Azithromycin added to standard care for kids with severe malnutrition in Africa
Official title: Azithromycin as adjunctive treatment for uncomplicated severe acute malnutrition: the AMOUR trial
Funded at Washington University · NIH-11625627 · Data updated 2026-11-12
This project tests whether giving azithromycin as an extra antibiotic to young children with uncomplicated severe acute malnutrition improves weight gain and recovery compared with amoxicillin or placebo.
Quick facts
| Grant type | R01 grant |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Washington University NIH-funded |
| Lab location | 1 site (Saint Louis, United States) |
| Project start | June 24, 2026 |
| Project end | November 30, 2028 |
| Funding year | 2026 |
| Award (this year) | $65,932 |
| NIH project number | 3R01HD111532-04S1 |
| Project ID | NIH-11625627 on NIH RePORTER |
Who could benefit from this research
✓Could help
Children with uncomplicated severe acute malnutrition aged up to 11 years in the study region who can be randomized to one of three arms (azithromycin, amoxicillin, or placebo).
✕Less likely to help
Some participants may not experience additional benefits if antibiotics do not improve weight gain or recovery.
What this research studies
The study targets children aged up to 11 years with uncomplicated severe acute malnutrition in sub-Saharan Africa. In a randomized trial, participants will receive either azithromycin, amoxicillin, or placebo, with follow-up to track weight gain, nutritional recovery, and gut microbiome changes. The goal is to see if a one-time or scheduled antibiotic can reduce mortality and improve clinical outcomes in this vulnerable group. The approach builds on prior findings that mass azithromycin reduced child mortality and aims to clarify the best antibiotic strategy for SAM in this setting. Results could inform future guidelines for antibiotic use in SAM to improve child health.
Why it matters
Potential benefit: If successful, the trial could lead to more effective antibiotic strategies that improve growth and survival for children with severe malnutrition.
How similar studies have gone: Prior studies showed mixed results for antibiotics in SAM, with some evidence of benefit from azithromycin in population-level outcomes but equipoise at the individual level.
Where this research is happening
-
Washington University
Saint Louis, United States Active
Researchers
- Principal investigator: Oldenburg, Catherine Elizabeth — Washington University
- Study coordinator: Oldenburg, Catherine Elizabeth
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About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page.