Efficacy and Safety of Pyronaridine-Artesunate plus Single-Dose Primaquine for the Treatment of Malaria in Western Cambodia

被引:16
作者
Leang, Rithea [1 ]
Khim, Nimol [2 ]
Chea, Huch [1 ]
Huy, Rekol [1 ]
Mairet-Khedim, Melissa [2 ]
Bouth, Denis Mey [3 ]
Bustos, Maria Dorina [4 ]
Ringwald, Pascal [5 ]
Witkowski, Benoit [2 ]
机构
[1] Natl Ctr Parasitol Entomol & Malaria Control, Phnom Penh, Cambodia
[2] Inst Pasteur Cambodia, Phnom Penh, Cambodia
[3] WHO, Phnom Penh, Cambodia
[4] WHO, Bangkok, Thailand
[5] WHO, Geneva, Switzerland
基金
比尔及梅琳达.盖茨基金会;
关键词
Cambodia; Plasmodium falciparum; Plasmodium vivax; antimalarial agents; artemisinin; drug resistance; malaria; pyronaridine-artesunate; PLASMODIUM-FALCIPARUM MALARIA; ARTEMISININ; PIPERAQUINE; RESISTANCE;
D O I
10.1128/AAC.01273-19
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
This single-arm trial (n = 104) in western Cambodia showed high efficacy for 3-day treatment with pyronaridine-artesunate plus single-dose primaquine in Plasmodium falciparum malaria. Day 42 PCR-adjusted adequate clinical and parasitological response (ACPR) was 98.3% (58/59) (95% confidence interval [CI], 90.9 to 100.0) in Trapeng Chau in Kampong Speu and 100% (41/41) (95% CI, 91.4 to 100) in Veal Veng in Pursat; 80.6% (83/103) of the patients had P. falciparum with drug resistance molecular markers. For Plasmodium vivax malaria, pyronaridine-artesunate day 28 ACPR was 98.3% (59/60) (95% CI, 91.1 to 100) and 100% (60/60) (95% CI, 94.0 to 100), respectively.
引用
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页数:5
相关论文
共 17 条
  • [1] Dihydroartemisinin-piperaquine resistance in Plasmodium falciparum malaria in Cambodia: a multisite prospective cohort study
    Amaratunga, Chanaki
    Lim, Pharath
    Suon, Seila
    Sreng, Sokunthea
    Mao, Sivanna
    Sopha, Chantha
    Sam, Baramey
    Dek, Dalin
    Try, Vorleak
    Amato, Roberto
    Blessborn, Daniel
    Song, Lijiang
    Tullo, Gregory S.
    Fay, Michael P.
    Anderson, Jennifer M.
    Tarning, Joel
    Fairhurst, Rick M.
    [J]. LANCET INFECTIOUS DISEASES, 2016, 16 (03) : 357 - 365
  • [2] [Anonymous], 2007, Methods and techniques for clinical trials on antimalarial drug efficacy: genotyping to identify parasite populations
  • [3] A molecular marker of artemisinin-resistant Plasmodium falciparum malaria
    Ariey, Frederic
    Witkowski, Benoit
    Amaratunga, Chanaki
    Beghain, Johann
    Langlois, Anne-Claire
    Khim, Nimol
    Kim, Saorin
    Duru, Valentine
    Bouchier, Christiane
    Ma, Laurence
    Lim, Pharath
    Leang, Rithea
    Duong, Socheat
    Sreng, Sokunthea
    Suon, Seila
    Chuor, Char Meng
    Bout, Denis Mey
    Menard, Sandie
    Rogers, William O.
    Genton, Blaise
    Fandeur, Thierry
    Miotto, Olivo
    Ringwald, Pascal
    Le Bras, Jacques
    Berry, Antoine
    Barale, Jean-Christophe
    Fairhurst, Rick M.
