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(PDF) Good efficacy of artemether-lumefantrine for uncomplicated falciparum malaria in eastern Sumba, East Nusatenggara, Indonesia | Ferdinand Laihad - Academia.edu
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No treatment failures occurred up to day 35. One subject had recurrent parasitemia on day 42 that showed a genotype consistent with recrudescence. The efficacy of this therapy was thus estimated to be 98.3% (95% confidence interval=95%-100%). Descriptive analysis was done using the SPSS 12 computer software. two hundred and thirteen P. falciparum patients met the inclusion criteria for in vivo efficacy study, 79 were given artemether-lumefantrine and 134 were treated under another protocol with artesunate-amodiaquine or sulfadoxine-pyrimethamine. Among 79 eligible...","author":[{"@context":"https://schema.org","@type":"Person","name":"Ferdinand Laihad"}],"contributor":[],"dateCreated":"2015-07-30","dateModified":null,"datePublished":"2012-01-01","headline":"Good efficacy of artemether-lumefantrine for uncomplicated falciparum malaria in eastern Sumba, East Nusatenggara, Indonesia","inLanguage":"en","keywords":["Indonesia","Humans","Recurrence","Clinical Sciences","Pyrimethamine","Sulfadoxine","Time Factors","Plasmodium falciparum","Antimalarials","Amodiaquine"],"locationCreated":null,"publication":"Acta medica Indonesiana","publisher":{"@context":"https://schema.org","@type":"Organization","name":null},"image":null,"thumbnailUrl":null,"url":"https://www.academia.edu/14520357/Good_efficacy_of_artemether_lumefantrine_for_uncomplicated_falciparum_malaria_in_eastern_Sumba_East_Nusatenggara_Indonesia","sourceOrganization":[{"@context":"https://schema.org","@type":"EducationalOrganization","name":null}]}</script><link 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"https://www.academia.edu/login?post_login_redirect_url=https%3A%2F%2Fwww.academia.edu%2F14520357%2FGood_efficacy_of_artemether_lumefantrine_for_uncomplicated_falciparum_malaria_in_eastern_Sumba_East_Nusatenggara_Indonesia%3Fauto%3Ddownload"; window.loswp.translateUrl = "https://www.academia.edu/login?post_login_redirect_url=https%3A%2F%2Fwww.academia.edu%2F14520357%2FGood_efficacy_of_artemether_lumefantrine_for_uncomplicated_falciparum_malaria_in_eastern_Sumba_East_Nusatenggara_Indonesia%3Fshow_translation%3Dtrue"; window.loswp.previewableAttachments = [{"id":44095612,"identifier":"Attachment_44095612","shouldShowBulkDownload":false}]; window.loswp.shouldDetectTimezone = true; window.loswp.shouldShowBulkDownload = true; window.loswp.showSignupCaptcha = false window.loswp.willEdgeCache = false; window.loswp.work = {"work":{"id":14520357,"created_at":"2015-07-30T18:07:17.684-07:00","from_world_paper_id":140302743,"updated_at":"2021-01-13T20:41:30.065-08:00","_data":{"abstract":"to evaluate the safety and efficacy of a fixed combination of artemether-lumefantrine for likely use against failures of the artesunate-amodiaquine first line therapy. the study was an open label single arm uncontrolled trial. we evaluated the safety and efficacy of standard artemether-lumefantrine therapy in 59 subjects with uncomplicated malaria caused by Plasmodium falciparum on the island of Sumba in eastern Indonesia. No treatment failures occurred up to day 35. One subject had recurrent parasitemia on day 42 that showed a genotype consistent with recrudescence. The efficacy of this therapy was thus estimated to be 98.3% (95% confidence interval=95%-100%). Descriptive analysis was done using the SPSS 12 computer software. two hundred and thirteen P. falciparum patients met the inclusion criteria for in vivo efficacy study, 79 were given artemether-lumefantrine and 134 were treated under another protocol with artesunate-amodiaquine or sulfadoxine-pyrimethamine. Among 79 eligible...","publication_date":"2012,,","publication_name":"Acta medica Indonesiana"},"document_type":"paper","pre_hit_view_count_baseline":null,"quality":"high","language":"en","title":"Good efficacy of artemether-lumefantrine for uncomplicated falciparum malaria in eastern Sumba, East Nusatenggara, Indonesia","broadcastable":false,"draft":null,"has_indexable_attachment":true,"indexable":true}}["work"]; window.loswp.workCoauthors = [33474565]; window.loswp.locale = "en"; window.loswp.countryCode = "SG"; window.loswp.cwvAbTestBucket = ""; window.loswp.designVariant = "ds_vanilla"; window.loswp.fullPageMobileSutdModalVariant = "control"; window.loswp.useOptimizedScribd4genScript = false; window.loswp.appleClientId = 'edu.academia.applesignon';</script><script defer="" src="https://accounts.google.com/gsi/client"></script><div