An open randomized clinical trial of Artecom vs artesunate-mefloquine in the treatment of acute uncomplicated falciparum malaria in Thailand.
The efficacy and safety of Artecom were assessed in an open randomized trial in adults presenting with acute, uncomplicated Plasmodium falciparum malaria in Thailand. Three hundred and fifty-two patients were randomly enroled at the ratio of 2:1 into group A:B and received Artecom (group A) and the standard combination of artesunate and mefloquine (group B) respectively. All patients had rapid initial clinical and parasitological responses. There were no significant differences in fever clearance time and parasite clearance time between the two groups. The 28-day cure rates were high as 97% in both groups. Artecom was effective and well-tolerated as artesunate-mefloquine, the current treatment in this area of multidrug-resistant P. falciparum malaria.
Wilairatana
P
P
Hospital for Tropical Diseases, Faculty of Tropical Medicine, Mahidol University, Rajthevi, Bangkok, Thailand. dirctm@mahidol.ac.th
Krudsood
S
S
Chalermrut
K
K
Pengruksa
C
C
Srivilairit
S
S
Silachamroon
U
U
Treeprasertsuk
S
S
Looareesuwan
S
S
D000293:Adolescent; D000328:Adult; D000368:Aged; D000962:Antimalarials / Q000627:therapeutic use*; D037621:Artemisinins / Q000627:therapeutic use*; D000077332:Artesunate; D002648:Child; D004338:Drug Combinations; D018432:Drug Resistance, Multiple; D005260:Female; D006801:Humans; D016778:Malaria, Falciparum / Q000188:drug therapy*; D008297:Male; D015767:Mefloquine / Q000627:therapeutic use; D008875:Middle Aged; D011804:Quinolines / Q000627:therapeutic use*; D012717:Sesquiterpenes / Q000627:therapeutic use*; D013785:Thailand; D014295:Trimethoprim / Q000627:therapeutic use*; D010879:Piperazines
D000962:Antimalarials; D037621:Artemisinins; D000077332:Artesunate; D004338:Drug Combinations; D015767:Mefloquine; D011804:Quinolines; D012717:Sesquiterpenes; D014295:Trimethoprim; C039060:artenimol; C034759:piperaquine; D010879:Piperazines