Page last updated: 2024-12-05

proguanil

Description Research Excerpts Clinical Trials Roles Classes Pathways Study Profile Bioassays Related Drugs Related Conditions Protein Interactions Research Growth

Description

Proguanil: A biguanide compound which metabolizes in the body to form cycloguanil, an anti-malaria agent. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

proguanil : A biguanide compound which has isopropyl and p-chlorophenyl substituents on the terminal N atoms. A prophylactic antimalarial drug, it works by inhibiting the enzyme dihydrofolate reductase, which is involved in the reproduction of the malaria parasites Plasmodium falciparum and P. vivax within the red blood cells. [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Cross-References

ID SourceID
PubMed CID6178111
CHEMBL ID1377
CHEBI ID8455
SCHEMBL ID45726
SCHEMBL ID17300525
SCHEMBL ID16894670
MeSH IDM0004166

Synonyms (96)

Synonym
BIDD:GT0576
unii-s61k3p7b2v
s61k3p7b2v ,
proguanile
4-12-00-01198 (beilstein handbook reference)
BRD-K28183345-003-05-6
DIVK1C_006763
paludrine
biguanide, 1-(p-chlorophenyl)-5-isopropyl-
proguanile [dcit]
brn 2811599
1-isopropyl-5-(4-chlorophenyl)biguanide
chlorguanid
proguanilum [inn-latin]
bigumal
n1-p-chlorophenyl-n5-isopropylbiguanide
einecs 207-915-6
paludrin
proguanil [inn:ban]
SPECTRUM_001588
SPECTRUM5_001384
NCGC00016528-01
cas-637-32-1
BPBIO1_001207
paludrine (hydrochloride)
imidodicarbonimidic diamide, n-(4-chlorophenyl)-n'-(1-methylethyl)-
(hydrochloride)
palusil (hydrochloride)
n-(4-chlorophenyl)-n'-(1-methylethyl)imidodicarbonimidic diamide
tirian (hydrochloride)
m-4888 (hydrochloride)
diguanyl (hydrochloride)
1-(4-chlorophenyl)-3-(n-isopropylcarbamimidoyl)guanidine
drinupal (hydrochloride)
sn-12837 (hydrochloride)
chlorguanide
PRESTWICK2_000999
BSPBIO_003417
AB00053776
n-(4-chlorophenyl)-n'-(isopropyl)-imidodicarbonimidic diamide
chloroguanide
proguanil
C07631
DB01131
1-(p-chlorophenyl)-5-isopropylbiguanide
KBIO2_007204
KBIOGR_001204
KBIOSS_002068
KBIO1_001707
KBIO2_004636
KBIO2_002068
KBIO3_002637
SPECTRUM4_000622
SPECPLUS_000667
PRESTWICK0_000999
SPBIO_001029
SPECTRUM2_001135
SPBIO_002988
SPECTRUM3_001659
PRESTWICK1_000999
PRESTWICK3_000999
BSPBIO_001097
NCGC00016528-03
NCGC00016528-02
D08428
proguanil (inn)
CHEMBL1377
CHEBI:8455 ,
n-(4-chlorophenyl)-n'-(propan-2-yl)imidodicarbonimidic diamide
proguanilum
chlorguanide [mi]
proguanil [vandf]
proguanil [who-dd]
proguanil [inn]
S5927
SCHEMBL45726
SSOLNOMRVKKSON-UHFFFAOYSA-N
AB00053776_05
SCHEMBL17300525
DTXSID3022794
SCHEMBL16894670
AKOS032455844
SBI-0052839.P002
n'-4-chlorophenyl-n5-isopropylbiguanide
CS-6234
HY-B0806
BRD-K28183345-003-07-2
bdbm50227829
CS-12345
(4-chlorphenyl)-5-isopropylbiguanid
1-(4-chlorophenyl)-5-isopropylbiguanide;n1-(4-chlorophenyl)-n5-isopropylbiguanide
A901482
EN300-7419463
1-[n'-(4-chlorophenyl)carbamimidamido]-n-(propan-2-yl)methanimidamide
xew ,
n-(4-chlorophenyl)-n'-(propan-2-yl)triimidodicarbonic diamide

Research Excerpts

Toxicity

There is a significant excess of adverse neuropsychiatric events of intermediate degrees of severity associated with the use of mefloquine. Mild adverse events (mainly gastro-intestinal symptoms) were often reported and positively correlated with proguanil concentrations.

ExcerptReferenceRelevance
"Side-effects of proguanil reported to the Swedish Adverse Drug Reaction (ADR) register from 1981 to 1988 are described and related to sales figures of the drug in Sweden during the same period."( How safe is proguanil? A post-marketing investigation of side-effects.
Björkman, A; Eriksson, B; Keisu, M, 1991
)
0.28
"To compare the frequency of adverse events, particularly neuropsychiatric effects, from mefloquine and from chloroquine plus proguanil as used for malaria chemoprophylaxis."( Comparison of adverse events associated with use of mefloquine and combination of chloroquine and proguanil as antimalarial prophylaxis: postal and telephone survey of travellers.
Barrett, PJ; Bradley, DJ; Clarke, PD; Emmins, PD, 1996
)
0.29
" Overall, neuropsychiatric adverse events were significantly more common in travellers taking mefloquine."( Comparison of adverse events associated with use of mefloquine and combination of chloroquine and proguanil as antimalarial prophylaxis: postal and telephone survey of travellers.
Barrett, PJ; Bradley, DJ; Clarke, PD; Emmins, PD, 1996
)
0.29
"There is a significant excess of adverse neuropsychiatric events of intermediate degrees of severity associated with the use of mefloquine compared with proguanil plus chloroquine."( Comparison of adverse events associated with use of mefloquine and combination of chloroquine and proguanil as antimalarial prophylaxis: postal and telephone survey of travellers.
Barrett, PJ; Bradley, DJ; Clarke, PD; Emmins, PD, 1996
)
0.29
" Subject to the limitations of a response rate that was smaller than desired and the fact that the study was conducted in fit male military personnel, these results support evidence which indicates that mefloquine is no more toxic than chloroquine-proguanil."( Side effects of mefloquine prophylaxis for malaria: an independent randomized controlled trial.
Clayton, TC; Croft, AM; World, MJ,
)
0.13
"We had the impression that adverse reactions to standard antimalarial prophylaxis were reported much more often than stated by the package insert and medical drug references; and that side effects adversely affected compliance."( Adverse effects and compliance with mefloquine or proguanil antimalarial chemoprophylaxis.
de Munter, J; Hoebe, C; Thijs, C, 1997
)
0.3
"We can confirm the reports by users that adverse effects of mefloquine and proguanil are common and, although mostly mild, adversely affect compliance."( Adverse effects and compliance with mefloquine or proguanil antimalarial chemoprophylaxis.
de Munter, J; Hoebe, C; Thijs, C, 1997
)
0.3
"To evaluate the frequency and type of adverse drug reactions associated to the antimalarial chemoprophylaxis advised to travellers visiting endemic areas."( [Adverse effects associated with antimalarial chemoprophylaxis].
Caparrós, F; Codina, C; Corachán, M; Corominas, N; Gascón, J; Mejías, T; Quintó, L; Ribas, J, 1997
)
0.3
" The adverse drug reactions were reported by the travellers through a questionnaire handed at the consulting room."( [Adverse effects associated with antimalarial chemoprophylaxis].
Caparrós, F; Codina, C; Corachán, M; Corominas, N; Gascón, J; Mejías, T; Quintó, L; Ribas, J, 1997
)
0.3
"4% of the travellers reported adverse drug reactions."( [Adverse effects associated with antimalarial chemoprophylaxis].
Caparrós, F; Codina, C; Corachán, M; Corominas, N; Gascón, J; Mejías, T; Quintó, L; Ribas, J, 1997
)
0.3
"The adverse drug reactions reported agree with the toxicologic profile described in the literature about these drugs."( [Adverse effects associated with antimalarial chemoprophylaxis].
Caparrós, F; Codina, C; Corachán, M; Corominas, N; Gascón, J; Mejías, T; Quintó, L; Ribas, J, 1997
)
0.3
"Currently recommended prophylactic regimens for Plasmodium falciparum malaria are associated with a high incidence of adverse events and/or suboptimal efficacy."( Efficacy and safety of atovaquone/proguanil as suppressive prophylaxis for Plasmodium falciparum malaria.
Aleman, GM; Gordon, DM; Klotz, FW; Oloo, AJ; Sadie, D; Scott, TR; Shanks, GD, 1998
)
0.3
" Differences in rates of adverse outcomes between the three groups were not statistically significant."( Safety of mefloquine and other antimalarial agents in the first trimester of pregnancy.
Edwards, R; Fuchs, E; Kerr, L; Phillips-Howard, PA; Schildknecht, J; Steffen, R; Vanhauwere, B, 1998
)
0.3
" Malaria blood smears were prepared on a weekly basis and a failure of chemoprophylaxis was defined as any subject who had a positive blood smear, or who withdrew from the study due to a treatment-related adverse event."( A randomized, double-blind, placebo-controlled field trial to determine the efficacy and safety of Malarone (atovaquone/proguanil) for the prophylaxis of malaria in Zambia.
Chisdaka, N; Mulenga, M; Roskell, NS; Scott, TR; Sukwa, TY, 1999
)
0.3
" Adverse events were generally typical of malaria symptoms and each occurred in < 10% of the patients in either group, with the exception of increased vomiting found in the atovaquone/proguanil group."( Efficacy and safety of atovaquone/proguanil compared with mefloquine for treatment of acute Plasmodium falciparum malaria in Thailand.
Canfield, CJ; Chalermarut, K; Hutchinson, DB; Looareesuwan, S; Rattanapong, Y; Wilairatana, P, 1999
)
0.3
" Prophylactic success was summarized using a 95% confidence interval for the proportion of subjects who did not develop parasitemia or who withdrew due to a treatment-related adverse event."( Safety and efficacy of atovaquone and proguanil hydrochloride for the prophylaxis of Plasmodium falciparum malaria in South Africa.
Duvenage, CS; Roskell, NS; Scott, TR; van der Berg, JD, 1999
)
0.3
" Mild adverse events (mainly gastro-intestinal symptoms) were often reported and positively correlated with proguanil concentrations."( Proguanil disposition and toxicity in malaria patients from Vanuatu with high frequencies of CYP2C19 mutations.
Bergqvist, Y; Björkman, A; Ishizaki, T; Kaneko, A; Kobayakawa, T; Taleo, G, 1999
)
0.3
"We performed a prospective, double-blind, randomized study to compare the occurrence of neuropsychiatric adverse events and concentration impairment during prophylactic use of either mefloquine or atovaquone plus chloroguanide (INN, proguanil)."( Atovaquone plus chloroguanide versus mefloquine for malaria prophylaxis: a focus on neuropsychiatric adverse events.
Ditters, JM; Ligthelm, RJ; Overbosch, D; Stricker, BH; Sturkenboom, MC; van Riemsdijk, MM, 2002
)
0.31
"No serious adverse events occurred."( The safety of atovaquone/proguanil in long-term malaria prophylaxis of nonimmune adults.
Petersen, E, 2003
)
0.32
"Atovaquone/proguanil was safe and well tolerated in this group of long-term nonimmune travelers."( The safety of atovaquone/proguanil in long-term malaria prophylaxis of nonimmune adults.
Petersen, E, 2003
)
0.32
"We prospectively studied adverse reactions reported by long-term travelers using atovaquone/proguanil among a population intolerant to mefloquine."( Post-marketing surveillance: adverse events during long-term use of atovaquone/proguanil for travelers to malaria-endemic countries.
Overbosch, D, 2003
)
0.32
" Comparison with data from previous, larger atovaquone/proguanil studies shows that the adverse events reported by the long-term atovaquone/proguanil users are no different in type and frequency of occurrence to those travel-related health problems normally encountered in the Tropics."( Post-marketing surveillance: adverse events during long-term use of atovaquone/proguanil for travelers to malaria-endemic countries.
Overbosch, D, 2003
)
0.32
" The outcome measures were parasite clearance time, fever clearance time, efficacy, and adverse events profile."( A randomized open label clinical trial to compare the efficacy and safety of intravenous quinine followed by oral malarone vs. intravenous quinine followed by oral quinine in the treatment of severe malaria.
Ayuo, PO; Esamai, F; Jakait, B; Obala, A; Ong'or, WO; Tenge, CN, 2005
)
0.33
" The no or low adverse effect levels were in the range of 5 to 7 mg/kg/day artesunate."( Developmental toxicity of artesunate and an artesunate combination in the rat and rabbit.
A Clode, S; Clark, RL; Gaunt, I; Ward, SA; White, TE; Winstanley, P, 2004
)
0.32
" An effective and safe prophylactic antimalarial drug is needed."( Malaria prophylaxis for aircrew: safety of atovaquone/proguanil in healthy volunteers under aircraft cabin pressure conditions.
Krul, AJ; Simons, R; Valk, PJ,
)
0.13
" No significant differences were found between the effects of placebo and A/P on vigilance, alertness, complex information processing, sleep duration and quality, and the occurrence of adverse effects."( Malaria prophylaxis for aircrew: safety of atovaquone/proguanil in healthy volunteers under aircraft cabin pressure conditions.
Krul, AJ; Simons, R; Valk, PJ,
)
0.13
" Three (15%) of the 20 atovaquone-proguanil-treated adults had adverse events (AEs), all of which were transient elevations of liver enzymes, while 19 (38%) of the 50 mefloquine-treated adults had AEs, including dizziness in 8 (16%) and nausea/vomiting in 7 (14%)."( Efficacy and safety of atovaquone-proguanil compared with mefloquine in the treatment of nonimmune patients with uncomplicated P. falciparum malaria in Japan.
Hitani, A; Kimura, M; Nakamura, T; Nawa, Y; Ohtomo, H, 2006
)
0.33
" These observations suggest that A/P is also a safe and efficacious drug for the long-term chemoprophylaxis of falciparum malaria."( The safety and tolerance of atovaquone/proguanil for the long-term prophylaxis of plasmodium falciparum malaria in non-immune travelers and expatriates [corrected].
Koene, HR; Overbosch, D; Spong, K; van Genderen, PJ,
)
0.13
" It was also considered safe and better tolerated with fewer treatment-related adverse events that could lead to premature discontinuation of prophylaxis than in controls."( A systematic review and meta-analysis of the effectiveness and safety of atovaquone proguanil (Malarone) for chemoprophylaxis against malaria.
Hunter, PR; Nakato, H; Vivancos, R, 2007
)
0.34
" Adverse effects, clinical response (treatment failure) and parasitological response were compared."( A randomized clinical trial comparing safety, clinical and parasitological response to artemether-lumefantrine and chlorproguanil-dapsone in treatment of uncomplicated malaria in pregnancy in Mulago hospital, Uganda.
Kaye, DK; Mutyaba, TS; Ndeezi, G; Nshemerirwe, R, 2008
)
0.35
" The adverse effects were comparable between the two groups."( A randomized clinical trial comparing safety, clinical and parasitological response to artemether-lumefantrine and chlorproguanil-dapsone in treatment of uncomplicated malaria in pregnancy in Mulago hospital, Uganda.
Kaye, DK; Mutyaba, TS; Ndeezi, G; Nshemerirwe, R, 2008
)
0.35
" Pancytopenia was not caused by a tropical infection but was a side effect of atovaquone/proguanil used as malaria chemoprophylaxis."( Pancytopenia due to proguanil toxicity in a returning traveller with fever.
den Hartigh, J; Jolink, H; van Nieuwkoop, C; Visser, LG, 2010
)
0.36
" The results support the continued safe and efficacious use of artemether-lumefantrine in uncomplicated falciparum malaria."( Randomized, prospective, three-arm study to confirm the auditory safety and efficacy of artemether-lumefantrine in Colombian patients with uncomplicated Plasmodium falciparum malaria.
Barón, C; Carrasquilla, G; Cousin, M; Fisher, LM; Lefèvre, G; Monsell, EM; Sander, O; Walter, V, 2012
)
0.38
" falciparum malaria who developed a moderate liver function disturbance, no significant adverse effects were observed."( Efficacy and safety of atovaquone-proguanil in treating imported malaria in Japan: the second report from the research group.
Kikuchi, T; Kimura, M; Koga, M; Maruyama, H; Miura, T, 2012
)
0.38
"The produced metabolite was more toxic than atovaquone and was not selective to normal or cancer cell lines."( Microbial Metabolism of Atovaquone and Cytotoxicity of the Produced Phase I Metabolite.
Alves Dos Santos, R; de Oliveira Silva, E; Dos Santos Gonçalves, N; Jacometti Cardoso Furtado, NA, 2016
)
0.43
" Passively reported adverse event data may provide additional information on the safety of AP during pregnancy."( Safety of atovaquone-proguanil during pregnancy.
Gutman, JR; Mayer, RC; Tan, KR, 2019
)
0.51
"We analysed adverse event data on pregnancy and birth outcomes following accidental exposures to AP during pregnancy, which were passively reported to GlaxoSmithKline LLC (GSK) between 13 May 1997 and 15 August 2017."( Safety of atovaquone-proguanil during pregnancy.
Gutman, JR; Mayer, RC; Tan, KR, 2019
)
0.51
" A systematic review was conducted to evaluate the incidence of adverse outcomes after atovaquone-proguanil (AP) exposure during pregnancy."( The safety of atovaquone-proguanil for the prevention and treatment of malaria in pregnancy: A systematic review.
Andrejko, KL; Bartlett, E; Gutman, JR; Kovacs, S; Mayer, RC; Slutsker, E; Tan, KR,
)
0.13
" Overall proportions and 95% confidence intervals of adverse outcomes were determined by pooling data across studies."( The safety of atovaquone-proguanil for the prevention and treatment of malaria in pregnancy: A systematic review.
Andrejko, KL; Bartlett, E; Gutman, JR; Kovacs, S; Mayer, RC; Slutsker, E; Tan, KR,
)
0.13
" The overall proportions and 95% confidence intervals (CI) of adverse outcomes reported for the 446 women exposed to AP include miscarriage (8."( The safety of atovaquone-proguanil for the prevention and treatment of malaria in pregnancy: A systematic review.
Andrejko, KL; Bartlett, E; Gutman, JR; Kovacs, S; Mayer, RC; Slutsker, E; Tan, KR,
)
0.13
" Adverse events occurred in 8 of 8 (100%) of participants receiving ATV-PG/AQ, 11 of 12 (91."( Unanticipated CNS Safety Signal in a Placebo-Controlled, Randomized Trial of Co-Administered Atovaquone-Proguanil and Amodiaquine.
Abla, N; Chalon, S; Chughlay, MF; Haouala, A; Hutter, B; Lorch, U; Macintyre, F; Marie Tchouatieu, A, 2022
)
0.72

Pharmacokinetics

Plasmodium falciparum malaria has no effect on the pharmacokinetic parameters for chlorproguanil, dapsone or chlorcycloguanil. There were no significant differences between patients from Thailand and Zambia. Neither absolute ADP-induced P2Y12 receptor-activated platelet aggregation nor exposure to CAMD exhibited any significant differences among the genotype groups.

