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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.

Study to Assess Efficacy of Artemether-lumefantrine Prophylaxis Against Forest Malaria in Cambodia (PAL_Cambodia)

Not Applicable
Completed
Conditions
Malaria
Interventions
Dietary Supplement: Multivitamin
First Posted Date
2019-08-01
Last Posted Date
2024-03-20
Lead Sponsor
University of Oxford
Target Recruit Count
1480
Registration Number
NCT04041973
Locations
🇰🇭

Stung Treng Referral Hospital/Siem Pang Health Center, Stung Treng, Cambodia

🇰🇭

Pursat Referral Hospital/Kravanh Health Center, Pursat, Cambodia

Pharmacokinetics and Pharmacodynamics of the Gametocytocidal and Post-treatment Chemoprotective Effects of Antimalarials

Phase 2
Active, not recruiting
Conditions
Uncomplicated Falciparum Malaria
Interventions
First Posted Date
2019-07-05
Last Posted Date
2025-03-20
Lead Sponsor
Johns Hopkins Bloomberg School of Public Health
Target Recruit Count
182
Registration Number
NCT04009343
Locations
🇿🇲

Tropical Diseases Research Centre, Ndola, Copperbelt, Zambia

Targeted Active Case Detection Among High Risk Populations in Southern Lao Peoples Democratic Republic

Phase 4
Completed
Conditions
Plasmodium Falciparum Malaria
Interventions
Diagnostic Test: Standard RDT and HS-RDT
First Posted Date
2018-12-21
Last Posted Date
2021-02-23
Lead Sponsor
University of California, San Francisco
Target Recruit Count
39968
Registration Number
NCT03783299
Locations
🇱🇦

Centre for Marialogy, Parasitology, and Entomology, Vientiane, Lao People's Democratic Republic

Efficacy of Artesunate + Amodiaquine Versus Artemether-lumefantrine for Falciparum Malaria in Zanzibar, 2005

Phase 4
Completed
Conditions
Plasmodium Falciparum Malaria
Interventions
First Posted Date
2018-12-07
Last Posted Date
2018-12-07
Lead Sponsor
Professor Anders Björkman
Target Recruit Count
359
Registration Number
NCT03768908

Tolerability and Efficacy of Artemether-Lumefantrine Versus Artesunate + Amodiaquine in Zanzibar

Phase 4
Completed
Conditions
Plasmodium Falciparum Malaria
Interventions
Drug: Coadministered Artesunate plus Amodiaquine
First Posted Date
2018-12-05
Last Posted Date
2018-12-06
Lead Sponsor
Professor Anders Björkman
Target Recruit Count
408
Registration Number
NCT03764527

Extended Duration Artemether-lumefantrine Treatment for Malaria in Children

Phase 4
Completed
Conditions
Uncomplicated Plasmodium Falciparum Malaria
Interventions
First Posted Date
2018-03-05
Last Posted Date
2025-04-15
Lead Sponsor
University of California, San Francisco
Target Recruit Count
305
Registration Number
NCT03453840
Locations
🇺🇬

IDRC- Tororo Research Clinic and Tororo District Hospital, Tororo, Uganda

🇺🇬

MGH campus, Busia, Uganda

Comparison of Arterolane-piperaquine Versus Arterolane-piperaquine+Mefloquine Versus Artemether-lumefantrine in Kenyan Children

Phase 3
Completed
Conditions
Plasmodium Falciparum
Interventions
Drug: Arterolane-piperaquine+mefloquine
Drug: Arterolane-piperaquine
First Posted Date
2018-03-02
Last Posted Date
2021-09-29
Lead Sponsor
University of Oxford
Target Recruit Count
219
Registration Number
NCT03452475
Locations
🇰🇪

Kilifi County Hospital, Kilifi, Kenya

Efficacy And Safety Of AL For The Treatment Of Uncomplicated Falciparum Malaria In Mainland Tanzania

Completed
Conditions
Uncomplicated Malaria
First Posted Date
2018-01-02
Last Posted Date
2018-01-02
Lead Sponsor
National Institute for Medical Research, Tanzania
Target Recruit Count
344
Registration Number
NCT03387631

Efficacy and Safety of Artemisinin-based Combination Treatments in the Democratic Republic of the Congo

Phase 4
Completed
Conditions
Malaria
Interventions
Drug: artesunate-amodiaquine
Drug: Dihydroartemisinine-piperaquine
First Posted Date
2016-10-21
Last Posted Date
2018-01-03
Lead Sponsor
Ministry of Public Health, Democratic Republic of the Congo
Target Recruit Count
1615
Registration Number
NCT02940756
Locations
🇨🇩

Centre de santé Bolenge, Bolenge, Equateur, Congo, The Democratic Republic of the

🇨🇩

Centre de Santé de Référence Rutshuru, Rutshuru, Nord-Kivu, Congo, The Democratic Republic of the

🇨🇩

Centre de Santé Foyer Social, Kabondo, Tshopo, Congo, The Democratic Republic of the

and more 3 locations

Study of Artemether-lumefantrine, Amodiaquine and Primaquine in Healthy Subjects

First Posted Date
2016-03-02
Last Posted Date
2019-06-28
Lead Sponsor
University of Oxford
Target Recruit Count
17
Registration Number
NCT02696954
Locations
🇹🇭

Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand

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