Evidence map›Paper›PMID 26608469›Full record

Trial reportMalaria journal2015

Efficacy and safety of fixed dose combination of arterolane maleate and piperaquine phosphate dispersible tablets in paediatric patients with acute uncomplicated Plasmodium falciparum malaria: a phase II, multicentric, open-label study.

Offianan Andre Toure, Stephen Rulisa, Anupkumar R Anvikar, Ballamudi S Rao, Pitabas Mishra, Rajinder K Jalali, Sudershan Arora, Arjun Roy, Nilanjan Saha, Sunil S Iyer and 2 more

Open access · goldAbstract readClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Malaria journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 16% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Double Mutations inbioRxiv : the preprint server for biology · 2026
    Article
  4. Review
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

12 authors at 5 institutions in 3 countries.

Offianan Andre ToureMalariology Department, Institut Pasteur, Abidjan, Côte d'Ivoire. andre_offianan@yahoo.fr.
Stephen RulisaDepartment of Clinical Research, School of Medicine, Kigali University Teaching Hospital, University of Rwanda, Butare, Rwanda. s.rulisa@gmail.com.
Anupkumar R AnvikarNational Institute of Malaria Research, New Delhi, India. anvikar@gmail.com.
Ballamudi S RaoDepartment of Medicine, Tata Main Hospital, Jamshedpur, Jharkhand, India. drbsrao@tatasteel.com.
Pitabas MishraDepartment of Paediatrics, Ispat General Hospital, Rourkela, Odisha, India. pitabasmishra@yahoo.co.in.
Rajinder K JalaliMedical Affairs, Clinical Research and Global Head Pharmacovigilance, Ranbaxy Laboratories Ltd, Gurgaon, Haryana, India. rajinder.jalali@sunpharma.com.
Sudershan AroraCorporate Office, Ranbaxy Laboratories Ltd, Gurgaon, Haryana, India. sudershanarora@hotmail.com.
Arjun RoyCDM and Biostatistics, Ranbaxy Laboratories Ltd, Gurgaon, Haryana, India. arjun.roy@sunpharma.com.
Nilanjan SahaMedical Global Marketing Corporate Office, Ranbaxy Laboratories Ltd, Gurgaon, Haryana, India. nilanjans1962@gmail.com.
Sunil S IyerClinical Pharmacology and Pharmacokinetics, Ranbaxy Laboratories Ltd, Gurgaon, Haryana, India. Sunil.Iyer@sunpharma.com.
Pradeep SharmaClinical Pharmacology and Pharmacokinetics, Ranbaxy Laboratories Ltd, Gurgaon, Haryana, India. pradeep.sharma@sunpharma.com.
Neena ValechaNational Institute of Malaria Research, New Delhi, India. neenavalecha@gmail.com.
National Institute of Malaria Research · INInstitut Pasteur de Côte d'Ivoire · CIIspat General Hospital · INTata Main Hospital · INUniversity of Rwanda · RW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe World Health Organization (WHO) recommends artemisinin combination therapy (ACT) for the treatment of uncomplicated Plasmodium falciparum malaria. The present study investigated the efficacy and safety of fixed dose combination (FDC) of arterolane maleate 37.5 mg and piperaquine phosphate (PQP) 187.5 mg dispersible tablets in paediatric patients aged 6 months to 12 years.

methodsMale and female patients aged 6 months to 12 years who were confirmed cases of P. falciparum mono-infection with fever or documented history of fever in the previous 24 h were included. The patients were administered FDC of arterolane maleate and PQP as single daily doses for three consecutive days based on their age. The primary efficacy outcome was proportion of patients with polymerase chain reaction (PCR)-corrected adequate clinical and parasitological response (ACPR) on day 28. Safety was analysed based on adverse events (AE), laboratory abnormalities and abnormalities on electrocardiograph.

resultsA total of 141 eligible paediatric patients received FDC of arterolane maleate and PQP in a 42-day follow-up study. All the enrolled patients (141) were included in intention to treat (ITT) and safety analyses, and 126 patients were considered in per protocol (PP) population. The PCR-corrected ACPR on day 28 was achieved in all patients (100 %; 95 % CI 97.11-100) included in PP population. The median parasite clearance time (PCT) and fever clearance time (FCT) were 24 h (95 % CI 18.0-24.0) and 10 h (95 % CI 4.0-18.0), respectively. The most frequently reported clinical AE was vomiting. Majority of the AEs were mild to moderate in severity and resolved without sequelae. No patient was discontinued for any QTc (corrected QT interval) prolongation. No deaths or serious AEs were reported during the study.

conclusionThe findings from this study showed that FDC of arterolane maleate and PQP effectively cures P. falciparum malaria and attains acceptable level of cure by day 28 in paediatric patients. The efficacy and safety results observed in children warrants further studies on FDC of arterolane maleate and PQP dispersible tablets.

trial registrationClinical Trial Registry India: CTRI/2009/091/000531.

Indexed as

AntimalarialsChildChild, PreschoolCote d'IvoireDrug CombinationsFemaleHeterocyclic Compounds, 1-RingHumansIndiaInfantInfant, NewbornMalariaMalaria, FalciparumMalePeroxidesPiperazinesAntimalarialsarterolaneDrug CombinationsHeterocyclic Compounds, 1-RingPeroxidespiperaquinePiperazinesQuinolinesSpiro CompoundsTablets

Identifiers

PMID26608469
PMCPMC4660726
OpenAlexW2172510232

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.