Table. Studies that demonstrated poor artesunate-mefloquine efficacy, Cambodia–Thailand border*.
Reference | Study site, country, y | ACT | No. patients | Follow-up duration, d | Efficacy, % |
---|---|---|---|---|---|
Denis et al., 2006 (5) | Pailin, Cambodia, 2002 | ATS ≈12 mg/kg in 2 doses on days 0, 1, and 2 + MFQ ≈20 mg/kg in 2 doses on day 0 | 70 children and adults | 28 | 85.7 (PCR-corrected) |
Vijaykadga et al., 2006 (6) | Trat, Thailand, 2003 | ATS 12 mg/kg (maximum 600 mg) in 2 doses on days 0 and 1 + MFQ 25 mg/kg (maximum 1,250 mg) in 2 doses on day 0 | 44, age >10 y, mostly adults | 28 | 78.6 |
Denis et al., 2006 (5)† | Pailin, Cambodia, 2004 | ATS 12 mg/kg in 2 doses on days 0, 1, and 2 + MFQ 25 mg/kg in 2 doses on day 0 | 58 children and adults | 42 | 79.3 (PCR-corrected) |
*ACT, artemisinin-based combination therapy; ATS, artesunate; MFQ, mefloquine; day 0, first 24 h of enrollment and start of therapy. †Also in this study, increased copy numbers of Plasmodium falciparum multidrug resistance 1 gene were found to be associated with parasite recrudescence, and as many as 44% of patients did not clear parasites until after 48 hours.