Evidence map›Paper›PMID 28732806›Full record

ArticlePhytomedicine : international journal of phytotherapy and phytopharmacology2017

Artemisia annua dried leaf tablets treated malaria resistant to ACT and i.v. artesunate: Case reports.

Nsengiyumva Bati Daddy, Luc Malemo Kalisya, Pascal Gisenya Bagire, Robert L Watt, Melissa J Towler, Pamela J Weathers

Open access · greenAbstract readCase Reports
In one paragraph

Article in Phytomedicine : international journal of phytotherapy and phytopharmacology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
8.7field-weighted citation impact, top 2% 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 77 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Potential ofPharmaceuticals (Basel, Switzerland) · 2025
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  10. Artemisinin as a therapeuticNatural product reports · 2023
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  13. Molecules (Basel, Switzerland) · 2022
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  14. Towards greenhouse cultivation ofFrontiers in plant science · 2022
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  15. Oxidative medicine and cellular longevity · 2022
    Review
  16. Article
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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

6 authors at 2 institutions in 2 countries.

Nsengiyumva Bati DaddyRwanguba Hospital, Rwanguba, N. Kivu, Democratic Republic of Congo. Electronic address: batidaddy@yahoo.fr.
Luc Malemo KalisyaHEAL Africa Hospital, Goma, Democratic Republic of Congo. Electronic address: lucmalemo21@gmail.com.
Pascal Gisenya BagirePlesion International Inc., Edmonton, AB, Canada. Electronic address: pbgisenya@gmail.com.
Robert L WattPlesion International Inc., Coatesville, PA, 19320 USA. Electronic address: robertwatt121@gmail.com.
Melissa J TowlerWorcester Polytechnic Institute, Worcester, MA 01609, USA. Electronic address: eeyore@wpi.edu.
Pamela J WeathersWorcester Polytechnic Institute, Worcester, MA 01609, USA.
Worcester Polytechnic Institute · USUniversity of Goma · CD

Funding

Study how the liver alters bioavailability of artemisinin when delivered from the dried leaves of the plant Artemisia annua vs as pure drug.R15AT008277 · NCCIH · WORCESTER POLYTECHNIC INSTITUTE · PI WEATHERS, PAMELA J · 2014 to 2018
$953k
NCCIH NIH HHS R15 AT008277
6 · The paper itself

Abstract

backgroundDried leaf Artemisia annua (DLA) has shown efficacy against Plasmodium sp. in rodent studies and in small clinical trials. Rodent malaria also showed resiliency against the evolution of artemisinin drug resistance. PURPOSE: This is a case report of a last resort treatment of patients with severe malaria who were responding neither to artemisinin combination therapy (ACT) nor i.v. artesunate. STUDY

designOf many patients treated with ACTs and i.v. artesunate during the 6 mon study period, 18 did not respond and were subsequently treated with DLA Artemisia annua.

methodsPatients were given a dose of 0.5g DLA per os, twice daily for 5d. Total adult delivered dose of artemisinin was 55mg. Dose was reduced for body weight under 30kg. Clinical symptoms, e.g. fever, coma etc., and parasite levels in thick blood smears were tracked. Patients were declared cured and released from hospital when parasites were microscopically undetectable and clinical symptoms fully subsided.

resultsAll patients were previously treated with Coartem® provided through Santé Rurale (SANRU) and following the regimen prescribed by WHO. Of 18 ACT-resistant severe malaria cases compassionately treated with DLA, all fully recovered. Of the 18, this report details two pediatric cases.

conclusionsSuccessful treatment of all 18 ACT-resistant cases suggests that DLA should be rapidly incorporated into the antimalarial regimen for Africa and possibly wherever else ACT resistance has emerged.

Indexed as

Administration, IntravenousAdolescentAdultAntimalarialsArtemether, Lumefantrine Drug CombinationArtemisia annuaArtemisininsArtesunateChildChild, PreschoolDrug CombinationsDrug Resistance, MicrobialEthanolaminesFemaleFluorenesHumansAntimalarialsArtemether, Lumefantrine Drug CombinationartemisininArtemisininsArtesunateDrug CombinationsEthanolaminesFluorenesTabletsACTArtemisia annuaArtemisinin drug resistanceCoartemDihydroartemisininSynergism

Identifiers

PMID28732806
PMCPMC5547396
OpenAlexW2606166051

What OpenQuestion holds

Textmetadata
LicenceTDM
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.