Addressing Asymptomatic Plasmodium Reservoirs to Accelerate Malaria Elimination and Eradication in Rwanda.
Addressing Both Naturally Occurring and ACT-induced Plasmodium Reservoirs Using Artemisia Infusions to Accelerate Malaria Elimination and Eradication in Rwanda: A Proof of Concept Randomized Controlled Trial
1 other identifier
interventional
125
0 countries
N/A
Brief Summary
The investigators believe that to effectively achieve malaria elimination in Rwanda, it is critical to target the human reservoirs of Plasmodium falciparum using local and readily available Artemisia tea. Asymptomatic infections detectable by PCR are important reservoirs because they often persist for months and harbor gametocytes, the parasite stage infectious to mosquitoes. Lessons learnt from this study will be of critical importance for health decision makers with regard to potential malaria control. MSc and PhD students will be trained and the impact of this research project will be enormous on the socioeconomic transformation of Rwanda.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Mar 2024
Typical duration for phase_2
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 1, 2023
CompletedFirst Posted
Study publicly available on registry
April 6, 2023
CompletedStudy Start
First participant enrolled
March 1, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 30, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2026
ExpectedOctober 17, 2023
March 1, 2023
2.2 years
March 1, 2023
October 14, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Negative RT-PCR for plasmodium reservoirs
The primary outcome will be negative P. falciparum blood stage infection as detected by RT-qPCR (CT ≥ 40) after 14 days of Artemisia infusion treatment.
14 days
Secondary Outcomes (3)
urea and creatinine
14 days
Liver enzymes; ALT/ AST
14 days
Urine dipstick
14 days
Study Arms (3)
Artemisia Afra
EXPERIMENTALartemisia afra 10g/ day for 14 days
Artemisia Annua
EXPERIMENTALartemisia annua 10g/ day for 14 days
No treatment
NO INTERVENTIONInterventions
Participants will be recruited after completing standard malaria treatment, and those who have a positive qRT-PCR for plasmodium gametocyte reservoirs will be randomly assigned to either artemisia afra tea, or artemisia annua tea or into the control group with no intervention
Eligibility Criteria
You may qualify if:
- Confirmed as asymptomatic reservoir of Plasmodium in the community or after completing standard malaria treatment.
- Leave for at least one month in Rwanda for non-national
- Be between 18 and 65 years of age, and in good general health.
- Not taking any other malaria drug for prevention or treatment.
- Children 5 years and above will be recruited as index cases for household cluster survey.
You may not qualify if:
- Have known hypersensitivity to any ingredients of the test treatment.
- Have participated in any other malaria drug trial or device less than 14 days before.
- History or presence of clinically significant medical, psychiatric, or emotional condition that would compromise the safety of the subject or adherence to the interventional requirements.
- Be pregnant
Contact the study team to confirm eligibility.
Sponsors & Collaborators
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 1, 2023
First Posted
April 6, 2023
Study Start
March 1, 2024
Primary Completion
April 30, 2026
Study Completion (Estimated)
December 31, 2026
Last Updated
October 17, 2023
Record last verified: 2023-03
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, ICF, CSR
- Time Frame
- 36 months
- Access Criteria
- Authorization will be provided by study sponsors
By publication in relevant scientific journals