RecruitingPhase 2NCT07559370

Safety and Efficacy of Imatinib in Combination With Artemether-Lumefantrine for Uncomplicated Malaria

Evaluating the Safety and Efficacy of Imatinib in Combination With Artemether and Lumefantrine for Treatment of Uncomplicated Malaria


Sponsor

Victoria Biomedical Research Institute

Enrollment

1,116 participants

Start Date

Jan 20, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

This study is investigating an innovative approach to treating uncomplicated malaria by adding a drug called Imatinib to the current standard of care, Artemether + Lumefantrine (AL). The researchers hope this combination, known as ALIM, will clear infections faster and stop the spread of drug-resistant parasites that are becoming a major threat in Africa


Eligibility

Min Age: 1 YearMax Age: 55 Years

Inclusion Criteria10

  • Patients diagnosed with symptomatic mild to moderate P. falciparum malaria with a parasite density of >= 5000 parasites/μl
  • Adult male, age 18-55 years old or adult female, age 18-55 years that are post-menopausal, or test negative on a pregnancy test and will be on active birth control through to the end of the follow up period.
  • Provision of informed consent and agrees to hospital admission for 48-72hrs
  • Good health condition other than malaria
  • The patient has not taken anti-malarial drugs in the past 4 weeks
  • Patients diagnosed with symptomatic mild to moderate P. falciparum malaria and a parasite density of >= 5000 parasites/μl
  • Age 12 months to below 18 years
  • Presented by parent or legally accepted representative (LAR) who has consented to the participation of the child in the trial and agrees to hospital admission for 48-72hrs.
  • Hb levels > 5mg/dL
  • Child has not taken anti-malarial drugs in the past 6 weeks.

Exclusion Criteria38

  • Prospective study participant, LAR and/or impartial witness (where applicable) declines to provide informed consent.
  • Symptoms and signs of severe or complicated malaria including:
  • significant confusion or impaired consciousness (including unarousable coma)
  • multiple convulsions (more than two episodes within 24 hours),
  • respiratory distress
  • circulatory collapse (systolic blood pressure <80mm Hg with evidence of impaired perfusion)
  • clinical jaundice plus evidence of other vital organ dysfunction
  • simultaneous infection of unrelated origin
  • Parasite density > 200,000 parasites /μl
  • In the case of female participants: currently pregnant or lactating
  • Other neurological or psychiatric symptoms or disorders
  • Abnormal bleeding
  • Resting heart rate lower than 55 or higher than 100 bpm
  • History of cardiac disease
  • Signs, symptoms and laboratory results of impairment of vital organs such as liver, lungs, kidney and cardiovascular system
  • Abnormal blood chemistry:
  • hemoglobin < 9.0 g/dL in adults or < 5.0 g/dL in children 12 months-18 years
  • WBC not in the range of 4800-10,000/mm3
  • RBC if < 4.0x106/ mm3
  • Platelet < 1.3x105/ mm3
  • ALAT not in the normal range (4 to 36 U / l)
  • ASAT not in the normal range (8 to 33 U / l)
  • Total bilirubin 0.1 to 1.2 mg / 100 ml
  • Serum protein if < 5.5 g/dL
  • Symptoms and signs of infection such as pneumonia, dengue fever, and other viral or bacterial infection.
  • Patients with symptoms of gastrointestinal infections or any sign of malabsorption that may interfere with drug absorption.
  • Concomitant infection by plasmodium species other than P. falciparum
  • Inability to attend/meet study staff on follow up visits
  • Concomitant use of medicines, including:
  • medicines used to treat high cholesterol (such as atorvastatin, lovastatin, simvastatin);
  • medicines used to treat hypertension and heart problems (such as diltiazem, nifedipine, nitrendipine, verapamil, felodipine, amlodipine);
  • medicine used to treat HIV (antiretroviral medicines) including protease inhibitors (such as amprenavir, atazanavir, indinavir, nelfinavir, ritonavir), non-nucleoside reverse transcriptase inhibitors (such as efavirenz, nevirapine);
  • medicines used to treat microbial infections (such as telithromycin, rifampicin, dapsone);
  • medicines used to help you fall asleep: benzodiazepines (such as midazolam, triazolam, diazepam, alprazolam), zaleplon, zolpidem;
  • medicines used to prevent/treat epileptic seizures including barbiturates (such as phenobarbital), carbamazepine or phenytoin;
  • medicines used after organ transplantation and in autoimmune diseases (such as cyclosporin, tacrolimus);
  • nefazodone (used to treat depression);
  • aprepitant (used to treat nausea);

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Interventions

DRUGArtemether/lumefantrine tablets

There is no difference

DRUGArtemether/Lumefantrine + Imatinib Mesylate

There is no difference


Locations(1)

Victoria Biomedical Research Institute

Kisumu, Kenya

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NCT07559370


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