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A randomized open study to assess the efficacy and tolerability of dihydroartemisinin-piperaquine for the treatment of uncomplicated falciparum malaria in Cambodia.

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dc.contributor Médecins Sans Frontières, Phnom Penh, Cambodia. b.janssens@bigfoot.com
dc.creator Janssens, B
dc.creator Van Herp, M
dc.creator Goubert, L
dc.creator Chan, S
dc.creator Uong, S
dc.creator Nong, S
dc.creator Socheat, D
dc.creator Brockman, A
dc.creator Ashley, E A
dc.creator Van Damme, W
dc.date 2007-02
dc.date.accessioned 2017-01-31T07:09:37Z
dc.date.available 2017-01-31T07:09:37Z
dc.identifier A randomized open study to assess the efficacy and tolerability of dihydroartemisinin-piperaquine for the treatment of uncomplicated falciparum malaria in Cambodia. 2007, 12 (2):251-9 Trop. Med. Int. Health
dc.identifier 1360-2276
dc.identifier 17300633
dc.identifier 10.1111/j.1365-3156.2006.01786.x
dc.identifier http://hdl.handle.net/10144/17743
dc.identifier http://fieldresearch.msf.org/msf/handle/10144/17743
dc.identifier Tropical Medicine & International Health
dc.identifier.uri http://dspace.mediu.edu.my:8181/xmlui/handle/10144/17743
dc.description OBJECTIVES: To compare the efficacy and tolerability of dihydroartemisinin-piperaquine (DHA-PQP) with that of a 3-day regimen of mefloquine and artesunate (MAS3) for the treatment of uncomplicated falciparum malaria in Cambodia. METHOD: Randomized open-label non-inferiority study over 64 days. RESULTS: Four hundred and sixty-four patients were included in the study. The polymerase chain reaction genotyping-adjusted cure rates on day 63 were 97.5% (95% confidence interval, CI, 93.8-99.3) for DHA-PQP and 97.5% (95% CI, 93.8-99.3) for MAS3, P = 1. There were no serious adverse events, but significantly more episodes of vomiting (P = 0.03), dizziness (P = 0.002), palpitations (P = 0.04), and sleep disorders (P = 0.03) reported in the MAS3 treatment group, consistent with the side-effect profile of mefloquine. CONCLUSIONS: DHA-PQP was as efficacious as MAS3, but much better tolerated, making it more appropriate for use in a routine programme setting. This highly efficacious, safe and more affordable fixed-dose combination could become the treatment of choice for Plasmodium falciparum malaria in Cambodia.
dc.language en
dc.publisher Wiley-Blackwell
dc.relation http://www.blackwell-synergy.com/loi/tmi
dc.rights Archived on this site with the kind permission of Wiley-Blackwell
dc.title A randomized open study to assess the efficacy and tolerability of dihydroartemisinin-piperaquine for the treatment of uncomplicated falciparum malaria in Cambodia.


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