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Lumefantrine co-artemether

Generic Name
Lumefantrine co-artemether
Drug Type
Small Molecule
Chemical Formula
C346H378Cl33N11O16
CAS Number
141204-94-6
Unique Ingredient Identifier
5T2U51A0MW
Background

Lumefantrine Co-Artemether (Riamet) has been investigated for the treatment of Malaria, Malaria, Falciparum, Malaria in Pregnancy, Uncomplicated Malaria, and Uncomplicated Knowlesi Malaria. Lumefantrine Co-Artemether is a tablet formulation of artemether and lumefantrine, a well-tolerated, fast-acting and effective blood schizontocidal drug that serves primarily in the treatment of uncomplicated falciparum malaria that is resistant to other antimalarials. Artemether, an artemisinin derivative, has several proposed mechanisms of action, including interference with plasmodial transport proteins, interference with mitochondrial electron transport, and the production of free radicals to reduce blood antioxidants and glutathione. While artemether results in rapid defervescence, parasite clearance, and clinical improvement, it also has a relatively high recrudescence rate when used as monotherapy. The exact mechanism of action of lumefantrine is not well defined, but it is thought to inhibit -hematin formation, an important detoxification pathway for the parasite. Unlike artemether, lumefantrine has a slower onset of action, resulting in clearance of residual parasites and a decrease in recrudescence rate. The combination is an effective and well-tolerated malaria treatment, providing high cure rates even in areas of multi-drug resistance.

Safety of Antimalarials in the FIRst trimEster

Phase 3
Not yet recruiting
Conditions
Malaria, Pregnancy
Malaria, Antepartum
Malaria (Uncomplicated)
Interventions
Drug: Pyronaridine-artesunate (PA)
Drug: dihydroartemisinin-piperaquine (DP)
First Posted Date
2025-05-08
Last Posted Date
2025-05-08
Lead Sponsor
Liverpool School of Tropical Medicine
Target Recruit Count
1510
Registration Number
NCT06962319
Locations
🇧🇫

Clinical Research Unit of Nanoro (CRUN), Institut de Recherche en Sciences de la Santé, Direction Régionale de l'Ouest (IRSS-DRO), Nanoro, Burkina Faso

🇰🇪

KEMRI Centre for Global Health Research (CGHR), Kisumu, Kenya

🇲🇱

Malaria Research and Training Center, University of Sciences, Techniques, and Technologies of Bamako (USTTB),, Bamako, Mali

The Impact RTS,S/AS01 Vaccine in School Aged Children RTS,S/AS01 Malaria Vaccine in School Aged Children

Phase 4
Not yet recruiting
Conditions
Malaria,Falciparum
Interventions
Biological: Mosquirixs
First Posted Date
2024-05-21
Last Posted Date
2024-05-21
Lead Sponsor
Kamuzu University of Health Sciences
Target Recruit Count
5400
Registration Number
NCT06424002

The Transmission of Artemisinin Resistant Parasites Before and After Conventional Artemisinin-combination Therapy

Phase 4
Recruiting
Conditions
Falciparum; Malaria
Interventions
First Posted Date
2024-04-04
Last Posted Date
2025-03-10
Lead Sponsor
Infectious Diseases Research Collaboration, Uganda
Target Recruit Count
120
Registration Number
NCT06347471
Locations
🇺🇬

Dr. Ambrosoli Memorial Hospital, Kalongo, Agago district, Uganda

🇺🇬

Patongo Health Facility IV, Patongo, Agago district, Uganda

A Study to Evaluate Antimalarial Activity and Safety of MK-7602 in Healthy Adults (MK-7602-003)

Phase 1
Completed
Conditions
Malaria
Interventions
First Posted Date
2024-03-06
Last Posted Date
2025-01-13
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
16
Registration Number
NCT06294912
Locations
🇦🇺

USC Clinical Trials Brisbane (South Bank) ( Site 0001), South Brisbane, South Australia, Australia

Test Efficacy Study on the Recommended Antimalarial Drugs in the Democratic Republic of the Congo

Phase 4
Completed
Conditions
Uncomplicated Plasmodium Falciparum Malaria
Interventions
Drug: Artesunate-amodiaquine
First Posted Date
2023-10-10
Last Posted Date
2024-11-05
Lead Sponsor
Ministry of Public Health, Democratic Republic of the Congo
Target Recruit Count
1260
Registration Number
NCT06076213
Locations
🇨🇩

Centre de santé Lupidi 1, Kapolowe, Haut-Katanga, Congo, The Democratic Republic of the

🇨🇩

Centres de santé de Mikalayi et Matamba, Kazumba, Kasai Central, Congo, The Democratic Republic of the

🇨🇩

Centre de santé de Coopération, Kimpese, Kongo Central, Congo, The Democratic Republic of the

and more 4 locations

TES of Artemether-lumefantrine for Pf in the Philippines in 2017-2018

Completed
Conditions
Malaria,Falciparum
Malaria Recrudescence
Interventions
First Posted Date
2023-07-25
Last Posted Date
2023-07-25
Lead Sponsor
Research Institute for Tropical Medicine, Philippines
Target Recruit Count
80
Registration Number
NCT05958810

TES of Artemether-lumefantrine for Pf in the Philippines in 2015

Completed
Conditions
Malaria,Falciparum
Malaria Recrudescence
Interventions
First Posted Date
2023-07-24
Last Posted Date
2023-07-24
Lead Sponsor
Research Institute for Tropical Medicine, Philippines
Target Recruit Count
82
Registration Number
NCT05958693

Triple Artemisinin-based Combination Therapy for Delaying Drug Resistance Development - a Randomized Clinical Trial

First Posted Date
2023-03-13
Last Posted Date
2024-12-11
Lead Sponsor
Muhimbili University of Health and Allied Sciences
Target Recruit Count
384
Registration Number
NCT05764746
Locations
🇹🇿

Kibindu, Bagamoyo, Dar esSalaam, Tanzania

🇹🇿

Yombo Dispensary, Bagamoyo, Yombo, Tanzania

Pharmacokinetics of Antimalarials in Breastfeeding Ugandan Mother-infant Pairs

Active, not recruiting
Conditions
Malaria,Falciparum
Interventions
First Posted Date
2023-01-09
Last Posted Date
2025-02-26
Lead Sponsor
University of Liverpool
Target Recruit Count
30
Registration Number
NCT05676645
Locations
🇺🇬

Infectious Diseases Institute, Kampala, Uganda

Ivermectin-artemisinin Combination Therapy for Eradication of Malaria

Phase 4
Recruiting
Conditions
Malaria
Interventions
First Posted Date
2022-11-04
Last Posted Date
2022-11-04
Lead Sponsor
Makerere University
Target Recruit Count
138
Registration Number
NCT05605925
Locations
🇺🇬

ST. Paul's Health Center, Kasese, Uganda

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