class="ds-loswp-container"><div class="ds-work-card--grid-container"><div class="ds-work-card--container js-loswp-work-card"><div class="ds-work-card--cover"><div class="ds-work-cover--wrapper"><div class="ds-work-cover--container"><button class="ds-work-cover--clickable js-swp-download-button" data-signup-modal="{"location":"swp-splash-paper-cover","attachmentId":44095612,"attachmentType":"pdf"}"><img alt="First page of “Good efficacy of artemether-lumefantrine for uncomplicated falciparum malaria in eastern Sumba, East Nusatenggara, Indonesia”" class="ds-work-cover--cover-thumbnail" src="https://0.academia-photos.com/attachment_thumbnails/44095612/mini_magick20190215-3511-afzyyk.png?1550223832" /><img alt="PDF Icon" class="ds-work-cover--file-icon" src="//a.academia-assets.com/assets/single_work_splash/adobe.icon-574afd46eb6b03a77a153a647fb47e30546f9215c0ee6a25df597a779717f9ef.svg" /><div class="ds-work-cover--hover-container"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span><p>Download Free PDF</p></div><div class="ds-work-cover--ribbon-container">Download Free PDF</div><div class="ds-work-cover--ribbon-triangle"></div></button></div></div></div><div class="ds-work-card--work-information"><h1 class="ds-work-card--work-title">Good efficacy of artemether-lumefantrine for uncomplicated falciparum malaria in eastern Sumba, East Nusatenggara, Indonesia</h1><div class="ds-work-card--work-authors ds-work-card--detail"><a class="ds-work-card--author js-wsj-grid-card-author ds2-5-body-md ds2-5-body-link" data-author-id="33474565" href="https://independent.academia.edu/FerdinandLaihad"><img alt="Profile image of Ferdinand Laihad" class="ds-work-card--author-avatar" src="//a.academia-assets.com/images/s65_no_pic.png" />Ferdinand Laihad</a></div><div class="ds-work-card--detail"><p class="ds-work-card--detail ds2-5-body-sm">2012, Acta medica Indonesiana</p></div><p class="ds-work-card--work-abstract ds-work-card--detail ds2-5-body-md">to evaluate the safety and efficacy of a fixed combination of artemether-lumefantrine for likely use against failures of the artesunate-amodiaquine first line therapy. the study was an open label single arm uncontrolled trial. we evaluated the safety and efficacy of standard artemether-lumefantrine therapy in 59 subjects with uncomplicated malaria caused by Plasmodium falciparum on the island of Sumba in eastern Indonesia. No treatment failures occurred up to day 35. One subject had recurrent parasitemia on day 42 that showed a genotype consistent with recrudescence. The efficacy of this therapy was thus estimated to be 98.3% (95% confidence interval=95%-100%). Descriptive analysis was done using the SPSS 12 computer software. two hundred and thirteen P. falciparum patients met the inclusion criteria for in vivo efficacy study, 79 were given artemether-lumefantrine and 134 were treated under another protocol with artesunate-amodiaquine or sulfadoxine-pyrimethamine. Among 79 eligible...</p><div class="ds-work-card--button-container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{"location":"continue-reading-button--work-card","attachmentId":44095612,"attachmentType":"pdf","workUrl":"https://www.academia.edu/14520357/Good_efficacy_of_artemether_lumefantrine_for_uncomplicated_falciparum_malaria_in_eastern_Sumba_East_Nusatenggara_Indonesia"}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{"location":"download-pdf-button--work-card","attachmentId":44095612,"attachmentType":"pdf","workUrl":"https://www.academia.edu/14520357/Good_efficacy_of_artemether_lumefantrine_for_uncomplicated_falciparum_malaria_in_eastern_Sumba_East_Nusatenggara_Indonesia"}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div></div><div data-auto_select="false" data-client_id="331998490334-rsn3chp12mbkiqhl6e7lu2q0mlbu0f1b" data-doc_id="44095612" data-landing_url="https://www.academia.edu/14520357/Good_efficacy_of_artemether_lumefantrine_for_uncomplicated_falciparum_malaria_in_eastern_Sumba_East_Nusatenggara_Indonesia" data-login_uri="https://www.academia.edu/registrations/google_one_tap" data-moment_callback="onGoogleOneTapEvent" id="g_id_onload"></div><div class="ds-top-related-works--grid-container"><div class="ds-related-content--container ds-top-related-works--container"><h2 class="ds-related-content--heading">Related papers</h2><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="0" data-entity-id="4496944" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/4496944/Therapeutic_efficacy_of_artemether_lumefantrine_in_uncomplicated_falciparum_malaria_in_India">Therapeutic efficacy of artemether-lumefantrine in uncomplicated