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Trial · NCT01103063

Evaluate Azithromycin Plus Chloroquine And Sulfadoxine Plus Pyrimethamine Combinations For Intermittent Preventive Treatment Of Falciparum Malaria Infection In Pregnant Women In Africa

NCT01103063, Phase 3, Terminated, Pfizer; results first posted 2014-09-05

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Evaluate Azithromycin Plus Chloroquine And Sulfadoxine Plus Pyrimethamine Combinations For Intermittent Preventive Treatment Of Falciparum Malaria Infection In Pregnant Women In Africa. Trials, record NCT01103063. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01103063

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Trial

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

Title
Evaluate Azithromycin Plus Chloroquine And Sulfadoxine Plus Pyrimethamine Combinations For Intermittent Preventive Treatment Of Falciparum Malaria Infection In Pregnant Women In Africa
NCT number
NCT01103063
Status
Terminated
Phases
Phase 3
Enrollment
2,891 participants, actual
Lead sponsor
Pfizer
Conditions
Intermittent Preventive Treatment In Pregnancy (IPTp)
Interventions
Azithromycin plus chloroquine, sulfadoxine-pyrimethamine
First posted
2010-04-13
Last updated
2015-06-16
Results first posted
2014-09-05
Limitations and caveats
This program was terminated by Pfizer based on the results of the pre-planned interim analysis for this pivotal study. The interim analysis showed no benefit of the study drug (AZCQ) compared to standard of care (SP).

Source ClinicalTrials.gov

Registered outcomes30

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

ListOutcomeTime frameDescription
PrimaryPercentage Participants With Sub-optimal Pregnancy Outcome in Intent-to-Treat (IIT) PopulationApproximately 40 weeks of gestational age
Adverse pregnancy outcomes were defined as live-borne neonate (singleton) with low birth weight (LBW) (\<2,500 g), premature births (\<37 weeks as confirmed by the Ballard score), abortion (≤28 weeks), still birth (\>28 weeks), lost to follow-up prior to termination of pregnancy or delivery, or missing birth weight of the neonates.
SecondaryPercentage of Participants With Sub-optimal Pregnancy Outcome in Efficacy Analyzable Per Protocol (PP) PopulationApproximately 40 weeks of gestational age
Adverse pregnancy outcomes were defined as live-borne neonate (singleton) with LBW (\<2,500g), premature births (\<37 weeks as confirmed by the Ballard score), abortion (≤28 weeks), still birth (\>28 weeks), lost to follow-up prior to termination of pregnancy or delivery, or missing birth weight of the neonates.
SecondaryPercentage of Neonates With LBW (<2500 g) in ITT PopulationApproximately 40 weeks of gestational ageLBW was defined as live birth weight \<2500 g (up to and including 2499 g).
SecondaryPercentage of Neonates With LBW (<2500 g) in Efficacy Analyzable PP PopulationApproximately 40 weeks of gestational ageLBW was defined as live birth weight \<2500 g (up to and including 2499 g).
SecondaryPercentage of Participants With Severe Maternal Anemia (Hemoglobin [Hb] <8 g/dL) at 36-38 Weeks of GestationAt 36-38 weeks of gestation.Severe maternal anemia was defined as Hb \<8 g/dL.
SecondaryPercentage of Participants With Maternal Anemia (Hb <11 g/dL) at 36-38 Weeks of GestationAt 36-38 weeks of gestation.Anemia was defined as Hb \<11 g/dL.
SecondaryPercentage of Participants With Placental Parasitemia at DeliveryApproximately 40 weeks of gestational ageParticipants with placental parasitemia at delivery were diagnosed using Placental blood smear at birth from participants who deliver at hospital.
SecondaryPercentage of Participants With Placental Malaria at Delivery Based on HistologyApproximately 40 weeks of gestational ageParticipants positive for placental malaria at delivery were evaluated based on placental histology.
SecondarySexually Transmitted Infection (STI) Episodes Per ParticipantApproximately 40 weeks of gestational age .
Number of episodes of sexually transmitted infection episodes per participant were noted. The STI's including Treponema pallidum, Neisseria gonorrhoeae, Chlamydia trachomatis, from first dose to delivery (diagnosis was based on clinical presentation and lab results).
SecondaryPercentage of Participants With Sub-optimal Pregnancy Outcome Including Neonatal Death and Congenital MalformationApproximately 40 weeks of gestational age.
Sub-optimal pregnancy outcome including neonatal deaths and congenital malformations, defined as any of the following: live-borne neonate (singleton) with low birth-weight (or LBW for short, defined as live birth weight \<2,500g), premature birth (\<37 weeks), abortion (≤28 weeks), still birth (\>28 weeks), neonatal death, congenital malformation, lost to follow-up prior to termination of pregnancy or delivery, or missing birth weight of the neonates.

