1]. The expansion of SP-IPTi to include children up to two years of age and additional entry points, referred to now as PMC, offers the potential to increase the impact of the intervention by delivering more protective doses of SP to an age group with a higher malaria burden. However, to support the development of national policies and international guidelines on the adoption and implementation of PMC at scale, more evidence is needed on where, when, how and under what circumstances PMC can be effective, cost-effective, acceptable, equitable and feasible.

The aim of the impact evaluation is to inform decision-making by policy makers and programme managers involved in national malaria control programmes by evaluating the protective efficacy of PMC with eight doses versus five doses as standard of care in Cameroon. The design is a multi-site quantitative study of the implementation of PMC in Cameroon. The health districts of Soa and Mbankomo were identified as the intervention and control districts, respectively, based on population size, number of Extended Programme of Immunisation (EPI) facilities, malaria incidence, EPI coverage and availability of an appropriate control population receiving standard care.

All children up to 36 months of age with parental consent will be recruited into a passive cohort. The investigators will also extract data on malaria and anaemia cases among children receiving PMC from health facility records.

The investigators will form and follow an active arm of the cohort in which a randomly selected subset of children in the passive cohort will be visited every three months during the study period in their homes to obtain detailed information, including details of the household, malaria risk factors, history of malaria and anaemia, health-seeking behaviour, and past EPI vaccinations. Blood will be collected for microscopy measures of parasitaemia, anaemia diagnosis by haemoglobin levels, and retrospective analysis of malaria infection (not for clinical management) by polymerase chain reaction methods. Rapid diagnostic tests will be used amongst symptomatic children to identify cases. First line antimalarial treatment will be provided to all confirmed cases. Children will be screened for malnutrition by measuring their mid-upper arm circumference (MUAC). If they are determined to have either moderate (MAM) or severe acute malnutrition (SAM), treatment will consist of standard of care which can include referral to the nearest health facility with clinical management capacity or treatment on site.

03

Conditions studied

  • Anemia
  • Malaria

Browse trials for

Keywords

  • Malaria
  • Anemia
  • Perennial Malaria Chemoprevention (PMC)
  • Intermittent Preventative Treatment of Infants (IPTi)
  • Sulfadoxine-pyrimethamine (SP)
  • chemoprevention
04

Who can participate

Ages eligible
Up to 9 Months
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

Children up to 9 months of age in Soa and Mbankomo health districts of Cameroon.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Reside in Soa (intervention) or Mbankomo (control) health districts.
  • Agree to take part in the census.
  • Aged 6-9 months at the time of enrolment.

Exclusion criteria

Exclusion Criteria:

  • Parent/caregiver refused to participate in the cohort.
  • Parent/caregiver did not give .
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
2,138 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Active cohort control

    Children (aged 6-9 months) in the control arm will receive the standard of care: 5 doses of SP at EPI visits (at 10 weeks, 14 weeks, 6 months, 9 months and 15 months).

    Drug: Sulfadoxine pyrimethamine

  • Active cohort intervention

    Children (aged 6-9 months) in the intervention arm with receive PMC: 8 doses of SP at EPI visits (at the same contacts as group 1 plus at 12 months, 18 months and 24 months)

    Drug: Sulfadoxine pyrimethamine

Interventions

  • DrugSulfadoxine pyrimethamine

    Sulfadoxine-pyrimethamine paediatric formulation (250mg/12.5mg) dispersable tablets (Macleods Pharmaceuticals Ltd)

06

What researchers measure

Primary outcomes

  1. Incidence of malaria infection and clinical malaria

    Incidence of: (1) malaria infection, and (2) clinical malaria in children residing in areas designated to receive PMC (intervention) versus standard care (control).

    Time frame: 18 months

Secondary outcomes

  1. Incidence of severe malaria, malaria deaths, anaemia and severe anaemia

    Incidence of: (1) severe malaria, (2) malaria deaths, (3) anaemia, and (4) severe anaemia in children residing in areas designated to receive PMC (intervention) versus standard care (control).

    Time frame: 18 months

  2. Malaria and anaemia incidence by delivery platform, number of doses and dose schedule

    Measure differences in incidence between children residing in areas designated to receive PMC (intervention) versus standard of care (control) based on differences in SP dose patterns by delivery platform, number of doses of SP, and the SP dose schedule.

    Time frame: 18 months

  3. Dose-response effects of SP on malaria and anaemia

    Measure the dose-response effects of SP on incidence of: (1) malaria infection, (2) clinical malaria, (3) severe malaria, (4) anaemia, (5) severe anaemia, and (6) malaria mortality throughout the period of observation.

    Time frame: 18 months

  4. Effects of distance to health facility on malaria and anaemia

    Measure the effects of distance to health facility on incidence of: (1) malaria infection, (2) clinical malaria, (3) severe malaria, (4) anaemia, (5) severe anaemia, and (6) malaria mortality throughout the period of observation.

    Time frame: 18 months

  5. Incidence of moderate, severe and overall malnutrition

    Incidence of: (1) moderate, (2) severe, and (3) overall malnutrition among children residing in areas designated to receive PMC (intervention) versus standard care (control).

    Time frame: 12 months

07

Study locations

1 site
  • Multiple
    Soa and Mbankomo, Cameroon
08

References and documents

Publications

  • WHO Malaria Report 2022, World Health Organisation
  • Stresman G, Lal S, Bruce J, Nji A, Serge-Brice A, Mosoff J, McGirr A, Gore-Langton G, McGuire M, Sinsai J, Lele A, Tah-Monunde M, Kouadio ZB, Anatole M, Konate-Toure A, Clarke SE, Gosling R, Mbacham WF, Yavo W, Chico RM. Effectiveness of malaria chemoprevention in the first two years of life in Cameroon and Cote d'Ivoire compared to standard of care: study protocol for a population-based prospective cohort impact evaluation study. BMC Public Health. 2024 Sep 6;24(1):2430. doi: 10.1186/s12889-024-19887-8. PubMed 39243075 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05889052
Collaborators
Fobang Institutes Centre for Health Implementation and Translational Research
Responsible party
Sponsor
First posted
Jun 5, 2023
Start date
Jul 19, 2023
Primary completion
Feb 28, 2025
Completion
Dec 31, 2025
Last update
Sep 8, 2026

Study contacts

Wilfred Mbacham, ScD
principal investigator · Fobang Institutes Centre for Health Innovation and Translational Research
R Matthew Chico, MPH, PhD
principal investigator · London School of Hygiene and Tropical Medicine

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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