falciparum malaria in India</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="5575108" href="https://lse.academia.edu/vasdev">vas dev</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Malaria Journal, 2009</p><p class="ds-related-work--abstract ds2-5-body-sm">Background Artemisinin-based combination therapy (ACT) is the treatment of choice for uncomplicated falciparum malaria. Artemether-lumefantrine (AL), a fixed dose co-formulation, has recently been approved for marketing in India, although it is not included in the National Drug Policy for treatment of malaria. Efficacy of short course regimen (4 × 4 tablets of 20 mg artemether plus 120 mg lumefantrine over 48 h) was demonstrated in India in the year 2000. However, low cure rates in Thailand and better plasma lumefantrine concentration profile with a six-dose regimen over three days, led to the recommendation of higher dose globally. This is the first report on the therapeutic efficacy of the six-dose regimen of AL in Indian uncomplicated falciparum malaria patients. The data generated will help in keeping the alternative ACT ready for use in the National Programme as and when required. Methods One hundred and twenty four subjects between two and fifty-five years of age living in two highly endemic areas of the country (Assam and Orissa) were enrolled for single arm, open label prospective study. The standard six-dose regimen of AL was administered over three days and was followed-up with clinical and parasitological evaluations over 28 days. Molecular markers msp - 1 and msp -2 were used to differentiate the recrudescence and reinfection among the study subjects. In addition, polymorphism in pfmdr 1 was also carried out in the samples obtained from patients before and after the treatment. Results The PCR corrected cure rates were high at both the sites viz. 100% (n = 53) in Assam and 98.6% (n = 71) in Orissa. The only treatment failure case on D7 was a malnourished child. The drug was well tolerated with no adverse events. Patients had pre-treatment carriage of wild type codons at positions 86 (41.7%, n = 91) and 184 (91.3%, n = 91) of pfmdr1 gene. Conclusion AL is safe and effective drug for the treatment of acute uncomplicated falciparum malaria in India. The polymorphism in pfmdr 1 gene is not co-related with clinical outcome. However, treatment failure can also occur due to incomplete absorption of the drug as is suspected in one case of failure at D7 in the study. AL can be a viable alternative of artesunate plus sulphadoxine/pyrimethamine (AS + SP), however, the drug should be used rationally and efficacy needs to be monitored periodically.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Therapeutic efficacy of artemether-lumefantrine in uncomplicated falciparum malaria in India","attachmentId":49822259,"attachmentType":"pdf","work_url":"https://www.academia.edu/4496944/Therapeutic_efficacy_of_artemether_lumefantrine_in_uncomplicated_falciparum_malaria_in_India","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/4496944/Therapeutic_efficacy_of_artemether_lumefantrine_in_uncomplicated_falciparum_malaria_in_India"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="1" data-entity-id="54238645" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/54238645/Open_label_trial_on_efficacy_of_artemether_lumefantrine_against_the_uncomplicated_em_Plasmodium_falciparum_em_malaria_in_Metema_district_Northwestern_Ethiopia">Open-label trial on efficacy of artemether/lumefantrine against the uncomplicated <em>Plasmodium falciparum</em> malaria in Metema district, Northwestern Ethiopia</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="33913255" href="https://independent.academia.edu/AshenafiAssefa1">Ashenafi Assefa</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Therapeutics and Clinical Risk Management, 2016</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Open-label trial on efficacy of artemether/lumefantrine against the uncomplicated \u003cem\u003ePlasmodium falciparum\u003c/em\u003e malaria in Metema district, Northwestern Ethiopia","attachmentId":70698211,"attachmentType":"pdf","work_url":"https://www.academia.edu/54238645/Open_label_trial_on_efficacy_of_artemether_lumefantrine_against_the_uncomplicated_em_Plasmodium_falciparum_em_malaria_in_Metema_district_Northwestern_Ethiopia","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/54238645/Open_label_trial_on_efficacy_of_artemether_lumefantrine_against_the_uncomplicated_em_Plasmodium_falciparum_em_malaria_in_Metema_district_Northwestern_Ethiopia"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="2" data-entity-id="78229232" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/78229232/In_vivo_efficacy_of_artemether_lumefantrine_against_uncomplicated_Plasmodium_falciparum_malaria_in_Central_Ethiopia">In