Outcomes30

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage Participants With Sub-optimal Pregnancy Outcome in Intent-to-Treat (IIT) PopulationApproximately 40 weeks of gestational age
ITT set was used which consisted of participants who were randomized, received at least one dose of study medication (Day 0 at Visit 1 was considered the first dose of study medication), and who had a single fetus.
Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Sub-optimal Pregnancy Outcome in Efficacy Analyzable Per Protocol (PP) PopulationApproximately 40 weeks of gestational age
Subset of ITT participants: outcome or withdrawal occurred on or before 8/27/2013 (date of study termination), compliant with study medication, birth weight measured on or before 7 days after birth if not already a failure, and did not switch to standard of care.
Percentage of ParticipantsNUMBER
SECONDARYPercentage of Neonates With LBW (<2500 g) in ITT PopulationApproximately 40 weeks of gestational age
ITT set was used which consisted of participants who were randomized, received at least one dose of study medication (Day 0 at Visit 1 was considered the first dose of study medication), and who had a single fetus. N=Total live births.
Percentage of neonatesNUMBER
SECONDARYPercentage of Neonates With LBW (<2500 g) in Efficacy Analyzable PP PopulationApproximately 40 weeks of gestational age
Subset of ITT participants: outcome or withdrawal occurred on or before 8/27/2013 (date of study termination), compliant with study medication, birth weight measured on or before 7 days after birth if not already a failure, and did not switch to standard of care. N=Total Live Births.
Percentage of neonatesNUMBER
SECONDARYPercentage of Participants With Severe Maternal Anemia (Hemoglobin [Hb] <8 g/dL) at 36-38 Weeks of GestationAt 36-38 weeks of gestation.
ITT set was used which consisted of participants who were randomized, received at least one dose of study medication (Day 0 at Visit 1 was considered the first dose of study medication), and who had a single fetus. N=Number of participants with Hb measurement at 36-38 weeks gestation.
Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Maternal Anemia (Hb <11 g/dL) at 36-38 Weeks of GestationAt 36-38 weeks of gestation.
ITT set was used which consisted of participants who were randomized, received at least one dose of study medication (Day 0 at Visit 1 was considered the first dose of study medication), and who had a single fetus. N=Number of participants with Hb measurement at 36-38 weeks gestation.
Percentage of ParticipantsNUMBER
SECONDARYPercentage of Participants With Placental Parasitemia at DeliveryApproximately 40 weeks of gestational age
ITT set was used which consisted of participants who were randomized, received at least one dose of study medication (Day 0 at Visit 1 was considered the first dose of study medication), and who had a single fetus. N=Number of participants with placental parasite counts at delivery.
Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Placental Malaria at Delivery Based on HistologyApproximately 40 weeks of gestational age
ITT set was used which consisted of participants who were randomized, received at least one dose of study medication (Day 0 at Visit 1 was considered the first dose of study medication), and who had a single fetus. N=Number of participants with a histology parasite evaluation at delivery.
Percentage of participantsNUMBER
SECONDARYSexually Transmitted Infection (STI) Episodes Per ParticipantApproximately 40 weeks of gestational age .
ITT set was used which consisted of participants who were randomized, received at least one dose of study medication (Day 0 at Visit 1 was considered the first dose of study medication), and who had a single fetus. N=Number of participants with available data.
Number of episodesLEAST_SQUARES_MEAN
SECONDARYPercentage of Participants With Sub-optimal Pregnancy Outcome Including Neonatal Death and Congenital MalformationApproximately 40 weeks of gestational age.
ITT set was used which consisted of participants who were randomized, received at least one dose of study medication (Day 0 at Visit 1 was considered the first dose of study medication), and who had a single fetus. N=Total Outcomes.
Percentage of participantsNUMBER

