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Trial · NCT00379821

Chloroquine Alone or in Combination for Malaria in Children in Malawi

NCT00379821, Phase 3, Completed, National Institute of Allergy and Infectious Diseases (NIAID); results first posted 2011-07-27

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Chloroquine Alone or in Combination for Malaria in Children in Malawi. Trials, record NCT00379821. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00379821

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Chloroquine Alone or in Combination for Malaria in Children in Malawi
NCT number
NCT00379821
Status
Completed
Phases
Phase 3
Enrollment
640 participants, actual
Lead sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Conditions
Plasmodium Falciparum Infection
Interventions
Atovaquone-proguanil, Artesunate, Azithromycin, Chloroquine
First posted
2006-09-25
Last updated
2014-08-11
Results first posted
2011-07-27

Source ClinicalTrials.gov

Registered outcomes38

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Clinical Malaria Episodes Per Year of Follow-up1 year
Clinical malaria episode was defined as at least one symptom of malaria and a positive malaria smear. The number of clinical malaria episodes (not including the initial malaria episode) reported by participants during follow up is presented as the number per Person Years at Risk (PYAR).
SecondaryNumber of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment ArmDay 28 of initial malaria episode (Episode 0)Adequate clinical and parasitologic response (ACPR) was defined as the absence of parasitemia at Day 28 and without previously meeting any of the criteria of early treatment or late clinical failure.
SecondaryNumber of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment ArmDay 28 of first subsequent malaria episode (Episode 1)Adequate clinical and parasitologic response (ACPR) was defined as the absence of parasitemia at Day 28 and without previously meeting any of the criteria of early treatment or late clinical failure.
SecondaryNumber of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment ArmDay 28 of second subsequent malaria episode (Episode 2)Adequate clinical and parasitologic response (ACPR) was defined as the absence of parasitemia at Day 28 and without previously meeting any of the criteria of early treatment or late clinical failure.
SecondaryNumber of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment ArmDay 28 of third subsequent malaria episode (Episode 3)Adequate clinical and parasitologic response (ACPR) was defined as the absence of parasitemia at Day 28 and without previously meeting any of the criteria of early treatment or late clinical failure.
SecondaryNumber of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment ArmDay 28 of fourth subsequent malaria episode (Episode 4)Adequate clinical and parasitologic response (ACPR) was defined as the absence of parasitemia at Day 28 and without previously meeting any of the criteria of early treatment or late clinical failure.
SecondaryNumber of Cases of Severe Malaria in Each Treatment Arm1 Year
A case of severe malaria included one or more of the following: Hemoglobin ≤5 g/dL; prostration; respiratory distress; bleeding; recent seizures, coma or obtundation (Blantyre coma score \< 5); inability to drink, or persistent vomiting. All cases were then adjudicated by a panel of investigators prior to analysis.
SecondaryMean Hemoglobin at the Last Study Visit in Each Treatment Arm for the Age Group of Participants 3 Years of Age or Younger.1 year
Hemoglobin values were assessed from blood collected at the last study visit at one year after enrollment. Group means are stratified by participants 3 years of age and under, and over 3 to 5 years of age.
SecondaryMean Hemoglobin at the Last Study Visit in Each Treatment Arm for the Age Group of Participants Greater Than 3 Years to 5 Years of Age.1 year
Hemoglobin values were assessed from blood collected at the last study visit at one year after enrollment. Group means are stratified by participants 3 years of age and under, and over 3 to 5 years of age.
SecondaryMean Creatinine in Each Treatment Arm (Renal Function)Day 0 of initial malaria episode (Episode 0)
Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection.

