At a glance
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Enhancing Immunity to Malaria in Young Children With Effective Chemoprevention
In Brief
A Phase 3 clinical trial evaluating Dihydroartemisinin-piperaquine (DP) and DP Placebo for Malaria. Active but no longer recruiting, targeting 924 participants across 1 site.
Signals
Detailed Summary
The MIC-DroP trial will test the hypothesis that preventing early life blood-stage malaria antigenic exposure with intermittent preventive therapy (IPT) enhances protective immunity to malaria. This study will take advantage of a unique opportunity to study infants born to mothers followed in a NIH-funded randomized controlled trial of novel intermittent preventive therapy in pregnancy (IPTp) regimens (NCT04336189). MIC-DroP will leverage the parent IPTp study to enroll 924 children who will be randomized at 8 weeks of age to receive no intermittent preventive therapy in childhood (IPTc), monthly DP from 8 weeks to 1 year of age, or monthly DP from 8 weeks to 2 years of age, and then follow children to 4 years of age. The primary outcome of this study will be to compare the incidence of malaria from 2 to 4 years of age among children randomized to receive no IPTc, monthly DP for the first year of life, or monthly DP for the first two years of life. Investigators will also leverage this trial to evaluate immune development during early childhood.
Study Details
Timeline
Arms & Interventions
DP given from 8 weeks to 52 weeks of age; DP placebo given from 52 weeks to 104 weeks of age; No IPTc in third and fourth years of follow-up.
DP given from 8 weeks to 104 weeks of age; No IPTc in third and fourth years of follow-up.
DP placebo given from 8 weeks to 104 weeks of age; No IPTc in third and fourth years of follow-up.
Interventions
Duo-Cotecxin 20mg/160mg tabs by Holley-Cotec, Beijing, China Each treatment with DP will consist of half-strength tablets given once a day for 3 consecutive days according to weight-based guidelines.
Placebos will be identical appearance to DP.