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Efficacy and Safety of a newly registered Artemisinin-Based Combination (Pyronaridine-Artesunate -PYRAMAX®) for the treatment of uncomplicated malaria in African pregnant women - Extended

Project description

New malaria treatment for African pregnant women

The evaluation of a new malaria treatment for pregnant women in Africa has faced delays. The EU-funded PYRAPREG project, which had launched this evaluation, was forced to stop due to the COVID-19 pandemic. Now, the EU-funded PYRAPREG-Extended project seeks to conclude the PYRAPREG study. The extended timeline includes six months for sample analysis, quality control, data cleaning, and statistical analysis, with the final report expected by February 2025. The project will also involve cleaning pharmacokinetic (PK) data, integrating them with clinical efficacy and toxicity data, and conducting nine months of population PK and pharmacodynamic modelling activities. This project will also support the completion of studies for participating students.

Objective

PYRAPREG-extended aims to complete PYRAPREG project (PACTR 202011812241529) that determines efficacy and safety of Pyronaridine-Artesunate (PA) - PYRAMAX®, a newly registered Artemisinin-Based Combination, to treat uncomplicated malaria in African pregnant women, and to provide the necessary information to include this treatment in guidelines for management of malaria during pregnancy. The work includes a one year follow-up of children born to women included in the trial and pharmacokinetic (PK) sub-study. In addition, this project comprises an extensive capacity building component, including the training of PhD students. PYRAPREG activities started 1 March 2019, and were expected to be completed 28 February 2024. Intense site preparations were completed, but just before start of recruitment, COVID-19 pandemic started and significantly delayed trial implementation. Participant recruitment started early 2021 and was completed in 2023, with last delivery expected in Q3 2023. Final 1-year visit of children born to women included in the trial will occur mid-2024. Furthermore, sample analysis for QC, data cleaning and statistical analysis takes another 6 months to completion, allowing final report submission 2 months later (Feb. 2025). PK component was delayed due to late initiation of recruitment for the PK cohorts of patients. Last patient recruitment in the PK cohort is ongoing and PK sampling will finish Q3 2023. Participants follow up continues until all women delivered and all babies have reached the age of 1 year. PK bioanalysis is expected to be finished by February 2024. PK data cleaning and merging with clinical efficacy and toxicity data followed by population PK and pharmacodynamic modelling activities will then be initiated which will take around 9 months, leading up to a PK report by February 2025. PhDs encountered delays: students could not travel for training, and data collection for their studies was delayed and will be completed in PYRYPREG-extended.

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Keywords

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Programme(s)

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Topic(s)

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Funding Scheme

Funding scheme (or “Type of Action”) inside a programme with common features. It specifies: the scope of what is funded; the reimbursement rate; specific evaluation criteria to qualify for funding; and the use of simplified forms of costs like lump sums.

HORIZON-JU-RIA - HORIZON JU Research and Innovation Actions

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Call for proposal

Procedure for inviting applicants to submit project proposals, with the aim of receiving EU funding.

(opens in new window) HORIZON-JU-GH-EDCTP3-2023-01

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Coordinator

STICHTING AMSTERDAM UMC
Net EU contribution

Net EU financial contribution. The sum of money that the participant receives, deducted by the EU contribution to its linked third party. It considers the distribution of the EU financial contribution between direct beneficiaries of the project and other types of participants, like third-party participants.

€ 301 141,25
Total cost

The total costs incurred by this organisation to participate in the project, including direct and indirect costs. This amount is a subset of the overall project budget.

€ 301 141,25

Participants (6)

Partners (1)

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