ExcerptReferenceRelevance
"A pharmacokinetic study with 12-hourly doses of 100 mg proguanil hydrochloride over 15 days has been conducted in six adult male Malaysian volunteers."( Multiple-dose pharmacokinetic study of proguanil and cycloguanil following 12-hourly administration of 100 mg proguanil hydrochloride.
Jamaludin, A; Mohamad, M; Navaratnam, V; Wernsdorfer, WH; Yeoh, PY, 1990
)
0.28
" Pharmacokinetic analysis showed that this observation resulted from a reduced oral clearance of proguanil in these individuals (245, 534 and 552 ml min-1) compared with the rest of the population (858 +/- 482 ml min-1)."( The pharmacokinetics and activation of proguanil in man: consequences of variability in drug metabolism.
Breckenridge, AM; Edwards, G; Helsby, NA; Howells, RE; Ward, SA, 1990
)
0.28
" The drug was rapidly absorbed reaching a peak concentration in the blood within 3 h, and declining slowly thereafter to give a terminal phase elimination half life of 11."( The pharmacokinetics of proguanil in human subjects following a single oral dose.
Chiluba, EM; Fletcher, KA; Price, AH, 1987
)
0.27
"The pharmacokinetic parameters of chlorproguanil (Lapudrine) and its active metabolite, chlorcycloguanil, were determined in 6 healthy male volunteers after a single oral dose of 4 Lapudrine tables (80 mg)."( Pharmacokinetics of chlorproguanil in man after a single oral dose of Lapudrine.
Edstein, MD; Rieckmann, KH; Veenendaal, JR, 1988
)
0.27
"For the past 300 years antimalarial dosage regimens have not been based on pharmacokinetic information."( Clinical pharmacokinetics of antimalarial drugs.
White, NJ,
)
0.13
" The pharmacokinetic properties of proguanil were similar during and after pregnancy."( Single dose pharmacokinetics of proguanil and its metabolites in pregnancy.
Moody, RR; Nosten, F; Taylor, RB; ter Kuile, F; Wangboonskul, J; White, NJ, 1993
)
0.29
"05) in the area under the plasma drug concentration-time curve (AUC), apparent oral clearance (CL/F) and elimination half-life (t1/2) of PROG between patients given PROG alone and PROG/ ATQ."( Pharmacokinetics of proguanil in malaria patients treated with proguanil plus atovaquone.
Edstein, MD; Kyle, DE; Looareesuwan, S; Viravan, C, 1996
)
0.29
" The geometric mean elimination half-life (t1/2) of atovaquone was 57."( Lack of a pharmacokinetic interaction between atovaquone and proguanil.
Gillotin, C; Mamet, JP; Veronese, L, 1999
)
0.3
"To determine the pharmacokinetic profiles of atovaquone (ATO), proguanil (PROG) and its active metabolite cycloguanil (CYCLO) with respect to possible accumulation and kinetic interaction upon repeated dosing with Malarone."( Time-dependent pharmacokinetics and drug metabolism of atovaquone plus proguanil (Malarone) when taken as chemoprophylaxis.
Ashton, M; Bergqvist, Y; Björkman, A; Johansson, I; Lindegårdh, N; Nivelius, S; Thapar, MM, 2002
)
0.31
" Single-dose and steady-state pharmacokinetic parameters were determined for each individual."( Time-dependent pharmacokinetics and drug metabolism of atovaquone plus proguanil (Malarone) when taken as chemoprophylaxis.
Ashton, M; Bergqvist, Y; Björkman, A; Johansson, I; Lindegårdh, N; Nivelius, S; Thapar, MM, 2002
)
0.31
"To determine the pharmacokinetic properties of atovaquone, proguanil, and the triazine metabolite cycloguanil in women with recrudescent multi-drug resistant falciparum malaria during the second and third trimesters of pregnancy treated by artesunate-atovaquone-proguanil."( The pharmacokinetics of atovaquone and proguanil in pregnant women with acute falciparum malaria.
Cho, T; Edstein, MD; Gilveray, G; Looareesuwan, S; McGready, R; Nosten, F; Stepniewska, K; White, NJ, 2003
)
0.32
" Using conventional and population pharmacokinetic analyses, Cl/F and Vd/F estimates for both drugs were approximately twice, and plasma concentrations less than half those reported previously in healthy subjects and patients with acute malaria."( The pharmacokinetics of atovaquone and proguanil in pregnant women with acute falciparum malaria.
Cho, T; Edstein, MD; Gilveray, G; Looareesuwan, S; McGready, R; Nosten, F; Stepniewska, K; White, NJ, 2003
)
0.32
" The pharmacodynamic interactions among atovaquone, proguanil and its metabolite cycloguanil were investigated in 4 Plasmodium falciparum parasite strains by culture assays in vitro."( Pharmacodynamic interactions among atovaquone, proguanil and cycloguanil against Plasmodium falciparum in vitro.
Björkman, A; Gupta, S; Spindler, C; Thapar, MM; Wernsdorfer, WH,
)
0.13
" Blood samples were taken for pharmacokinetic investigations of atovaquone, proguanil, and cycloguanil up to 288 h (day 14) after the last dose."( The pharmacokinetics and pharmacodynamics of atovaquone and proguanil for the treatment of uncomplicated falciparum malaria in third-trimester pregnant women.
Kioy, D; Konsil, J; Manyando, C; Miller, GB; Mulenga, M; Na-Bangchang, K; Ruengweerayut, R, 2005
)
0.33
" There were no significant differences in any of the pharmacokinetic parameters of atovaquone, proguanil or cycloguanil between patients from Thailand and Zambia."( The pharmacokinetics and pharmacodynamics of atovaquone and proguanil for the treatment of uncomplicated falciparum malaria in third-trimester pregnant women.
Kioy, D; Konsil, J; Manyando, C; Miller, GB; Mulenga, M; Na-Bangchang, K; Ruengweerayut, R, 2005
)
0.33
"The pharmacokinetics of atovaquone and cycloguanil appeared to be influenced by the pregnancy status, resulting in an decrease in the Cmax and AUC of approximately twofold."( The pharmacokinetics and pharmacodynamics of atovaquone and proguanil for the treatment of uncomplicated falciparum malaria in third-trimester pregnant women.
Kioy, D; Konsil, J; Manyando, C; Miller, GB; Mulenga, M; Na-Bangchang, K; Ruengweerayut, R, 2005
)
0.33
"The population pharmacokinetic parameter estimates for chlorproguanil were ka=00."( Population pharmacokinetic and pharmacodynamic modelling of the antimalarial chemotherapy chlorproguanil/dapsone.
Aarons, L; Bojang, K; Edwards, G; Hughes, D; Manyando, C; Simpson, JA; Ward, S; Watkins, WA; Winstanley, P, 2006
)
0.33
"Plasmodium falciparum malaria has no effect on the pharmacokinetic parameters for chlorproguanil, dapsone or chlorcycloguanil."( Population pharmacokinetic and pharmacodynamic modelling of the antimalarial chemotherapy chlorproguanil/dapsone.
Aarons, L; Bojang, K; Edwards, G; Hughes, D; Manyando, C; Simpson, JA; Ward, S; Watkins, WA; Winstanley, P, 2006
)
0.33
"To determine the pharmacokinetic properties of dihydroartemisinin (DHA) following oral artesunate treatment in women with recrudescent multi-drug resistant falciparum malaria, in the second and third trimesters of pregnancy."( Pharmacokinetics of dihydroartemisinin following oral artesunate treatment of pregnant women with acute uncomplicated falciparum malaria.
Cho, T; Gilveray, G; Looareesuwan, S; McGready, R; Nosten, F; Stepniewska, K; Ward, SA; White, NJ, 2006
)
0.33
" Conventional non-compartmental modelling and a population one-compartment pharmacokinetic model were applied to the data."( Pharmacokinetics of dihydroartemisinin following oral artesunate treatment of pregnant women with acute uncomplicated falciparum malaria.
Cho, T; Gilveray, G; Looareesuwan, S; McGready, R; Nosten, F; Stepniewska, K; Ward, SA; White, NJ, 2006
)
0.33
" Blood samples for pharmacokinetic analysis were collected up to 24 h post-first dose."( Pharmacokinetics of chlorproguanil, dapsone, artesunate and their major metabolites in patients during treatment of acute uncomplicated Plasmodium falciparum malaria.
Bandyopadhyay, N; Duparc, S; Kirby, PL; Miller, AK; Ward, SA; Winstanley, PA; Wootton, DG, 2009
)
0.35
"The pharmacokinetic analysis included 115 patients."( Pharmacokinetics of chlorproguanil, dapsone, artesunate and their major metabolites in patients during treatment of acute uncomplicated Plasmodium falciparum malaria.
Bandyopadhyay, N; Duparc, S; Kirby, PL; Miller, AK; Ward, SA; Winstanley, PA; Wootton, DG, 2009
)
0.35
" Identified articles were included in the review if the study had at least one group that reported at least one pharmacokinetic parameter of interest in pregnant women."( Pharmacokinetics of antimalarials in pregnancy: a systematic review.
Ensom, MH; Wilby, KJ, 2011
)
0.37
" The objective of this study is to show the pharmacokinetic (PK) profile of intravenous artesunate (AS), which was manufactured under good manufacturing practice (GMP) conditions, in adults with uncomplicated falciparum malaria in Kenya."( Pharmacokinetic evaluation of intravenous artesunate in adults with uncomplicated falciparum malaria in Kenya: a phase II study.
Hickman, MR; Li, Q; Melendez, V; Miller, SR; Ogutu, B; Otieno, W; Polhemus, M; Remich, S; Smith, B; Teja-Isavadharm, P; Weina, PJ, 2014
)
0.4
" Pharmacokinetic data were analysed with a compartmental analysis for AS and DHA."( Pharmacokinetic evaluation of intravenous artesunate in adults with uncomplicated falciparum malaria in Kenya: a phase II study.
Hickman, MR; Li, Q; Melendez, V; Miller, SR; Ogutu, B; Otieno, W; Polhemus, M; Remich, S; Smith, B; Teja-Isavadharm, P; Weina, PJ, 2014
)
0.4
" The high mean peak concentration (Cmax) of AS was shown to be 28,558 ng/mL while the Cmax of DHA was determined to be 2,932 ng/mL."( Pharmacokinetic evaluation of intravenous artesunate in adults with uncomplicated falciparum malaria in Kenya: a phase II study.
Hickman, MR; Li, Q; Melendez, V; Miller, SR; Ogutu, B; Otieno, W; Polhemus, M; Remich, S; Smith, B; Teja-Isavadharm, P; Weina, PJ, 2014
)
0.4
" Given the much longer half-life of DHA compared to the short half-life of AS, DHA also plays a significant role in treatment of severe malaria."( Pharmacokinetic evaluation of intravenous artesunate in adults with uncomplicated falciparum malaria in Kenya: a phase II study.
Hickman, MR; Li, Q; Melendez, V; Miller, SR; Ogutu, B; Otieno, W; Polhemus, M; Remich, S; Smith, B; Teja-Isavadharm, P; Weina, PJ, 2014
)
0.4
" Neither the absolute ADP-induced P2Y12 receptor-activated platelet aggregation, exposure to CAMD nor the pharmacokinetic parameters of proguanil, cycloguanil and 4-CPB exhibited any significant differences among the genotype groups."( CYP2C19*17 increases clopidogrel-mediated platelet inhibition but does not alter the pharmacokinetics of the active metabolite of clopidogrel.
Brosen, K; Damkier, P; el Achwah, AB; Nielsen, F; Pedersen, RS; Stage, TB; Vinholt, PJ, 2014
)
0.4
" Pharmacokinetic data and studies on drug-sparing AP regimens suggest this to be the case."( On the potential for discontinuing atovaquone-proguanil (AP) ad-hoc post-exposure and other abbreviated AP-regimens: Pharmacology, pharmacokinetics and perspectives.
Bache, EB; Borrmann, S; de Jong, HK; Grobusch, MP; Hanscheid, T; Schlagenhauf, P; Schnyder, JL; van Hest, RM,
)
0.13

Compound-Compound Interactions

Clinical studies have shown proguanil (PROG) combined with atovaquone (ATQ) to be an effective and safe antimalarial combination for the treatment of multidrug-resistant falciparum malaria.

ExcerptReferenceRelevance
"The prophylactic efficacies of atovaquone (ATQ) alone and in combination with azithromycin, clarithromycin, rifabutin, proguanil, PS-15, trimethoprim, co-trimoxazole, or dapsone were investigated in a SCID mouse model of Pneumocystis carinii pneumonia (PCP)."( Effect of atovaquone and atovaquone drug combinations on prophylaxis of Pneumocystis carinii pneumonia in SCID mice.
Comley, JC; Sterling, AM, 1995
)
0.29
"The potency of antimalarial dihydrofolate reductase inhibitors, alone and in synergistic combination with dihydropteroate synthetase inhibitors, against the Kenyan K39 strain of Plasmodium falciparum (pyrimethamine resistant) and against normal replicating human bone marrow cells in in vitro culture has been studied."( In vitro activities of novel antifolate drug combinations against Plasmodium falciparum and human granulocyte CFUs.
Breckenridge, AM; Mberu, EK; Szwandt, IS; Watkins, WM; Winstanley, PA, 1995
)
0.29
" When PS-15 was administered in combination with sulfamethoxazole to healthy Saimiri sciureus monkeys, the serum antimalarial activity was considerably greater than that observed in monkeys that received PS-15 alone."( The activity of PS-15 in combination with sulfamethoxazole.
Rieckmann, KH; Yeo, AE, 1994
)
0.29
"Clinical studies have shown proguanil (PROG) combined with atovaquone (ATQ) to be an effective and safe antimalarial combination for the treatment of multidrug-resistant falciparum malaria."( Proguanil polymorphism does not affect the antimalarial activity of proguanil combined with atovaquone in vitro.
Edstein, MD; Kyle, DE; Looareesuwan, S; Rieckmann, KH; Wilairatana, P; Yeo, AE,
)
0.13
" Further studies are now required to determine whether DDS, CPG or an as-yet unidentified metabolite of CPG interact with ASN, and whether a simple double combination of ASN with one or other of these would be as protective, against the selection of resistance, as CDA."( The chemotherapy of rodent malaria. LXIII. Drug combinations to impede the selection of drug resistance, part 6: the potential value of chlorproguanil and dapsone in combination, and with the addition of artesunate.
Peters, W; Robinson, BL; Stewart, LB, 2005
)
0.33
" We conclude that atovaquone-proguanil shows no evidence of cardiotoxicity either alone or when combined with artesunate."( Short report: no evidence of cardiotoxicity of atovaquone-proguanil alone or in combination with artesunate.
Gupta, RK; Looareesuwan, S; Nosten, F; Paiphun, L; Slight, T; Van Vugt, M; White, NJ, 2005
)
0.33
" Participants were randomized to receive chloroquine alone or combined with artesunate, azithromycin or atovaquone-proguanil for all episodes of uncomplicated malaria for one year."( A longitudinal trial comparing chloroquine as monotherapy or in combination with artesunate, azithromycin or atovaquone-proguanil to treat malaria.
Dzinjalamala, FK; Laufer, MK; Laurens, MB; Masonga, R; Nyirenda, OM; Plowe, CV; Stokes-Riner, A; Taylor, TE; Thesing, PC, 2012
)
0.38

Bioavailability

ExcerptReferenceRelevance
" Selected as a preclinical candidate, ELQ-300 has good oral bioavailability at efficacious doses in mice, is metabolically stable, and is highly active in blocking transmission in rodent models of malaria."( Quinolone-3-diarylethers: a new class of antimalarial drug.
Angulo-Barturen, I; Avery, VM; Bathurst, I; Burrows, JN; Charman, SA; Cross, RM; Delves, MJ; Duffy, S; Ferrer, S; Forquer, IP; Gamo, FJ; Guy, RK; Herreros, E; Jiménez-Díaz, MB; Kelly, JX; Kocken, CHM; Kyle, DE; LaCrue, AN; Li, Y; Manetsch, R; Marfurt, J; Mather, MW; Morrisey, JM; Mutka, T; Nilsen, A; Noviyanti, R; Price, RN; Riscoe, MK; Ryan, E; Saenz, FE; Sanz, LM; Sebayang, BF; Shackleford, DM; Siegl, P; Sinden, RE; Steuten, J; Vaidya, AB; White, KL; Winter, RW; Wirjanata, G; Zeeman, AM, 2013
)
0.39
"Emerging parasite resistance and poor oral bioavailability of anti-malarials are the two cardinal issues which hinder the clinical success of malaria chemotherapy."( Bioavailability enhancement of atovaquone using hot melt extrusion technology.
Borhade, V; Deshpande, V; Gokarna, V; Kate, L; Pathak, S; Patravale, V; Prabhu, P; Sharma, S, 2016
)
0.43
" High dose and poor bioavailability are the main hurdles associated with atovaquone oral therapy."( Atovaquone oral bioavailability enhancement using electrospraying technology.
Darade, A; Pathak, S; Patravale, V; Sharma, S, 2018
)
0.48

Dosage Studied

Current guidelines recommend daily dosing of atovaquone-proguanil (AP), beginning a day before travel to endemic areas. The four drivers had been treated with chloroquine and proguanil.

