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Malaria is a sickness caused by a germ that can get into a person's body when a mosquito bites them. It can cause fever, headache, body aches and weakness. It can even cause death, especially in children. When malaria is treated with the appropriate medicine(s), it can be cured completely. The purpose of this study is to find out if it is better to use chloroquine alone or in combination with another drug to most effectively treat malaria. About 640 children with malaria, aged 6 months to 5 years of age, from the Blantyre Malaria Project Research Clinic at the Ndirande Health Center in Malawi will be in the study. They will be treated with either chloroquine alone or a combination of chloroquine plus another medication (azithromycin or artesunate or atovaquone-proguanil) every time they get malaria for a year. Blood samples will be collected and tested at least every 4 weeks. Participants will be involved in the study for 1 year.
Combination therapy is becoming the mainstay of malaria treatment. In general, the goal of combination therapy is to treat resistant infections successfully and to prevent the emergence and spread of resistance. The antimalarial combination therapies currently in use were not designed based on optimal pairing of drugs to deter the development and spread of parasite resistance to the individual partner drugs in settings of high malaria transmission. Careful studies are needed to identify the pharmacokinetic and pharmacodynamic properties of drug combinations that will deter resistance and prolong the useful therapeutic life of the next generation of antimalarial drug combinations. Current in vivo methods for measuring antimalarial drug efficacy in high-transmission areas use a 14 or 28-day follow-up period, but a single episode study misses several critical factors in assessing the efficacy and impact of antimalarial treatment. When follow-up is extended beyond 28 days, more cases of apparent resistance or treatment failure are found. Single-episode studies cannot assess the impact of therapy on the incidence of malaria over time. These limitations of standard in vivo studies have led the investigators to advocate longitudinal studies of drug efficacy. In addition to measuring efficacy of individual treatments, longitudinal studies measure sustained efficacy with repeated use of the same regimen over time, a scenario that more accurately reflects the real-life use of anti-malarial medication. The primary outcome of interest is the incidence of malaria episodes, as well as the secondary outcomes of anemia and severe malaria, are all highly relevant to public health policy-makers, as they reflect not only the burden of disease but also the utilization of health resources. Longitudinal studies also permit assessment of how pharmacokinetic properties of drugs affect the incidence of treatment episodes. This is a randomized, open-label, longitudinal drug efficacy trial. Participants will include 640 children, aged 6 months to 5 years, who are found to have uncomplicated malaria at the Blantyre Malaria Project Research Clinic at the Ndirande Health Centre in Blantyre, Malawi. After enrollment, participants will be randomized to one of four treatment arms: chloroquine alone or chloroquine in combination with artesunate, atovaquone-proguanil (AP), or azithromycin. The treatment outcome will be assessed through a standard 28-day efficacy study. Participants will subsequently be evaluated every 4 weeks and encouraged to return to the study clinic any time they are ill during the course of one year. If a new episode of uncomplicated malaria is diagnosed, the participant will receive the same therapy as assigned on enrollment. Polymerase chain reaction-corrected 28-day efficacy will be evaluated for each treatment episode. The primary study objective is to compare annual incidence of malaria clinical episodes. Secondary objectives are to: assess anti-malarial drug efficacy at first administration, by treatment arm; assess anti-malarial drug efficacy during subsequent episodes of malaria, by treatment arm; measure prevalence of chloroquine resistant parasites during the trial, by treatment arm; assess effect of each treatment arm on anemia at the end of study participation; assess safety of these drugs with repeated use; determine the chloroquine blood levels at which chloroquine sensitive and resistant parasites are able to cause infection; assess the effect of population movements on the risk of malaria infection; and assess the spatial patterns and the environmental determinants of malaria infection. Participants will be involved in study rela
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CQ Monotherapy | Experimental | N=160: treat with Chloroquine (CQ) alone. |
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| CQ plus atovaquone proguanil | Experimental | N=160: treat with CQ plus atovaquone proguanil. |
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| CQ plus artesunate | Experimental | N=160: treat with CQ plus artesunate. |
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| CQ plus azithromycin | Experimental | N=160: treat with CQ plus azithromycin. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Atovaquone-proguanil | Drug | Atovaquone-proguanil: once a day for 3 days, Pediatric tablet: 62.5 mg/25 mg, Full strength tablet: 250 mg/100 mg |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Clinical Malaria Episodes Per Year of Follow-up | Clinical malaria episode was defined as at least one symptom of malaria and a positive malaria smear. The number of clinical malaria episodes (not including the initial malaria episode) reported by participants during follow up is presented as the number per Person Years at Risk (PYAR). | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment Arm | Adequate clinical and parasitologic response (ACPR) was defined as the absence of parasitemia at Day 28 and without previously meeting any of the criteria of early treatment or late clinical failure. | Day 28 of initial malaria episode (Episode 0) |
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Inclusion Criteria:
Subjects aged greater than or equal to 6 months to 5 years presenting to Ndirande Health Centre with signs or symptoms consistent with malaria including, but not limited to, one or more of the following:
Weight greater than or equal to 5kg.
Positive malaria smear for P. falciparum mono-infection with parasite density 2,000-200,000/mm^3.
Planning to remain in the study area for 1 year.
Willingness to return for four-weekly routine visits, as well as unscheduled sick visits.
Parental/guardian consent for each participant.
