OPTImizing Malaria And HIV Treatment in a Shifting Landscape in Africa

ConditionsMalariaHiv
Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age5-17
SponsorYale University

About this trial

A longitudinal study with four parallel cohorts with each participant followed for 2 years: two cohorts in Busia (high malaria transmission site) and two cohorts in Kampala (low malaria transmission). Each site will have a cohort of children living with HIV (CLHIV) and HIV- uninfected children and will be age-matched, enrolled in parallel, and followed for two years. All children will be enrolled without malaria infection, as determined by a negative blood smear at baseline.

Eligibility criteria

Qualifiers

Agreement to come to the clinic for all follow-up evaluations

Provision of informed consent and assent (as appropriate)

Residency within approximately 30 km of the study clinic

Negative blood smear for malaria (all sites)

Disqualifiers

Significant comorbidities such as malignancy, active TB, chronic/active hepatitis B/C, diabetes, severe acute malnutrition, mitochondrial disorders

Receipt of known CYP interacting drugs at enrolment (except HAART) - see list of disallowed medications

Anemia defined by hemocue (Hb < 7.0) at the time of enrolment

Signs of uncomplicated or severe malaria at the time of enrollment

Trial design

Treatments tested in this trial

  • Artemether-lumefantrine (AL)
  • artesunate-amodiaquine (AS-AQ)

Treatment groups

380 Participants
are divided into 4 treatment groups

Sponsors and collaborators

Yale University

Lead sponsor

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Collaborator