Outcomes38

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Clinical Malaria Episodes Per Year of Follow-up1 yearThe intention to treat (ITT) population was used for the primary outcome.Episodes per PYARNUMBER
SECONDARYNumber of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment ArmDay 28 of initial malaria episode (Episode 0)This analysis was per protocol, which excludes participants who did not have p. falciparum or who did not receive all 3 doses of treatment.ParticipantsNUMBER
SECONDARYNumber of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment ArmDay 28 of first subsequent malaria episode (Episode 1)
This analysis was per protocol, which includes participants who had at least 1 subsequent malaria episode, but excludes participants who did if that episode was not caused by p. falciparum or if the participant did not receive all 3 doses of treatment for the first subsequent episode.
ParticipantsNUMBER
SECONDARYNumber of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment ArmDay 28 of second subsequent malaria episode (Episode 2)
This analysis was per protocol, which which includes participants who had at least 2 subsequent malaria episodes, but excludes participants if the second episode was not caused by p. falciparum or if the participant did not receive all 3 doses of treatment for the second episode.
ParticipantsNUMBER
SECONDARYNumber of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment ArmDay 28 of third subsequent malaria episode (Episode 3)
This analysis was per protocol, which includes participants who had at least 3 subsequent malaria episodes, but excludes participants if the third episode was not caused by p. falciparum or if the participant did not receive all 3 doses of treatment for the third episode.
ParticipantsNUMBER
SECONDARYNumber of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment ArmDay 28 of fourth subsequent malaria episode (Episode 4)
This analysis was per protocol, which includes participants who had 4 subsequent malaria episodes, but excludes participants if the fourth episode was not caused by p. falciparum or if the participant did not receive all 3 doses of treatment for the fourth episode.
ParticipantsNUMBER
SECONDARYNumber of Cases of Severe Malaria in Each Treatment Arm1 YearThe safety cohort includes all participants.Cases of severe malariaNUMBER
SECONDARYMean Hemoglobin at the Last Study Visit in Each Treatment Arm for the Age Group of Participants 3 Years of Age or Younger.1 yearThe safety population includes all participants. The number of participants is limited to those who attended the final 1-year visit.Grams/DeciliterMEAN
SECONDARYMean Hemoglobin at the Last Study Visit in Each Treatment Arm for the Age Group of Participants Greater Than 3 Years to 5 Years of Age.1 yearThe safety population includes all participants. The number of participants is limited to those who attended the final 1-year visit.Grams/DeciliterMEAN
SECONDARYMean Creatinine in Each Treatment Arm (Renal Function)Day 0 of initial malaria episode (Episode 0)The safety population includes all participants who have laboratory results reported at the time point for the episode.Micromole/LiterMEAN

Results by group235

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Clinical Malaria Episodes Per Year of Follow-upChloroquine Plus Artesunate0.61Episodes per PYAR
Number of Clinical Malaria Episodes Per Year of Follow-upChloroquine Plus Atovaquone-Proguanil0.68Episodes per PYAR
Number of Clinical Malaria Episodes Per Year of Follow-upCQ Plus Azithromycin0.64Episodes per PYAR
Number of Clinical Malaria Episodes Per Year of Follow-upCQ Monotherapy0.59Episodes per PYAR
Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment ArmChloroquine Plus Artesunate143Participants
Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment ArmChloroquine Plus Atovaquone-Proguanil133Participants
Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment ArmCQ Plus Azithromycin137Participants
Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment ArmCQ Monotherapy135Participants
Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment ArmChloroquine Plus Artesunate46Participants
Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment ArmChloroquine Plus Atovaquone-Proguanil42Participants

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDChloroquine Plus Artesunate160
Overall StudySTARTEDChloroquine Plus Atovaquone-Proguanil160
Overall StudySTARTEDCQ Plus Azithromycin160
Overall StudySTARTEDCQ Monotherapy160
Overall StudyCOMPLETEDChloroquine Plus Artesunate87
Overall StudyCOMPLETEDChloroquine Plus Atovaquone-Proguanil71
Overall StudyCOMPLETEDCQ Plus Azithromycin93
Overall StudyCOMPLETEDCQ Monotherapy81
Overall StudyNOT COMPLETEDChloroquine Plus Artesunate73
Overall StudyNOT COMPLETEDChloroquine Plus Atovaquone-Proguanil89

Adverse events216

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherHaemorrhagic anaemiaBlood and lymphatic system disordersChloroquine Plus Artesunate2616032
otherHaemorrhagic anaemiaBlood and lymphatic system disordersChloroquine Plus Atovaquone-Proguanil2816032
otherHaemorrhagic anaemiaBlood and lymphatic system disordersCQ Plus Azithromycin3216036
otherHaemorrhagic anaemiaBlood and lymphatic system disordersCQ Monotherapy3816041
otherNeutropeniaBlood and lymphatic system disordersChloroquine Plus Artesunate11601
otherNeutropeniaBlood and lymphatic system disordersChloroquine Plus Atovaquone-Proguanil41604
otherNeutropeniaBlood and lymphatic system disordersCQ Plus Azithromycin81608
otherNeutropeniaBlood and lymphatic system disordersCQ Monotherapy11601
otherThrombocytopeniaBlood and lymphatic system disordersChloroquine Plus Artesunate1116011
otherThrombocytopeniaBlood and lymphatic system disordersChloroquine Plus Atovaquone-Proguanil61606

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityChloroquine Plus Artesunate
Total, all-cause mortalityChloroquine Plus Atovaquone-Proguanil
Total, all-cause mortalityCQ Plus Azithromycin
Total, all-cause mortalityCQ Monotherapy
Total, other adverse eventsChloroquine Plus Artesunate144160
Total, other adverse eventsChloroquine Plus Atovaquone-Proguanil140160
Total, other adverse eventsCQ Plus Azithromycin143160
Total, other adverse eventsCQ Monotherapy145160
Total, serious adverse eventsChloroquine Plus Artesunate8160
Total, serious adverse eventsChloroquine Plus Atovaquone-Proguanil14160

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
22912697BACKGROUND

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
Chloroquine Plus Atovaquone-Proguanil vs CQ Plus Azithromycin: Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment Arm

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00379821

GET https://conductscience.org/api/trials/v1/NCT00379821/registered?page=2