Exclusion Criteria:
Signs of severe malaria: One or more of the following:
Known allergy or history of adverse reaction to chloroquine (CQ), artesunate, azithromycin, erythromycin or atovaquone-proguanil (AP)
Chronic medication with any antibiotic or anti malarial medication
Previous enrollment in this study
Alanine aminotransferase (ALT) more than 5x the upper limit of normal or creatinine greater than 3x the upper limit of normal
Evidence of chronic disease or physical stigmata of severe malnutrition (i.e., loss of muscle mass or subcutaneous tissue, edema, or skin or hair findings consistent with severe malnutrition)
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Blantyre Malaria Project - Ndirande Health Centre | Blantyre | Blantyre | Malawi |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22912697 | Background | Laufer MK, Thesing PC, Dzinjalamala FK, Nyirenda OM, Masonga R, Laurens MB, Stokes-Riner A, Taylor TE, Plowe CV. A longitudinal trial comparing chloroquine as monotherapy or in combination with artesunate, azithromycin or atovaquone-proguanil to treat malaria. PLoS One. 2012;7(8):e42284. doi: 10.1371/journal.pone.0042284. Epub 2012 Aug 17. |
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Children who were brought to the Ndirande Health Centre with symptoms suggestive of malaria were recruited from February 19, 2007 to August 13, 2008.
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| ID | Title | Description |
|---|---|---|
| FG000 | Chloroquine Plus Artesunate | Participants receive chloroquine (CQ) at 10 mg/kg on days 0 and 1, and 5 mg/kg/day on day 2; plus Artesunate at a dose of 4 mg/kg once a day for 3 days. |
| FG001 | Chloroquine Plus Atovaquone-Proguanil | Participants receive CQ at 10 mg/kg on days 0 and 1, and 5 mg/kg/day on day 2; plus Atovaquone-Proguanil (AP) once a day for 3 days dosed as follows: 5-8 kg, 2 pediatric tablet (PT, 62.5 mg/25mg); 9-10 kg, 3 PT; 11-20 kg, 1 full strength tablet (FST, 250mg/100 mg); 21-30 kg 2 FST; >30 kg, 3 FST. |
| FG002 | CQ Plus Azithromycin | Participants receive CQ at 10 mg/kg on days 0 and 1, and 5 mg/kg/day on day 2; plus Azithromycin 30 mg/kg once a day for 3 days. |
| FG003 | CQ Monotherapy | Participants receive CQ at 10 mg/kg on days 0 and 1, and 5 mg/kg/day on day 2. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | Chloroquine Plus Artesunate | Participants receive chloroquine (CQ) at 10 mg/kg on days 0 and 1, and 5 mg/kg/day on day 2; plus Artesunate at a dose of 4 mg/kg once a day for 3 days. |
| BG001 | Chloroquine Plus Atovaquone-Proguanil |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Clinical Malaria Episodes Per Year of Follow-up | Clinical malaria episode was defined as at least one symptom of malaria and a positive malaria smear. The number of clinical malaria episodes (not including the initial malaria episode) reported by participants during follow up is presented as the number per Person Years at Risk (PYAR). | The intention to treat (ITT) population was used for the primary outcome. | Posted | Number | Episodes per PYAR | 1 year |
|
Participants were evaluated for adverse events every four weeks through one year after enrollment.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Chloroquine Plus Artesunate | Participants receive chloroquine (CQ) at 10 mg/kg on days 0 and 1, and 5 mg/kg/day on day 2; plus Artesunate at a dose of 4 mg/kg once a day for 3 days. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA (11.0) | Non-systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Haemorrhagic anaemia | Blood and lymphatic system disorders | MedDRA (12.0) | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Christopher Plowe, MD, MPH | Malaria Section, Center for Vaccine Development, University of Maryland School of Medicine | 410-706-2491 | cplowe@medicine.umaryland.edu |
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| ID | Term |
|---|---|
| D008288 | Malaria |
| D016778 | Malaria, Falciparum |
| ID | Term |
|---|---|
| D011528 | Protozoan Infections |
| D010272 | Parasitic Diseases |
| D007239 | Infections |
| D000096724 | Mosquito-Borne Diseases |
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| ID | Term |
|---|---|
| C109496 | atovaquone, proguanil drug combination |
| D000077332 | Artesunate |
| D017963 | Azithromycin |
| D002738 | Chloroquine |
| ID | Term |
|---|---|
| D037621 | Artemisinins |
| D017382 | Reactive Oxygen Species |
| D005609 | Free Radicals |
| D007287 | Inorganic Chemicals |
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| Artesunate | Drug | Artesunate: 4mg/kg once a day for 3 days, 50 mg tablet |
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| Azithromycin | Drug | Azithromycin 30 mg/kg once a day for 3 days, 200 mg/5cc suspension |
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| Chloroquine | Drug | Chloroquine: 10 mg/kg on days 0 and 1, 5 mg/kg/day on day 2, 100 mg tablet. |
|
| Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment Arm | Adequate clinical and parasitologic response (ACPR) was defined as the absence of parasitemia at Day 28 and without previously meeting any of the criteria of early treatment or late clinical failure. | Day 28 of first subsequent malaria episode (Episode 1) |
| Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment Arm | Adequate clinical and parasitologic response (ACPR) was defined as the absence of parasitemia at Day 28 and without previously meeting any of the criteria of early treatment or late clinical failure. | Day 28 of second subsequent malaria episode (Episode 2) |
| Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment Arm | Adequate clinical and parasitologic response (ACPR) was defined as the absence of parasitemia at Day 28 and without previously meeting any of the criteria of early treatment or late clinical failure. | Day 28 of third subsequent malaria episode (Episode 3) |
| Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment Arm | Adequate clinical and parasitologic response (ACPR) was defined as the absence of parasitemia at Day 28 and without previously meeting any of the criteria of early treatment or late clinical failure. | Day 28 of fourth subsequent malaria episode (Episode 4) |
| Number of Cases of Severe Malaria in Each Treatment Arm | A case of severe malaria included one or more of the following: Hemoglobin ≤5 g/dL; prostration; respiratory distress; bleeding; recent seizures, coma or obtundation (Blantyre coma score < 5); inability to drink, or persistent vomiting. All cases were then adjudicated by a panel of investigators prior to analysis. | 1 Year |
