About this trial
Malaria remains a major cause of pediatric deaths and morbidity in Africa. An affordable malaria vaccine, R21, is being deployed in Uganda and other African countries with high malaria transmission, but efficacy is incomplete and wanes rapidly, and R21 does not provide protection until infants complete the primary vaccination series, or \~9 months of age. The goal of this study is to see whether combining R21 vaccination with two novel perennial malaria chemoprevention regimens can enhance protection against malaria compared with R21 alone. This study will take place at Masafu General Hospital (MGH) in Busia District, a rural area in Southeastern Uganda bordering Lake Victoria.
Eligibility criteria
Qualifiers
Residency in Busia District, Uganda
Provision of informed consent by the parent/guardian for her child
Agreement to come to the study clinic for any febrile episode or other illness and avoid, where possible, medications given outside the study protocol
Disqualifiers
Intention of permanently moving outside Busia district during the study period
Active medical problem requiring inpatient evaluation or chronic medical condition requiring frequent medical attention at the time of screening
Evidence of sickle cell disease (Hemoglobin SS genotype)
Biological mother known to be HIV positive
Trial design
Treatments tested in this trial
- Sulfadoxine pyrimethamine + Amodiaquine
- Dihydroartemisinin Piperaquine
- Dihydroartemisinin Piperaquine Placebo
- Sulfadoxine pyrimethamine + Amodiaquine placebo
Treatment groups
Locations
1Map coordinates are unavailable for these locations. Locations are shown below instead.
Sponsors and collaborators
Stanford University
Lead sponsor
University of California, San Francisco
Collaborator
Infectious Diseases Research Collaboration, Uganda
Collaborator
National Institute of Allergy and Infectious Diseases (NIAID)
Collaborator