vivo efficacy of artemether-lumefantrine against uncomplicated Plasmodium falciparum malaria in Central Ethiopia</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="40453251" href="https://independent.academia.edu/JimeeHwang">Jimee Hwang</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Malaria Journal, 2011</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"In vivo efficacy of artemether-lumefantrine against uncomplicated Plasmodium falciparum malaria in Central Ethiopia","attachmentId":85349001,"attachmentType":"pdf","work_url":"https://www.academia.edu/78229232/In_vivo_efficacy_of_artemether_lumefantrine_against_uncomplicated_Plasmodium_falciparum_malaria_in_Central_Ethiopia","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/78229232/In_vivo_efficacy_of_artemether_lumefantrine_against_uncomplicated_Plasmodium_falciparum_malaria_in_Central_Ethiopia"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="3" data-entity-id="69215059" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/69215059/Therapeutic_efficacy_of_artemether_lumefantrine_for_the_treatment_of_uncomplicated_Plasmodium_falciparum_malaria_in_four_malaria_endemic_states_of_India">Therapeutic efficacy of artemether-lumefantrine for the treatment of uncomplicated Plasmodium falciparum malaria in four malaria endemic states of India</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="3263847" href="https://asst.academia.edu/SuyeshShrivastava">Suyesh Shrivastava</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Malaria Journal, 2021</p><p class="ds-related-work--abstract ds2-5-body-sm">Background Malaria is a major public health problem in India and accounts for about 88% of malaria burden in South-East Asia. India alone accounted for 2% of total malaria cases globally. Anti-malarial drug resistance is one of the major problems for malaria control and elimination programme. Artemether-lumefantrine (AL) is the first-line treatment of uncomplicated Plasmodium falciparum in north eastern states of India since 2013 after confirming the resistance against sulfadoxine-pyrimethamine. In the present study, therapeutic efficacy of artemether-lumefantrine and k13 polymorphism was assessed in uncomplicated P. falciparum malaria. Methods This study was conducted at four community health centres located in Koraput district of Odisha, Bastar district of Chhattisgarh, Balaghat district of Madhya Pradesh and Gondia district of Maharashtra state. Patients with uncomplicated P. falciparum malaria were administered with fixed dose combination (6 doses) of artemether-lumefantrine for...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Therapeutic efficacy of artemether-lumefantrine for the treatment of uncomplicated Plasmodium falciparum malaria in four malaria endemic states of India","attachmentId":79395345,"attachmentType":"pdf","work_url":"https://www.academia.edu/69215059/Therapeutic_efficacy_of_artemether_lumefantrine_for_the_treatment_of_uncomplicated_Plasmodium_falciparum_malaria_in_four_malaria_endemic_states_of_India","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/69215059/Therapeutic_efficacy_of_artemether_lumefantrine_for_the_treatment_of_uncomplicated_Plasmodium_falciparum_malaria_in_four_malaria_endemic_states_of_India"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="4" data-entity-id="1353028" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/1353028/Artesunate_plus_Amodiaquine_AS_AQ_versus_Artemether_Lumefantrine_AL_for_the_treatment_of_uncomplicated_Plasmodium_falciparum_malaria_in_sub_Saharan_">Artesunate plus Amodiaquine (AS+ AQ) versus Artemether-Lumefantrine (AL) for the treatment of uncomplicated Plasmodium falciparum malaria in sub-Saharan …</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="495237" href="https://udusok-ng.academia.edu/ShaibuBello">Shaibu Bello</a></div><p class="ds-related-work--metadata ds2-5-body-xs">African Journal of Infectious Diseases, 2010</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Artesunate plus Amodiaquine (AS+ AQ) versus Artemether-Lumefantrine (AL) for the treatment of uncomplicated Plasmodium falciparum malaria in sub-Saharan …","attachmentId":51016320,"attachmentType":"pdf","work_url":"https://www.academia.edu/1353028/Artesunate_plus_Amodiaquine_AS_AQ_versus_Artemether_Lumefantrine_AL_for_the_treatment_of_uncomplicated_Plasmodium_falciparum_malaria_in_sub_Saharan_","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/1353028/Artesunate_plus_Amodiaquine_AS_AQ_versus_Artemether_Lumefantrine_AL_for_the_treatment_of_uncomplicated_Plasmodium_falciparum_malaria_in_sub_Saharan_"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="5" data-entity-id="101650454" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/101650454/Open_label_trial_on_efficacy_of_artemether_lumefantrine_against_the_uncomplicated_Plasmodium_falciparum_malaria_in_Metema_district_Northwestern_Ethiopia">Open-label trial on efficacy of artemether/lumefantrine against the uncomplicated Plasmodium falciparum malaria in Metema district, Northwestern Ethiopia</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="249992956" href="https://independent.academia.edu/FevenWudneh">Feven Wudneh</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Therapeutics and Clinical Risk Management, 2016</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Open-label trial on efficacy of artemether/lumefantrine against the uncomplicated Plasmodium falciparum malaria in Metema district, Northwestern Ethiopia","attachmentId":102132949,"attachmentType":"pdf","work_url":"https://www.academia.edu/101650454/Open_label_trial_on_efficacy_of_artemether_lumefantrine_against_the_uncomplicated_Plasmodium_falciparum_malaria_in_Metema_district_Northwestern_Ethiopia","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/101650454/Open_label_trial_on_efficacy_of_artemether_lumefantrine_against_the_uncomplicated_Plasmodium_falciparum_malaria_in_Metema_district_Northwestern_Ethiopia"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="6" data-entity-id="34823217" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/34823217/Efficacy_and_Safety_of_Artemether_Lumefantrine_in_the_Treatment_of_Acute_Uncomplicated_Plasmodium_falciparum_Malaria_A_Pooled_Analysis">Efficacy and Safety of Artemether-Lumefantrine in the Treatment of Acute, Uncomplicated Plasmodium falciparum Malaria: A Pooled Analysis</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="69437181" href="https://independent.academia.edu/PhilipAHunt">Philip A Hunt</a></div><p class="ds-related-work--metadata ds2-5-body-xs">American Journal of Tropical Medicine and Hygiene, 2011</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Efficacy and Safety of Artemether-Lumefantrine in the Treatment of Acute, Uncomplicated Plasmodium falciparum Malaria: A Pooled Analysis","attachmentId":54681935,"attachmentType":"pdf","work_url":"https://www.academia.edu/34823217/Efficacy_and_Safety_of_Artemether_Lumefantrine_in_the_Treatment_of_Acute_Uncomplicated_Plasmodium_falciparum_Malaria_A_Pooled_Analysis","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/34823217/Efficacy_and_Safety_of_Artemether_Lumefantrine_in_the_Treatment_of_Acute_Uncomplicated_Plasmodium_falciparum_Malaria_A_Pooled_Analysis"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="7" data-entity-id="11569436" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/11569436/A_randomized_trial_of_artemether_lumefantrine_versus_mefloquine_artesunate_for_the_treatment_of_uncomplicated_multi_drug_resistant_Plasmodium_falciparum_on_">A randomized trial of artemether-lumefantrine versus mefloquine-artesunate for the treatment of uncomplicated multi-drug resistant Plasmodium falciparum on …</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="28244913" href="https://shoklo-unit.academia.edu/RoseMcGready">Rose McGready</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Malaria …, 2005</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"A randomized trial of artemether-lumefantrine versus mefloquine-artesunate for the treatment of uncomplicated multi-drug resistant Plasmodium falciparum on …","attachmentId":37059862,"attachmentType":"pdf","work_url":"https://www.academia.edu/11569436/A_randomized_trial_of_artemether_lumefantrine_versus_mefloquine_artesunate_for_the_treatment_of_uncomplicated_multi_drug_resistant_Plasmodium_falciparum_on_","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/11569436/A_randomized_trial_of_artemether_lumefantrine_versus_mefloquine_artesunate_for_the_treatment_of_uncomplicated_multi_drug_resistant_Plasmodium_falciparum_on_"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="8" data-entity-id="25744661" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/25744661/A_randomized_trial_of_artemether_lumefantrine_versus_mefloquine_artesunate_for_the_treatment_of_uncomplicated_multi_drug_resistant_Plasmodium_falciparum_on_the_western_border_of_Thailand">A randomized trial of artemether-lumefantrine versus mefloquine-artesunate for the treatment of uncomplicated multi-drug resistant Plasmodium falciparum on the western border of