| Mean Hemoglobin at the Last Study Visit in Each Treatment Arm for the Age Group of Participants 3 Years of Age or Younger. | Hemoglobin values were assessed from blood collected at the last study visit at one year after enrollment. Group means are stratified by participants 3 years of age and under, and over 3 to 5 years of age. | 1 year |
| Mean Hemoglobin at the Last Study Visit in Each Treatment Arm for the Age Group of Participants Greater Than 3 Years to 5 Years of Age. | Hemoglobin values were assessed from blood collected at the last study visit at one year after enrollment. Group means are stratified by participants 3 years of age and under, and over 3 to 5 years of age. | 1 year |
| Mean Creatinine in Each Treatment Arm (Renal Function) | Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. | Day 0 of initial malaria episode (Episode 0) |
| Mean Creatinine in Each Treatment Arm (Renal Function) | Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. | Day 14 of initial malaria episode (Episode 0) |
| Mean Creatinine in Each Treatment Arm (Renal Function) | Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. | Day 0 of first subsequent malaria episode (Episode 1) |
| Mean Creatinine in Each Treatment Arm (Renal Function) | Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. | Day 14 of first subsequent malaria episode (Episode 1) |
| Mean Creatinine in Each Treatment Arm (Renal Function) | Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. | Day 0 of second subsequent malaria episode (Episode 2) |
| Mean Creatinine in Each Treatment Arm (Renal Function) | Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. | Day 14 of second subsequent malaria episode (Episode 2) |
| Mean Creatinine in Each Treatment Arm (Renal Function) | Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. | Day 0 of third subsequent malaria episode (Episode 3) |
| Mean Creatinine in Each Treatment Arm (Renal Function) | Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. | Day 14 of third subsequent malaria episode (Episode 3) |
| Mean Creatinine in Each Treatment Arm (Renal Function) | Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. | Day 0 of fourth subsequent malaria episode (Episode 4) |
| Mean Creatinine in Each Treatment Arm (Renal Function) | Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. | Day 14 of fourth subsequent malaria episode (Episode 4) |
| Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function) | ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. | Day 0 of initial malaria episode (Episode 0) |
| Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function) | ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. | Day 14 of initial malaria episode (Episode 0) |
| Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function) | ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. | Day 0 of first subsequent malaria episode (Episode 1) |
| Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function) | ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. | Day 14 of first subsequent malaria episode (Episode 1) |
| Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function) | ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. | Day 0 of second subsequent malaria episode (Episode 2) |
| Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function) | ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. | Day 14 of second subsequent malaria episode (Episode 2) |
| Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function) | ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. | Day 0 of third subsequent malaria episode (Episode 3) |
| Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function) | ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. | Day 14 of third subsequent malaria episode (Episode 3) |
| Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function) | ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. | Day 0 of fourth subsequent malaria episode (Episode 4) |
| Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function) | ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. | Day 14 of fourth subsequent malaria episode (Episode 4) |
| Number of Participants in Each Treatment Arm Who Change From "Normal" to "Abnormal" on Any Questions of the Neurological Examination | A basic age-appropriate neurological examination was conducted on Day 28 of each malaria illness episode and also at Days 112 and 224, and at 1 year. Subjects were were counted as a "change from 'normal' to 'abnormal' " if they had the 'normal' (or not-applicable) response for the initial day 28 exam and an 'abnormal' response at their last exam. If a subject did not have an exam at 1 year then the last available exam that was not associated with an illness episode (either Day 112 or 224) was used. | 1 Year |
| Number of Participants Infected With Parasites With the Mutation Pfcrt 76T on Day 0 of the Initial Episode of Malaria | The presence of parasites with the mutation pfCRT 76T was measured with filter paper specimens collected at the time of enrollment and with successful parasite DNA amplification using pyrosequencing. | Day 0 of initial episode of malaria |
| Number of Participants Infected With Parasites With the Mutation Pfcrt 76T at Recrudescent Episodes of Malaria | Participants were enrolled in the study at the time of the initial episode of malaria. If the participant presented with a subsequent episode of malaria at any time during the one year of follow-up, the presence of parasites with the mutation pfCRT 76T was measured with filter paper specimens collected at the time of enrollment and with successful parasite DNA amplification using pyrosequencing. | Recrudescent episodes of malaria within one year of enrollment |
| Number of Participants With New and Recrudescent Malaria Infections After Initial Treatment | Participants were enrolled at the time of initial malaria episode and treated. Subsequent to treatment, subjects were monitored for the occurrence of new and recrudescent malaria infections, which were distinguished by analysis of the infecting parasites using merozoite surface protein-2 polymorphic gene length variation. | 28 days to 1 year |
| Number of Participants With New and Recrudescent Infections After Subsequent New Episodes | Participants were enrolled at the time of initial malaria episode and treated. Subsequent to treatment, participants who subsequently suffered new malaria episodes were monitored for the additional occurrence of new and recrudescent malaria infections, which were distinguished by analysis of the infecting parasites using merozoite surface protein-2 polymorphic gene length variation. | Day 28 to 1 year |
