Primer | Sequences |
---|---|
M3F | 5′-AGCATGCTGTTATAGAA-3′ |
M3R | 5′-TGAATTGGATCTGAGAAATGT-3′ |
M5F | 5′-TAATGGAACGGAGGTAGCTA-3′ |
M5R | 5′-ACGGGAGCTAAACTGTCAG-3′ |
M7F | 5′-TCCACCAGAACATGACGTAA-3′ |
M7R | 5′-AAAAACCAGTACACAAATATTGAGA-3′ |
769F | 5′-AAATATGGGAAAAAGACGATTAA-3′ |
769R | 5′-TACACGTATACCAGCCATATGG-3′ |
Regimen | Geographical Region | Clinical Outcome | M3 Sequence Compared to 3D7 Clone | Sequence region around 769 residue Compared to 3D7 Clone | M5 Sequence Compared to 3D7 Clone | M7 Sequence Compared to 3D7 Clone |
---|---|---|---|---|---|---|
Artesunate monotherapy | Tasanh, Cambodia | ACPR (n = 70) | Identical (n=70) | Identical (n = 70) | Identical (n = 46) Syn (n = 24) | Identical (n = 70) |
(n = 74) | Failure (n = 4) | |||||
(D of treatment initiation, D0) | Identical (n = 4) | Identical (n = 4) | Identical (n = 2) Syn (n = 2) | Identical (n = 4) | ||
Failure (n = 4) | Identical | Identical (n = 4) | Identical (n = 2) | Identical | ||
(D of failure Df) | (n = 4) | Syn (n = 2) | (n = 4) | |||
Quinine and tetracycline | Tasanh, Cambodia | ACPR (n = 37) | Identical (n = 37) | Identical (n = 37) | Identical (n = 26) Syn (n = 11) | Identical (n = 37) |
(n = 37) | Failure (n = 0) | |||||
(D of treatment initiation, D0) | N/A | N/A | N/A | N/A | ||
Failure (n = 0) (D of failure Df) | N/A | N/A | N/A | N/A | ||
Artesunate and mefloquine | Trat, Thailand (n = 53) | ACPR (n = 44) | Identical (n = 42) Unamp (n = 2) | Identical (n = 42) Unamp (n = 2) | Identical (n = 35) Syn (n = 7) Unamp (n = 2) | Identical (n = 43) Unamp (n = 1) |
Failure (n = 9) | ||||||
(D of treatment initiation, D0) | Identical (n = 9) | Identical (n = 9) | Identical (n = 9) | Identical (n = 9) | ||
Failure (n = 9) (D of failure Df) | Identical (n = 9) | Identical (n = 9) | Identical (n = 5) Unamp (n = 4) | Identical (n = 9) |
Study Sites | Antimalarial Treatment | Number of cases | |
---|---|---|---|
ACPR adequate clinical and parasitological response according to the WHO guidelines for the treatment of malaria assessed at 28 days for patients in Tasanh and 42 days for patients in Trat | Treatment failure as defined by WHO in 2003 | ||
Tasanh, Cambodia | Artesunate monotherapy 200 mg p.o. once daily × 7 d | 70 | 4 |
quinine 30 mg base/kg/day p.o. × 7 d; plus | |||
tetracycline 25 mg/kg/day p.o. × 7d | 37 | 0 | |
Trat, Thailand | Artesunate 12 mg/kg p.o. once daily × 2 d; plus | ||
mefloquine 25 mg/kg p.o. in 2 split doses; plus | |||
primaquine 0.5mg/kg p.o. single dose | 44 | 9 | |
151 | 13 |