Table 2.
Drug Combination | P. falciparum strain | |||||
---|---|---|---|---|---|---|
3D7 | W2 | D6 | C2B | IPC-5202 | 14-B5 | |
DHA–PPQ | Antagonistic | Antagonistic | Antagonistic | Antagonistic | Antagonistic | Antagonistic |
CQ–CQ | Additive | Additive | Additive | Additive | Additive | Additive |
ATQ–PG | Synergistic | Synergistic | Synergistic | Synergistic | Synergistic | Synergistic |
PND–ATQ | Antagonistic | Antagonistic | Antagonistic | Toward Antagonistic | Antagonistic | Antagonistic |
MQ–ATQ | Toward Antagonistic | Antagonistic | Toward Antagonistic | Toward Synergistic | Toward Antagonistic | Antagonistic |
TQ–ATQ | Toward Synergistic | Toward Antagonistic | Toward Synergistic | Toward Synergistic | Toward Antagonistic | Antagonistic |
PND–PG | Toward Antagonistic | Toward Synergistic | Additive | Toward Synergistic | Toward Synergistic | Antagonistic |
MQ–PG | Toward Synergistic | Toward Synergistic | Toward Synergistic | Toward Synergistic | Toward Synergistic | Toward Synergistic |
TQ–PG | Synergistic | Toward Antagonistic | Toward Synergistic | Toward Synergistic | Additive | Antagonistic |
ΣFIC50 (50% Fractional Inhibitory Concentrations), synergism when ΣFIC50 ≤ 0.5; toward synergism when ΣFIC50 < 1; additive when ΣFIC50 = 1; toward antagonism when ΣFIC50 > 1; antagonism when ΣFIC50 ≥ 2 to 4. The values show the mean ± S.D of 3 independent assays for each parasite line
DHA dihydroartemisinin, CQ chloroquine, MQ mefloquine, PPQ piperaquine, ATQ atovaquone, PG proguanil, TQ tafenoquine, PND pyronaridine