Evidence map›Paper›PMID 26259839›Full record

ArticleMalaria journal2015

Therapeutic assessment of chloroquine-primaquine combined regimen in adult cohort of Plasmodium vivax malaria from a tertiary care hospital in southwestern India.

Kumar Rishikesh, Asha Kamath, Manjunatha H Hande, Sudha Vidyasagar, Raviraja V Acharya, Vasudeva Acharya, Jayaprakash Belle, Ananthakrishna B Shastry, Kavitha Saravu

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Malaria journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 6 pooled it
3.6field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 6 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. A systematic review of CQ-resistantPathogens and global health · 2024
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. IJID regions · 2026
    Review
  8. Frontiers in cellular and infection microbiology · 2025
    Article
  9. Article
  10. Review
  11. Recurrence inF1000Research · 2022
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Therapeutic Assessment of Primaquine for Radical Cure ofThe Korean journal of parasitology · 2016
    Observational
  17. Article
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Kumar RishikeshDepartment of Medicine, Kasturba Medical College, Manipal University, Madhav Nagar, Manipal, 576104, Karnataka, India. rishikeshkumar@live.in.
Asha KamathDepartment of Community Medicine, Kasturba Medical College, Manipal University, Madhav Nagar, Manipal, India. aashakamat@gmail.com.
Manjunatha H HandeDepartment of Medicine, Kasturba Medical College, Manipal University, Madhav Nagar, Manipal, 576104, Karnataka, India. mhhande@yahoo.com.
Sudha VidyasagarDepartment of Medicine, Kasturba Medical College, Manipal University, Madhav Nagar, Manipal, 576104, Karnataka, India. vsagar33@yahoo.com.
Raviraja V AcharyaDepartment of Medicine, Kasturba Medical College, Manipal University, Madhav Nagar, Manipal, 576104, Karnataka, India. ravi.katte@gmail.com.
Vasudeva AcharyaDepartment of Medicine, Kasturba Medical College, Manipal University, Madhav Nagar, Manipal, 576104, Karnataka, India. acharyavasudev@yahoo.com.
Jayaprakash BelleDepartment of Medicine, Kasturba Medical College, Manipal University, Madhav Nagar, Manipal, 576104, Karnataka, India. drjpbelle@yahoo.co.in.
Ananthakrishna B ShastryDepartment of Medicine, Kasturba Medical College, Manipal University, Madhav Nagar, Manipal, 576104, Karnataka, India. shastryba@yahoo.co.in.
Kavitha SaravuDepartment of Medicine, Kasturba Medical College, Manipal University, Madhav Nagar, Manipal, 576104, Karnataka, India. kavithasaravu@gmail.com.
Manipal Academy of Higher Education · INKasturba Medical College, Manipal · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOf late there have been accounts of therapeutic failure and chloroquine resistance in Plasmodium vivax malaria especially from Southeast Asian regions. The present study was conducted to assess the therapeutic efficacy of chloroquine-primaquine (CQ-PQ) combined regimen in a cohort of uncomplicated P. vivax mono-infection.

methodsA tertiary care hospital-based prospective study was conducted among adult cohort with mono-infection P. vivax malaria as per the World Health Organization's protocol of in vivo assessment of anti-malarial therapeutic efficacy. Participants were treated with CQ 25 mg/kg body weight divided over 3 days and PQ 0.25 mg/kg body weight daily for 2 weeks.

resultsOf a total of 125 participants recruited, 122 (97.6%) completed day 28 follow up, three (2.4%) participants were lost to follow-up. Eight patients (6.4%) were ascertained to have mixed P. vivax and Plasmodium falciparum infection by nested polymerase chain reaction test. The majority of subjects (56.8%, 71/125) became aparasitaemic on day 2 followed by 35.2% (44/125) on day 3, and 8% (10/125) on day 7, and remained so thereafter. Overall only one therapeutic failure (0.8%, 1/125) occurred on day 3 due to persistence of fever and parasitaemia.

conclusionsCQ-PQ combined regimen remains outstandingly effective for uncomplicated P. vivax malaria and should be retained as treatment of choice in the study region. One case of treatment failure indicates possible resistance which warrants constant vigilance and periodic surveillance.

Indexed as

AdolescentAdultAgedAntimalarialsChloroquineCoinfectionDrug Therapy, CombinationFemaleHumansIndiaMalaria, FalciparumMalaria, VivaxMaleMiddle AgedPlasmodium falciparumPlasmodium vivaxAntimalarialsChloroquinePrimaquine

Identifiers

PMID26259839
PMCPMC4532140
OpenAlexW1943478979

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.