Thailand</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="49478489" href="https://independent.academia.edu/RobertHutagalung">Robert Hutagalung</a><span>, </span><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="28244913" href="https://shoklo-unit.academia.edu/RoseMcGready">Rose McGready</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Malaria journal, 2005</p><p class="ds-related-work--abstract ds2-5-body-sm">The use of antimalarial drug combinations with artemisinin derivatives is recommended to overcome drug resistance in Plasmodium falciparum. The fixed combination of oral artemether-lumefantrine, an artemisinin combination therapy (ACT) is highly effective and well tolerated. It is the only registered fixed combination containing an artemisinin. The trial presented here was conducted to monitor the efficacy of the six-dose regimen of artemether-lumefantrine (ALN) in an area of multi-drug resistance, along the Thai-Myanmar border. The trial was an open-label, two-arm, randomized study comparing artemether-lumefantrine and mefloquine-artesunate for the treatment of uncomplicated falciparum malaria with 42 days of follow up. Parasite genotyping by polymerase chain reaction (PCR) was used to distinguish recrudescent from newly acquired P. falciparum infections. The PCR adjusted cure rates were evaluated by survival analysis. In 2001-2002 a total of 490 patients with slide confirmed uncom...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"A randomized trial of artemether-lumefantrine versus mefloquine-artesunate for the treatment of uncomplicated multi-drug resistant Plasmodium falciparum on the western border of Thailand","attachmentId":46101146,"attachmentType":"pdf","work_url":"https://www.academia.edu/25744661/A_randomized_trial_of_artemether_lumefantrine_versus_mefloquine_artesunate_for_the_treatment_of_uncomplicated_multi_drug_resistant_Plasmodium_falciparum_on_the_western_border_of_Thailand","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/25744661/A_randomized_trial_of_artemether_lumefantrine_versus_mefloquine_artesunate_for_the_treatment_of_uncomplicated_multi_drug_resistant_Plasmodium_falciparum_on_the_western_border_of_Thailand"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="9" data-entity-id="122716485" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/122716485/Efficacy_and_safety_of_artemether_lumefantrine_for_the_treatment_of_uncomplicated_falciparum_malaria_in_mainland_Tanzania_2018">Efficacy and safety of artemether-lumefantrine for the treatment of uncomplicated falciparum malaria in mainland Tanzania, 2018</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="87877261" href="https://whosrilanka.academia.edu/RithaNjau">Ritha Njau</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Research Square (Research Square), 2023</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Efficacy and safety of artemether-lumefantrine for the treatment of uncomplicated falciparum malaria in mainland Tanzania, 2018","attachmentId":117325649,"attachmentType":"pdf","work_url":"https://www.academia.edu/122716485/Efficacy_and_safety_of_artemether_lumefantrine_for_the_treatment_of_uncomplicated_falciparum_malaria_in_mainland_Tanzania_2018","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/122716485/Efficacy_and_safety_of_artemether_lumefantrine_for_the_treatment_of_uncomplicated_falciparum_malaria_in_mainland_Tanzania_2018"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div></div></div><div class="ds-sticky-ctas--wrapper js-loswp-sticky-ctas hidden"><div class="ds-sticky-ctas--grid-container"><div class="ds-sticky-ctas--container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{"location":"continue-reading-button--sticky-ctas","attachmentId":44095612,"attachmentType":"pdf","workUrl":null}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{"location":"download-pdf-button--sticky-ctas","attachmentId":44095612,"attachmentType":"pdf","workUrl":null}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div><div class="ds-below-fold--grid-container"><div class="ds-work--container js-loswp-embedded-document"><div class="attachment_preview" data-attachment="Attachment_44095612" style="display: none"><div class="js-scribd-document-container"><div class="scribd--document-loading js-scribd-document-loader" style="display: block;"><img alt="Loading..." src="//a.academia-assets.com/images/loaders/paper-load.gif" /><p>Loading Preview</p></div></div><div style="text-align: center;"><div class="scribd--no-preview-alert js-preview-unavailable"><p>Sorry, preview is currently unavailable. 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