| Time to First Malaria Episode in Participants Who Travelled and Slept Outside the City Versus Those Who Did Not Travel and Sleep Outside the City. | The cumulative hazard of having a malaria attack within one year for those participants who travelled and slept in rural areas (outside the city) versus those who did not was calculated and is presented as a life table to display the number of subjects at risk, the number with first clinical episode and the number censored at each time point. Participants are right-censored at the time of first malaria episode. Participants who did not develop malaria during follow-up or were lost to follow-up were censored at the time of their last visit. | Days 0 - 420 |
| Nearest Neighbor Index as a Measure of Spatial Pattern of the Distribution of Malaria Cases in Ndirande | The Global Positioning System (GPS) was used to establish the coordinates of participants' homes. The distribution of these coordinates was analyzed for evidence of clustering, or occurring closer together than would be expected on the basis of chance. Nearest Neighbor Index is a ratio of the observed mean distance over the expected mean distance. If the index is less than 1, the pattern exhibits clustering. If the index is greater than 1, the trend is toward dispersion. | 1 year |
| Pharmacokinetics of Chloroquine Represented by Time of Maximal Concentration (Tmax) and Chloroquine Half-life | 1727 non-zero concentration measurements from 479 participants were pooled and used for population pharmacokinetic modeling in Monolix413s. Compartmental population pharmacokinetic modeling was used due to highly sparse data. The model was parameterized in terms of absorption rate constant for chloroquine (Ka), apparent clearance for chloroquine (CL/F, with F as the unknown oral bioavailability), apparent volume of distribution of the central and peripheral compartments for chloroquine (Vd/F), and the inter-compartmental clearance for chloroquine (Q/F). Only these primary population pharmacokinetic parameters could be estimated using the type of data collected. The best-fit population PK model was then used to estimate individual parameter estimates to derive Tmax and half-life. | Day 0 - Day 28 |
| Pharmacokinetics of Chloroquine Represented by Maximum Concentration (Cmax) | 1727 non-zero concentration measurements from 479 participants were pooled and used for population pharmacokinetic modeling in Monolix413s. Compartmental population pharmacokinetic modeling was used due to highly sparse data. The model was parameterized in terms of absorption rate constant for chloroquine (Ka), apparent clearance for chloroquine (CL/F, with F as the unknown oral bioavailability), apparent volume of distribution of the central and peripheral compartments for chloroquine (Vd/F), and the inter-compartmental clearance for chloroquine (Q/F). Only these primary population pharmacokinetic parameters could be estimated using the type of data collected. The best-fit population PK model was then used to estimate individual parameter estimates to derive Cmax in nanograms per milliliter (ng/mL). | Day 0 - Day 28 |
Participants receive CQ at 10 mg/kg on days 0 and 1, and 5 mg/kg/day on day 2; plus Atovaquone-Proguanil (AP) once a day for 3 days dosed as follows: 5-8 kg, 2 pediatric tablet (PT, 62.5 mg/25mg); 9-10 kg, 3 PT; 11-20 kg, 1 full strength tablet (FST, 250mg/100 mg); 21-30 kg 2 FST; >30 kg, 3 FST.
| BG002 | CQ Plus Azithromycin | Participants receive CQ at 10 mg/kg on days 0 and 1, and 5 mg/kg/day on day 2; plus Azithromycin 30 mg/kg once a day for 3 days. |
| BG003 | CQ Monotherapy | Participants receive CQ at 10 mg/kg on days 0 and 1, and 5 mg/kg/day on day 2. |
| BG004 | Total | Total of all reporting groups |
| Participants |
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| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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Participants receive CQ at 10 mg/kg on days 0 and 1, and 5 mg/kg/day on day 2; plus Atovaquone-Proguanil (AP) once a day for 3 days dosed as follows: 5-8 kg, 2 pediatric tablet (PT, 62.5 mg/25mg); 9-10 kg, 3 PT; 11-20 kg, 1 full strength tablet (FST, 250mg/100 mg); 21-30 kg 2 FST; >30 kg, 3 FST. |
| OG002 | CQ Plus Azithromycin | Participants receive CQ at 10 mg/kg on days 0 and 1, and 5 mg/kg/day on day 2; plus Azithromycin 30 mg/kg once a day for 3 days. |
| OG003 | CQ Monotherapy | Participants receive CQ at 10 mg/kg on days 0 and 1, and 5 mg/kg/day on day 2. |
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| Secondary | Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment Arm | Adequate clinical and parasitologic response (ACPR) was defined as the absence of parasitemia at Day 28 and without previously meeting any of the criteria of early treatment or late clinical failure. | This analysis was per protocol, which excludes participants who did not have p. falciparum or who did not receive all 3 doses of treatment. | Posted | Number | Participants | Day 28 of initial malaria episode (Episode 0) |
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| Secondary | Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment Arm | Adequate clinical and parasitologic response (ACPR) was defined as the absence of parasitemia at Day 28 and without previously meeting any of the criteria of early treatment or late clinical failure. | This analysis was per protocol, which includes participants who had at least 1 subsequent malaria episode, but excludes participants who did if that episode was not caused by p. falciparum or if the participant did not receive all 3 doses of treatment for the first subsequent episode. | Posted | Number | Participants | Day 28 of first subsequent malaria episode (Episode 1) |
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| Secondary | Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment Arm | Adequate clinical and parasitologic response (ACPR) was defined as the absence of parasitemia at Day 28 and without previously meeting any of the criteria of early treatment or late clinical failure. | This analysis was per protocol, which which includes participants who had at least 2 subsequent malaria episodes, but excludes participants if the second episode was not caused by p. falciparum or if the participant did not receive all 3 doses of treatment for the second episode. | Posted | Number | Participants | Day 28 of second subsequent malaria episode (Episode 2) |