ExcerptRelevanceReference
" The usefulness of high dosage heparin in the treatment of the subacute form of disseminated intravascualr coagulation is illustrated in the first admission."( A case of recurrent subacute disseminated intravascular coagulation associated with malarial prophylaxis.
Gon, F; Reid, FP, 1975
)
0.25
" carinii in vitro, a clinical trial of reduced dosage of dapsone given prophylactically to human beings is suggested."( Dapsone in low doses prevents Pneumocystis carinii pneumonia in the rat model.
González-Ruiz, A; Haworth, SJ; O'Neil, AB; Warhurst, DC, 1991
)
0.28
" The profiles and peak/trough ratios of proguanil and cycloguanil with 12-hourly dosing offer better prospects for protection against malaria than those obtained with 24-hourly doses of 200 mg proguanil hydrochloride, the current routine in malaria chemoprophylaxis."( Multiple-dose pharmacokinetic study of proguanil and cycloguanil following 12-hourly administration of 100 mg proguanil hydrochloride.
Jamaludin, A; Mohamad, M; Navaratnam, V; Wernsdorfer, WH; Yeoh, PY, 1990
)
0.28
" In 2 of 10 subjects dosed with proguanil and 1 of 11 subjects dosed with chlorproguanil, the active metabolite levels were significantly lower than the mean for the other subjects."( A preliminary pharmacokinetic study of the antimalarial drugs, proguanil and chlorproguanil.
Chulay, JD; Howells, RE; Sixsmith, DG; Spencer, HC; Watkins, WM, 1987
)
0.27
"For the past 300 years antimalarial dosage regimens have not been based on pharmacokinetic information."( Clinical pharmacokinetics of antimalarial drugs.
White, NJ,
)
0.13
" ATQ drug combinations affected the prophylactic efficacy of a subcurative dosage of ATQ (50 mg/kg/day given orally) in the following ways: dapsone (25 mg/kg/day) or co-trimoxazole (25 mg of sulfamethoxazole plus 5 mg of trimethoprim per kg/day) had no significant effect on ATQ, azithromycin (200 mg/kg/day) or clarithromycin (200 mg/kg/day) had a slight additive effect with ATQ, trimethoprim (100 mg/kg/day) or PS-15 (5 mg/kg/day) had an additive effect with ATQ, and proguanil (25 mg/kg/day) or rifabutin (200 mg/kg/day) had a marked synergistic effect on ATQ."( Effect of atovaquone and atovaquone drug combinations on prophylaxis of Pneumocystis carinii pneumonia in SCID mice.
Comley, JC; Sterling, AM, 1995
)
0.29
" Four monkeys were orally dosed with 40 mg/kg/day of WR250417 over three days (-1, 0, and +1)."( Evaluation of WR250417 (a proguanil analog) for causal prophylactic activity in the Plasmodium cynomolgi-Macaca mulatta model.
Corcoran, KD; Edstein, MD; Hansukjariya, P; Ngampochjana, M; Rieckmann, KH; Sattabongkot, J; Shanks, GD; Webster, HK, 1994
)
0.29
" The currently recommended dosage regimen appears to be appropriate for extensive metabolisers of proguanil."( The multiple dose pharmacokinetics of proguanil.
Breckenridge, AM; Edwards, G; Helsby, NA; Ward, SA, 1993
)
0.29
" The results of this preliminary study suggest that ATQ is unlikely to affect the pharmacokinetics of PROG to a clinically important extent at an ATQ dosage of 500 mg twice a day for 3 days in malaria infected patients."( Pharmacokinetics of proguanil in malaria patients treated with proguanil plus atovaquone.
Edstein, MD; Kyle, DE; Looareesuwan, S; Viravan, C, 1996
)
0.29
" All sanctioned providers limited their first choices of antimalarial drug to those recommended by the national malaria control program and reported using correct dosing regimens."( Use of antimalarial drugs in Mali: policy versus reality.
Dicko, A; Diop, S; Djimde, A; Doumbo, O; Plowe, CV; Wellems, TE, 1998
)
0.3
" For the assay of proguanil, cycloguanil and atovaquone, blood was sampled before dosing and at regular intervals over 8 days when proguanil was given, and over 17 days when atovaquone was given."( Lack of a pharmacokinetic interaction between atovaquone and proguanil.
Gillotin, C; Mamet, JP; Veronese, L, 1999
)
0.3
" The dosing regimen was well tolerated."( Atovaquone and proguanil hydrochloride followed by primaquine for treatment of Plasmodium vivax malaria in Thailand.
Chinnapha, S; Chulay, JD; Glanarongran, R; Indravijit, KA; Looareesuwan, S; Scott, TR; Supeeranontha, L; Wilairatana, P,
)
0.13
" The latter is defined as regular intake of antimalarial drugs in subtherapeutic dosage in order to suppress the development of clinical disease."( [Malaria--chemoprophylaxis 2001].
Beck, B; Blum, J; Funk, M; Furrer, H; Genton, B; Hatz, FR; Holzer, B; Loutan, L; Markwalder, K; Raeber, PA; Schlagenhauf, P; Siegl, G; Steffen, R; Stürchler, D; Wyss, R, 2001
)
0.31
" Good safety, tolerance, and efficacy, along with key advantages in dosing requirements, make primaquine an excellent drug for preventing malaria in nonpregnant, G6PD-normal travelers."( Randomized, parallel placebo-controlled trial of primaquine for malaria prophylaxis in Papua, Indonesia.
Baird, JK; Bangs, MJ; Barcus, MJ; Basri, H; Fryauff, DJ; Gramzinski, R; Hoffman, SL; Jones, TR; Kusumaningsih, M; Lacy, MD; Ling, J; Maguire, JD; Sismadi, P; Wiady, I, 2001
)
0.31
"To determine the pharmacokinetic profiles of atovaquone (ATO), proguanil (PROG) and its active metabolite cycloguanil (CYCLO) with respect to possible accumulation and kinetic interaction upon repeated dosing with Malarone."( Time-dependent pharmacokinetics and drug metabolism of atovaquone plus proguanil (Malarone) when taken as chemoprophylaxis.
Ashton, M; Bergqvist, Y; Björkman, A; Johansson, I; Lindegårdh, N; Nivelius, S; Thapar, MM, 2002
)
0.31
" The four drivers had been treated with chloroquine and proguanil but the dosage may have been insufficient with regard to their body weight (average weight = 110 kg)."( [A collective malarial infestation during a humanitarian mission in west Africa].
Beytout, J; Caumon, L; Chouaki, M; Cueto, T; Delort, P; Dufraise, S; Monchard, F; Philippe, JM; Rimeize, H, 2002
)
0.31
" falciparum malaria in nonimmune adults, adolescents and children (>/=11 kg) visiting malaria-endemic regions for ( Atovaquone/proguanil: a review of its use for the prophylaxis of Plasmodium falciparum malaria.
McKeage, K; Scott, L, 2003
)
0.32
" falciparum malaria and compared with other commonly used antimalarial agents has an improved tolerability profile, and, overall, a more convenient dosage regimen, particularly in the post-travel period."( Atovaquone/proguanil: a review of its use for the prophylaxis of Plasmodium falciparum malaria.
McKeage, K; Scott, L, 2003
)
0.32
"The patient was given chloroquine by his captain in a dosage regimen appropriate for quinine (2 tablets 3 times daily for 7 d)."( Toxicity related to chloroquine treatment of resistant vivax malaria.
Barrett, PH; Davis, TM; Ilett, KF; Syed, DA, 2003
)
0.32
" For drugs with a narrow therapeutic index such as chloroquine, recommended dosing regimens should be respected, and adequate information sources must be available where such drugs are dispensed by untrained personnel."( Toxicity related to chloroquine treatment of resistant vivax malaria.
Barrett, PH; Davis, TM; Ilett, KF; Syed, DA, 2003
)
0.32
" Both have the advantage of providing causal prophylaxis and therefore require continued dosing for only 1 wk after departure from a malaria endemic area."( The impact of Malarone and primaquine on psychomotor performance.
Cook, T; Gibson, N; Gray, G; Kenny, G; McCarthy, AE; Paul, MA, 2003
)
0.32
"Twenty-eight subjects (20 men and 8 women) ranging from 21 to 52 yr of age were assessed for psychomotor performance on 2 psychomotor test batteries at the end of a 7-d dosing protocol for each of placebo, Malarone, and primaquine treatment, in a double-blind crossover design with counterbalanced treatment order."( The impact of Malarone and primaquine on psychomotor performance.
Cook, T; Gibson, N; Gray, G; Kenny, G; McCarthy, AE; Paul, MA, 2003
)
0.32
" Using the '4-day test', a low level of synergism or a simple additional action between CPG and DDS was observed with multiple dosing of these two compounds in a combination."( The chemotherapy of rodent malaria. LXIII. Drug combinations to impede the selection of drug resistance, part 6: the potential value of chlorproguanil and dapsone in combination, and with the addition of artesunate.
Peters, W; Robinson, BL; Stewart, LB, 2005
)
0.33
"A randomized, double-blind crossover study was conducted in which 24 subjects were enrolled to use A/P and placebo, each in a 14-day prophylactic dosing regimen with a 21-day washout phase."( Malaria prophylaxis for aircrew: safety of atovaquone/proguanil in healthy volunteers under aircraft cabin pressure conditions.
Krul, AJ; Simons, R; Valk, PJ,
)
0.13
" Subsequently blood and urine samples were collected after drug dosing as before."( Effect of honey on CYP3A4, CYP2D6 and CYP2C19 enzyme activity in healthy human volunteers.
Adithan, C; Rajan, S; Shashindran, C; Tushar, T; Vinod, T, 2007
)
0.34
" For CCG and MADDS, small to moderate increases in exposure with artesunate dosing were observed."( Pharmacokinetics of chlorproguanil, dapsone, artesunate and their major metabolites in patients during treatment of acute uncomplicated Plasmodium falciparum malaria.
Bandyopadhyay, N; Duparc, S; Kirby, PL; Miller, AK; Ward, SA; Winstanley, PA; Wootton, DG, 2009
)
0.35
"Rats were dosed orally with chlorproguanil/dapsone/artesunate (including 11."( Localization of artesunate and its derivatives in the pregnant rat and fetus following oral administration and relationship to developmental toxicity.
Clark, RL; Gristwood, WE; Harrell, AW; Lewsley, R; Wilson, R, 2010
)
0.36
" Firstly, 1 mg mL(-1) of each drug in 20% 1,8-Cineole in ethanol was used; and secondly, 5 mg mL(-1) AT and 1 mg mL(-1) PR in 20% 1-methyl-2-pyrrolidone in ethanol was examined, dosed every 2 h over a 12-h period and receptor phase samples were analyzed by HPLC."( Delivery of atovaquone and proguanil across sublingual membranes, in vitro.
Heard, CM; Ong, CM; Wallace, E,
)
0.13
"Simplification of dosage regimes, consistency of information provided between different medical briefs and emphasis of the threat from malaria in Belize significantly improved compliance with antimalarial chemoprophylaxis."( Improvements in compliance with medical force protection measures by simplification of the anti-malarial chemoprophylaxis regime.
Green, AD; Ross, DA; Sellers, EL, 2011
)
0.37
"We conducted a randomized, placebo-controlled, double-blind trial to establish the efficacy of atovaquone-proguanil to prevent malaria with the goal of simulating weekly dosing in a human Plasmodium falciparum challenge model."( Prolonged protection provided by a single dose of atovaquone-proguanil for the chemoprophylaxis of Plasmodium falciparum malaria in a human challenge model.
Clemens, EG; Deye, GA; Dumler, JS; Fracisco, S; Macareo, L; Magill, AJ; Miller, L; Miller, RS; Murphy, J; Salas, CJ; Smith, BL; Sousa, JC; Tosh, D, 2012
)
0.38
" falciparum challenge at dosing intervals supportive of weekly dosing."( Prolonged protection provided by a single dose of atovaquone-proguanil for the chemoprophylaxis of Plasmodium falciparum malaria in a human challenge model.
Clemens, EG; Deye, GA; Dumler, JS; Fracisco, S; Macareo, L; Magill, AJ; Miller, L; Miller, RS; Murphy, J; Salas, CJ; Smith, BL; Sousa, JC; Tosh, D, 2012
)
0.38
" Drug-induced acute hemolytic anemia in G6PD A- subjects can be life-threatening, depending on the nature and dosage of the drug trigger."( Clinical spectrum and severity of hemolytic anemia in glucose 6-phosphate dehydrogenase-deficient children receiving dapsone.
Carter, N; Duparc, S; Luzzatto, L; Pamba, A; Premji, Z; Richardson, ND; Tiono, AB, 2012
)
0.38
" Dosage adjustments based on body weight categories in children (1/4 dose for 11-20 kg, 1/2 dose for > 20-30 kg, 3/4 dose for > 30-40 kg, and full dose for > 40 kg) achieve plasma concentrations that are safe and effective during prophylaxis and treatment of malaria."( Clinical pharmacology of atovaquone and proguanil hydrochloride.
Beerahee, M, 1999
)
0.3
"The clinical pharmacology of atovaquone and proguanil provides a rationale for the dosing regimens recommended for treatment and prophylaxis of malaria."( Clinical pharmacology of atovaquone and proguanil hydrochloride.
Beerahee, M, 1999
)
0.3
" These options differ by dosing regimen, cost, and side effect profile."( Knowledge, attitudes, and practices regarding antimalarial chemoprophylaxis in U.S. Peace Corps Volunteers--Africa, 2013.
Arguin, PM; Landman, KZ; Tan, KR, 2014
)
0.4
" The aim of the present investigation was to explore hot melt extrusion (HME) as a solvent-free technique to enhance solubility and oral bioavailability of Atovaquone and to develop an oral dosage form for Atovaquone-Proguanil combination."( Bioavailability enhancement of atovaquone using hot melt extrusion technology.
Borhade, V; Deshpande, V; Gokarna, V; Kate, L; Pathak, S; Patravale, V; Prabhu, P; Sharma, S, 2016
)
0.43
" In our monotherapy assessments, we found that ATV functioned as a single-dose curative compound in suppressive tests whereas ELQ-300 demonstrated a unique cumulative dosing effect that successfully blocked recrudescence even in a high-parasitemia acute infection model."( Atovaquone and ELQ-300 Combination Therapy as a Novel Dual-Site Cytochrome bc1 Inhibition Strategy for Malaria.
Forquer, IP; Kelly, JX; Li, Y; Morrisey, JM; Nilsen, A; Pou, S; Riscoe, MK; Smilkstein, MJ; Stickles, AM; Vaidya, AB; Winter, RW, 2016
)
0.43
"Current guidelines recommend daily dosing of atovaquone-proguanil (AP), beginning a day before travel to endemic areas and continuing for 7 days after departure."( Effectiveness of twice a week prophylaxis with atovaquone-proguanil (Malarone®) in long-term travellers to West Africa.
Bar-Meir, M; Eisenberg, N; Lachish, T; Schwartz, E, 2016
)
0.43
"Literature data relevant to the decision to waive in vivo bioequivalence testing for the approval of generic immediate release solid oral dosage forms of proguanil hydrochloride are reviewed."( Biowaiver Monographs for Immediate Release Solid Oral Dosage Forms: Proguanil Hydrochloride.
Abrahamsson, B; Cristofoletti, R; Dressman, JB; Groot, DW; Langguth, P; Mehta, MU; Parr, A; Plöger, GF; Polli, JE; Shah, VP; Tajiri, T, 2018
)
0.48
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Roles (3)

RoleDescription
antimalarialA drug used in the treatment of malaria. Antimalarials are usually classified on the basis of their action against Plasmodia at different stages in their life cycle in the human.
antiprotozoal drugAny antimicrobial drug which is used to treat or prevent protozoal infections.
EC 1.5.1.3 (dihydrofolate reductase) inhibitorAn EC 1.5.1.* (oxidoreductase acting on donor CH-NH group, NAD(+) or NADP(+) as acceptor) inhibitor that interferes with the action of dihydrofolate reductase (EC 1.5.1.3).
[role information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Drug Classes (2)

ClassDescription
biguanidesA class of oral hypoglycemic drugs used for diabetes mellitus or prediabetes treatment. They have a structure based on the 2-carbamimidoylguanidine skeleton.
monochlorobenzenesAny member of the class of chlorobenzenes containing a mono- or poly-substituted benzene ring in which only one substituent is chlorine.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Protein Targets (7)

Potency Measurements

ProteinTaxonomyMeasurementAverage (µ)Min (ref.)Avg (ref.)Max (ref.)Bioassay(s)
cytochrome P450 2D6 isoform 1Homo sapiens (human)Potency10.00000.00207.533739.8107AID891
peripheral myelin protein 22Rattus norvegicus (Norway rat)Potency5.84830.005612.367736.1254AID624032; AID624044
lamin isoform A-delta10Homo sapiens (human)Potency1.99530.891312.067628.1838AID1487
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Broad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)IC50 (µMol)118.00000.00401.966610.0000AID1873204
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Activation Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Trace amine-associated receptor 1Mus musculus (house mouse)EC50 (µMol)5.40000.00200.69705.4000AID1426078
Trace amine-associated receptor 1Homo sapiens (human)EC50 (µMol)10.00000.01501.41437.1900AID1426080
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (15)

Processvia Protein(s)Taxonomy
G protein-coupled receptor signaling pathwayTrace amine-associated receptor 1Homo sapiens (human)
lipid transportBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
organic anion transportBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
urate transportBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
biotin transportBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
sphingolipid biosynthetic processBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
riboflavin transportBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
urate metabolic processBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
transmembrane transportBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
transepithelial transportBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
renal urate salt excretionBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
export across plasma membraneBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
transport across blood-brain barrierBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
cellular detoxificationBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
xenobiotic transport across blood-brain barrierBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (16)

