Evaluation of Potential Effect of Artemether - Lumefantrine and Malaria Drugs on Auditory Function
An Open-label, Randomized, Single-center, Parallel Group Study of the Effects of Artemether-lumefantrine (Coartem®) Atovaquone-proguanil (Malarone®) and Artesunate-mefloquine on Auditory Function Following the Treatment of Acute Uncomplicated Plasmodium Falciparum Malaria in Patients 12 Years of Age or Older
Percentage of Participants With Auditory Abnormalities at Day 7 Assessed by Auditory Brainstem Response (ABR) Wave III Latency Changes on Day 7(a Type of Hearing Test)
To demonstrate the safety of artemether-lumefantrine after 3 days of treatment in patients with acute, uncomplicated falciparum malaria by testing the null hypothesis that the rate of auditory abnormalities is ≥ 15% in the population treated with artemether-lumefantrine as assessed by ABR at Day 7 following initiation of treatment compared with their baseline values. An "auditory nerve abnormality" is here defined as a greater than 0.30 ms change in Wave III latency from baseline to Day 7. Exact Pearson-Clopper two-sided 95% confidence limits were constructed for all three treatment groups.
7 days
Secondary Outcomes (3)
Auditory Changes Following 3 Days of Treatment at Days 3, 7, 28, and 42 Days as Assessed by Pure Tone Thresholds Assessments (a Type of Hearing Test)
Baseline (Day 1), 3, 7, 28 and Day 42
Study Arms (3)
Artemether-lumefantrine (Coartem)
EXPERIMENTAL
Artemether-lumefantrine (Coartem) tablets containing 20 mg artemether and 120 mg lumefantrine twice a day for 3 days, dosage dependent on body weight.
Drug: Artemether-lumefantrine
Atovaquone-proguanil (Malarone)
ACTIVE COMPARATOR
Atovaquone-proguanil (Malarone) tablets containing 250 mg atovaquone and 100 mg proguanil hydrochloride once daily for 3 days, dosage dependent on body weight.
Drug: Atovaquone-proguanil
Artesunate-mefloquine
ACTIVE COMPARATOR
Artesunate-mefloquine tablets containing 50 mg artesunate (Plasmotrim) and 250 mg mefloquine (Mephaquin). Artesunate 4 mg/kg/day (for 3 days) and mefloquine 25 mg/kg/day (days 2 and 3) total dose was given once daily dependent upon body weight.
Interventions
Artesunate-mefloquineDrug
Also known as: Plasmotrim, Mephaquin
Artesunate-mefloquine
Atovaquone-proguanilDrug
Also known as: Malarone
Atovaquone-proguanil (Malarone)
Eligibility Criteria
Age12 Years+
Sexall
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Relationship Between Changes in Auditory Function and Treatment Groups
From Baseline to Day 7
Efficacy of Polymerase Chain Reaction (PCR) Adjusted Malaria Cure Rates of the Three Treatment Regimens at Days 14, 28 and 42
Days 14, 28 and 42
Drug: Artesunate-mefloquine
Artemether-lumefantrineDrug
Also known as: Coartem
Artemether-lumefantrine (Coartem)
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
P. falciparum parasitemia between 1,000 and 100,000 parasites/μl
History of fever or presence of fever (temperature ≥ 37.5°C)
You may not qualify if:
Signs/symptoms of severe/complicated malaria
Ingestion of various antimalarial drugs, or antibiotics in the previous 2 weeks to 2 months
History of any drug-related hearing impairment
Abnormal hearing function at study entry
Exposure to sustained loud noises, by self-report, within the past 24 hours
Present ear problems
Pregnant or lactating (urine test for β-HCG) to be performed on any woman of child bearing age)
Contact the study team to confirm eligibility.
Heterocyclic Compounds, Fused-Ring
Heterocyclic Compounds
Artemether
Artemisinins
Reactive Oxygen Species
Free Radicals
Inorganic Chemicals
Organic Chemicals
Lumefantrine
Fluorenes
Polycyclic Aromatic Hydrocarbons
Hydrocarbons, Aromatic
Hydrocarbons, Cyclic
Hydrocarbons
Sesquiterpenes
Terpenes
Polycyclic Compounds
Drug Combinations
Pharmaceutical Preparations
Primary Completion
November 2008
Actual (reported)
Study Completion
November 2008
Actual (reported)
Last Updated
April 5, 2011
Results First Posted
March 16, 2011
Record last verified: 2011-04
Source record
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Source: ClinicalTrials.gov.
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