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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.

In-vivo Efficacy and Safety of Artemether/Lumefantrine Vs Dihydroartemisinin-piperaquine for Treatment of Uncomplicated Malaria and Assessment of Parasite Genetic Factors Associated With Parasite Clearance or Treatment Failure

Phase 4
Completed
Conditions
Malaria
Interventions
First Posted Date
2015-10-29
Last Posted Date
2017-12-26
Lead Sponsor
National Institute for Medical Research, Tanzania
Target Recruit Count
509
Registration Number
NCT02590627
Locations
🇹🇿

Ujiji Health Centre, Ujiji, Kigoma, Tanzania

🇹🇿

Muheza Disignated District Hospital, Muheza, Tanga, Tanzania

Artemisinin-based Combination Therapy for Treatment of Plasmodium Falciparum Malaria in North Sumatera, Indonesia

Phase 4
Completed
Conditions
Malaria, Falciparum
Interventions
First Posted Date
2014-12-24
Last Posted Date
2015-09-02
Lead Sponsor
London School of Hygiene and Tropical Medicine
Target Recruit Count
338
Registration Number
NCT02325180
Locations
🇮🇩

Primary health centres, Tanjung Tiram, North Sumatera, Indonesia

🇮🇩

Pulau-pulau Batu health centres, Tello island, North Sumatera, Indonesia

Efficacy of Artemether/Lumefantrine for the Treatment of Uncomplicated Malaria.

Phase 4
Completed
Conditions
Plasmodium Falciparum Malaria
Interventions
First Posted Date
2014-03-18
Last Posted Date
2014-03-18
Lead Sponsor
Richard Mwaiswelo
Target Recruit Count
140
Registration Number
NCT02089841
Locations
🇹🇿

Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania

Parasite Clearance Time and Time to Recurrent Infection Following Treatment With Artemether/Lumefantrine

Phase 4
Completed
Conditions
Instantaneous Clearance
Interventions
First Posted Date
2013-11-28
Last Posted Date
2014-03-18
Lead Sponsor
Muhimbili University of Health and Allied Sciences
Target Recruit Count
45
Registration Number
NCT01998295
Locations
🇹🇿

Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania

Interaction Between Etravirine or Darunavir/Ritonavir and Artemether / Lumefantrine

Phase 1
Completed
Conditions
HIV
Interventions
First Posted Date
2013-06-13
Last Posted Date
2013-06-13
Lead Sponsor
Janssen Pharmaceutica N.V., Belgium
Target Recruit Count
33
Registration Number
NCT01876966

Efficacy of Three ACTs for the Treatment of Falciparum Malaria in Maradi Niger

Phase 4
Completed
Conditions
Malaria
Interventions
First Posted Date
2012-12-24
Last Posted Date
2015-11-30
Lead Sponsor
Epicentre
Target Recruit Count
663
Registration Number
NCT01755559
Locations
🇳🇪

Andoumé Health Centre, Maradi, Niger

Pharmacology of Antimalarial Therapy With or Without Antiretroviral Therapy

Phase 4
Terminated
Conditions
Malaria
HIV Infection
Interventions
First Posted Date
2012-11-20
Last Posted Date
2014-05-19
Lead Sponsor
International Maternal Pediatric Adolescent AIDS Clinical Trials Group
Target Recruit Count
19
Registration Number
NCT01728961
Locations
🇺🇬

Makerere University - JHU Research Collaboration (30293), Kampala, Uganda

🇲🇼

University of North Carolina Lilongwe (12001), Lilongwe, Malawi

🇲🇼

College of Med. JHU CRS (30301), Blantyre, Malawi

Improving Anti-malarial Treatment Options in Guinea-Bissau - Part A

Phase 4
Completed
Conditions
Malaria
Interventions
First Posted Date
2012-10-11
Last Posted Date
2021-05-26
Lead Sponsor
Bandim Health Project
Target Recruit Count
346
Registration Number
NCT01704508
Locations
🇬🇼

Bandim Health Project, Bissau, Guinea-Bissau

Amodiaquine-Artesunate & Artemether-Lumefantrine Efficacy in Burkina Faso

Phase 4
Completed
Conditions
Malaria
Interventions
Drug: Amodiaquine-Artesunate
First Posted Date
2012-10-02
Last Posted Date
2015-07-31
Lead Sponsor
Centre Muraz
Target Recruit Count
150
Registration Number
NCT01697787
Locations
🇧🇫

Clinical Reaserch Unit, Nanoro, Boulkiemdé, Burkina Faso

Artemether/Lumefantrine and Vivax Malaria

Phase 3
Completed
Conditions
Vivax Malaria
Interventions
First Posted Date
2012-06-22
Last Posted Date
2013-01-17
Lead Sponsor
University of Khartoum
Target Recruit Count
38
Registration Number
NCT01625871
Locations
🇸🇩

Kassala, Kassala, Sudan

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