Evidence map›Paper›PMID 31660398›Full record

ArticleOpen forum infectious diseases2019

Atovaquone-Proguanil in Combination With Artesunate to Treat Multidrug-Resistant

Mariusz Wojnarski, Chanthap Lon, Pattaraporn Vanachayangkul, Panita Gosi, Somethy Sok, Agus Rachmat, Dustin Harrison, Catherine M Berjohn, Michele Spring, Suwanna Chaoratanakawee and 19 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05203744 (Safety, Tolerability and Pharmacokinetics of Tafenoquine After Weekly and Escalating Monthly Doses of Tafenoquine in Healthy Vietnamese Volunteers), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 5% 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.

NCT05203744 phase4unknown statusnot on this mapstarted 2022, after this paper: background citation

Safety, Tolerability and Pharmacokinetics of Tafenoquine After Weekly and Escalating Monthly Doses of Tafenoquine in Healthy Vietnamese Volunteers

TypeinterventionalSponsorNaval Medical Research CenterRan2022 to 2022Enrolled200ConditionsProphylaxisArmsTafenoquine prophylaxis
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Targeting Gametocytes of the Malaria ParasitePathogens (Basel, Switzerland) · 2021
    Review
  9. Selection of CytochromeAntimicrobial agents and chemotherapy · 2021
    Article
  10. Review
  11. Article
  12. Novel Endochin-Like Quinolones Exhibit PotentAntimicrobial agents and chemotherapy · 2020
    Article
  13. 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

29 authors at 6 institutions in 3 countries.

Mariusz WojnarskiUS Army Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Chanthap LonUS Army Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Pattaraporn VanachayangkulUS Army Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Panita GosiUS Army Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Somethy SokDepartment of Health, Ministry of National Defense, Phnom Penh, Cambodia.
Agus RachmatNaval Medical Research Unit-2, Phnom Penh, Cambodia.
Dustin HarrisonNaval Medical Research Unit-2, Phnom Penh, Cambodia.
Catherine M BerjohnNaval Medical Research Unit-2, Phnom Penh, Cambodia.
Michele SpringUS Army Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Suwanna ChaoratanakaweeUS Army Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Mali IttiverakulUS Army Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Nillawan BuathongUS Army Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Soklyda ChannUS Army Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Saowaluk WongarunkochakornUS Army Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Andreea WaltmannHenry M. Jackson Foundation, Bethesda, Maryland.
Worachet KuntawunginnUS Army Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Mark M FukudaUS Army Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Hana BurklyUS Army Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Vireak HeangNaval Medical Research Unit-2, Phnom Penh, Cambodia.
Thay Keang HengNational Center for Parasitology, Entomology and Malaria Control, Phnom Penh, Cambodia.
Nareth KongNational Center for Parasitology, Entomology and Malaria Control, Phnom Penh, Cambodia.
Threechada BoonchanUS Army Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Bolin ChumNaval Medical Research Unit-2, Phnom Penh, Cambodia.
Philip SmithUS Army Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Andrew VaughnNaval Medical Research Unit-2, Phnom Penh, Cambodia.
Satharath PromDepartment of Health, Ministry of National Defense, Phnom Penh, Cambodia.
Jessica LinDivision of Infectious Diseases, University of North Carolina, Chapel Hill, North Carolina.
Dysoley LekNational Center for Parasitology, Entomology and Malaria Control, Phnom Penh, Cambodia.
David SaundersUS Army Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Armed Forces Research Institute of Medical Science · THCambodia-Oxford Medical Research Unit · KHCambodia National Malaria Center · KHHenry M. Jackson Foundation · USUnited States Army Medical Research and Development Command · USUniversity of North Carolina at Chapel Hill · US

Funding

Determinants of malaria transmission by submicroscopic gametocytemiaR01AI137395 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LIN, JESSICA · 2018 to 2022
$3.3M
NIAID NIH HHS R01 AI137395
6 · The paper itself

Abstract

backgroundRecent artemisinin-combination therapy failures in Cambodia prompted a search for alternatives. Atovaquone-proguanil (AP), a safe, effective treatment for multidrug-resistant

methodsPatients with

resultsPolymerase chain reaction-adjusted adequate clinical and parasitological response at 42 days was 90% for AP (95% confidence interval [CI], 82%-95%) and 92% for ASAP (95% CI, 83%-96%;

conclusionsAtovaquone-proguanil remained marginally effective in Cambodia (≥90%) with minimal Pfcytb mutations observed. Treatment failures in the presence of ex vivo atovaquone sensitivity and adequate plasma levels may be attributable to cycloguanil and/or artemisinin resistance. Artesunate co-administration provided little additional blood-stage efficacy but reduced post-treatment gametocyte carriage in combination with AP beyond single low-dose primaquine.

Indexed as

artesunateatovaquone-proguanildrug resistancemalariaprimaquine

Identifiers

PMID31660398
PMCPMC6736354
OpenAlexW2972252655

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.