Triple Artemisinin-Based Combination Therapies for Malaria – A New Paradigm?

Rob W. van der Pluijm, Chanaki Amaratunga, Mehul Dhorda, Arjen M. Dondorp

Research output: Contribution to journalReview articleAcademicpeer-review

63 Citations (Scopus)

Abstract

Recent gains in the fight against malaria are threatened by the emergence and spread of artemisinin and partner drug resistance in Plasmodium falciparum in the Greater Mekong Subregion (GMS). When artemisinins are combined with a single partner drug, all recommended artemisinin-based combination therapies have shown reduced efficacy in some countries in the GMS at some point. Novel drugs are not available for the near future. Triple artemisinin-based combination therapies, combining artemisinins with two currently available partner drugs, will provide one of the last remaining safe and effective treatments for falciparum malaria that can be deployed rapidly in the GMS, whereas their deployment beyond the GMS could delay or prevent the global emergence and spread of resistance to currently available drugs.
Original languageEnglish
Pages (from-to)15-24
Number of pages10
JournalTrends in parasitology
Volume37
Issue number1
Early online date2020
DOIs
Publication statusPublished - Jan 2021

Keywords

  • ACT
  • P. falciparum
  • TACT
  • artemisinin
  • malaria
  • resistance

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