Evidence map›Paper›PMID 26014953›Full record

SynthesisAntimicrobial agents and chemotherapy2015

Tailoring a Pediatric Formulation of Artemether-Lumefantrine for Treatment of Plasmodium falciparum Malaria.

Quique Bassat, Bernhards Ogutu, Abdoulaye Djimde, Kirstin Stricker, Kamal Hamed

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Antimicrobial agents and chemotherapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 6 countries.

Quique BassatISGlobal, Barcelona Centre for International Health Research (CRESIB), Hospital Clínic-Universitat de Barcelona, Barcelona, Spain Centro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique quique.bassat@isglobal.org.ORCID http://orcid.org/0000-0003-0875-7596
Bernhards OgutuCentre for Clinical Research, Kenya Medical Research Institute, Nairobi, Kenya.
Abdoulaye DjimdeMalaria Research and Training Center, University of Science, Techniques and Technologies of Bamako, Bamako, Mali.
Kirstin StrickerNovartis Pharma AG, Basel, Switzerland.
Kamal HamedNovartis Pharmaceuticals Corporation, East Hanover, New Jersey, USA.
Novartis (Switzerland) · CHKenya Medical Research Institute · KEManhiça Health Research Centre · MZUniversité des Sciences, des Techniques et des Technologies de Bamako · ML

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Specially created pediatric formulations have the potential to improve the acceptability, effectiveness, and accuracy of dosing of artemisinin-based combination therapy (ACT) in young children, a patient group that is inherently vulnerable to malaria. Artemether-lumefantrine (AL) Dispersible is a pediatric formulation of AL that is specifically tailored for the treatment of children with uncomplicated Plasmodium falciparum malaria, offering benefits relating to efficacy, convenience and acceptance, accuracy of dosing, safety, sterility, stability, and a pharmacokinetic profile and bioequivalence similar to those of crushed and intact AL tablets. However, despite being the first pediatric antimalarial to meet World Health Organization (WHO) specifications for use in infants and children who are ≥5 kg in body weight and its inclusion in WHO Guidelines, there are few publications that focus on AL Dispersible. Based on a systematic review of the recent literature, this paper provides a comprehensive overview of the clinical experience with AL Dispersible to date. A randomized, phase 3 study that compared the efficacy and safety of AL Dispersible to those of crushed AL tablets in 899 African children reported high PCR-corrected cure rates at day 28 (97.8% and 98.5% for AL Dispersible and crushed tablets, respectively), and the results of several subanalyses of these data indicate that this activity is observed regardless of patient weight, food intake, and maximum plasma concentrations of artemether or its active metabolite, dihydroartemisinin. These and other clinical data support the continued use of pediatric antimalarial formulations in all children <5 years of age with uncomplicated malaria when accompanied by continued monitoring for the emergence of resistance.

Indexed as

AntimalarialsArtemetherArtemisininsChemistry, PharmaceuticalClinical Trials, Phase III as TopicDrug CombinationsEthanolaminesFluorenesHumansLumefantrineMalaria, FalciparumPlasmodium falciparumRandomized Controlled Trials as TopicTabletsAntimalarialsArtemetherartemisininArtemisininsDrug CombinationsEthanolaminesFluorenesLumefantrineTablets

Identifiers

PMID26014953
PMCPMC4505267
OpenAlexW1900905299

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.