drugset / Trial / NCT05951595

A Study to Find Out if a Combination of 3 Medicines for the Treatment of Malaria Works as Well and is as Safe and Tolerable as Combinations of 2 Medicines

NCT05951595

Phase 3 Recruiting 1680 enrolled University of Oxford
RandomizedParallel-groupOpen-labelTreatment

Summary

The goal of this open-label randomised, controlled, non-inferiority trial is to assess and compare the efficacy, tolerability and safety of a fixed dose TACT artemether-lumefantrine-amodiaquine (ALAQ) to the ACTs artemether-lumefantrine (AL), artesunate-amodiaquine (ASAQ) (with single low-dose primaquine in some sites) for the treatment of uncomplicated Plasmodium falciparum malaria in patient. The main question it aims to answer is whether ALAQ, a fixed dose TACT, is as efficacious, safe and tolerable in comparison with AL and ASAQ. Participants will be enrolled, admitted and randomised to receive the study drug (ALAQ, AL or ASAQ). Patients will receive directly observed treatments and will be followed up at least once daily for the first 3 days after enrolment followed by weekly visits from D7 up to D42. Patients will be asked to report to the clinics between scheduled visits in case of any illness or other symptoms or complaints.

Timeline

Start
2025-09-11
Primary completion
2026-07-31
Completion
2026-07-31

Drugs

EvaluationDrugModalityDoseRoute
Subject Artemether Small molecule 20 mg
Subject Artemether Small molecule 50 mg
Subject Artemether Small molecule 60 mg
Subject Artemether Small molecule 80 mg
Comparator Artesunate Small molecule 25 mg
Comparator Artesunate Small molecule 100 mg
Subject amodiaquine Other / unclassified 40 mg
Subject amodiaquine Other / unclassified 67.5 mg
Subject amodiaquine Other / unclassified 100 mg
Subject amodiaquine Other / unclassified 120 mg
Subject amodiaquine Other / unclassified 270 mg
Subject lumefantrine Small molecule 120 mg
Subject lumefantrine Small molecule 300 mg
Subject lumefantrine Small molecule 360 mg
Subject lumefantrine Small molecule 480 mg