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Therapeutics/Prevention
Randomised controlled trial
Artemisinin-based combination therapy (ACT) versus atovaquone-proguanil: do not choose between but, rather, combine them
  1. Eli Schwartz1,2,
  2. Tamar Lachish3
  1. 1The Chaim Sheba Medical Center, The Center for Geographic Medicine, Tel Hashomer, Israel;
  2. 2Sackler School of Medicine, Tel Aviv University, Tel Hashomer, Israel;
  3. 3The Infectious Diseases Unit, Shaare-Zedek Medical Center, Jerusalem, Israel
  1. Correspondence to : Professor Eli Schwartz, The Chaim Sheba Medical Center, The Center for Geographic Medicine, Tel Hashomer 52621, Israel; elischwa{at}post.tau.ac.il

https://doi.org/10.1136/ebmed-2015-110183

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    Commentary on: Tahar R, Almelli T, Debue C, et al. Randomized trial of artesunate-amodiaquine, atovaquone-proguanil, and artesunate-atovaquone-proguanil for the treatment of uncomplicated falciparum malaria in children. J Infect Dis 2014;210:1962–71.OpenUrlAbstract/FREE Full Text

    Context

    Artemisinin-based combination therapies (ACTs) are the treatment of choice for uncomplicated Plasmodium falciparum malaria in malaria endemic countries. ACT resistance has already been documented in the main, but not solely in Asia,1 therefore therapeutic alternatives should be investigated. As there are no new drugs at advance stages in the pipeline, current focus should be on novel combinations of existing drugs. This prospective randomised study compares the effectiveness of three antimalaria combination drugs—two well-established combination drugs (artesunate-amodiaquine (AA) and atovaquone-proguanil (AP)) and one …

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    Footnotes

    • Competing interests None declared.

    • Provenance and peer review Commissioned; internally peer reviewed.