Processvia Protein(s)Taxonomy
G protein-coupled receptor activityTrace amine-associated receptor 1Homo sapiens (human)
trace-amine receptor activityTrace amine-associated receptor 1Homo sapiens (human)
protein bindingBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
ATP bindingBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
organic anion transmembrane transporter activityBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
ABC-type xenobiotic transporter activityBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
urate transmembrane transporter activityBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
biotin transmembrane transporter activityBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
efflux transmembrane transporter activityBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
ATP hydrolysis activityBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
riboflavin transmembrane transporter activityBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
ATPase-coupled transmembrane transporter activityBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
identical protein bindingBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
protein homodimerization activityBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
xenobiotic transmembrane transporter activityBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
sphingolipid transporter activityBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (7)

Processvia Protein(s)Taxonomy
plasma membraneTrace amine-associated receptor 1Homo sapiens (human)
nucleoplasmBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
plasma membraneBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
apical plasma membraneBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
brush border membraneBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
mitochondrial membraneBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
membrane raftBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
external side of apical plasma membraneBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
plasma membraneBroad substrate specificity ATP-binding cassette transporter ABCG2Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (78)

Assay IDTitleYearJournalArticle
AID504749qHTS profiling for inhibitors of Plasmodium falciparum proliferation2011Science (New York, N.Y.), Aug-05, Volume: 333, Issue:6043
Chemical genomic profiling for antimalarial therapies, response signatures, and molecular targets.
AID1650751Inhibition of cell migration in human T24 cells at 3 uM incubated for 24 and 48 hrs by cellular scratch assay based microscopic analysis2020Bioorganic & medicinal chemistry, 01-15, Volume: 28, Issue:2
Synthesis, biological evaluation and anti-proliferative mechanism of fluorine-containing proguanil derivatives.
AID1079937Severe hepatitis, defined as possibly life-threatening liver failure or through clinical observations. Value is number of references indexed. [column 'MASS' in source]
AID1124035Octanol-phosphate buffer partition coefficient, log P of the compound at pH 11.51979Journal of medicinal chemistry, Apr, Volume: 22, Issue:4
Quantitative structure-activity relationships for biguanides, carbamimidates, and bisbiguanides as inhibitors of Streptococcus mutans No. 6715.
AID1485248Antiviral activity against Influenza A virus A/Ned/378/05(H1N1) infected in MDCK cells assessed as host cell viability measured after 3 to 6 days post infection by MTS assay2017European journal of medicinal chemistry, Jul-28, Volume: 135Host dihydrofolate reductase (DHFR)-directed cycloguanil analogues endowed with activity against influenza virus and respiratory syncytial virus.
AID1124036Antimicrobial activity against Streptococcus mutans 6715 after 24 hrs by spectrophotometry1979Journal of medicinal chemistry, Apr, Volume: 22, Issue:4
Quantitative structure-activity relationships for biguanides, carbamimidates, and bisbiguanides as inhibitors of Streptococcus mutans No. 6715.
AID1079943Malignant tumor, proven histopathologically. Value is number of references indexed. [column 'T.MAL' in source]
AID1079932Highest frequency of moderate liver toxicity observed during clinical trials, expressed as a percentage. [column '% BIOL' in source]
AID1485244Cytotoxicity against dog MDCK cells assessed as alterations in normal cell morphology measured after 5 to 6 days post infection by microscopic analysis2017European journal of medicinal chemistry, Jul-28, Volume: 135Host dihydrofolate reductase (DHFR)-directed cycloguanil analogues endowed with activity against influenza virus and respiratory syncytial virus.
AID1485240Cytotoxicity against human HeLa cells assessed as alterations in cell morphology measured after 5 to 6 days post infection by microscopic analysis2017European journal of medicinal chemistry, Jul-28, Volume: 135Host dihydrofolate reductase (DHFR)-directed cycloguanil analogues endowed with activity against influenza virus and respiratory syncytial virus.
AID1650752Inhibition of cell migration in human A549 cells at 2 uM incubated for 24 and 48 hrs by cellular scratch assay based microscopic analysis2020Bioorganic & medicinal chemistry, 01-15, Volume: 28, Issue:2
Synthesis, biological evaluation and anti-proliferative mechanism of fluorine-containing proguanil derivatives.
AID1426079Agonist activity at human TAAR1 expressed in HEK293 cells assessed as cAMP accumulation at 10 uM after 20 mins by BRET assay relative to beta-PEA2017European journal of medicinal chemistry, Feb-15, Volume: 127Novel biguanide-based derivatives scouted as TAAR1 agonists: Synthesis, biological evaluation, ADME prediction and molecular docking studies.
AID1650760Activation of AMPK in human T24 cells assessed as decrease in p70S6K phosphorylation at 2 uM measured upto 12 hrs by Western blot analysis2020Bioorganic & medicinal chemistry, 01-15, Volume: 28, Issue:2
Synthesis, biological evaluation and anti-proliferative mechanism of fluorine-containing proguanil derivatives.
AID1650750Inhibition of cell migration in human UM-UC-3 cells at 3 uM incubated for 24 and 48 hrs by cellular scratch assay based microscopic analysis2020Bioorganic & medicinal chemistry, 01-15, Volume: 28, Issue:2
Synthesis, biological evaluation and anti-proliferative mechanism of fluorine-containing proguanil derivatives.
AID248853In vitro antimalarial activity for DHFR wild-type, chloroquine and pyrimethamine-sensitive Plasmodium falciparum D62005Journal of medicinal chemistry, Apr-21, Volume: 48, Issue:8
In vitro metabolism of phenoxypropoxybiguanide analogues in human liver microsomes to potent antimalarial dihydrotriazines.
AID1079947Comments (NB not yet translated). [column 'COMMENTAIRES' in source]
AID1485235Antiviral activity against Yellow fever virus infected in African green monkey Vero cells assessed as inhibition of viral-induced cytopathic effect measured after 3 to 6 days post infection by microscopic analysis2017European journal of medicinal chemistry, Jul-28, Volume: 135Host dihydrofolate reductase (DHFR)-directed cycloguanil analogues endowed with activity against influenza virus and respiratory syncytial virus.
AID1426082Selectivity ratio of EC50 for human TAAR1 expressed in HEK293 cells to EC50 for mouse TAAR1 expressed in HEK293 cells2017European journal of medicinal chemistry, Feb-15, Volume: 127Novel biguanide-based derivatives scouted as TAAR1 agonists: Synthesis, biological evaluation, ADME prediction and molecular docking studies.
AID1485243Antiviral activity against para influenza 3 virus infected in African green monkey Vero cells assessed as inhibition of viral-induced cytopathic effect measured after 3 to 6 days post infection by microscopic analysis2017European journal of medicinal chemistry, Jul-28, Volume: 135Host dihydrofolate reductase (DHFR)-directed cycloguanil analogues endowed with activity against influenza virus and respiratory syncytial virus.
AID1079938Chronic liver disease either proven histopathologically, or through a chonic elevation of serum amino-transferase activity after 6 months. Value is number of references indexed. [column 'CHRON' in source]
AID1650759Activation of AMPK in human T24 cells assessed as decrease in 4EBP1 phosphorylation at 2 uM measured upto 12 hrs by Western blot analysis2020Bioorganic & medicinal chemistry, 01-15, Volume: 28, Issue:2
Synthesis, biological evaluation and anti-proliferative mechanism of fluorine-containing proguanil derivatives.
AID1650740Antiproliferative activity against human T24 cells assessed as reduction in cell viability incubated for 72 hrs by MTT assay2020Bioorganic & medicinal chemistry, 01-15, Volume: 28, Issue:2
Synthesis, biological evaluation and anti-proliferative mechanism of fluorine-containing proguanil derivatives.
AID1485237Antiviral activity against Coxsackie B4 virus infected in African green monkey Vero cells assessed as inhibition of viral-induced cytopathic effect measured after 3 to 6 days post infection by microscopic analysis2017European journal of medicinal chemistry, Jul-28, Volume: 135Host dihydrofolate reductase (DHFR)-directed cycloguanil analogues endowed with activity against influenza virus and respiratory syncytial virus.
AID1485231Antiviral activity against Respiratory syncytial virus infected in human HeLa cells assessed as inhibition of viral-induced cytopathic effect measured after 3 to 6 days post infection by microscopic analysis2017European journal of medicinal chemistry, Jul-28, Volume: 135Host dihydrofolate reductase (DHFR)-directed cycloguanil analogues endowed with activity against influenza virus and respiratory syncytial virus.
AID1485247Antiviral activity against Influenza B virus B/Ned/537/05 infected in MDCK cells assessed as inhibition of viral-induced cytopathic effect measured after 3 to 6 days post infection by formazan-based colorimetric assay2017European journal of medicinal chemistry, Jul-28, Volume: 135Host dihydrofolate reductase (DHFR)-directed cycloguanil analogues endowed with activity against influenza virus and respiratory syncytial virus.
AID1426078Agonist activity at mouse TAAR1 expressed in HEK293 cells assessed as cAMP accumulation after 20 mins by BRET assay2017European journal of medicinal chemistry, Feb-15, Volume: 127Novel biguanide-based derivatives scouted as TAAR1 agonists: Synthesis, biological evaluation, ADME prediction and molecular docking studies.
AID1650747Inhibition of colony formation in human A2780 cells at 2 uM incubated for 6 to 8 days by crystal violet staining based assay2020Bioorganic & medicinal chemistry, 01-15, Volume: 28, Issue:2
Synthesis, biological evaluation and anti-proliferative mechanism of fluorine-containing proguanil derivatives.
AID1485250Antiviral activity against Influenza A virus A/Virginia/ATCC3/2009(H1N1) infected in MDCK cells assessed as host cell viability measured after 3 to 6 days post infection by MTS assay2017European journal of medicinal chemistry, Jul-28, Volume: 135Host dihydrofolate reductase (DHFR)-directed cycloguanil analogues endowed with activity against influenza virus and respiratory syncytial virus.
AID1650758Activation of AMPK in human T24 cells assessed as decrease in mTOR phosphorylation at 2 uM measured upto 12 hrs by Western blot analysis2020Bioorganic & medicinal chemistry, 01-15, Volume: 28, Issue:2
Synthesis, biological evaluation and anti-proliferative mechanism of fluorine-containing proguanil derivatives.
AID1650748Inhibition of colony formation in human HCT116 cells at 2 uM incubated for 6 to 8 days by crystal violet staining based assay2020Bioorganic & medicinal chemistry, 01-15, Volume: 28, Issue:2
Synthesis, biological evaluation and anti-proliferative mechanism of fluorine-containing proguanil derivatives.
AID1485251Antiviral activity against Influenza A virus A/Virginia/ATCC3/2009(H1N1) infected in MDCK cells assessed as inhibition of viral-induced cytopathic effect measured after 3 to 6 days post infection by formazan-based colorimetric assay2017European journal of medicinal chemistry, Jul-28, Volume: 135Host dihydrofolate reductase (DHFR)-directed cycloguanil analogues endowed with activity against influenza virus and respiratory syncytial virus.
AID1079939Cirrhosis, proven histopathologically. Value is number of references indexed. [column 'CIRRH' in source]
AID1079944Benign tumor, proven histopathologically. Value is number of references indexed. [column 'T.BEN' in source]
AID1079933Acute liver toxicity defined via clinical observations and clear clinical-chemistry results: serum ALT or AST activity > 6 N or serum alkaline phosphatases activity > 1.7 N. This category includes cytolytic, choleostatic and mixed liver toxicity. Value is
AID1485241Antiviral activity against coxsackie B4 virus infected in human HeLa cells assessed as inhibition of viral-induced cytopathic effect measured after 3 to 6 days post infection by microscopic analysis2017European journal of medicinal chemistry, Jul-28, Volume: 135Host dihydrofolate reductase (DHFR)-directed cycloguanil analogues endowed with activity against influenza virus and respiratory syncytial virus.
AID1650742Antiproliferative activity against human A549 cells assessed as reduction in cell viability incubated for 72 hrs by MTT assay2020Bioorganic & medicinal chemistry, 01-15, Volume: 28, Issue:2
Synthesis, biological evaluation and anti-proliferative mechanism of fluorine-containing proguanil derivatives.
AID1079931Moderate liver toxicity, defined via clinical-chemistry results: ALT or AST serum activity 6 times the normal upper limit (N) or alkaline phosphatase serum activity of 1.7 N. Value is number of references indexed. [column 'BIOL' in source]
AID1079948Times to onset, minimal and maximal, observed in the indexed observations. [column 'DELAI' in source]
AID1650741Antiproliferative activity against human A2780 cells assessed as reduction in cell viability incubated for 72 hrs by MTT assay2020Bioorganic & medicinal chemistry, 01-15, Volume: 28, Issue:2
Synthesis, biological evaluation and anti-proliferative mechanism of fluorine-containing proguanil derivatives.
AID588212Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in rodents2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID1485255Cytotoxicity against African green monkey Vero cells assessed as alterations in cell morphology measured after 5 to 6 days post infection by microscopic analysis2017European journal of medicinal chemistry, Jul-28, Volume: 135Host dihydrofolate reductase (DHFR)-directed cycloguanil analogues endowed with activity against influenza virus and respiratory syncytial virus.
AID1650739Antiproliferative activity against human UM-UC-3 cells assessed as reduction in cell viability incubated for 72 hrs by MTT assay2020Bioorganic & medicinal chemistry, 01-15, Volume: 28, Issue:2
Synthesis, biological evaluation and anti-proliferative mechanism of fluorine-containing proguanil derivatives.
AID1485246Antiviral activity against Influenza B virus B/Ned/537/05 infected in MDCK cells assessed as host cell viability measured after 3 to 6 days post infection by MTS assay2017European journal of medicinal chemistry, Jul-28, Volume: 135Host dihydrofolate reductase (DHFR)-directed cycloguanil analogues endowed with activity against influenza virus and respiratory syncytial virus.
AID1079940Granulomatous liver disease, proven histopathologically. Value is number of references indexed. [column 'GRAN' in source]
AID1650753Activation of AMPK in human UM-UC-3 cells assessed as increase in AMPK phosphorylation at 2 uM measured upto 12 hrs by Western blot analysis2020Bioorganic & medicinal chemistry, 01-15, Volume: 28, Issue:2
Synthesis, biological evaluation and anti-proliferative mechanism of fluorine-containing proguanil derivatives.
AID1650754Activation of AMPK in human T24 cells assessed as increase in AMPK phosphorylation at 2 uM measured upto 12 hrs by Western blot analysis2020Bioorganic & medicinal chemistry, 01-15, Volume: 28, Issue:2
Synthesis, biological evaluation and anti-proliferative mechanism of fluorine-containing proguanil derivatives.
AID248852In vitro antimalarial activity for DHFR wild-type, chloroquine and pyrimethamine-resistant Plasmodium falciparum W22005Journal of medicinal chemistry, Apr-21, Volume: 48, Issue:8
In vitro metabolism of phenoxypropoxybiguanide analogues in human liver microsomes to potent antimalarial dihydrotriazines.
AID1124038Antimicrobial activity against Streptococcus mutans 6715 after 48 hrs by spectrophotometry1979Journal of medicinal chemistry, Apr, Volume: 22, Issue:4
Quantitative structure-activity relationships for biguanides, carbamimidates, and bisbiguanides as inhibitors of Streptococcus mutans No. 6715.
AID1873204Inhibition of ABCG2 (unknown origin) expressed in human HEK293 cells membrane vesicles assessed inhibition of BCRP- mediated transport of 3[H]-E1S for 1 to 5 mins using [3H]-estrone sulfate as substrate by rapid filtration technique2022European journal of medicinal chemistry, Jul-05, Volume: 237Targeting breast cancer resistance protein (BCRP/ABCG2): Functional inhibitors and expression modulators.
AID1426080Agonist activity at human TAAR1 expressed in HEK293 cells assessed as cAMP accumulation after 20 mins by BRET assay2017European journal of medicinal chemistry, Feb-15, Volume: 127Novel biguanide-based derivatives scouted as TAAR1 agonists: Synthesis, biological evaluation, ADME prediction and molecular docking studies.
AID588211Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in humans2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID237027Maximum velocity against human liver microsomes; (n=6)2005Journal of medicinal chemistry, Apr-21, Volume: 48, Issue:8
In vitro metabolism of phenoxypropoxybiguanide analogues in human liver microsomes to potent antimalarial dihydrotriazines.
AID1079946Presence of at least one case with successful reintroduction. [column 'REINT' in source]
AID1485249Antiviral activity against Influenza A virus A/Ned/378/05(H1N1) infected in MDCK cells assessed as inhibition of viral-induced cytopathic effect measured after 3 to 6 days post infection by formazan-based colorimetric assay2017European journal of medicinal chemistry, Jul-28, Volume: 135Host dihydrofolate reductase (DHFR)-directed cycloguanil analogues endowed with activity against influenza virus and respiratory syncytial virus.
AID1426081Agonist activity at mouse TAAR5 expressed in HEK293 cells assessed as cAMP accumulation after 20 mins by BRET assay2017European journal of medicinal chemistry, Feb-15, Volume: 127Novel biguanide-based derivatives scouted as TAAR1 agonists: Synthesis, biological evaluation, ADME prediction and molecular docking studies.
AID1079935Cytolytic liver toxicity, either proven histopathologically or where the ratio of maximal ALT or AST activity above normal to that of Alkaline Phosphatase is > 5 (see ACUTE). Value is number of references indexed. [column 'CYTOL' in source]
AID1079936Choleostatic liver toxicity, either proven histopathologically or where the ratio of maximal ALT or AST activity above normal to that of Alkaline Phosphatase is < 2 (see ACUTE). Value is number of references indexed. [column 'CHOLE' in source]
AID1079945Animal toxicity known. [column 'TOXIC' in source]
AID1650746Inhibition of colony formation in human T24 cells at 2 uM incubated for 6 to 8 days by crystal violet staining based assay2020Bioorganic & medicinal chemistry, 01-15, Volume: 28, Issue:2
Synthesis, biological evaluation and anti-proliferative mechanism of fluorine-containing proguanil derivatives.
AID1426077Agonist activity at mouse TAAR1 expressed in HEK293 cells assessed as cAMP accumulation at 10 uM after 20 mins by BRET assay relative to beta-PEA2017European journal of medicinal chemistry, Feb-15, Volume: 127Novel biguanide-based derivatives scouted as TAAR1 agonists: Synthesis, biological evaluation, ADME prediction and molecular docking studies.
AID236272Michaelis-Menten constant value against human liver microsomes; (n=6)2005Journal of medicinal chemistry, Apr-21, Volume: 48, Issue:8
In vitro metabolism of phenoxypropoxybiguanide analogues in human liver microsomes to potent antimalarial dihydrotriazines.
AID1079942Steatosis, proven histopathologically. Value is number of references indexed. [column 'STEAT' in source]
AID772516Antimalarial activity against mature gametocytic stage of Plasmodium falciparum assessed as inhibition of mature gamete exflagellation at 10 uM incubated for 24 hrs prior to exflagellation induction at 21 degC measured after 20 mins by microscopic analysi2013Journal of medicinal chemistry, Oct-24, Volume: 56, Issue:20
Using genetic methods to define the targets of compounds with antimalarial activity.
AID1485242Antiviral activity against vesicular stomatitis virus infected in human HeLa cells assessed as inhibition of viral-induced cytopathic effect measured after 3 to 6 days post infection by microscopic analysis2017European journal of medicinal chemistry, Jul-28, Volume: 135Host dihydrofolate reductase (DHFR)-directed cycloguanil analogues endowed with activity against influenza virus and respiratory syncytial virus.
AID1079949Proposed mechanism(s) of liver damage. [column 'MEC' in source]
AID588213Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in non-rodents2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID1485238Antiviral activity against Sindbis virus infected in African green monkey Vero cells assessed as inhibition of viral-induced cytopathic effect measured after 3 to 6 days post infection by microscopic analysis2017European journal of medicinal chemistry, Jul-28, Volume: 135Host dihydrofolate reductase (DHFR)-directed cycloguanil analogues endowed with activity against influenza virus and respiratory syncytial virus.
AID496819Antimicrobial activity against Plasmodium falciparum2010Bioorganic & medicinal chemistry, Mar-15, Volume: 18, Issue:6
Multi-target spectral moment QSAR versus ANN for antiparasitic drugs against different parasite species.
AID1650743Antiproliferative activity against human HCT116 cells assessed as reduction in cell viability incubated for 72 hrs by MTT assay2020Bioorganic & medicinal chemistry, 01-15, Volume: 28, Issue:2
Synthesis, biological evaluation and anti-proliferative mechanism of fluorine-containing proguanil derivatives.
AID1485245Cytotoxicity against dog MDCK cells assessed as reduction in cell viability measured after 5 to 6 days by MTS assay2017European journal of medicinal chemistry, Jul-28, Volume: 135Host dihydrofolate reductase (DHFR)-directed cycloguanil analogues endowed with activity against influenza virus and respiratory syncytial virus.
AID1650755Activation of AMPK in human UM-UC-3 cells assessed as decrease in mTOR phosphorylation at 2 uM measured upto 12 hrs by Western blot analysis2020Bioorganic & medicinal chemistry, 01-15, Volume: 28, Issue:2
Synthesis, biological evaluation and anti-proliferative mechanism of fluorine-containing proguanil derivatives.
AID1650745Inhibition of colony formation in human UM-UC-3 cells at 2 uM incubated for 6 to 8 days by crystal violet staining based assay2020Bioorganic & medicinal chemistry, 01-15, Volume: 28, Issue:2
Synthesis, biological evaluation and anti-proliferative mechanism of fluorine-containing proguanil derivatives.
AID1079941Liver damage due to vascular disease: peliosis hepatitis, hepatic veno-occlusive disease, Budd-Chiari syndrome. Value is number of references indexed. [column 'VASC' in source]
AID1650757Activation of AMPK in human UM-UC-3 cells assessed as decrease in p70S6K phosphorylation at 2 uM measured upto 12 hrs by Western blot analysis2020Bioorganic & medicinal chemistry, 01-15, Volume: 28, Issue:2
Synthesis, biological evaluation and anti-proliferative mechanism of fluorine-containing proguanil derivatives.
AID1485239Antiviral activity against Reovirus 1 infected in African green monkey Vero cells assessed as inhibition of viral-induced cytopathic effect measured after 3 to 6 days post infection by microscopic analysis2017European journal of medicinal chemistry, Jul-28, Volume: 135Host dihydrofolate reductase (DHFR)-directed cycloguanil analogues endowed with activity against influenza virus and respiratory syncytial virus.
AID1485236Antiviral activity against Punta Toro virus infected in African green monkey Vero cells assessed as inhibition of viral-induced cytopathic effect measured after 3 to 6 days post infection by microscopic analysis2017European journal of medicinal chemistry, Jul-28, Volume: 135Host dihydrofolate reductase (DHFR)-directed cycloguanil analogues endowed with activity against influenza virus and respiratory syncytial virus.
AID1650756Activation of AMPK in human UM-UC-3 cells assessed as decrease in 4EBP1 phosphorylation at 2 uM measured upto 12 hrs by Western blot analysis2020Bioorganic & medicinal chemistry, 01-15, Volume: 28, Issue:2
Synthesis, biological evaluation and anti-proliferative mechanism of fluorine-containing proguanil derivatives.
AID1079934Highest frequency of acute liver toxicity observed during clinical trials, expressed as a percentage. [column '% AIGUE' in source]
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (1,202)

