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Archives 2009
Myanmar Health Sciences Research Journal
Volume 21, Number 2
TITLE: Efficacy and safety of artemisinin-piperaquine (Artequick) compared to dihydroarte-misinin-piperaquine (Artekin) in uncomplicated falciparum malaria in adults.
AUTHOR: Khin Phyu Phyu; Win Win Myint; Myar Phone Kyaw; Thaw Zin; Marlar Than
SOURCE: Myanmar Health Sciences Research Journal. 2009; 21(2): 78-82
ABSTRACT: A hospital-based, randomized controlled study was done at No. 1 MH (1000 Bedded), Mingaladon, No. 1 MH (700 Bedded), PyinOoLwin and No. 9 MH (100 Bedded), Lashio, on a total of 64 uncomplicated falciparum malaria patients from January to September 2007, to determine the therapeutic efficacy, safety and tolerability of artemisinin-piperaquine (Artequick) tablet in comparison with dihydroartemisinin-piperaquine (Artekin) for the treat-ment of 30 uncomplicated falciparum malaria patients in adults. Artequick 2 tabs was given at 0 and 24 hours in one group and Artekin 2 tabs was given at 0, 6, 24 and 32 hours in the control group. Initial parasitaemia/µl were 16471.88±38755.1 and 13528.9±1909.3. Fever clearance times (FCT) were 43.23±17.35 and 12.4±13.1 hours, and Parasite clearance times (PCT) were 57.6±21.88 and 46.8±22.1 hours, respectively, in Artequick and Artekin groups. In Artequick group, there were four late treatment failures (LTF) that adequate clinical and parasitological response (ACPR) was 94% compared to 100% ACPR in Artekin group. There were no serious side effects. Artequick is as safe as Artekin but with lower ACPR in this study. Further dose finding studies will be needed to establish its efficacy in the treatment of uncomplicated falciparum malaria in adults.
SUBJECT HEADINGS: Malaria, Falciparum. Antimalarials.
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