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| Secondary | Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment Arm | Adequate clinical and parasitologic response (ACPR) was defined as the absence of parasitemia at Day 28 and without previously meeting any of the criteria of early treatment or late clinical failure. | This analysis was per protocol, which includes participants who had at least 3 subsequent malaria episodes, but excludes participants if the third episode was not caused by p. falciparum or if the participant did not receive all 3 doses of treatment for the third episode. | Posted | Number | Participants | Day 28 of third subsequent malaria episode (Episode 3) |
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| Secondary | Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment Arm | Adequate clinical and parasitologic response (ACPR) was defined as the absence of parasitemia at Day 28 and without previously meeting any of the criteria of early treatment or late clinical failure. | This analysis was per protocol, which includes participants who had 4 subsequent malaria episodes, but excludes participants if the fourth episode was not caused by p. falciparum or if the participant did not receive all 3 doses of treatment for the fourth episode. | Posted | Number | Participants | Day 28 of fourth subsequent malaria episode (Episode 4) |
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| Secondary | Number of Cases of Severe Malaria in Each Treatment Arm | A case of severe malaria included one or more of the following: Hemoglobin ≤5 g/dL; prostration; respiratory distress; bleeding; recent seizures, coma or obtundation (Blantyre coma score < 5); inability to drink, or persistent vomiting. All cases were then adjudicated by a panel of investigators prior to analysis. | The safety cohort includes all participants. | Posted | Number | Cases of severe malaria | 1 Year |
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| Secondary | Mean Hemoglobin at the Last Study Visit in Each Treatment Arm for the Age Group of Participants 3 Years of Age or Younger. | Hemoglobin values were assessed from blood collected at the last study visit at one year after enrollment. Group means are stratified by participants 3 years of age and under, and over 3 to 5 years of age. | The safety population includes all participants. The number of participants is limited to those who attended the final 1-year visit. | Posted | Mean | 95% Confidence Interval | Grams/Deciliter | 1 year |
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| Secondary | Mean Hemoglobin at the Last Study Visit in Each Treatment Arm for the Age Group of Participants Greater Than 3 Years to 5 Years of Age. | Hemoglobin values were assessed from blood collected at the last study visit at one year after enrollment. Group means are stratified by participants 3 years of age and under, and over 3 to 5 years of age. | The safety population includes all participants. The number of participants is limited to those who attended the final 1-year visit. | Posted | Mean | 95% Confidence Interval | Grams/Deciliter | 1 year |
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| Secondary | Mean Creatinine in Each Treatment Arm (Renal Function) | Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. | The safety population includes all participants who have laboratory results reported at the time point for the episode. | Posted | Mean | 95% Confidence Interval | Micromole/Liter | Day 0 of initial malaria episode (Episode 0) |
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| Secondary | Mean Creatinine in Each Treatment Arm (Renal Function) | Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. | The safety population includes all participants who have laboratory results reported at the time point for the episode. | Posted | Mean | 95% Confidence Interval | Micromole/Liter | Day 14 of initial malaria episode (Episode 0) |
|
|
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| Secondary | Mean Creatinine in Each Treatment Arm (Renal Function) | Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. | The safety population includes all participants who have laboratory results reported at the time point for the episode. | Posted | Mean | 95% Confidence Interval | Micromole/Liter | Day 0 of first subsequent malaria episode (Episode 1) |
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|
|
| Secondary | Mean Creatinine in Each Treatment Arm (Renal Function) | Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. | The safety population includes all participants who have laboratory results reported at the time point for the episode. | Posted | Mean | 95% Confidence Interval | Micromole/Liter | Day 14 of first subsequent malaria episode (Episode 1) |
|
|
|
| Secondary | Mean Creatinine in Each Treatment Arm (Renal Function) | Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. | The safety population includes all participants who have laboratory results reported at the time point for the episode. | Posted | Mean | 95% Confidence Interval | Micromole/Liter | Day 0 of second subsequent malaria episode (Episode 2) |
|
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|
| Secondary | Mean Creatinine in Each Treatment Arm (Renal Function) | Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. | The safety population includes all participants who have laboratory results reported at the time point for the episode. | Posted | Mean | 95% Confidence Interval | Micromole/Liter | Day 14 of second subsequent malaria episode (Episode 2) |
|
|
|
| Secondary | Mean Creatinine in Each Treatment Arm (Renal Function) | Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. | The safety population includes all participants who have laboratory results reported at the time point for the episode. | Posted | Mean | 95% Confidence Interval | Micromole/Liter | Day 0 of third subsequent malaria episode (Episode 3) |
|
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|
| Secondary | Mean Creatinine in Each Treatment Arm (Renal Function) | Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. | The safety population includes all participants who have laboratory results reported at the time point for the episode. | Posted | Mean | 95% Confidence Interval | Micromole/Liter | Day 14 of third subsequent malaria episode (Episode 3) |
|
|
|
| Secondary | Mean Creatinine in Each Treatment Arm (Renal Function) | Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. | The safety population includes all participants who have laboratory results reported at the time point for the episode. | Posted | Mean | 95% Confidence Interval | Micromole/Liter | Day 0 of fourth subsequent malaria episode (Episode 4) |