TimeframeStudies, This Drug (%)All Drugs %
pre-1990464 (38.60)18.7374
1990's248 (20.63)18.2507
2000's287 (23.88)29.6817
2010's161 (13.39)24.3611
2020's42 (3.49)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials154 (11.50%)5.53%
Reviews104 (7.77%)6.00%
Case Studies119 (8.89%)4.05%
Observational5 (0.37%)0.25%
Other957 (71.47%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (38)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Experimental Human Malaria Infection After Immunization With Plasmodium Falciparum Sporozoites Under Chloroquine Prophylaxis [NCT01236612]25 participants (Actual)Interventional2011-04-30Completed
Effectiveness and Safety Evaluation of the Riamet® Versus Malarone® in the Treatment of Uncomplicated Malaria : a Multicentric Study [NCT01150344]Phase 4317 participants (Actual)Interventional2010-07-31Completed
Safety and Tolerability of Bi-monthly Intermittent Preventive Treatment With Mefloquine-Artesunate or Sulfadoxine-Pyrimethamine Plus Amodiaquine for Prevention of Malaria and Related Complications in Patients With Sickle Cell Anaemia. [NCT01319448]Phase 1/Phase 2270 participants (Actual)Interventional2011-09-30Completed
Multicenter Therapeutic Efficacy Assessment of Pyronaridine-Artesunate (Pyramax®) and New Drug Combinations With Atovaquone-Proguanil for the Treatment of Uncomplicated P. Falciparum Malaria in Cambodia [NCT03726593]Phase 4252 participants (Anticipated)Interventional2018-10-04Recruiting
Evaluation of the Prophylactic Antimalarial Activity of a Single Dose of DSM265 in Non-immune Healthy Adult Volunteers by Controlled Human Malaria Infection With PfSPZ Challenge [NCT02450578]Phase 122 participants (Actual)Interventional2015-10-31Completed
Identification of Pre-erythrocytic Target Antigens Induced by Plasmodium Falciparum Sporozoite Immunization Under Chemoprophylaxis [NCT02080026]15 participants (Actual)Interventional2014-06-30Completed
Chemoprophylaxis and Plasmodium Falciparum NF54 Sporozoite Immunization Challenged by Heterologous Infection [NCT02098590]40 participants (Actual)Interventional2014-10-31Completed
Immunization With Different Doses of Plasmodium Falciparum Sporozoites Under Chloroquine Prophylaxis [NCT01218893]30 participants (Actual)Interventional2011-04-30Completed
Safety and Protective Efficacy of Chemoprophylaxis and Sporozoite Immunization With Plasmodium Falciparum NF135 Against Homologous and Heterologous Challenge Infection in Healthy Volunteers in the Netherlands [NCT03813108]43 participants (Actual)Interventional2019-04-01Terminated(stopped due to Subject withdrawals after temporal suspension of the trial (for personal, logistic reasons). At time of reinitiation the number of enrolled subjects did not meet the predefined threshold for continuation of the trial.)
'Controlled Human Malaria Infection Study to Assess Gametocytaemia and Mosquito Transmissibility in Participants Challenged With Plasmodium Falciparum by Sporozoite Challenge to Establish a Model for the Evaluation of Transmission-blocking Interventions' [NCT02836002]Phase 1/Phase 229 participants (Actual)Interventional2016-06-30Completed
Effects of Genetic Polymorphisms in the Organic Cation Transporter OCT1 on Cellular Uptake and Metabolism of Antidepressants and Other Organic Cationic Drugs [NCT02054299]Phase 148 participants (Actual)Interventional2013-04-30Completed
An Open-label, Randomized, Single-center, Parallel Group Study of the Effects of Artemether-lumefantrine (Coartem®) Atovaquone-proguanil (Malarone®) and Artesunate-mefloquine on Auditory Function Following the Treatment of Acute Uncomplicated Plasmodium F [NCT00444106]Phase 4265 participants (Actual)Interventional2007-05-31Completed
Safety and Protective Efficacy of Intravenous Immunization With Cryopreserved Plasmodium Falciparum Sporozoites Under Atovaquone/Proguanil Chemoprophylaxis [NCT02858817]Phase 130 participants (Actual)Interventional2016-11-28Completed
A Phase 1 Clinical Trial To Evaluate The Safety and Infectivity Of Direct Venus Inoculation of Aseptic, Purified, Cryopreserved Plasmodium Falciparum 7G8 And NF54 Challenge Strains (PfSPZ) in a Head-To-Head Comparative Study [NCT04203186]0 participants (Actual)Interventional2020-03-31Withdrawn(stopped due to Funding was lost due to the COVID19 Pandemic)
A Randomized, Open-label, Three-period Crossover Clinical Trial to Evaluate the Influence of Tegoprazan on the Pharmacokinetics of Proguanil in Healthy Volunteers [NCT04568772]Phase 119 participants (Actual)Interventional2020-11-25Completed
Immunization With Plasmodium Falciparum Sporozoites Under Chloroquine Versus Mefloquine Prophylaxis [NCT01422954]20 participants (Actual)Interventional2012-01-31Completed
Drug Options for Intermittent Preventive Treatment for Malaria in Infants in an Area With High Resistance to Sulfadoxine/Pyrimethamine: an Evaluation of Short and Long-acting Antimalarial Drugs [NCT00158574]Phase 2/Phase 32,419 participants (Actual)Interventional2005-01-31Completed
Single Oral Dose Study of Atovaquone/Proguanil Hydrochloride Combination Tablets and Atovaquone Suspension. - A Single Oral Dose Study to Investigate Pharmacokinetics of Atovaquone and Proguanil From Combination Tablets and Atovaquone From Atovaquone Susp [NCT01858831]Phase 130 participants (Actual)Interventional2012-04-30Completed
A Multi-centre, Randomised, Double-blind, Double Dummy Study Comparing the Efficacy and Safety of Chlorproguanil-dapsone-artesunate Versus Artemether-lumefantrine in the Treatment of Acute Uncomplicated Plasmodium Falciparum Malaria in Children and Adoles [NCT00344006]Phase 31,395 participants (Actual)Interventional2006-06-30Completed
A Phase Ii/Iii, Randomized, Double Blind, Comparative Trial Of Azithromycin Plus Chloroquine Versus Atovaquone-Proguanil For The Treatment Of Uncomplicated Plasmodium Falciparum Malaria In South America [NCT00084227]Phase 2/Phase 3244 participants (Actual)Interventional2004-07-31Completed
A Phase 2a Open Label Study of the Safety and Efficacy of a Single Dose of Weekly Chloroquine (CQ) and Azithromycin (AZ) Administered in Combination for Malaria Prophylaxis in Healthy Adults Challenged With 7G8 Chloroquine-Resistant Plasmodium Falciparum [NCT03278808]Phase 20 participants (Actual)Interventional2018-09-17Withdrawn(stopped due to The IND has been withdrawn from FDA)
Effect of Antimalarial Drugs on the Immune Response to Rabies Vaccine for Post-exposure Prophylaxis. A Randomized, Open Label, Trial in Healthy US Adults Age 18-60 Years [NCT02564471]Phase 4103 participants (Actual)Interventional2016-11-11Completed
A Multi-centre, Randomised, Double-blind Study to Compare the Efficacy and Safety of Chlorproguanil-dapsone-artesunate Versus Chlorproguanil-dapsone in the Treatment of Acute Uncomplicated Plasmodium Falciparum Malaria in Children, Adolescents and Adults [NCT00371735]Phase 3900 participants (Actual)Interventional2006-04-30Completed
[NCT00451139]Phase 40 participants InterventionalCompleted
Re-exposure of Previously Immunized and Challenged Human Volunteers to a Heterologous Strain of P. Falciparum Sporozoites [NCT01660854]21 participants (Actual)Interventional2012-07-31Completed
The Effect of Jobelyn ( Extract of Sorghum Bicolor) on the Haematological Parameters of Patients With Sickle Cell Anaemia Disease. [NCT01703104]Phase 1/Phase 2150 participants (Actual)Interventional2012-01-31Completed
Antioxidant Effect of the Extract of Jobelyn (Sorghum Bicolor) on the Quality of Life of Patients With Sickle Cell Disease [NCT01704794]Phase 1/Phase 296 participants (Anticipated)Interventional2013-04-30Recruiting
Phase 2a Proof-of-Concept, Multicenter, Randomized, Open Label Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of a Single Dose of the Combination M5717-pyronaridine as Chemoprevention in Asymptomatic Adults and Adolescents With Plasmodium Fa [NCT05974267]Phase 2192 participants (Anticipated)Interventional2023-11-28Recruiting
Impact of CYP2C19*17 on the Pharmacokinetics of Proguanil and Clopidogrel [NCT01456546]Phase 131 participants (Actual)Interventional2011-10-31Completed
Controlled Human Malaria Infection Study to Assess Gametocytemia and Mosquito Transmissibility in Participants Challenged With Plasmodium Falciparum by Sporozoite or Blood Stage Challenge to Establish a Model for the Evaluation of Transmission-blocking In [NCT03454048]24 participants (Actual)Interventional2018-05-07Completed
Drug Interactions Between ATOvaquone Used in MAlaria Prophylaxis and Antiretroviral Agents in HIV-1 Infected Patients (ATOMA) [NCT00421473]Phase 479 participants (Actual)Interventional2007-03-31Completed
A Longitudinal Study of Chloroquine as Monotherapy or in Combination With Artesunate, Azithromycin or Atovaquone-Proguanil to Treat Malaria in Children in Blantyre, Malawi [NCT00379821]Phase 3640 participants (Actual)Interventional2007-02-28Completed
Enhancing Preventive Therapy of Malaria In Children With Sickle Cell Anemia in East Africa (EPiTOMISE) [NCT03178643]Phase 4246 participants (Actual)Interventional2018-01-23Completed
A Phase II, Open Label, Study of the Safety, Tolerability, Efficacy and Pharmacokinetics of Intravenous Artesunate in Adults With Uncomplicated Malaria [NCT00298610]Phase 230 participants (Actual)Interventional2006-03-31Completed
Pilot Evaluation of Weekly Dosing of Atovaquone/Proguanil (Malarone ®) for Malaria Chemoprophylaxis [NCT00984256]Phase 235 participants (Actual)Interventional2009-09-30Completed
A Randomised, Open Label 2-period Crossover Study to Evaluate the Relative Bioavailability of Atoguanil Compared to Malarone® in Healthy Adult Participants in the Fed State [NCT04866602]Phase 116 participants (Actual)Interventional2021-11-17Completed
Therapeutic Efficacy of Atovaquone-proguanil and Artesunate-atovaquone-proguanil for the Treatment of Uncomplicated P. Falciparum Malaria in Areas of Multidrug Resistance in Cambodia. [NCT02297477]Phase 4205 participants (Actual)Interventional2014-12-31Active, not recruiting
The Effects of Zinc Supplementation in Children With Sickle Cell Disease in Western Kenya: a Pilot Study [NCT03293641]40 participants (Actual)Interventional2016-05-20Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00298610 (7) [back to overview]Safety - Serious Adverse Event (SAE) Relationship to Study Drug
NCT00298610 (7) [back to overview]Safety - Adverse Events Relationship to Study Drug
NCT00298610 (7) [back to overview]Percentage of Parasite Clearance
NCT00298610 (7) [back to overview]Change in Percentage of Parasites Detected at 48 Hours
NCT00298610 (7) [back to overview]Number of Subjects With Fever Clearance
NCT00298610 (7) [back to overview]Safety - Severity of Serious Adverse Events (SAE's)
NCT00298610 (7) [back to overview]Safety - Severity of Adverse Events
NCT00379821 (38) [back to overview]Mean Creatinine in Each Treatment Arm (Renal Function)
NCT00379821 (38) [back to overview]Mean Creatinine in Each Treatment Arm (Renal Function)
NCT00379821 (38) [back to overview]Mean Creatinine in Each Treatment Arm (Renal Function)
NCT00379821 (38) [back to overview]Mean Creatinine in Each Treatment Arm (Renal Function)
NCT00379821 (38) [back to overview]Mean Creatinine in Each Treatment Arm (Renal Function)
NCT00379821 (38) [back to overview]Mean Creatinine in Each Treatment Arm (Renal Function)
NCT00379821 (38) [back to overview]Mean Creatinine in Each Treatment Arm (Renal Function)
NCT00379821 (38) [back to overview]Mean Creatinine in Each Treatment Arm (Renal Function)
NCT00379821 (38) [back to overview]Mean Creatinine in Each Treatment Arm (Renal Function)
NCT00379821 (38) [back to overview]Mean Hemoglobin at the Last Study Visit in Each Treatment Arm for the Age Group of Participants 3 Years of Age or Younger.
NCT00379821 (38) [back to overview]Mean Creatinine in Each Treatment Arm (Renal Function)
NCT00379821 (38) [back to overview]Mean Hemoglobin at the Last Study Visit in Each Treatment Arm for the Age Group of Participants Greater Than 3 Years to 5 Years of Age.
NCT00379821 (38) [back to overview]Nearest Neighbor Index as a Measure of Spatial Pattern of the Distribution of Malaria Cases in Ndirande
NCT00379821 (38) [back to overview]Number of Cases of Severe Malaria in Each Treatment Arm
NCT00379821 (38) [back to overview]Number of Clinical Malaria Episodes Per Year of Follow-up
NCT00379821 (38) [back to overview]Number of Participants Infected With Parasites With the Mutation Pfcrt 76T at Recrudescent Episodes of Malaria
NCT00379821 (38) [back to overview]Number of Participants Infected With Parasites With the Mutation Pfcrt 76T on Day 0 of the Initial Episode of Malaria
NCT00379821 (38) [back to overview]Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment Arm
NCT00379821 (38) [back to overview]Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment Arm
NCT00379821 (38) [back to overview]Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment Arm
NCT00379821 (38) [back to overview]Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment Arm
NCT00379821 (38) [back to overview]Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment Arm
NCT00379821 (38) [back to overview]Pharmacokinetics of Chloroquine Represented by Maximum Concentration (Cmax)
NCT00379821 (38) [back to overview]Number of Participants With New and Recrudescent Infections After Subsequent New Episodes
NCT00379821 (38) [back to overview]Number of Participants With New and Recrudescent Malaria Infections After Initial Treatment
NCT00379821 (38) [back to overview]Pharmacokinetics of Chloroquine Represented by Time of Maximal Concentration (Tmax) and Chloroquine Half-life
NCT00379821 (38) [back to overview]Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function)
NCT00379821 (38) [back to overview]"Number of Participants in Each Treatment Arm Who Change From Normal to Abnormal on Any Questions of the Neurological Examination"
NCT00379821 (38) [back to overview]Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function)
NCT00379821 (38) [back to overview]Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function)
NCT00379821 (38) [back to overview]Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function)
NCT00379821 (38) [back to overview]Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function)
NCT00379821 (38) [back to overview]Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function)
NCT00379821 (38) [back to overview]Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function)
NCT00379821 (38) [back to overview]Time to First Malaria Episode in Participants Who Travelled and Slept Outside the City Versus Those Who Did Not Travel and Sleep Outside the City.
NCT00379821 (38) [back to overview]Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function)
NCT00379821 (38) [back to overview]Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function)
NCT00379821 (38) [back to overview]Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function)
NCT00444106 (4) [back to overview]Efficacy of Polymerase Chain Reaction (PCR) Adjusted Malaria Cure Rates of the Three Treatment Regimens at Days 14, 28 and 42
NCT00444106 (4) [back to overview]Relationship Between Changes in Auditory Function and Treatment Groups
NCT00444106 (4) [back to overview]Percentage of Participants With Auditory Abnormalities at Day 7 Assessed by Auditory Brainstem Response (ABR) Wave III Latency Changes on Day 7(a Type of Hearing Test)
NCT00444106 (4) [back to overview]Auditory Changes Following 3 Days of Treatment at Days 3, 7, 28, and 42 Days as Assessed by Pure Tone Thresholds Assessments (a Type of Hearing Test)
NCT00984256 (3) [back to overview]Prophylactic Efficacy of 3 Different Doses of Atovaquone/Proguanil (Malarone@) Given 1 Week Before Infectious Sporozoite Challenge Using the P. Falciparum Human Challenge Model.
NCT00984256 (3) [back to overview]Measured Concentrations of Plasma Atovaquone With Determinations of Area Under the Curve
NCT00984256 (3) [back to overview]Measured Concentrations of Plasma Atovaquone With Determinations of T1/2.
NCT02450578 (13) [back to overview]Number of Participants With Treatment Emergent Adverse Events (TEAE) as a Measure of Safety & Tolerability of Malarone
NCT02450578 (13) [back to overview]Pre-patent Period
NCT02450578 (13) [back to overview]DSM265 Pharmacokinetics Profile - AUC 0-∞, AUC 0-168h, and AUC 0-480h
NCT02450578 (13) [back to overview]DSM265 Pharmacokinetics Profile - C Max
NCT02450578 (13) [back to overview]DSM265 Pharmacokinetics Profile - CL/F
NCT02450578 (13) [back to overview]DSM265 Pharmacokinetics Profile - T 1/2
NCT02450578 (13) [back to overview]DSM265 Pharmacokinetics Profile - T Max
NCT02450578 (13) [back to overview]DSM265 Pharmacokinetics Profile - Vz/F
NCT02450578 (13) [back to overview]DSM450 Pharmacokinetics Profile - Cmax
NCT02450578 (13) [back to overview]DSM450 Pharmacokinetics Profile - T Max
NCT02450578 (13) [back to overview]Number of Participants With Adverse Events as a Measure of Safety and Tolerability of Plasmodium Falciparum Sporozoite Challenge Inoculum
NCT02450578 (13) [back to overview]Number of Participants With Adverse Events as a Measure of Safety & Tolerability of DSM265
NCT02450578 (13) [back to overview]DSM450 Pharmacokinetics Profile - AUC 0-t, AUC 0-168h, and AUC 0-480h
NCT02564471 (4) [back to overview]GMT Over Protective Titer Prior Fourth Dose of PCECV
NCT02564471 (4) [back to overview]GMT Over Protective Titer Prior to Third Dose of PCECV
NCT02564471 (4) [back to overview]Geometric Mean Titer (GMT) 14 Days Post Fourth Dose Post Exposure Prophylaxis (PEP) With Purified Chick Embryo Cell Vaccine (PCECV) in Each Malaria Prophylaxis Group Compared to Control to Determine if a Fifth Dose of PEP Would Add Value
NCT02564471 (4) [back to overview]GMT Over Protective Titer 28 Days Post Fourth Dose of PCECV
NCT03454048 (8) [back to overview]Number of Participants Infectious for Mosquitoes Through DFA
NCT03454048 (8) [back to overview]Magnitude of Adverse Events in the CHMI-trans Model
NCT03454048 (8) [back to overview]Peak Density Gametocytes
NCT03454048 (8) [back to overview]Gametocyte Sex-ratio
NCT03454048 (8) [back to overview]Gametocyte Prevalence
NCT03454048 (8) [back to overview]Gametocyte Commitment
NCT03454048 (8) [back to overview]Frequency of Adverse Events in the CHMI-trans Model
NCT03454048 (8) [back to overview]AUC Gametocytes
NCT03813108 (5) [back to overview]Frequency of Adverse Events After NF135.C10 CPS Immunization
NCT03813108 (5) [back to overview]Time to Parasitemia
NCT03813108 (5) [back to overview]Break Through Infections
NCT03813108 (5) [back to overview]Magnitude of Adverse Events After NF135.C10 CPS Immunization
NCT03813108 (5) [back to overview]Break Through Infections

