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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 16 December 2017
Main ID:  NCT02831023
Date of registration: 06/07/2016
Prospective Registration: No
Primary sponsor: University of California, San Francisco
Public title: Phase 2 Efficacy Study of Primaquine and Methylene Blue
Scientific title: Efficacy, Safety, and Pharmacokinetics of Sulphadoxine-pyrimethamine-amodiaquine (SP-AQ), SP-AQ Plus Primaquine, Dihydroartemisinin-piperaquine (DP), DP Plus Methylene Blue for Preventing Transmission of P. Falciparum Gametocytes in Mali
Date of first enrolment: July 2016
Target sample size: 80
Recruitment status: Completed
URL:  https://clinicaltrials.gov/show/NCT02831023
Study type:  Interventional
Study design:  Allocation: Randomized. Intervention model: Parallel Assignment. Primary purpose: Treatment. Masking: Single (Outcomes Assessor).  
Phase:  Phase 2
Countries of recruitment
Mali
Contacts
Name:     Roland Gosling, MD, PhD
Address: 
Telephone:
Email:
Affiliation:  University of California, San Francisco
Name:     Teun Bousema, PhD
Address: 
Telephone:
Email:
Affiliation:  Radboud University
Name:     Alassane Dicko, MD
Address: 
Telephone:
Email:
Affiliation:  Malaria Research and Training Centre
Key inclusion & exclusion criteria

Inclusion Criteria:

- Glucose-6-phosphate dehydrogenase (G6PD) normal defined by CareStart™ G6PD rapid
diagnostic test (RDT) or the OSMMR2000 G6PD semi-qualitative test

- Absence of symptomatic falciparum malaria, defined by fever upon enrollment

- Presence of P. falciparum gametocytes on thick blood film at a density >30
gametocytes/µL (i.e. =2 gametocytes recorded in the thick film against 500 white blood
cells)

- No allergies to study drugs

- No self-reported use of antimalarial drugs over the past 7 days (as reported by the
participant)

- Hemoglobin = 10 g/dL

- Individuals weighing <80 kg

- No evidence of severe or chronic disease

- Written, informed consent

Exclusion Criteria:

- Age < 5 years or > 50 years

- Female gender

- Blood thick film negative for sexual stages of malaria

- Previous reaction to study drugs/known allergy to study drugs

- Signs of severe malaria, including hyperparasitemia, defined as asexual parasitemia >
100,000 parasites / µL)

- Signs of acute or chronic illness, including hepatitis

- Use of other medications (with the exception of paracetamol and/or aspirin)

- Consent not given



Age minimum: 5 Years
Age maximum: 50 Years
Gender: Male
Health Condition(s) or Problem(s) studied
Malaria
Intervention(s)
Drug: 0.25 mg/kg primaquine
Drug: Methylene blue
Drug: Amodiaquine
Drug: Sulphadoxine-pyrimethamine
Drug: Dihydroartemisinin-piperaquine
Primary Outcome(s)
Mosquito infectivity assessed through membrane feeding assays [Time Frame: 7 day]
Secondary Outcome(s)
Area under the concentration curve (AUC) of dihydroartemisinin-piperaquine [Time Frame: 24 hours]
Identification of cytochrome P450 (CYP) 2D6 and G6PD polymorphisms [Time Frame: 1 hour]
Elimination half life (t1/2) of primaquine [Time Frame: 24 hours]
Area under the concentration curve (AUC) of methylene blue [Time Frame: 24 hours]
Elimination half-life (t1/2) of dihydroartemisinin-piperaquine [Time Frame: 24 hours]
Elimination half-life (t1/2) of sulphadoxine-pyrimethamine [Time Frame: 24 hours]
Peak plasma concentration (Cmax) of primaquine [Time Frame: 24 hours]
Area under the concentration curve (AUC) of primaquine. [Time Frame: 24 hours]
Gametocyte prevalence, density, and sex ratio measured microscopically and by molecular methods. [Time Frame: 42 days]
Peak plasma concentration (Cmax) of methylene blue [Time Frame: 24 hours]
Area under the concentration curve (AUC) of sulphadoxine-pyrimethamine [Time Frame: 24 hours]
Elimination half life (t1/2) of methylene blue [Time Frame: 24 hours]
Asexual parasite prevalence and density [Time Frame: 42 days]
Peak plasma concentration (Cmax) of dihydroartemisinin-piperaquine [Time Frame: 24 hours]
Safety measurements including hemoglobin and signs of hemolysis [Time Frame: 42 days]
Peak plasma concentration (Cmax) of sulphadoxine-pyrimethamine [Time Frame: 24 hours]
Secondary ID(s)
UCSF CHR # 15-16839
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
Heidelberg University
London School of Hygiene and Tropical Medicine
Malaria Research and Training Center, Bamako, Mali
Bill and Melinda Gates Foundation
Radboud University
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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