Evidence map›Paper›PMID 28806957›Full record

ArticleMalaria journal2017

Clinical and molecular surveillance of artemisinin resistant falciparum malaria in Myanmar (2009-2013).

Myat Htut Nyunt, Myat Thu Soe, Hla Win Myint, Htet Wai Oo, Moe Moe Aye, Soe Soe Han, Ni Ni Zaw, Cho Cho, Phyo Zaw Aung, Khin Thiri Kyaw and 10 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Malaria journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02792816 (A Multi-site Cohort Observational Study for Molecular Assessment of Artemisinin Resistance Falciparum Malaria in Myanmar), which is not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.5field-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.

NCT02792816 completednot on this map

A Multi-site Cohort Observational Study for Molecular Assessment of Artemisinin Resistance Falciparum Malaria in Myanmar

TypeobservationalSponsorDepartment of Medical Research, Lower MyanmarRan2009 to 2016Enrolled550ConditionsDrug Resistance, Plasmodium Falciparum MalariaArmsFirst line antimalarial in Myanmar (artemether-lumefrantrine, dihydroartemisinin-piperaquine, and artesunate-mefloquine)
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Drug Resistance Molecular Markers ofTropical medicine and infectious disease · 2023
    Article
  8. An analysis ofJournal of parasitic diseases : official organ of the Indian Society for Parasitology · 2022
    Review
  9. Review
  10. Review
  11. Artemisinin resistance: an important emerging clinical problem in tropical medicine.International journal of physiology, pathophysiology and pharmacology · 2021
    Review
  12. Article
  13. Article
  14. ACS infectious diseases · 2020
    Article
  15. Article
  16. Article
  17. Origin and Spread of Evolving Artemisinin-ResistantThe American journal of tropical medicine and hygiene · 2019
    Review
  18. DecreasedAntimicrobial agents and chemotherapy · 2019
    Article
  19. Article
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

20 authors at 6 institutions in 4 countries.

Myat Htut NyuntDepartment of Medical Environmental Biology and Tropical Medicine, School of Medicine, Kangwon National University, Chuncheon, Gangwon-do, Republic of Korea.ORCID 0000-0002-2026-8026
Myat Thu SoeDepartment of Medical Research, Yangon, Republic of the Union of Myanmar.
Hla Win MyintMagway District Hospital, Ministry of Health and Sports, Magway, Republic of the Union of Myanmar.
Htet Wai OoDepartment of Medical Research, Yangon, Republic of the Union of Myanmar.
Moe Moe AyeDepartment of Medical Research, Yangon, Republic of the Union of Myanmar.
Soe Soe HanDepartment of Medical Research, Yangon, Republic of the Union of Myanmar.
Ni Ni ZawDepartment of Medical Research, Yangon, Republic of the Union of Myanmar.
Cho ChoDepartment of Medical Research, Yangon, Republic of the Union of Myanmar.
Phyo Zaw AungDepartment of Medical Research, Yangon, Republic of the Union of Myanmar.
Khin Thiri KyawDepartment of Medical Research, Yangon, Republic of the Union of Myanmar.
Thin Thin AyeDepartment of Medical Research, Yangon, Republic of the Union of Myanmar.
Naychi Aung SanDepartment of Medical Research, Yangon, Republic of the Union of Myanmar.
Leonard OrtegaWorld Health Organization, Geneva, Switzerland.
Krongthong ThimasarnWorld Health Organization Country Office for Myanmar, Yangon, Republic of the Union of Myanmar.
Maria Dorina G BustosWorld Health Organization Country Office for Thailand, Bangkok, Thailand.
Sherwin GalitResearch Institute for Tropical Medicine, Alabang, Muntinlupa City, Philippines.
Mohammad Rafiul HoqueDepartment of Medical Environmental Biology and Tropical Medicine, School of Medicine, Kangwon National University, Chuncheon, Gangwon-do, Republic of Korea.
Pascal RingwaldWorld Health Organization, Geneva, Switzerland.
Eun-Taek HanDepartment of Medical Environmental Biology and Tropical Medicine, School of Medicine, Kangwon National University, Chuncheon, Gangwon-do, Republic of Korea. etaekhan@gmail.com.
Myat Phone KyawDepartment of Medical Research, Yangon, Republic of the Union of Myanmar.
Myanmar Oxford Clinical Research Unit · MMKangwon National University · KRWorld Health Organization · CHMinistry of Health · MMResearch Institute for Tropical Medicine · PHUniversity of Medicine Magway · MM

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundEmergence of artemisinin-resistant malaria in Southeast Asian countries threatens the global control of malaria. Although K13 kelch propeller has been assessed for artemisinin resistance molecular marker, most of the mutations need to be validated. In this study, artemisinin resistance was assessed by clinical and molecular analysis, including k13 and recently reported markers, pfarps10, pffd and pfmdr2.

methodsA prospective cohort study in 1160 uncomplicated falciparum patients was conducted after treatment with artemisinin-based combination therapy (ACT), in 6 sentinel sites in Myanmar from 2009 to 2013. Therapeutic efficacy of ACT was assessed by longitudinal follow ups. Molecular markers analysis was done on all available day 0 samples.

resultsTrue recrudescence treatment failures cases and day 3 parasite positivity were detected at only the southern Myanmar sites. Day 3 positive and k13 mutants with higher prevalence of underlying genetic foci predisposing to become k13 mutant were detected only in southern Myanmar since 2009 and comparatively fewer mutations of pfarps10, pffd, and pfmdr2 were observed in western Myanmar. K13 mutations, V127M of pfarps10, D193Y of pffd, and T448I of pfmdr2 were significantly associated with day 3 positivity (OR: 6.48, 3.88, 2.88, and 2.52, respectively).

conclusionsApart from k13, pfarps10, pffd and pfmdr2 are also useful for molecular surveillance of artemisinin resistance especially where k13 mutation has not been reported. Appropriate action to eliminate the resistant parasites and surveillance on artemisinin resistance should be strengthened in Myanmar. Trial registration This study was registered with ClinicalTrials.gov, identifier NCT02792816.

Indexed as

Drug ResistanceAntimalarialsArtemisininsBiomarkersMalaria, FalciparumMyanmarPlasmodium falciparumProtozoan ProteinsAntimalarialsartemisininArtemisininsBiomarkersProtozoan ProteinsArtemisininDrug resistanceFalciparumKelch 13MalariaMyanmar

Identifiers

PMID28806957
PMCPMC5557565
OpenAlexW2746542479

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.