Safety - Serious Adverse Event (SAE) Relationship to Study Drug

Determine the safety (defined as relationship to study drug of SAE's) (NCT00298610)
Timeframe: Up to 14 days

InterventionNumber of events (Number)
None or RemotePossible, Probable, Definate
Artesunate and Malarone01

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Safety - Adverse Events Relationship to Study Drug

Determine the safety (defined as relationship to study drug of AE's and SAE's) (NCT00298610)
Timeframe: up to 14 days

InterventionNumber of adverse events (Number)
None or remotePossible, probable, definate
Artesunate and Malarone8957

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Percentage of Parasite Clearance

The target variable is detection (percentage) of asexual stage parasites of Plasmodium falciparum malaria in bloodstream by Giemsa - stained microscopy of thick and thin blood smears (NCT00298610)
Timeframe: 24 and 48 hours post dose

Interventionpercentage of parasite clearance (Mean)
24 hours post dose48 hours post dose
Artesunate and Malarone99.42199.998

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Change in Percentage of Parasites Detected at 48 Hours

Change in Percentage of Parasites Detected at 48 Hours. With positive numbers to represent increases and negative numbers to represent decreases (NCT00298610)
Timeframe: 48 hours

Interventionpercentage of parasite change (Mean)
Artesunate and Malarone99.998

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Number of Subjects With Fever Clearance

Temperature is measured by oral digital thermometers, and fever clearance time is defined as the first time with resolution of fever (<37.5C) sustained for 24 hours (NCT00298610)
Timeframe: Within 48 hours post dose

InterventionParticipants (Count of Participants)
Artesunate and Malarone29

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Safety - Severity of Serious Adverse Events (SAE's)

Determine the safety (defined as severity of SAE's using the Common Toxicity Criteria) (NCT00298610)
Timeframe: up to 14 days

InterventionNumber of events (Number)
MildModerateSevere
Artesunate and Malarone001

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Safety - Severity of Adverse Events

Determine the safety (defined as severity of AE's using the Common Toxicity Criteria) (NCT00298610)
Timeframe: up to 14 days

InterventionNumber of adverse events (Number)
MildModerateSevere
Artesunate and Malarone123176

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Mean Creatinine in Each Treatment Arm (Renal Function)

Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. (NCT00379821)
Timeframe: Day 0 of first subsequent malaria episode (Episode 1)

InterventionMicromole/Liter (Mean)
Chloroquine Plus Artesunate43.9
Chloroquine Plus Atovaquone-Proguanil44.2
CQ Plus Azithromycin43.7
CQ Monotherapy43.6

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Mean Creatinine in Each Treatment Arm (Renal Function)

Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. (NCT00379821)
Timeframe: Day 0 of fourth subsequent malaria episode (Episode 4)

InterventionMicromole/Liter (Mean)
Chloroquine Plus Atovaquone-Proguanil44.2
CQ Plus Azithromycin44.2

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Mean Creatinine in Each Treatment Arm (Renal Function)

Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. (NCT00379821)
Timeframe: Day 0 of initial malaria episode (Episode 0)

InterventionMicromole/Liter (Mean)
Chloroquine Plus Artesunate44.2
Chloroquine Plus Atovaquone-Proguanil44.2
CQ Plus Azithromycin44.2
CQ Monotherapy44.3

[back to top]

Mean Creatinine in Each Treatment Arm (Renal Function)

Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. (NCT00379821)
Timeframe: Day 0 of second subsequent malaria episode (Episode 2)

InterventionMicromole/Liter (Mean)
Chloroquine Plus Artesunate44.2
Chloroquine Plus Atovaquone-Proguanil44.2
CQ Plus Azithromycin44.2
CQ Monotherapy46.4

[back to top]

Mean Creatinine in Each Treatment Arm (Renal Function)

Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. (NCT00379821)
Timeframe: Day 0 of third subsequent malaria episode (Episode 3)

InterventionMicromole/Liter (Mean)
Chloroquine Plus Artesunate44.2
Chloroquine Plus Atovaquone-Proguanil44.2
CQ Plus Azithromycin44.2
CQ Monotherapy44.2

[back to top]

Mean Creatinine in Each Treatment Arm (Renal Function)

Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. (NCT00379821)
Timeframe: Day 14 of first subsequent malaria episode (Episode 1)

InterventionMicromole/Liter (Mean)
Chloroquine Plus Artesunate44.2
Chloroquine Plus Atovaquone-Proguanil44.2
CQ Plus Azithromycin44.2
CQ Monotherapy44.2

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Mean Creatinine in Each Treatment Arm (Renal Function)

Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. (NCT00379821)
Timeframe: Day 14 of initial malaria episode (Episode 0)

InterventionMicromole/Liter (Mean)
Chloroquine Plus Artesunate44.2
Chloroquine Plus Atovaquone-Proguanil44.2
CQ Plus Azithromycin44.2
CQ Monotherapy44.2

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Mean Creatinine in Each Treatment Arm (Renal Function)

Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. (NCT00379821)
Timeframe: Day 14 of second subsequent malaria episode (Episode 2)

InterventionMicromole/Liter (Mean)
Chloroquine Plus Artesunate44.2
Chloroquine Plus Atovaquone-Proguanil44.2
CQ Plus Azithromycin44.2
CQ Monotherapy44.2

[back to top]

Mean Creatinine in Each Treatment Arm (Renal Function)

Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. (NCT00379821)
Timeframe: Day 14 of third subsequent malaria episode (Episode 3)

InterventionMicromole/Liter (Mean)
Chloroquine Plus Artesunate44.2
Chloroquine Plus Atovaquone-Proguanil44.2
CQ Plus Azithromycin44.2
CQ Monotherapy44.2

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Mean Hemoglobin at the Last Study Visit in Each Treatment Arm for the Age Group of Participants 3 Years of Age or Younger.

Hemoglobin values were assessed from blood collected at the last study visit at one year after enrollment. Group means are stratified by participants 3 years of age and under, and over 3 to 5 years of age. (NCT00379821)
Timeframe: 1 year

InterventionGrams/Deciliter (Mean)
Chloroquine Plus Artesunate11.6
Chloroquine Plus Atovaquone-Proguanil11.7
CQ Plus Azithromycin12.2
CQ Monotherapy11.8

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Mean Creatinine in Each Treatment Arm (Renal Function)

Creatine values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. Samples that were below the limit of detection were reported as 44.2 micromoles/liter, equivalent to the lower limit of detection. (NCT00379821)
Timeframe: Day 14 of fourth subsequent malaria episode (Episode 4)

InterventionMicromole/Liter (Mean)
Chloroquine Plus Atovaquone-Proguanil44.2

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Mean Hemoglobin at the Last Study Visit in Each Treatment Arm for the Age Group of Participants Greater Than 3 Years to 5 Years of Age.

Hemoglobin values were assessed from blood collected at the last study visit at one year after enrollment. Group means are stratified by participants 3 years of age and under, and over 3 to 5 years of age. (NCT00379821)
Timeframe: 1 year

InterventionGrams/Deciliter (Mean)
Chloroquine Plus Artesunate12.5
Chloroquine Plus Atovaquone-Proguanil12.3
CQ Plus Azithromycin12.1
CQ Monotherapy12.5

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Nearest Neighbor Index as a Measure of Spatial Pattern of the Distribution of Malaria Cases in Ndirande

The Global Positioning System (GPS) was used to establish the coordinates of participants' homes. The distribution of these coordinates was analyzed for evidence of clustering, or occurring closer together than would be expected on the basis of chance. Nearest Neighbor Index is a ratio of the observed mean distance over the expected mean distance. If the index is less than 1, the pattern exhibits clustering. If the index is greater than 1, the trend is toward dispersion. (NCT00379821)
Timeframe: 1 year

InterventionIndex (Number)
All Groups0.328

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Number of Cases of Severe Malaria in Each Treatment Arm

A case of severe malaria included one or more of the following: Hemoglobin ≤5 g/dL; prostration; respiratory distress; bleeding; recent seizures, coma or obtundation (Blantyre coma score < 5); inability to drink, or persistent vomiting. All cases were then adjudicated by a panel of investigators prior to analysis. (NCT00379821)
Timeframe: 1 Year

InterventionCases of severe malaria (Number)
Chloroquine Plus Artesunate0
Chloroquine Plus Atovaquone-Proguanil2
CQ Plus Azithromycin2
CQ Monotherapy6

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Number of Clinical Malaria Episodes Per Year of Follow-up

Clinical malaria episode was defined as at least one symptom of malaria and a positive malaria smear. The number of clinical malaria episodes (not including the initial malaria episode) reported by participants during follow up is presented as the number per Person Years at Risk (PYAR). (NCT00379821)
Timeframe: 1 year

InterventionEpisodes per PYAR (Number)
Chloroquine Plus Artesunate0.61
Chloroquine Plus Atovaquone-Proguanil0.68
CQ Plus Azithromycin0.64
CQ Monotherapy0.59

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Number of Participants Infected With Parasites With the Mutation Pfcrt 76T at Recrudescent Episodes of Malaria

Participants were enrolled in the study at the time of the initial episode of malaria. If the participant presented with a subsequent episode of malaria at any time during the one year of follow-up, the presence of parasites with the mutation pfCRT 76T was measured with filter paper specimens collected at the time of enrollment and with successful parasite DNA amplification using pyrosequencing. (NCT00379821)
Timeframe: Recrudescent episodes of malaria within one year of enrollment

Interventionparticipants (Number)
Chloroquine Plus Artesunate0
Chloroquine Plus Atovaquone-Proguanil0
CQ Plus Azithromycin1
CQ Monotherapy0

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Number of Participants Infected With Parasites With the Mutation Pfcrt 76T on Day 0 of the Initial Episode of Malaria

The presence of parasites with the mutation pfCRT 76T was measured with filter paper specimens collected at the time of enrollment and with successful parasite DNA amplification using pyrosequencing. (NCT00379821)
Timeframe: Day 0 of initial episode of malaria

Interventionparticipants (Number)
Chloroquine Plus Artesunate1
Chloroquine Plus Atovaquone-Proguanil0
CQ Plus Azithromycin0
CQ Monotherapy0

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Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment Arm

Adequate clinical and parasitologic response (ACPR) was defined as the absence of parasitemia at Day 28 and without previously meeting any of the criteria of early treatment or late clinical failure. (NCT00379821)
Timeframe: Day 28 of first subsequent malaria episode (Episode 1)

InterventionParticipants (Number)
Chloroquine Plus Artesunate46
Chloroquine Plus Atovaquone-Proguanil42
CQ Plus Azithromycin37
CQ Monotherapy39

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Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment Arm

Adequate clinical and parasitologic response (ACPR) was defined as the absence of parasitemia at Day 28 and without previously meeting any of the criteria of early treatment or late clinical failure. (NCT00379821)
Timeframe: Day 28 of fourth subsequent malaria episode (Episode 4)

InterventionParticipants (Number)
Chloroquine Plus Atovaquone-Proguanil2
CQ Plus Azithromycin1

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Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment Arm

Adequate clinical and parasitologic response (ACPR) was defined as the absence of parasitemia at Day 28 and without previously meeting any of the criteria of early treatment or late clinical failure. (NCT00379821)
Timeframe: Day 28 of initial malaria episode (Episode 0)

InterventionParticipants (Number)
Chloroquine Plus Artesunate143
Chloroquine Plus Atovaquone-Proguanil133
CQ Plus Azithromycin137
CQ Monotherapy135

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Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment Arm

