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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.

Impact of Artemisinin-based Combination Therapy and Quinine on Treatment Failure and Resistance in Uncomplicated Malaria

Phase 3
Completed
Conditions
Malaria
Interventions
First Posted Date
2011-06-16
Last Posted Date
2014-10-22
Lead Sponsor
Universiteit Antwerpen
Target Recruit Count
2117
Registration Number
NCT01374581
Locations
🇨🇬

Centre de Santé Lisungi, Kinshasa, Mont-Ngafula, Congo

🇺🇬

Kazo Health centre IV, Kiruhura, Uganda

Efficacy of Artemisinin Combination Therapies for the Treatment of Uncomplicated P. Vivax in Pregnancy in Brazil (PAACT-PV)

Phase 4
Terminated
Conditions
Plasmodium Vivax Malaria
Interventions
First Posted Date
2010-04-20
Last Posted Date
2012-04-13
Lead Sponsor
Centers for Disease Control and Prevention
Target Recruit Count
16
Registration Number
NCT01107145
Locations
🇧🇷

Hospital Geral Maternidade de Cruzeiro do Sul, Cruzeiro do Sul, Acre, Brazil

🇧🇷

Centro de Pesquisa em Patologias Tropicais, Porto Velho, Rondonia, Brazil

🇧🇷

Hospital Municipal Teonila Alves, Anajas, Para, Brazil

Assessing the Efficacy of Artemisinin Combination Therapies for Treatment of Uncomplicated Malaria Infection in Children

Phase 3
Completed
Conditions
P. Falciparum Malaria
Interventions
First Posted Date
2010-03-09
Last Posted Date
2012-01-31
Lead Sponsor
Centers for Disease Control and Prevention
Target Recruit Count
323
Registration Number
NCT01082705
Locations
🇹🇿

Miono Health Center, Bagamoyo, Tanzania

Efficacy of Artemisinin Combination Therapies for the Treatment of Uncomplicated P. Falciparum in Pregnancy in Brazil

Phase 4
Terminated
Conditions
Malaria
Interventions
First Posted Date
2010-03-09
Last Posted Date
2012-04-13
Lead Sponsor
Centers for Disease Control and Prevention
Target Recruit Count
6
Registration Number
NCT01082731
Locations
🇧🇷

Hospital Geral Maternidade de Cruzeiro do Sul, Cruzeiro do Sul, Acre, Brazil

🇧🇷

Centro de Pesquisa em Patologias Tropicais, Porto Velho, Rondonia, Brazil

Non-malarial Febrile Illness in Children in Areas of Perennial Malaria Transmission

Not Applicable
Completed
Conditions
Malaria
Non-malarial Febrile Illness
Interventions
First Posted Date
2010-01-07
Last Posted Date
2013-03-11
Lead Sponsor
Centers for Disease Control and Prevention
Target Recruit Count
1000
Registration Number
NCT01043744
Locations
🇹🇿

Miono Health Center, Miono, Bagamoyo District, Tanzania

🇹🇿

Msata Dispensary, Msata, Tanzania

Artemether-lumefantrine (AL) Versus Artesunate + Amodiaquine (ASAQ) for the Treatment of Uncomplicated Falciparum Malaria in Burkina Faso

Phase 4
Completed
Conditions
Uncomplicated P. Falciparum Malaria in Children
Interventions
Drug: Artesunate-amodiaquine
First Posted Date
2009-11-23
Last Posted Date
2015-07-31
Lead Sponsor
Centre Muraz
Target Recruit Count
340
Registration Number
NCT01017770
Locations
🇧🇫

Tinto Halidou, Bobo-Dioulasso, Houet, Burkina Faso

🇧🇫

Nanoro, Nanoro, Boulkiemdé, Burkina Faso

🇧🇫

IRSS-DRO/Centre Muraz, Bobo-Dioulasso, Bp 545, Burkina Faso

Pharmacokinetic Interaction Between the Antimalarial Combination Artemether/Lumefantrine and Combination Antiretroviral Therapy Including Lopinavir/Ritonavir in HIV-infected Adults

Phase 4
Completed
Conditions
HIV Infections
Malaria
First Posted Date
2009-03-26
Last Posted Date
2010-06-28
Lead Sponsor
University of Cape Town
Target Recruit Count
18
Registration Number
NCT00869700
Locations
🇿🇦

Groote Schuur Hospital, Ward J51, Old Main Building, Cape Town, Western Province, South Africa

Treatment Efficacy and Malaria TRANSmission After Artemisinin Combination Therapy (TRANSACT)

Not Applicable
Completed
Conditions
Uncomplicated Malaria
Interventions
First Posted Date
2009-03-25
Last Posted Date
2010-06-07
Lead Sponsor
Radboud University Medical Center
Target Recruit Count
600
Registration Number
NCT00868465
Locations
🇰🇪

International Centre for Insect Physiology and Ecology - St. Judes Clinic, Mbita, Suba District, Kenya

🇹🇿

Kilimanjaro Christian Medical Centre, Magugu Field Site, Moshi, Kilimanjaro Region, Tanzania

Safe and Efficacious Artemisinin-based Combination Treatments for African Pregnant Women With Malaria

Phase 3
Completed
Conditions
Malaria in Pregnancy
Interventions
First Posted Date
2009-02-27
Last Posted Date
2016-03-14
Lead Sponsor
Institute of Tropical Medicine, Belgium
Target Recruit Count
3428
Registration Number
NCT00852423
Locations
🇧🇫

ISSR/Centre Muraz, Nazoanga, Burkina Faso

🇲🇼

College of Medicine, University of Malawi, Chikwawa District Hospital, Blantyre, Malawi

🇬🇭

Kwame Nkrumah University of Science & Technology, Kumasi, Ejisu Sekyere East, Ashanti Region, Ghana

and more 3 locations

In Vivo and in Vitro Efficacy of Antimalarial Treatments in Children in Burkina Faso

Phase 4
Completed
Conditions
Malaria
Interventions
Drug: Artesunate-amodiaquine
First Posted Date
2008-12-16
Last Posted Date
2015-08-03
Lead Sponsor
Centre Muraz
Target Recruit Count
440
Registration Number
NCT00808951
Locations
🇧🇫

Tinto Halidou, Bobo-Dioulasso, Houet, Burkina Faso

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