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CTRI Number  CTRI/2009/091/000434 [Registered on: 21/08/2009]
Last Modified On: 24/02/2015
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study
Modification(s)  
Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study
Modification(s)  
A clinical trial to study the effects of artesunate - lumefantrine combination and artemether - lumefatrine combination in the treatment of uncomplicated Plasmodium falciparum malaria.  
Scientific Title of Study
Modification(s)  
Comparative evaluation of efficacy and safety of artesunate-lumefantrine vs. artemether-lumefantrine fixed dose combination in the treatment of uncomplicated Plasmodium falciparum malaria.  
Trial Acronym   
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
Ipca/ALFD/PIII-07 Version no. 2, Version date: 05/05/2009  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name   
Designation   
Affiliation   
Address 




 
Phone    
Fax    
Email    
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Anil Pareek 
Designation  President 
Affiliation  Ipca Laboratories Limited 
Address  Medical Affairs & Clinical Research
142-AB, Kandivli Industrial Estate
Mumbai
MAHARASHTRA
400067
India 
Phone  022-66474641  
Fax  022-28686954  
Email  anil.pareek@ipca.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Nitin Chandurkar 
Designation  General Manager 
Affiliation  Ipca Laboratories Ltd.,Mumbai 
Address  Clinical Research & Development
Plot No. 47, Kandivli Industrial Estate, Kandivli (W)
Mumbai
MAHARASHTRA
400067
India 
Phone  022-61112318  
Fax  022-28686954  
Email  nitin.chandurkar@ipca.com  
 
Source of Monetary or Material Support
Modification(s)  
Ipca Laboratories Ltd.,Mumbai 
 
Primary Sponsor
Modification(s)  
Name  Ipca Laboratories Limited 
Address  142-AB, Kandivli Industrial Estate, Kandivli (W), Mumbai - 400 067. 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor
Modification(s)  
Name  Address 
NIL   
 
Countries of Recruitment
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  India  
Sites of Study
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No of Sites = 6  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr P B Gupta  Government Medical College & New Civil Hospital, Surat  Department of Medicine, New Civil Hospital, Majura Gate Surat-395001
Surat
GUJARAT 
9426854798

drpbgupta@gmail.com 
Dr P S Karmakar  Institute of Post Graduate Medical Education & Research  4th floor Room No 2 Department of Medicine, Institute of Post Graduate Medical Education & Research and SSKM Hospital 244 AJC Bose Road Kolkata 700 020
Kolkata
WEST BENGAL 
09332002930

parthamed@yahoo.co.in 
Dr Sangeeta Pednekar  LTMMC & MGH, Mumbai  Department of Medicine, LTMMC and LTMGH, Sion,Mumbai-400022
Mumbai
MAHARASHTRA 
9821577430

sjpednekar@hotmail.com 
Dr Nilay Suthar  Sheth Vadilal Sarabhai General Hospital  Department of Medicine, Paldi Road Near Town Hall, Ellis Bridge,-380006
Ahmadabad
GUJARAT 
09825295840

nilay_suthar@yahoo.com 
Dr Jitendra Lakhani  Smt. B. K. Shah Medical College & Dhiraj General Hospital  Department of Medicine, At and PO Piparia,Tal. Waghodia Dist. Vadodara,-391760
Vadodara
GUJARAT 
09974009181

jitendralakhani@doctor.com 
Dr Vipul Srivastav  Surat Municipal Institute of Medical Education & Research  Ground Floor OPD Room No 1 Department of Medicine, SMIMER, Nr. Sahara Darwaja, Opp Bombay Market Umarwada,395010
Surat
GUJARAT 
09426891924

vipul_srivastav@yahoo.co.in 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 6  
Name of Committee  Approval Status 
Human Research Ethics Committee, GMC, Surat  Approved 
Institutional Ethics Committee, Institute of Post Graduate Medical Education & Research  Approved 
Institutional Ethics Committee, Surat Municipal Institute of Medical Education & Research  Approved 
LTMMC & MGH, Staff and Research Society  Approved 
Sheth VS General Hospital (Ethical Committee)  Approved 
Sumandeep Vidyapeeth University Institutional Ethics Committee For Human Research  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
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Health Type  Condition 
Patients  Uncomplicated Plasmodium falciparum malaria,  
 
Intervention / Comparator Agent
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Type  Name  Details 
Comparator Agent  Artemether-Lumefantrine (Fixed-dose Combination Tablet)  1 tablet at 0 hr, 8 hr, 24 hr, 36 hr, 48 hr and 60 hr 
Intervention  Artesunate-Lumefantrine (Fixed-dose combination tablet)  1 tablet at 0 hr, 8 hr, 24 hr, 36 hr, 48 hr and 60 hr 
 
Inclusion Criteria
Modification(s)  
Age From   
Age To   
Gender   
Details  1. Male and female patients with age between 18 to 65 years 2. Patients clinically diagnosed of uncomplicated Plasmodium falciparum malaria with a diagnosis confirmed by positive blood smear with asexual forms of P. falciparum (parasite count between 1000 and 100,000 asexual parasites/µL of blood) 3. Patients with axillary temperature >/= 37.5 °C and/or history of fever during past 24 hours 4. Patients with clinical signs and symptoms of malaria 5. Patients with satisfactory medical assessment with no clinically significant or relevant abnormalities except for study related disease condition. 
 
ExclusionCriteria 
Details  1. Patients with severe malaria as per WHO criteria
2. Patients with febrile disease other than malaria
3. Patients with mixed malarial infection
4. Patients with abnormal heart function including history of QTc prolongation
5. Patients receiving any concomitant medication which may interact with study drugs
6. Patients who had taken full course of antimalarials within previous 3 days
7. Patients with known history of hypersensitivity to any of the study related drugs
8. Pregnant or lactating women
9. Women of child bearing potential 
 
Method of Generating Random Sequence
Modification(s)  
Computer generated randomization 
Method of Concealment
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Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking
Modification(s)  
Double Blind Double Dummy 
Primary Outcome
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Outcome  TimePoints 
Adequate Clinical and Parasitological Response  Day 28 
 
Secondary Outcome
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Outcome  TimePoints 
Parasite Clearance Time  Day 1, Day 2 and Day 3 
Fever Clearance Time  Day 1, Day 2 and Day 3 
 
Target Sample Size
Modification(s)  
Total Sample Size="176"
Sample Size from India="176" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial
Modification(s)  
Phase 3 
Date of First Enrollment (India)
Modification(s)  
30/07/2009 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial
Modification(s)  
Years="2"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
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Tropical Medicine and International Health 2013;8(5):578-587 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
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This study is a randomised, double blind, parallel group, multicentre trial comparing the safety and efficacy of artesunate 100 mg + lumefantrine 480 mg with artemether 80 mg + lumefantrine 480 mg in the treatment of Indian patients with uncomplicated Plasmodium falciparum malaria. The patients will be hospitalized for 4 days. The follow up period is of 28 days. 
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