Adequate clinical and parasitologic response (ACPR) was defined as the absence of parasitemia at Day 28 and without previously meeting any of the criteria of early treatment or late clinical failure. (NCT00379821)
Timeframe: Day 28 of second subsequent malaria episode (Episode 2)

InterventionParticipants (Number)
Chloroquine Plus Artesunate17
Chloroquine Plus Atovaquone-Proguanil14
CQ Plus Azithromycin12
CQ Monotherapy6

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Number of Participants With Day 28 Adequate Clinical and Parasitologic Response in Each Treatment Arm

Adequate clinical and parasitologic response (ACPR) was defined as the absence of parasitemia at Day 28 and without previously meeting any of the criteria of early treatment or late clinical failure. (NCT00379821)
Timeframe: Day 28 of third subsequent malaria episode (Episode 3)

InterventionParticipants (Number)
Chloroquine Plus Artesunate4
Chloroquine Plus Atovaquone-Proguanil4
CQ Plus Azithromycin6
CQ Monotherapy0

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Pharmacokinetics of Chloroquine Represented by Maximum Concentration (Cmax)

1727 non-zero concentration measurements from 479 participants were pooled and used for population pharmacokinetic modeling in Monolix413s. Compartmental population pharmacokinetic modeling was used due to highly sparse data. The model was parameterized in terms of absorption rate constant for chloroquine (Ka), apparent clearance for chloroquine (CL/F, with F as the unknown oral bioavailability), apparent volume of distribution of the central and peripheral compartments for chloroquine (Vd/F), and the inter-compartmental clearance for chloroquine (Q/F). Only these primary population pharmacokinetic parameters could be estimated using the type of data collected. The best-fit population PK model was then used to estimate individual parameter estimates to derive Cmax in nanograms per milliliter (ng/mL). (NCT00379821)
Timeframe: Day 0 - Day 28

Interventionng/mL chloroquine (Median)
Chloroquine Plus Artesunate351.0
Chloroquine Plus Atovaquone-Proguanil345.1
CQ Plus Azithromycin353.1
CQ Monotherapy384.2

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Number of Participants With New and Recrudescent Infections After Subsequent New Episodes

Participants were enrolled at the time of initial malaria episode and treated. Subsequent to treatment, participants who subsequently suffered new malaria episodes were monitored for the additional occurrence of new and recrudescent malaria infections, which were distinguished by analysis of the infecting parasites using merozoite surface protein-2 polymorphic gene length variation. (NCT00379821)
Timeframe: Day 28 to 1 year

,,,
Interventionparticipants (Number)
New infectionsRecrudescent infections
Chloroquine Plus Artesunate00
Chloroquine Plus Atovaquone-Proguanil00
CQ Monotherapy11
CQ Plus Azithromycin12

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Number of Participants With New and Recrudescent Malaria Infections After Initial Treatment

Participants were enrolled at the time of initial malaria episode and treated. Subsequent to treatment, subjects were monitored for the occurrence of new and recrudescent malaria infections, which were distinguished by analysis of the infecting parasites using merozoite surface protein-2 polymorphic gene length variation. (NCT00379821)
Timeframe: 28 days to 1 year

,,,
Interventionparticipants (Number)
New infectionsRecrudescent infections
Chloroquine Plus Artesunate01
Chloroquine Plus Atovaquone-Proguanil00
CQ Monotherapy00
CQ Plus Azithromycin10

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Pharmacokinetics of Chloroquine Represented by Time of Maximal Concentration (Tmax) and Chloroquine Half-life

1727 non-zero concentration measurements from 479 participants were pooled and used for population pharmacokinetic modeling in Monolix413s. Compartmental population pharmacokinetic modeling was used due to highly sparse data. The model was parameterized in terms of absorption rate constant for chloroquine (Ka), apparent clearance for chloroquine (CL/F, with F as the unknown oral bioavailability), apparent volume of distribution of the central and peripheral compartments for chloroquine (Vd/F), and the inter-compartmental clearance for chloroquine (Q/F). Only these primary population pharmacokinetic parameters could be estimated using the type of data collected. The best-fit population PK model was then used to estimate individual parameter estimates to derive Tmax and half-life. (NCT00379821)
Timeframe: Day 0 - Day 28

,,,
InterventionHours (Median)
Time of maximal concentration (Tmax)Chloroquine half-life
Chloroquine Plus Artesunate5.641.6
Chloroquine Plus Atovaquone-Proguanil5.646.2
CQ Monotherapy5.644.5
CQ Plus Azithromycin5.541.3

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Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function)

ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. (NCT00379821)
Timeframe: Day 14 of fourth subsequent malaria episode (Episode 4)

InterventionInternational Units/Liter (Mean)
Chloroquine Plus Atovaquone-Proguanil13.9

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"Number of Participants in Each Treatment Arm Who Change From Normal to Abnormal on Any Questions of the Neurological Examination"

"A basic age-appropriate neurological examination was conducted on Day 28 of each malaria illness episode and also at Days 112 and 224, and at 1 year. Subjects were were counted as a change from 'normal' to 'abnormal' if they had the 'normal' (or not-applicable) response for the initial day 28 exam and an 'abnormal' response at their last exam. If a subject did not have an exam at 1 year then the last available exam that was not associated with an illness episode (either Day 112 or 224) was used." (NCT00379821)
Timeframe: 1 Year

InterventionParticipants (Number)
Chloroquine Plus Artesunate6
Chloroquine Plus Atovaquone-Proguanil4
CQ Plus Azithromycin3
CQ Monotherapy12

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Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function)

ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. (NCT00379821)
Timeframe: Day 0 of first subsequent malaria episode (Episode 1)

InterventionInternational Units/Liter (Mean)
Chloroquine Plus Artesunate24.2
Chloroquine Plus Atovaquone-Proguanil21.7
CQ Plus Azithromycin22.4
CQ Monotherapy25.3

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Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function)

ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. (NCT00379821)
Timeframe: Day 0 of fourth subsequent malaria episode (Episode 4)

InterventionInternational Units/Liter (Mean)
Chloroquine Plus Atovaquone-Proguanil27.3
CQ Plus Azithromycin24.9

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Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function)

ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. (NCT00379821)
Timeframe: Day 0 of initial malaria episode (Episode 0)

InterventionInternational Units/Liter (Mean)
Chloroquine Plus Artesunate27.2
Chloroquine Plus Atovaquone-Proguanil32.1
CQ Plus Azithromycin27.5
CQ Monotherapy26.2

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Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function)

ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. (NCT00379821)
Timeframe: Day 0 of second subsequent malaria episode (Episode 2)

InterventionInternational Units/Liter (Mean)
Chloroquine Plus Artesunate26.1
Chloroquine Plus Atovaquone-Proguanil23.0
CQ Plus Azithromycin23.3
CQ Monotherapy23.5

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Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function)

ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. (NCT00379821)
Timeframe: Day 0 of third subsequent malaria episode (Episode 3)

InterventionInternational Units/Liter (Mean)
Chloroquine Plus Artesunate26.4
Chloroquine Plus Atovaquone-Proguanil20.7
CQ Plus Azithromycin18.6
CQ Monotherapy16.2

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Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function)

ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. (NCT00379821)
Timeframe: Day 14 of first subsequent malaria episode (Episode 1)

InterventionInternational Units/Liter (Mean)
Chloroquine Plus Artesunate14.5
Chloroquine Plus Atovaquone-Proguanil14.2
CQ Plus Azithromycin18.3
CQ Monotherapy17.2

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Time to First Malaria Episode in Participants Who Travelled and Slept Outside the City Versus Those Who Did Not Travel and Sleep Outside the City.

The cumulative hazard of having a malaria attack within one year for those participants who travelled and slept in rural areas (outside the city) versus those who did not was calculated and is presented as a life table to display the number of subjects at risk, the number with first clinical episode and the number censored at each time point. Participants are right-censored at the time of first malaria episode. Participants who did not develop malaria during follow-up or were lost to follow-up were censored at the time of their last visit. (NCT00379821)
Timeframe: Days 0 - 420

,
Interventionparticipants (Number)
Days 0-27 - Number At RiskDays 0-27 - Number with MalariaDays 0-27 - Number CensoredDays 28-55 - Number At RiskDays 28-55 - Number with MalariaDays 28-55 - Number CensoredDays 56-83 - Number At RiskDays 56-83 - Number with MalariaDays 56-83 - Number CensoredDays 84-111 - Number At RiskDays 84-111 - Number with MalariaDays 84-111 - Number CensoredDays 112-139 - Number At RiskDays 112-139 - Number with MalariaDays 112-139 - Number CensoredDays 140-167 - Number At RiskDays 140-167 - Number with MalariaDays 140-167 - Number CensoredDays 168-195 - Number At RiskDays 168-195 - Number with MalariaDays 168-195 - Number CensoredDays 196-223 - Number At RiskDays 196-223 - Number with MalariaDays 196-223 - Number CensoredDays 224-251 - Number At RiskDays 224-251 - Number with MalariaDays 224-251 - Number CensoredDays 252-279 - Number At RiskDays 252-279 - Number with MalariaDays 252-279 - Number CensoredDays 280-307 - Number At RiskDays 280-307 - Number with MalariaDays 280-307 - Number CensoredDays 308-335 - Number At RiskDays 308-335 - Number with MalariaDays 308-335 - Number CensoredDays 336-363 - Number At RiskDays 336-363 - Number with MalariaDays 336-363 - Number CensoredDays 364-391 - Number At RiskDays 364-391 - Number with MalariaDays 364-391 - Number CensoredDays 392 - 420 - Number At RiskDays 392 - 420 - Number with MalariaDays 392 - 420 - Number Censored
Participants Who Did Not Travel and Sleep Outside the City20102817341015991613412101124510327941390497716701564435752503740038202
Participants Who Traveled and Slept Outside the City43206336913263301121298121627013172403222153161964161761241601281407412988113821032100101

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Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function)

ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. (NCT00379821)
Timeframe: Day 14 of initial malaria episode (Episode 0)

InterventionInternational Units/Liter (Mean)
Chloroquine Plus Artesunate14.3
Chloroquine Plus Atovaquone-Proguanil16.2
CQ Plus Azithromycin17.8
CQ Monotherapy15.5

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Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function)

ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. (NCT00379821)
Timeframe: Day 14 of second subsequent malaria episode (Episode 2)

InterventionInternational Units/Liter (Mean)
Chloroquine Plus Artesunate116
Chloroquine Plus Atovaquone-Proguanil14.7
CQ Plus Azithromycin17.3
CQ Monotherapy16.3

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Mean Alanine Transaminase (ALT) in Each Treatment Arm (Hepatic Function)

ALT values were assessed from blood draws at Day 0 and Day 14 of each malaria episode. (NCT00379821)
Timeframe: Day 14 of third subsequent malaria episode (Episode 3)

InterventionInternational Units/Liter (Mean)
Chloroquine Plus Artesunate17.8
Chloroquine Plus Atovaquone-Proguanil13.6
CQ Plus Azithromycin15.3
CQ Monotherapy14.3

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Efficacy of Polymerase Chain Reaction (PCR) Adjusted Malaria Cure Rates of the Three Treatment Regimens at Days 14, 28 and 42

Percentage of patients with clearance of asexual parasitemia (observed by optical microscopy) within 7 days of initiation of trial treatment without recrudescence within 14, 28 and 42 days respectively after initiation of treatment. Patients with recurrent parasitemia and paired PCR results were classified as either a new infection (different paired genotypes) or a recrudescence (matching paired genotypes). Patients without paired PCR results or ambiguous results were classified as treatment failures. (NCT00444106)
Timeframe: Days 14, 28 and 42

,,
InterventionPercentage of Participants (Number)
Day 14Day 28Day 42
Artemether-lumefantrine (Coartem)99.498.797.5
Artesunate-mefloquine98.198.198.1
Atovaquone-proguanil (Malarone)100.098.198.1

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Relationship Between Changes in Auditory Function and Treatment Groups

ABR Wave III latency (ms) changes from baseline to Day 7 in the three drug exposure groups. (NCT00444106)
Timeframe: From Baseline to Day 7

,,
Interventionms (Mean)
Baseline Right EarChange from baseline to Day 7 Right EarBaseline Left EarChange from baseline to Day 7 Left Ear
Artemether-lumefantrine (Coartem)3.860.013.850.01
Artesunate-mefloquine3.86-0.043.82-0.03
Atovaquone-proguanil (Malarone)3.89-0.013.88-0.01

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Percentage of Participants With Auditory Abnormalities at Day 7 Assessed by Auditory Brainstem Response (ABR) Wave III Latency Changes on Day 7(a Type of Hearing Test)

"To demonstrate the safety of artemether-lumefantrine after 3 days of treatment in patients with acute, uncomplicated falciparum malaria by testing the null hypothesis that the rate of auditory abnormalities is ≥ 15% in the population treated with artemether-lumefantrine as assessed by ABR at Day 7 following initiation of treatment compared with their baseline values. An auditory nerve abnormality is here defined as a greater than 0.30 ms change in Wave III latency from baseline to Day 7. Exact Pearson-Clopper two-sided 95% confidence limits were constructed for all three treatment groups." (NCT00444106)
Timeframe: 7 days

InterventionPercentage of Participants (Number)
Artemether-lumefantrine (Coartem)2.6

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Auditory Changes Following 3 Days of Treatment at Days 3, 7, 28, and 42 Days as Assessed by Pure Tone Thresholds Assessments (a Type of Hearing Test)

Audiometric measurements such as pure-tone threshold (air conduction tested at 250 to 8000 HZ) day 3, 7, 28 and 42 following initiation of treatment, including changes from baseline. Pure-tone average (PTA) calculated for each ear by averaging the pure-tone threshold values at 500, 1000, 2000 and 3000 HZ. (NCT00444106)
Timeframe: Baseline (Day 1), 3, 7, 28 and Day 42

,,
InterventiondB (Mean)
Baseline Right EarChange from baseline to Day 3 Right EarChange from baseline to Day 7 Right EarChange from baseline to Day 28 Right EarChange from baseline to Day 42 Right EarBaseline Left EarChange from baseline to Day 3 Left EarChange from baseline to Day 7 Left EarChange from baseline to Day 28 Left EarChange from baseline to Day 42 Left Ear
Artemether-lumefantrine12.2-2.5-2.2-2.7-3.011.4-1.2-1.7-2.0-1.5
Artesunate-mefloquine12.7-1.9-2.6-3.6-3.112.5-1.2-1.4-2.5-3.0
Atovaquone-proguanil (Malarone)12.0-2.4-2.6-2.6-3.311.3-1.5-1.3-1.8-2.1

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Prophylactic Efficacy of 3 Different Doses of Atovaquone/Proguanil (Malarone@) Given 1 Week Before Infectious Sporozoite Challenge Using the P. Falciparum Human Challenge Model.

Number of participants with prophylactic efficacy was determined by the absence of cases of malaria parasitemia, defined as microscopically detectable parasitemia by Giemsa-stained thick smears, in those receiving any dose of Malarone as compared to the control (no treatment) group (NCT00984256)
Timeframe: Days 6-20

Interventionparticipants with negative parasitemia (Number)
Treatment Group 16
Treatment Group 24
Treatment Group 33
Treatment Group 46
Treatment Group 55
Control0

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Measured Concentrations of Plasma Atovaquone With Determinations of Area Under the Curve

Plasma concentrations were used to determine the pharmacokinetic curves with determinations of area under the curve (AUC).The smallest AUC Day 0-6.5 associated with protection from detectable parasitemia, and the highest AUC Day 0-6.5 observed in any cases of malaria (prophylactic failures) were to be reported. (NCT00984256)
Timeframe: 7, 6, 5, and 1 day prior to challenge; on the day of the challenge; 1, 4, 5, 6, 7, 8, 10and 14 days after the challenge; and on the day parasitemia develops.,

Interventionng*day/ml (Mean)
Treatment Group 13595
Treatment Group 2616
Treatment Group 3510
Treatment Group 41434
Treatment Group 52233

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Measured Concentrations of Plasma Atovaquone With Determinations of T1/2.