Results by group64

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

OutcomeGroupCategoryValueSpreadUnits
Percentage Participants With Sub-optimal Pregnancy Outcome in Intent-to-Treat (IIT) PopulationAzithromycin + Chloroquine26.1695% Confidence Interval 23.89 to 28.43Percentage of participants
Percentage Participants With Sub-optimal Pregnancy Outcome in Intent-to-Treat (IIT) PopulationSulfadoxine + Pyrimethamine23.6795% Confidence Interval 21.48 to 25.86Percentage of participants
Percentage of Participants With Sub-optimal Pregnancy Outcome in Efficacy Analyzable Per Protocol (PP) PopulationAzithromycin + Chloroquine10.3895% Confidence Interval 8.57 to 12.19Percentage of Participants
Percentage of Participants With Sub-optimal Pregnancy Outcome in Efficacy Analyzable Per Protocol (PP) PopulationSulfadoxine + Pyrimethamine10.1295% Confidence Interval 8.40 to 11.84Percentage of Participants
Percentage of Neonates With LBW (<2500 g) in ITT PopulationAzithromycin + Chloroquine5.0195% Confidence Interval 3.74 to 6.28Percentage of neonates
Percentage of Neonates With LBW (<2500 g) in ITT PopulationSulfadoxine + Pyrimethamine5.7295% Confidence Interval 4.40 to 7.04Percentage of neonates
Percentage of Neonates With LBW (<2500 g) in Efficacy Analyzable PP PopulationAzithromycin + Chloroquine4.7295% Confidence Interval 3.43 to 6.01Percentage of neonates
Percentage of Neonates With LBW (<2500 g) in Efficacy Analyzable PP PopulationSulfadoxine + Pyrimethamine5.2195% Confidence Interval 3.92 to 6.50Percentage of neonates
Percentage of Participants With Severe Maternal Anemia (Hemoglobin [Hb] <8 g/dL) at 36-38 Weeks of GestationAzithromycin + Chloroquine1.8095% Confidence Interval 1.05 to 2.55Percentage of participants
Percentage of Participants With Severe Maternal Anemia (Hemoglobin [Hb] <8 g/dL) at 36-38 Weeks of GestationSulfadoxine + Pyrimethamine2.0095% Confidence Interval 1.24 to 2.76Percentage of participants

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDAzithromycin + Chloroquine1,446
Overall StudySTARTEDSulfadoxine + Pyrimethamine1,445
Overall StudyCOMPLETEDAzithromycin + Chloroquine969
Overall StudyCOMPLETEDSulfadoxine + Pyrimethamine1,024
Overall StudyNOT COMPLETEDAzithromycin + Chloroquine477
Overall StudyNOT COMPLETEDSulfadoxine + Pyrimethamine421

Adverse events540

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersMother (Azithromycin + Chloroquine)2051,446
otherAnaemiaBlood and lymphatic system disordersMother (Sulfadoxine + Pyrimethamine)1921,445
otherAnaemiaBlood and lymphatic system disordersNeonate (Azithromycin + Chloroquine)211,149
otherAnaemiaBlood and lymphatic system disordersNeonate (Sulfadoxine + Pyrimethamine)141,196
otherVision blurredEye disordersMother (Azithromycin + Chloroquine)1451,446
otherVision blurredEye disordersMother (Sulfadoxine + Pyrimethamine)11,445
otherVision blurredEye disordersNeonate (Azithromycin + Chloroquine)01,149
otherVision blurredEye disordersNeonate (Sulfadoxine + Pyrimethamine)01,196
otherAbdominal discomfortGastrointestinal disordersMother (Azithromycin + Chloroquine)1231,446
otherAbdominal discomfortGastrointestinal disordersMother (Sulfadoxine + Pyrimethamine)501,445

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityMother (Azithromycin + Chloroquine)
Total, all-cause mortalityMother (Sulfadoxine + Pyrimethamine)
Total, all-cause mortalityNeonate (Azithromycin + Chloroquine)
Total, all-cause mortalityNeonate (Sulfadoxine + Pyrimethamine)
Total, other adverse eventsMother (Azithromycin + Chloroquine)1,1771,446
Total, other adverse eventsMother (Sulfadoxine + Pyrimethamine)8881,445
Total, other adverse eventsNeonate (Azithromycin + Chloroquine)3011,149
Total, other adverse eventsNeonate (Sulfadoxine + Pyrimethamine)3261,196
Total, serious adverse eventsMother (Azithromycin + Chloroquine)651,446
Total, serious adverse eventsMother (Sulfadoxine + Pyrimethamine)421,445

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
27326859DERIVEDPubMed
29566732DERIVEDPubMed

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 comparisons0

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

None in this release.

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/NCT01103063

GET https://conductscience.org/api/trials/v1/NCT01103063/registered?page=2