Status:

COMPLETED

Examination of Protective Factors Against Severe Malaria

Lead Sponsor:

National Institute of Allergy and Infectious Diseases (NIAID)

Conditions:

Malaria

Severe Malaria

Eligibility:

All Genders

Up to 10 years

Brief Summary

This study, sponsored by the National Institutes of Health and the University of Bamako in Mali, Africa, will examine factors that may protect against progression of malaria from mild to severe diseas...

Detailed Description

Our previous case-control study (protocol #01-I-N020) established that hemoglobin (Hb) C protects against severe malaria in the Dogon ethnic group of Mali, West Africa. We believe that abnormal displa...

Eligibility Criteria

Inclusion

  • INCLUSION CRITERIA:
  • All malaria patients enrolled in the case-control study will be less than 11 years old.
  • Uncomplicated malaria: Axillary temperature greater than 37.5 degrees Celsius or history of fever, signs and symptoms of malaria (e.g. headache, body aches, malaise), asexual parasite density less than 500,000 per microliter of blood, no criteria of severe malaria (see next paragraph), and no other etiologies of febrile illness (e.g. respiratory tract infection, cellulitis) on clinical examination.
  • Severe malaria: Asexual parasite density greater than or equal to 100,000/uL or parasitemia of any density plus any one of the following: coma (defined as Blantyre coma score less than or equal to 2), convulsions (witnessed by investigator), severe prostration, severe anemia (hemoglobin less than 5 g/dL), respiratory distress, hypoglycemia (serum glucose less than 40 mg/dL), jaundice/icterus, shock (systolic blood pressure less than 50 mmHg, rapid pulse, cool extremities), cessation of eating and drinking, repetitive vomiting.
  • EXCLUSION CRITERIA:
  • Patients who are parasitemic yet are found by clinical examination to have another etiology of febrile illness (e.g., respiratory tract infection, cellulitis) will not be formally enrolled into the protocol, but may be treated for both malaria and their coexisting infection by the study team.

Exclusion

    Key Trial Info

    Start Date :

    August 2 2005

    Trial Type :

    OBSERVATIONAL

    End Date :

    April 16 2009

    Estimated Enrollment :

    4850 Patients enrolled

    Trial Details

    Trial ID

    NCT00342043

    Start Date

    August 2 2005

    End Date

    April 16 2009

    Last Update

    July 2 2017

    Active Locations (1)

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    1

    Malaria Research and Training Center

    Bamako, Mali