Plasma concentrations (ng/ml) were used to determine the elimination half life (t1/2) of atovaquone (days). (NCT00984256)
Timeframe: 7, 6, 5, and 1 day prior to challenge; on the day of the challenge; 1, 4, 5, 6, 7, 8, 10and 14 days after the challenge; and on the day parasitemia develops.,

InterventionDays (Mean)
Prophylaxis Group 13.3
Prophylaxis Group 23.3
Prophylaxis Group 33.3
Prophylaxis Group 45.6
Prophylaxis Group 53.7

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Number of Participants With Treatment Emergent Adverse Events (TEAE) as a Measure of Safety & Tolerability of Malarone

"Safety & tolerability of Malarone for causal and suppressive chemoprophylaxis in non-immune healthy volunteers in a Plasmodium falciparum sporozoite challenge. Measured by adverse events, laboratory data.~Malarone® was administered as a single daily dose over a period of 9 days from Day -1 to Day 7." (NCT02450578)
Timeframe: From first dose (Day -1, Cohort 1b) to Day 60 post-inoculum

InterventionParticipants (Count of Participants)
Cohort 1B: Malarone, Sporozoite Challenge5

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Pre-patent Period

"The pre-patent period is defined as the time (days) from inoculation with PfSPZ to first occurrence of a positive TBS. If no positive TBS is seen by Day 28, this variable is set to 28 days.~Complete protection = Subjects showing with pre-patent period equal to 28 days." (NCT02450578)
Timeframe: Day 0 to Day 28 post-inoculum (daily)

InterventionDays (Geometric Mean)
Cohort 1A: 400 mg DSM265 (Day-1), Sporozoite Challenge (Day0)28.0
Cohort 1B: Malarone, Sporozoite Challenge28.0
Cohort 2: 400 mg DSM265 (Day-7), Sporozoite Challenge (Day0)20.6
Placebo Cohorts 1A and 211.7

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DSM265 Pharmacokinetics Profile - AUC 0-∞, AUC 0-168h, and AUC 0-480h

Pre-dose and post-dose during the period including Day 28 for AUC 0-∞, AUC 0-168h, and AUC 0-480h (NCT02450578)
Timeframe: From pre-dose of DSM265 (Day -1 in Cohort 1a and Day -7 in Cohort 2) to Day 28 post-inoculum

,
Interventionng*h/mL (Geometric Mean)
AUC 0-∞ DBSAUC 0-∞ PlasmaAUC 0-168h DBSAUC 0-168h PlasmaAUC 0-480h DBSAUC 0-480h Plasma
Cohort 1A: 400 mg DSM265 (Day-1), Sporozoite Challenge (Day0)979000187000058200011000008630001680000
Cohort 2: 400 mg DSM265 (Day-7), Sporozoite Challenge (Day0)90600015400005680009490008470001430000

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DSM265 Pharmacokinetics Profile - C Max

Pre-dose and post-dose during the period including Day 28 (NCT02450578)
Timeframe: From pre-dose of DSM265 (Day -1 in Cohort 1a and Day -7 in Cohort 2) to Day 28 post-inoculum

,
Interventionng/mL (Geometric Mean)
C max DBSC max Plasma
Cohort 1A: 400 mg DSM265 (Day-1), Sporozoite Challenge (Day0)686013300
Cohort 2: 400 mg DSM265 (Day-7), Sporozoite Challenge (Day0)699011200

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DSM265 Pharmacokinetics Profile - CL/F

Pre-dose and post-dose during the period including Day 28 (NCT02450578)
Timeframe: From pre-dose of DSM265 (Day -1 in Cohort 1a and Day -7 in Cohort 2) to Day 28 post-inoculum

,
InterventionmL/h (Geometric Mean)
CL/F DBSCL/F Plasma
Cohort 1A: 400 mg DSM265 (Day-1), Sporozoite Challenge (Day0)409214
Cohort 2: 400 mg DSM265 (Day-7), Sporozoite Challenge (Day0)441260

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DSM265 Pharmacokinetics Profile - T 1/2

Pre-dose and post-dose during the period including Day 28 (NCT02450578)
Timeframe: From pre-dose of DSM265 (Day -1 in Cohort 1a and Day -7 in Cohort 2) to Day 28 post-inoculum

,
Interventionhours (Geometric Mean)
t 1/2 DBSt 1/2 Plasma
Cohort 1A: 400 mg DSM265 (Day-1), Sporozoite Challenge (Day0)132134
Cohort 2: 400 mg DSM265 (Day-7), Sporozoite Challenge (Day0)113116

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DSM265 Pharmacokinetics Profile - T Max

Pre-dose and post-dose during the period including Day 28 (NCT02450578)
Timeframe: From pre-dose of DSM265 (Day -1 in Cohort 1a and Day -7 in Cohort 2) to Day 28 post-inoculum

,
Interventionhours (Median)
T max DBST max Plasma
Cohort 1A: 400 mg DSM265 (Day-1), Sporozoite Challenge (Day0)2.022.00
Cohort 2: 400 mg DSM265 (Day-7), Sporozoite Challenge (Day0)8.488.48

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DSM265 Pharmacokinetics Profile - Vz/F

Pre-dose and post-dose during the period including Day 28 (NCT02450578)
Timeframe: From pre-dose of DSM265 (Day -1 in Cohort 1a and Day -7 in Cohort 2) to Day 28 post-inoculum

,
InterventionmL (Geometric Mean)
Vz/F DBSVz/F Plasma
Cohort 1A: 400 mg DSM265 (Day-1), Sporozoite Challenge (Day0)7790041400
Cohort 2: 400 mg DSM265 (Day-7), Sporozoite Challenge (Day0)7170043600

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DSM450 Pharmacokinetics Profile - Cmax

Pre-dose and post-dose during the period including Day 28 (NCT02450578)
Timeframe: From pre-dose of DSM265 (Day -1 in Cohort 1a and Day -7 in Cohort 2) to Day 28 post-inoculum

,
Interventionng/mL (Geometric Mean)
Cmax DBSCmax Plasma
Cohort 1A: 400 mg DSM265 (Day-1), Sporozoite Challenge (Day0)545999
Cohort 2: 400 mg DSM265 (Day-7), Sporozoite Challenge (Day0)7141170

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DSM450 Pharmacokinetics Profile - T Max

Pre-dose and post-dose during the period including Day 28 (NCT02450578)
Timeframe: From pre-dose of DSM265 (Day -1 in Cohort 1a and Day -7 in Cohort 2) to Day 28 post-inoculum

,
Interventionhours (Median)
t max DBSt max Plasma
Cohort 1A: 400 mg DSM265 (Day-1), Sporozoite Challenge (Day0)169169
Cohort 2: 400 mg DSM265 (Day-7), Sporozoite Challenge (Day0)216169

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Number of Participants With Adverse Events as a Measure of Safety and Tolerability of Plasmodium Falciparum Sporozoite Challenge Inoculum

Safety & tolerability of Plasmodium falciparum sporozoite challenge inoculum during DSM265 administration, and Malarone administration. Measured by adverse events, laboratory data (NCT02450578)
Timeframe: Day 0 to Day 60 post-inoculum

InterventionParticipants (Count of Participants)
Cohort 1A: 400 mg DSM265 (Day-1), Sporozoite Challenge (Day0)3
Cohort 1B: Malarone, Sporozoite Challenge5
Cohort 2: 400 mg DSM265 (Day-7), Sporozoite Challenge (Day0)5
Placebo Cohorts 1A and 24

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Number of Participants With Adverse Events as a Measure of Safety & Tolerability of DSM265

Safety & tolerability of DSM265 for causal and suppressive chemoprophylaxis in non-immune healthy volunteers in a non-immune healthy volunteers in CHMI with PfSPZ challenge. (NCT02450578)
Timeframe: From first dose (Day -1 in Cohort 1A and Day -7 in Cohort 2) to Day 60 post-inoculum

InterventionParticipants (Count of Participants)
Cohort 1a: DSM265/Placebo, Sporozoite Inoculum5
Cohort 2: DSM265/Placebo, Sporozoite Inoculum6

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DSM450 Pharmacokinetics Profile - AUC 0-t, AUC 0-168h, and AUC 0-480h

Pre-dose and post-dose during the period including Day 28 for AUC 0-t, AUC 0-168h, and AUC 0-480h (NCT02450578)
Timeframe: From pre-dose of DSM265 (Day -1 in Cohort 1a and Day -7 in Cohort 2) to Day 28 post-inoculum

,
Interventionng*h/mL (Geometric Mean)
AUC 0-∞ DBSAUC 0-∞ PlasmaAUC 0-168h DBSAUC 0-168h PlasmaAUC 0-480h DBSAUC 0-480h Plasma
Cohort 1A: 400 mg DSM265 (Day-1), Sporozoite Challenge (Day0)18500032600063800115000185000326000
Cohort 2: 400 mg DSM265 (Day-7), Sporozoite Challenge (Day0)22500036700085300142000234000375000

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GMT Over Protective Titer Prior Fourth Dose of PCECV

Chloroquine, Atovaquone and Proguanil (Malarone) and Doxycycline Groups received antimalarial up to day 14 and rabies vaccinations on day 14, 17, 21 (dose 3), and 28 (dose 4). Rabies Group received the rabies vaccination on days 0, 3, 7 (dose 3) and 14 (dose 4). For Chloroquine, Malarone and Doxycycline Groups, samples were taken on days 0, 21, 28 and 56. For Rabies Group, samples were taken on days 0, 7, 14 and 42. Rabies virus-specific serum antibody neutralization assay was used to measure rabies virus antibodies, using the rapid fluorescent foci inhibition test (RFFIT). A titer of >0.5 IU/ml against rabies virus as protective. (NCT02564471)
Timeframe: 28 days for Chloroquine, Atovaquone and Proguanil (Malarone) and Doxycycline Groups and 14 days for Rabies Arm

InterventionIU/ml (Geometric Mean)
Chloroquine4.15
Atovaquone and Proguanil (Malarone)6.45
Doxycycline7.04
Rabies6.98

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GMT Over Protective Titer Prior to Third Dose of PCECV

Chloroquine, Atovaquone and Proguanil (Malarone) and Doxycycline Groups received antimalarial up to day 14 and rabies vaccinations on day 14, 17, 21 (dose 3), and 28 (dose 4). Rabies Group received the rabies vaccination on days 0, 3, 7 (dose 3) and 14 (dose 4). For Chloroquine, Malarone and Doxycycline Groups, samples were taken on days 0, 21, 28 and 56. For Rabies Group, samples were taken on days 0, 7, 14 and 42. Rabies virus-specific serum antibody neutralization assay was used to measure rabies virus antibodies, using the rapid fluorescent foci inhibition test (RFFIT). A titer of >0.5 IU/ml against rabies virus as protective. (NCT02564471)
Timeframe: 21 days for Chloroquine, Atovaquone and Proguanil (Malarone) and Doxycycline Groups and 7 days for Rabies Arm

InterventionIU/ml (Geometric Mean)
Chloroquine0.14
Atovaquone and Proguanil (Malarone)0.11
Doxycycline0.16
Rabies0.17

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Geometric Mean Titer (GMT) 14 Days Post Fourth Dose Post Exposure Prophylaxis (PEP) With Purified Chick Embryo Cell Vaccine (PCECV) in Each Malaria Prophylaxis Group Compared to Control to Determine if a Fifth Dose of PEP Would Add Value

Chloroquine, Atovaquone and Proguanil (Malarone) and Doxycycline Groups received antimalarial up to day 14 and rabies vaccinations on day 14, 17, 21, and 28 (dose 4). Rabies Group received the rabies vaccination on days 0, 3,7 and 14 (dose 4). Rabies virus-specific serum antibody neutralization assay was used to measure rabies virus antibodies, using the rapid fluorescent foci inhibition test (RFFIT). A titer of >0.5 IU/ml against rabies virus as protective. Descriptive analyses were based on samples taken 14 days after dose 4, (e.g., at 6 weeks for Chloroquine, Atovaquone and Proguanil (Malarone) and Doxycycline Arms and at 4 weeks for Rabies Arm). (NCT02564471)
Timeframe: 6 weeks for Chloroquine, Atovaquone and Proguanil (Malarone) and Doxycycline Groups and at 4 weeks for Rabies Group

InterventionIU/ml (Geometric Mean)
Chloroquine3.45
Atovaquone and Proguanil (Malarone)7.95
Doxycycline8.51
Rabies10.26

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GMT Over Protective Titer 28 Days Post Fourth Dose of PCECV

Chloroquine, Atovaquone and Proguanil (Malarone) and Doxycycline Groups received antimalarial up to day 14 and rabies vaccinations on day 14, 17, 21 (dose 3), and 28 (dose 4). Rabies Group received the rabies vaccination on days 0, 3,7 (dose 3) and 14 (dose 4). For Chloroquine, Malarone and Doxycycline Groups, samples were taken on days 0, 21, 28 and 56. For Rabies Group, samples were taken on days 0, 7, 14 and 42. Rabies virus-specific serum antibody neutralization assay was used to measure rabies virus antibodies, using the rapid fluorescent foci inhibition test (RFFIT). A titer of >0.5 IU/ml against rabies virus as protective. (NCT02564471)
Timeframe: Up to 8 weeks for Chloroquine, Atovaquone and Proguanil (Malarone) and Doxycycline Groups and up to 6 weeks for Rabies Arm

InterventionIU/ml (Geometric Mean)
Chloroquine2.3
Atovaquone and Proguanil (Malarone)4.96
Doxycycline5.18
Rabies6.87

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Number of Participants Infectious for Mosquitoes Through DFA

Prevalence of gametocyte infectiousness for Anopheles mosquitoes through Direct Feeding Assays (Direct Skin Feeding Assay, DFA). (NCT03454048)
Timeframe: up to day 51 after challenge infection

InterventionParticipants (Count of Participants)
Cohort A0
Cohort B9

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Magnitude of Adverse Events in the CHMI-trans Model

"symptoms will be ranked as (1) mild, (2) moderate, or (3) severe, depending on their intensity according to the following scale:~Mild (grade 1): awareness of symptoms that are easily tolerated and do not interfere with usual daily activity~Moderate (grade 2): discomfort that interferes with or limits usual daily activity~Severe (grade 3): disabling, with subsequent inability to perform usual daily activity, resulting in absence or required bed rest" (NCT03454048)
Timeframe: up to day 51 after challenge infection

,,,
InterventionAdverse events (Number)
Mild (grade I)Moderate (grade II)Severe (grade III)
Group 1 (Cohort A) LD-PIP/LD-PIP2/PIP64229
Group 2 (Cohort A) LD-PIP/LD-PIP2/SP562217
Group 3 (Cohort B) LD-PIP/LD-PIP2/PIP86174
Group 4 (Cohort B) LD-PIP/LD-PIP2/SP4183

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Peak Density Gametocytes

Peak density of gametocytes by qRT-PCR. (NCT03454048)
Timeframe: up to day 51 after challenge infection

InterventionGametocytes/mL (Median)
Group 1 (Cohort A) LD-PIP/LD-PIP2/PIP13.9
Group 2 (Cohort A) LD-PIP/LD-PIP2/SP21.4
Group 3 (Cohort B) LD-PIP/LD-PIP2/PIP1442.2
Group 4 (Cohort B) LD-PIP/LD-PIP2/SP813.2

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Gametocyte Sex-ratio

Proportion of male gametocytes (NCT03454048)
Timeframe: up to day 51 after challenge infection

InterventionProportion of male gametocytes (Median)
Cohort A0.20
Cohort B0.31

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Gametocyte Prevalence

Number of individuals in each study arm that show prevalence of gametocytes as defined by quantitative reverse-transcriptase PCR (qRT-PCR) for CCp4 (female) and PfMGET (male) mRNA with a threshold of 5 gametocytes/mL for positivity. (NCT03454048)
Timeframe: up to day 51 after challenge infection

InterventionParticipants (Count of Participants)
Group 1 (Cohort A) LD-PIP/LD-PIP2/PIP5
Group 2 (Cohort A) LD-PIP/LD-PIP2/SP6
Group 3 (Cohort B) LD-PIP/LD-PIP2/PIP6
Group 4 (Cohort B) LD-PIP/LD-PIP2/SP6

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Gametocyte Commitment

The gametocyte commitment rate is estimated by dividing the peak gametocyte by the peak of asexual parasites. (NCT03454048)
Timeframe: up to day 51 after challenge infection

Interventiongametocytes/asexual parasite (Median)
Cohort A0.0011
Cohort B0.0323

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Frequency of Adverse Events in the CHMI-trans Model

Frequency of adverse events in the CHMI-trans model. (NCT03454048)
Timeframe: up to day 51 after challenge infection

InterventionAdverse events (Number)
Group 1 (Cohort A) LD-PIP/LD-PIP2/PIP95
Group 2 (Cohort A) LD-PIP/LD-PIP2/SP95
Group 3 (Cohort B) LD-PIP/LD-PIP2/PIP107
Group 4 (Cohort B) LD-PIP/LD-PIP2/SP52

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AUC Gametocytes

The area under the curve of gametocyte density versus time. The median AUC was calculated for both cohorts. Since onset of gametocytaemia differs depending on method of infection a window of 15 days was used to calculate AUC, from the time-point where a minimum of 50% of participants within a cohort had detectable gametocytemia. (NCT03454048)
Timeframe: up to day 51 after challenge infection

Intervention(gametocytes*days)/mL (Median)
Cohort A99
Cohort B11043

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Frequency of Adverse Events After NF135.C10 CPS Immunization

The number of adverse events will be recorded by the trial clinicians for all participants. (NCT03813108)
Timeframe: Cohort A: Inclusion until 35 days after challenge infection (35 weeks) Cohort B: Inclusion - premature end of study (22 weeks)

InterventionAdverse events (Number)
1: NF135 CPS-immunization Challenged by NF135139
2: Low Dose NF135 CPS-immunization Challenged by NF135173
3: NF135 CPS-immunization (A/L) Cohort B172

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Time to Parasitemia

The effectiveness of CPS-immunization with NF135 sporozoites to protect against malaria challenge infection with homologous N135.C10 or heterologous NF54 sporozoites will be determined by the time to parasitemia in immunized versus non-immunized volunteers after the challenge infection. (NCT03813108)
Timeframe: Day 1 - 28 after malaria challenge infection (28 days)

Interventiondays to parasitaemia (Median)
1: NF135 CPS-immunization Challenged by NF1359
2: Low Dose NF135 CPS-immunization Challenged by NF1357
5: Control Group Challenged by NF135.C10 Cohort A7

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Break Through Infections

Number of subjects that required rescue treatment with atovaquone/proguanil due to a positive thick smear in combination with symptoms following NF135.C10 immunizations despite mefloquine prophylaxis (Cohort A) or presumptive artemether/lumefantrine treatment (Cohort B). (NCT03813108)
Timeframe: From day 0 until 28 days after each immunization (28 days)

Interventionparticipants (Number)
Break through following immunization 1
3: NF135 CPS-immunization (A/L) Cohort B2

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Magnitude of Adverse Events After NF135.C10 CPS Immunization

The severity of adverse events will be recorded (mild/moderate/severe) for each adverse event (NCT03813108)
Timeframe: Cohort A: Inclusion until 35 days after challenge infection (35 weeks) Cohort B: Inclusion - premature end of study (22 weeks)

,,
InterventionAdverse events (Number)
Mild adverse events (grade 1)Moderate adverse events (grade 2)Severe adverse events (grade 3)Serious adverse events (grade 4)
1: NF135 CPS-immunization Challenged by NF13510820110
2: Low Dose NF135 CPS-immunization Challenged by NF13512835100
3: NF135 CPS-immunization (A/L) Cohort B12131191

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Break Through Infections

Number of subjects that required rescue treatment with atovaquone/proguanil due to a positive thick smear in combination with symptoms following NF135.C10 immunizations despite mefloquine prophylaxis (Cohort A) or presumptive artemether/lumefantrine treatment (Cohort B). (NCT03813108)
Timeframe: From day 0 until 28 days after each immunization (28 days)

,
Interventionparticipants (Number)
Break through following immunization 1Break through following immunization 2Break through following immunization 3
1: NF135 CPS-immunization Challenged by NF1351034
2: Low Dose NF135 CPS-immunization Challenged by NF1351035

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