|
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| Secondary | Mean Creatinine in Each Treatment Arm (Renal Function) | Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. | The safety population includes all participants who have laboratory results reported at the time point for the episode. | Posted | Mean | 95% Confidence Interval | Micromole/Liter | Day 14 of fourth subsequent malaria episode (Episode 4) |
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| Secondary | Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function) | ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. | The safety population includes all participants who have laboratory results reported at the time point for the episode. | Posted | Mean | 95% Confidence Interval | International Units/Liter | Day 0 of initial malaria episode (Episode 0) |
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| Secondary | Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function) | ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. | The safety population includes all participants who have laboratory results reported at the time point for the episode. | Posted | Mean | 95% Confidence Interval | International Units/Liter | Day 14 of initial malaria episode (Episode 0) |
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| Secondary | Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function) | ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. | The safety population includes all participants who have laboratory results reported at the time point for the episode. | Posted | Mean | 95% Confidence Interval | International Units/Liter | Day 0 of first subsequent malaria episode (Episode 1) |
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| Secondary | Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function) | ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. | The safety population includes all participants who have laboratory results reported at the time point for the episode. | Posted | Mean | 95% Confidence Interval | International Units/Liter | Day 14 of first subsequent malaria episode (Episode 1) |
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| Secondary | Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function) | ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. | The safety population includes all participants who have laboratory results reported at the time point for the episode. | Posted | Mean | 95% Confidence Interval | International Units/Liter | Day 0 of second subsequent malaria episode (Episode 2) |
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| Secondary | Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function) | ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. | The safety population includes all participants who have laboratory results reported at the time point for the episode. | Posted | Mean | 95% Confidence Interval | International Units/Liter | Day 14 of second subsequent malaria episode (Episode 2) |
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| Secondary | Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function) | ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. | The safety population includes all participants who have laboratory results reported at the time point for the episode. | Posted | Mean | 95% Confidence Interval | International Units/Liter | Day 0 of third subsequent malaria episode (Episode 3) |
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|
| Secondary | Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function) | ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. | The safety population includes all participants who have laboratory results reported at the time point for the episode. | Posted | Mean | 95% Confidence Interval | International Units/Liter | Day 14 of third subsequent malaria episode (Episode 3) |
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| Secondary | Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function) | ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. | The safety population includes all participants who have laboratory results reported at the time point for the episode. | Posted | Mean | 95% Confidence Interval | International Units/Liter | Day 0 of fourth subsequent malaria episode (Episode 4) |
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| Secondary | Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function) | ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. | The safety population includes all participants who have laboratory results reported at the time point for the episode. | Posted | Mean | 95% Confidence Interval | International Units/Liter | Day 14 of fourth subsequent malaria episode (Episode 4) |
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| Secondary | Number of Participants in Each Treatment Arm Who Change From "Normal" to "Abnormal" on Any Questions of the Neurological Examination | A basic age-appropriate neurological examination was conducted on Day 28 of each malaria illness episode and also at Days 112 and 224, and at 1 year. Subjects were were counted as a "change from 'normal' to 'abnormal' " if they had the 'normal' (or not-applicable) response for the initial day 28 exam and an 'abnormal' response at their last exam. If a subject did not have an exam at 1 year then the last available exam that was not associated with an illness episode (either Day 112 or 224) was used. | Subjects who did not have an initial exam, or who did not have a subsequent exam at a routine visit are excluded. | Posted | Number | Participants | 1 Year |
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| Secondary | Number of Participants Infected With Parasites With the Mutation Pfcrt 76T on Day 0 of the Initial Episode of Malaria | The presence of parasites with the mutation pfCRT 76T was measured with filter paper specimens collected at the time of enrollment and with successful parasite DNA amplification using pyrosequencing. | All participants from whom samples were successfully collected and DNA successfully amplified were included. | Posted | Number | participants | Day 0 of initial episode of malaria |
