Evidence map›Paper›PMID 36597076›Full record

Trial reportMalaria journal2023

Randomized, open-label, phase 2a study to evaluate the contribution of artefenomel to the clinical and parasiticidal activity of artefenomel plus ferroquine in African patients with uncomplicated Plasmodium falciparum malaria.

Adama Gansane, Moussa Lingani, Adoke Yeka, Alain Nahum, Marielle Bouyou-Akotet, Ghyslain Mombo-Ngoma, Grace Kaguthi, Catalina Barceló, Bart Laurijssens, Cathy Cantalloube and 16 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled TrialClinical Trial, Phase II
In one paragraph

Trial report in Malaria journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03660839 (A Randomized, Open Label, Parallel-group, Single Dose Regimen, Phase 2a Study, to Investigate the Clinical and Parasiticidal Activity and the Pharmacokinetics of 3 Dose Levels of Artefenomel), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
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.

NCT03660839 phase2completednot on this map

A Randomized, Open Label, Parallel-group, Single Dose Regimen, Phase 2a Study, to Investigate the Clinical and Parasiticidal Activity and the Pharmacokinetics of 3 Dose Levels of Artefenomel (OZ439) Given in Combination With Ferroquine (FQ) and FQ Alone, in African Patients With Uncomplicated Plasmodium Falciparum Malaria

TypeinterventionalSponsorSanofiRan2018 to 2019Enrolled140ConditionsPlasmodium Falciparum InfectionArmsArtefenomel (OZ439), Ferroquine (SSR97193)
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Molecules (Basel, Switzerland) · 2024
    Review
  5. Article
  6. Review
  7. Review
  8. Investigation of new ferrocenyl-artesunate derivatives as antiparasitics.Dalton transactions (Cambridge, England : 2003) · 2023
    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

26 authors at 10 institutions in 8 countries.

Adama GansaneCentre National de Recherche et de Formation sur le Paludisme (CNRFP), 01 BP 220801 BP 2208, Ouagadougou, Burkina Faso. agansane.cnrfp@fasonet.bf.
Moussa LinganiInstitut de Recherche en Science de la Santé - Unité de Recherche Clinique de Nanoro (IRSS-URCN), Ouagadougou, Burkina Faso.
Adoke YekaInfectious Diseases Research Collaboration (IDRC), Kampala, Uganda.
Alain NahumCentre de Recherches Entomologique de Cotonou (CREC), Cotonou, Benin.
Marielle Bouyou-AkotetDépartement de Parasitologie-Mycologie-Médecine Tropicale, Faculté de Médecine - Université des Sciences de la Santé, Libreville, Gabon.
Ghyslain Mombo-NgomaCentre de Recherches Médicales de Lambaréné (CERMEL), Lambaréné, Gabon.
Grace KaguthiKenya Medical Research Institute-Centre for Respiratory Diseases Research (KEMRI-CRDR), Nairobi, Kenya.
Catalina BarcelóMedicines for Malaria Venture, Geneva, Switzerland.
Bart LaurijssensBEL Pharm Consulting, Chambonas, France.
Cathy CantalloubeSanofi Research and Development, Chilly Mazarin, France.
Fiona MacintyreMedicines for Malaria Venture, Geneva, Switzerland.
Elhadj DjeriouSanofi Research and Development, Chilly Mazarin, France.
Andreas JesselSanofi Research and Development, Bridgewater, NJ, USA.
Raphaël BejuitSanofi Research and Development, Chilly Mazarin, France.
Helen DemarestMedicines for Malaria Venture, Geneva, Switzerland.
Anne Claire MarrastMedicines for Malaria Venture, Geneva, Switzerland.
Siaka DebeCentre National de Recherche et de Formation sur le Paludisme (CNRFP), 01 BP 220801 BP 2208, Ouagadougou, Burkina Faso.
Halidou TintoInstitut de Recherche en Science de la Santé - Unité de Recherche Clinique de Nanoro (IRSS-URCN), Ouagadougou, Burkina Faso.
Afizi KibuukaInfectious Diseases Research Collaboration (IDRC), Kampala, Uganda.
Diolinda NahumCentre de Recherches Entomologique de Cotonou (CREC), Cotonou, Benin.
Denise Patricia Mawili-MboumbaDépartement de Parasitologie-Mycologie-Médecine Tropicale, Faculté de Médecine - Université des Sciences de la Santé, Libreville, Gabon.
Rella Zoleko-ManegoCentre de Recherches Médicales de Lambaréné (CERMEL), Lambaréné, Gabon.
Irene MugenyaKenya Medical Research Institute-Centre for Respiratory Diseases Research (KEMRI-CRDR), Nairobi, Kenya.
Frederick OleweCentre for Clinical Research, Kenya Medical Research Institute, Kisumu, Kenya.
Stephan DuparcMedicines for Malaria Venture, Geneva, Switzerland.
Bernhards OgutuCentre for Clinical Research, Kenya Medical Research Institute, Kisumu, Kenya.
Medicines for Malaria Venture · CHSanofi (France) · FRCentre National de Recherche et de Formation sur le Paludisme · BFInfectious Diseases Research Collaboration · UGInstitut de Recherche en Sciences de la Santé · BFKenya Medical Research Institute · KEStrathmore University · KEUniversité des Sciences de la Santé · GAUniversity Medical Center Hamburg-Eppendorf · DESanofi (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe contribution of artefenomel to the clinical and parasiticidal activity of ferroquine and artefenomel in combination in uncomplicated Plasmodium falciparum malaria was investigated.

methodsThis Phase 2a, randomized, open-label, parallel-group study was conducted from 11th September 2018 to 6th November 2019 across seven centres in Benin, Burkina Faso, Gabon, Kenya, and Uganda. Patients aged ≥ 14-69 years with microscopically confirmed infection (≥ 3000 to ≤ 50,000 parasites/µL blood) were randomized 1:1:1:1 to 400 mg ferroquine, or 400 mg ferroquine plus artefenomel 300, 600, or 1000 mg, administered as a single oral dose. The primary efficacy analysis was a logistic regression evaluating the contribution of artefenomel exposure to Day 28 PCR-adjusted adequate clinical and parasitological response (ACPR). Safety was also evaluated.

resultsThe randomized population included 140 patients. For the primary analysis in the pharmacokinetic/pharmacodynamic efficacy population (N = 121), the contribution of artefenomel AUC

conclusionThe contribution of artefenomel exposure to the clinical and parasitological activity of ferroquine/artefenomel could not be demonstrated in this study. Parasite clearance was faster with ferroquine/artefenomel versus ferroquine alone. All treatments were well tolerated.

trial registrationClinicalTrials.gov, NCT03660839 (7 September, 2018).

Indexed as

AntimalarialsMalaria, FalciparumAdamantaneAminoquinolinesDrug CombinationsFerrous CompoundsHumansMetallocenesPeroxidesPlasmodium falciparumTreatment OutcomeAdamantaneAminoquinolinesAntimalarialsartefenomelDrug CombinationsferroquineFerrous CompoundsMetallocenesPeroxidesArtefenomelClinical trialCombination treatmentExposure–responseFerroquineUncomplicated P. falciparum malaria

Identifiers

PMID36597076
PMCPMC9809015
OpenAlexW4313522101

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.