    Benoit-Vical, Franoise
    Mercereau-Puijalon, Odile
    Menard, Didier
    [J]. NATURE, 2014, 505 (7481) : 50 - +
  • [4] Surveillance of the efficacy of artesunate and mefloquine combination for the treatment of uncomplicated falciparum malaria in Cambodia
    Denis, Mey Bouth
    Tsuyuoka, Reiko
    Poravuth, Yi
    Narann, Top Sophoan
    Seila, Suon
    Lim, Chim
    Incardona, Sandra
    Lim, Pharath
    Sem, Rithy
    Socheat, Duong
    Christophel, Eva Maria
    Ringwald, Pascal
    [J]. TROPICAL MEDICINE & INTERNATIONAL HEALTH, 2006, 11 (09) : 1360 - 1366
  • [5] The tolerability of single low dose primaquine in glucose-6-phosphate deficient and normal falciparum-infected Cambodians
    Dysoley, Lek
    Kim, Saorin
    Lopes, Sergio
    Khim, Nimol
    Bjorges, Steven
    Top, Samphornarann
    Huch, Chea
    Rekol, Huy
    Westercamp, Nelli
    Fukuda, Mark M.
    Hwang, Jimee
    Roca-Feltrer, Arantxa
    Mukaka, Mavuto
    Menard, Didier
    Taylor, Walter R.
    [J]. BMC INFECTIOUS DISEASES, 2019, 19 (1)
  • [6] Leang R, 2019, ANTIMICROB AGENTS CH, V63, DOI [10.1128/AAC.02242-18, 10.1128/aac.02242-18]
  • [7] Efficacy and Safety of Pyronaridine-Artesunate for Treatment of Uncomplicated Plasmodium falciparum Malaria in Western Cambodia
    Leang, Rithea
    Canavati, Sara E.
    Khim, Nimol
    Vestergaard, Lasse S.
    Fuhrer, Isabelle Borghini
    Kim, Saorin
    Denis, Mey Bouth
    Heng, Pisal
    Tol, Bunkea
    Huy, Rekol
    Duparc, Stephan
    Dondorp, Arjen M.
    Menard, Didier
    Ringwald, Pascal
    [J]. ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2016, 60 (07) : 3884 - 3890
  • [8] Evidence of Plasmodium falciparum Malaria Multidrug Resistance to Artemisinin and Piperaquine in Western Cambodia: Dihydroartemisinin-Piperaquine Open-Label Multicenter Clinical Assessment
    Leang, Rithea
    Taylor, Walter R. J.
    Bouth, Denis Mey
    Song, Lijiang
    Tarning, Joel
    Char, Meng Chuor
    Kim, Saorin
    Witkowski, Benoit
    Duru, Valentine
    Domergue, Anais
    Khim, Nimol
    Ringwald, Pascal
    Menard, Didier
    [J]. ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2015, 59 (08) : 4719 - 4726
  • [9] Gametocyte Carriage, Antimalarial Use, and Drug Resistance in Cambodia, 2008-2014
    Lin, Jessica T.
    Patel, Jaymin C.
    Levitz, Lauren
    Wojnarski, Mariusz
    Chaorattanakawee, Suwanna
    Gosi, Panita
    Buathong, Nillawan
    Chann, Soklyda
    Huy, Rekol
    Thay, Khengheng
    Sea, Darapiseth
    Samon, Nou
    Takala-Harrison, Shannon
    Fukuda, Mark
    Smith, Philip
    Spring, Michele
    Saunders, David
    Lon, Chanthap
    [J]. AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE, 2018, 99 (05) : 1145 - 1149
  • [10] Single dose primaquine to reduce gametocyte carriage and Plasmodium falciparum transmission in Cambodia: An open-label randomized trial
    Lin, Jessica T.
    Lon, Chanthap
    Spring, Michele D.
    Sok, Somethy
    Chann, Soklyda
    Ittiverakul, Mali
    Kuntawunginn, Worachet
    My, Mok
    Thay, Kheangheng
    Rahman, Rifat
    Balasubramanian, Sujata
    Char, Mengchuor
    Lanteri, Charlotte A.
    Gosi, Panita
    Ubalee, Ratawan
    Meshnick, Steven R.
    Saunders, David L.
    [J]. PLOS ONE, 2017, 12 (06):