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| Secondary | Number of Participants Infected With Parasites With the Mutation Pfcrt 76T at Recrudescent Episodes of Malaria | Participants were enrolled in the study at the time of the initial episode of malaria. If the participant presented with a subsequent episode of malaria at any time during the one year of follow-up, the presence of parasites with the mutation pfCRT 76T was measured with filter paper specimens collected at the time of enrollment and with successful parasite DNA amplification using pyrosequencing. | The analysis population is limited to participants who presented with subsequent episodes of malaria from whom samples were successfully collected and DNA successfully amplified. | Posted | Number | participants | Recrudescent episodes of malaria within one year of enrollment |
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| Secondary | Number of Participants With New and Recrudescent Malaria Infections After Initial Treatment | Participants were enrolled at the time of initial malaria episode and treated. Subsequent to treatment, subjects were monitored for the occurrence of new and recrudescent malaria infections, which were distinguished by analysis of the infecting parasites using merozoite surface protein-2 polymorphic gene length variation. | All subjects completing the initial treatment were included in the analysis population. | Posted | Number | participants | 28 days to 1 year |
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| Secondary | Number of Participants With New and Recrudescent Infections After Subsequent New Episodes | Participants were enrolled at the time of initial malaria episode and treated. Subsequent to treatment, participants who subsequently suffered new malaria episodes were monitored for the additional occurrence of new and recrudescent malaria infections, which were distinguished by analysis of the infecting parasites using merozoite surface protein-2 polymorphic gene length variation. | The analysis population is limited to participants who had new episodes of malaria during the follow-up period after treatment. | Posted | Number | participants | Day 28 to 1 year |
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| Secondary | Time to First Malaria Episode in Participants Who Travelled and Slept Outside the City Versus Those Who Did Not Travel and Sleep Outside the City. | The cumulative hazard of having a malaria attack within one year for those participants who travelled and slept in rural areas (outside the city) versus those who did not was calculated and is presented as a life table to display the number of subjects at risk, the number with first clinical episode and the number censored at each time point. Participants are right-censored at the time of first malaria episode. Participants who did not develop malaria during follow-up or were lost to follow-up were censored at the time of their last visit. | Posted | Number | participants | Days 0 - 420 |
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| Secondary | Nearest Neighbor Index as a Measure of Spatial Pattern of the Distribution of Malaria Cases in Ndirande | The Global Positioning System (GPS) was used to establish the coordinates of participants' homes. The distribution of these coordinates was analyzed for evidence of clustering, or occurring closer together than would be expected on the basis of chance. Nearest Neighbor Index is a ratio of the observed mean distance over the expected mean distance. If the index is less than 1, the pattern exhibits clustering. If the index is greater than 1, the trend is toward dispersion. | The analysis included all participants for whom the GPS coordinates of the home were established. | Posted | Number | Index | 1 year |
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| Secondary | Pharmacokinetics of Chloroquine Represented by Time of Maximal Concentration (Tmax) and Chloroquine Half-life | 1727 non-zero concentration measurements from 479 participants were pooled and used for population pharmacokinetic modeling in Monolix413s. Compartmental population pharmacokinetic modeling was used due to highly sparse data. The model was parameterized in terms of absorption rate constant for chloroquine (Ka), apparent clearance for chloroquine (CL/F, with F as the unknown oral bioavailability), apparent volume of distribution of the central and peripheral compartments for chloroquine (Vd/F), and the inter-compartmental clearance for chloroquine (Q/F). Only these primary population pharmacokinetic parameters could be estimated using the type of data collected. The best-fit population PK model was then used to estimate individual parameter estimates to derive Tmax and half-life. | All participants with non-zero concentration measures suitable for pharmacokinetic analysis were included. | Posted | Median | 95% Confidence Interval | Hours | Day 0 - Day 28 |
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| Secondary | Pharmacokinetics of Chloroquine Represented by Maximum Concentration (Cmax) | 1727 non-zero concentration measurements from 479 participants were pooled and used for population pharmacokinetic modeling in Monolix413s. Compartmental population pharmacokinetic modeling was used due to highly sparse data. The model was parameterized in terms of absorption rate constant for chloroquine (Ka), apparent clearance for chloroquine (CL/F, with F as the unknown oral bioavailability), apparent volume of distribution of the central and peripheral compartments for chloroquine (Vd/F), and the inter-compartmental clearance for chloroquine (Q/F). Only these primary population pharmacokinetic parameters could be estimated using the type of data collected. The best-fit population PK model was then used to estimate individual parameter estimates to derive Cmax in nanograms per milliliter (ng/mL). | All participants with non-zero concentration measures suitable for pharmacokinetic analysis were included. | Posted | Median | 95% Confidence Interval | ng/mL chloroquine | Day 0 - Day 28 |
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| 8 |
| 160 |
| 144 |
| 160 |
| EG001 | Chloroquine Plus Atovaquone-Proguanil | Participants receive CQ at 10 mg/kg on days 0 and 1, and 5 mg/kg/day on day 2; plus Atovaquone-Proguanil (AP) once a day for 3 days dosed as follows: 5-8 kg, 2 pediatric tablet (PT, 62.5 mg/25mg); 9-10 kg, 3 PT; 11-20 kg, 1 full strength tablet (FST, 250mg/100 mg); 21-30 kg 2 FST; >30 kg, 3 FST. | 14 | 160 | 140 | 160 |
| EG002 | CQ Plus Azithromycin | Participants receive CQ at 10 mg/kg on days 0 and 1, and 5 mg/kg/day on day 2; plus Azithromycin 30 mg/kg once a day for 3 days. | 7 | 160 | 143 | 160 |
| EG003 | CQ Monotherapy | Participants receive CQ at 10 mg/kg on days 0 and 1, and 5 mg/kg/day on day 2. | 20 | 160 | 145 | 160 |
| Lymphadenitis | Blood and lymphatic system disorders | MedDRA (10.1) | Non-systematic Assessment |
|
| Phimosis | Congenital, familial and genetic disorders | MedDRA (10.1) | Non-systematic Assessment |
