Monitoring and deterring drug-resistant malaria in the era of combination therapy.

Published

Journal Article (Review)

As chloroquine and sulfadoxine-pyrimethamine (SP) are replaced by more effective artemisinin-based combination therapies (ACTs), strategies for monitoring (and, if possible, deterring) drug-resistant malaria must be updated and optimized. In vitro methods for measuring resistance will be critical for confirming and characterizing resistance to ACTs. Molecular markers are useful for tracking the emergence and dissemination of resistance and guiding treatment policy where resistance is low or moderate. Genomic approaches may help identify molecular markers for resistance to artemisinins and their partner drugs. Studies of reported ACT treatment failure should include assessing factors other than resistance that affect efficacy, including pharmacokinetics. Longitudinal clinical trials are particularly useful for comparing the benefits and risks of repeated treatment in high transmission settings. The malaria research and control community should not fail to exploit this opportunity to apply the lessons of the last 50 years to extend the useful therapeutic lives of ACTs.

Full Text

Duke Authors

Cited Authors

  • Laufer, MK; Djimdé, AA; Plowe, CV

Published Date

  • December 2007

Published In

Volume / Issue

  • 77 / 6 Suppl

Start / End Page

  • 160 - 169

PubMed ID

  • 18165489

Pubmed Central ID

  • 18165489

International Standard Serial Number (ISSN)

  • 0002-9637

Language

  • eng

Conference Location

  • United States