Evidence map›Paper›PMID 37516752›Full record

ArticleNature communications2023

Preventing antimalarial drug resistance with triple artemisinin-based combination therapies.

Tran Dang Nguyen, Bo Gao, Chanaki Amaratunga, Mehul Dhorda, Thu Nguyen-Anh Tran, Nicholas J White, Arjen M Dondorp, Maciej F Boni, Ricardo Aguas

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
25.8field-weighted citation impact, top 1% 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

47 citing papers in PubMed, 1 synthesis or guideline pooled it, 90 citations in OpenAlex.

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  4. Antiplasmodial Compounds fromInternational journal of molecular sciences · 2026
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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

9 authors at 5 institutions in 4 countries.

Tran Dang Nguyen *Center for Infectious Disease Dynamics, Pennsylvania State University, University Park, PA, USA.
Bo Gao *Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.ORCID 0000-0002-7405-7507
Chanaki AmaratungaCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Mehul DhordaCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Thu Nguyen-Anh TranCenter for Infectious Disease Dynamics, Pennsylvania State University, University Park, PA, USA.ORCID 0000-0001-6789-5900
Nicholas J WhiteCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Arjen M DondorpCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.ORCID 0000-0001-5190-2395
Maciej F Boni *Center for Infectious Disease Dynamics, Pennsylvania State University, University Park, PA, USA. mfb9@psu.edu.ORCID 0000-0002-0830-9630
Ricardo Aguas *Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK. ricardo@tropmedres.ac.
Mahidol University · THPennsylvania State University · USAngkor Hospital for Children · KHCenter for Disease Dynamics, Economics & Policy · USUniversity of Oxford · GB

Funding

Preparing for a world with artemisinin resistance: using individual-based epidemiological modeling to minimize the long-term detrimental effects of antimalarial drug resistanceR01AI153355 · NIAID · TEMPLE UNIV OF THE COMMONWEALTH · PI BONI, MACIEJ F · 2020 to 2024
$1.8M
Bill & Melinda Gates Foundation OPP1193472NIAID NIH HHS R01 AI153355Wellcome TrustWellcome Trust 220211
6 · The paper itself

Abstract

Increasing levels of artemisinin and partner drug resistance threaten malaria control and elimination globally. Triple artemisinin-based combination therapies (TACTs) which combine artemisinin derivatives with two partner drugs are efficacious and well tolerated in clinical trials, including in areas of multidrug-resistant malaria. Whether early TACT adoption could delay the emergence and spread of antimalarial drug resistance is a question of vital importance. Using two independent individual-based models of Plasmodium falciparum epidemiology and evolution, we evaluated whether introduction of either artesunate-mefloquine-piperaquine or artemether-lumefantrine-amodiaquine resulted in lower long-term artemisinin-resistance levels and treatment failure rates compared with continued ACT use. We show that introduction of TACTs could significantly delay the emergence and spread of artemisinin resistance and treatment failure, extending the useful therapeutic life of current antimalarial drugs, and improving the chances of malaria elimination. We conclude that immediate introduction of TACTs should be considered by policy makers in areas of emerging artemisinin resistance.

Indexed as

AntimalarialsArtemisininsFolic Acid AntagonistsArtemetherArtemether, Lumefantrine Drug CombinationAntimalarialsArtemetherArtemether, Lumefantrine Drug CombinationartemisininArtemisininsFolic Acid Antagonists

Identifiers

PMID37516752
PMCPMC10387089
OpenAlexW4385380131

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.