|
| Inguinal hernia | Gastrointestinal disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Rectal prolapse | Gastrointestinal disorders | MedDRA (10.1) | Non-systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA (10.1) | Non-systematic Assessment |
|
| Pyrexia | General disorders | MedDRA (8.0) | Non-systematic Assessment |
|
| Abscess | Infections and infestations | MedDRA (11.0) | Non-systematic Assessment |
|
| Cerebral malaria | Infections and infestations | MedDRA (11.0) | Non-systematic Assessment |
|
| Gastroenteritis | Infections and infestations | MedDRA (11.0) | Non-systematic Assessment |
|
| HIV infection | Infections and infestations | MedDRA (11.0) | Non-systematic Assessment |
|
| Malaria | Infections and infestations | MedDRA (11.0) | Non-systematic Assessment |
|
| Pneumonia | Infections and infestations | MedDRA (11.0) | Non-systematic Assessment |
|
| Pneumonia primary atypical | Infections and infestations | MedDRA (11.0) | Non-systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA (10.1) | Non-systematic Assessment |
|
| Viral infection | Infections and infestations | MedDRA (10.1) | Non-systematic Assessment |
|
| Laceration | Injury, poisoning and procedural complications | MedDRA (11.0) | Non-systematic Assessment |
|
| Kwashiorkor | Metabolism and nutrition disorders | MedDRA (11.0) | Non-systematic Assessment |
|
| Malnutrition | Metabolism and nutrition disorders | MedDRA (11.0) | Non-systematic Assessment |
|
| Limb discomfort | Musculoskeletal and connective tissue disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Central nervous system neoplasm | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (11.0) | Non-systematic Assessment |
|
| Encephalopathy | Nervous system disorders | MedDRA (11.0) | Non-systematic Assessment |
|
| Febrile convulsion | Nervous system disorders | MedDRA (10.0) | Non-systematic Assessment |
|
| Elective surgery | Surgical and medical procedures | MedDRA (11.0) | Non-systematic Assessment |
|
| Neutropenia | Blood and lymphatic system disorders | MedDRA (10.1) | Non-systematic Assessment |
|
| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA (11.0) | Non-systematic Assessment |
|
| Conjunctivitis | Eye disorders | MedDRA (11.0) | Non-systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA (11.0) | Non-systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA (11.0) | Non-systematic Assessment |
|
| Stomatitis | Gastrointestinal disorders | MedDRA (11.0) | Non-systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Pyrexia | General disorders | MedDRA (10.1) | Non-systematic Assessment |
|
| Body tinea | Infections and infestations | MedDRA (11.0) | Non-systematic Assessment |
|
| Bronchitis | Infections and infestations | MedDRA (9.0) | Non-systematic Assessment |
|
| Conjunctivitis bacterial | Infections and infestations | MedDRA (10.1) | Non-systematic Assessment |
|
| Dysentery | Infections and infestations | MedDRA (11.0) | Non-systematic Assessment |
|
| Gastroenteritis | Infections and infestations | MedDRA (11.0) | Non-systematic Assessment |
|
| Helminthic infection | Infections and infestations | MedDRA (11.0) | Non-systematic Assessment |
|
| Impetigo | Infections and infestations | MedDRA (10.0) | Non-systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA (11.0) | Non-systematic Assessment |
|
| Oral herpes | Infections and infestations | MedDRA (11.0) | Non-systematic Assessment |
|
| Otitis media | Infections and infestations | MedDRA (12.0) | Non-systematic Assessment |
|
| Parotitis | Infections and infestations | MedDRA (12.0) | Non-systematic Assessment |
|
| Pneumonia | Infections and infestations | MedDRA (10.1) | Non-systematic Assessment |
|
| Tinea capitis | Infections and infestations | MedDRA (11.0) | Non-systematic Assessment |
|
| Varicella | Infections and infestations | MedDRA (10.1) | Non-systematic Assessment |
|
| Excoriation | Injury, poisoning and procedural complications | MedDRA (11.0) | Non-systematic Assessment |
|
| Thermal burn | Injury, poisoning and procedural complications | MedDRA (11.0) | Non-systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA (10.1) | Non-systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (11.0) | Non-systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA (11.0) | Non-systematic Assessment |
|
| Rash papular | Skin and subcutaneous tissue disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Rash pruritic | Skin and subcutaneous tissue disorders | MedDRA (11.1) | Non-systematic Assessment |
|
Not provided
| D000079426 |
| Vector Borne Diseases |
| D009930 |
| Organic Chemicals |
| D012717 | Sesquiterpenes |
| D013729 | Terpenes |
| D006838 | Hydrocarbons |
| D004917 | Erythromycin |
| D018942 | Macrolides |
| D061065 | Polyketides |
| D007783 | Lactones |
| D000634 | Aminoquinolines |
| D011804 | Quinolines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| Recrudescent infections |
|
| Recrudescent infections |
|
| Days 0-27 - Number Censored |
|
| Days 28-55 - Number At Risk |
|
| Days 28-55 - Number with Malaria |
|
| Days 28-55 - Number Censored |
|
| Days 56-83 - Number At Risk |
|
| Days 56-83 - Number with Malaria |
|
| Days 56-83 - Number Censored |
|
| Days 84-111 - Number At Risk |
|
| Days 84-111 - Number with Malaria |
|
| Days 84-111 - Number Censored |
|
| Days 112-139 - Number At Risk |
|
| Days 112-139 - Number with Malaria |
|
| Days 112-139 - Number Censored |
|
| Days 140-167 - Number At Risk |
|
| Days 140-167 - Number with Malaria |
|
| Days 140-167 - Number Censored |
|
| Days 168-195 - Number At Risk |
|
| Days 168-195 - Number with Malaria |
|
| Days 168-195 - Number Censored |
|
| Days 196-223 - Number At Risk |
|
| Days 196-223 - Number with Malaria |
|
| Days 196-223 - Number Censored |
|
| Days 224-251 - Number At Risk |
|
| Days 224-251 - Number with Malaria |
|
| Days 224-251 - Number Censored |
|
| Days 252-279 - Number At Risk |
|
| Days 252-279 - Number with Malaria |
|
| Days 252-279 - Number Censored |
|
| Days 280-307 - Number At Risk |
|
| Days 280-307 - Number with Malaria |
|
| Days 280-307 - Number Censored |
|
| Days 308-335 - Number At Risk |
|
| Days 308-335 - Number with Malaria |
|
| Days 308-335 - Number Censored |
|
| Days 336-363 - Number At Risk |
|
| Days 336-363 - Number with Malaria |
|
| Days 336-363 - Number Censored |
|
| Days 364-391 - Number At Risk |
|
| Days 364-391 - Number with Malaria |
|
| Days 364-391 - Number Censored |
|
| Days 392 - 420 - Number At Risk |
|
| Days 392 - 420 - Number with Malaria |
|
| Days 392 - 420 - Number Censored |
|
| Chloroquine half-life |
|