The story of artesunate-mefloquine (ASMQ), innovative partnerships in drug development: case study.

Abstract:

BACKGROUND:The Drugs for Neglected Diseases initiative (DNDi) is a not-for profit organization committed to providing affordable medicines and access to treatments in resource-poor settings. Traditionally drug development has happened "in house" within pharmaceutical companies, with research and development costs ultimately recuperated through drug sales. The development of drugs for the treatment of neglected tropical diseases requires a completely different model that goes beyond the scope of market-driven research and development. Artesunate and mefloquine are well-established drugs for the treatment of uncomplicated malaria, with a strong safety record based on many years of field-based studies and use. The administration of such artemisinin-based combination therapy in a fixed-dose combination is expected to improve patient compliance and to reduce the risk of emerging drug resistance. CASE DESCRIPTION:DNDi developed an innovative approach to drug development, reliant on strong collaborations with a wide range of partners from the commercial world, academia, government institutions and NGOs, each of which had a specific role to play in the development of a fixed dose combination of artesunate and mefloquine. DISCUSSION AND EVALUATION:DNDi undertook the development of a fixed-dose combination of artesunate with mefloquine. Partnerships were formed across five continents, addressing formulation, control and production through to clinical trials and product registration, resulting in a safe and efficacious fixed dose combination treatment which is now available to treat patients in resource-poor settings. The south-south technology transfer of production from Farmanguinhos/Fiocruz in Brazil to Cipla Ltd in India was the first of its kind. Of additional benefit was the increased capacity within the knowledge base and infrastructure in developing countries. CONCLUSIONS:This collaborative approach to drug development involving international partnerships and independent funding mechanisms is a powerful new way to develop drugs for tropical diseases.

journal_name

Malar J

journal_title

Malaria journal

authors

Wells S,Diap G,Kiechel JR

doi

10.1186/1475-2875-12-68

subject

Has Abstract

pub_date

2013-02-21 00:00:00

pages

68

issn

1475-2875

pii

1475-2875-12-68

journal_volume

12

pub_type

历史文章,杂志文章
  • A minimal 3D model of mosquito flight behaviour around the human baited bed net.

    abstract:BACKGROUND:Advances in digitized video-tracking and behavioural analysis have enabled accurate recording and quantification of mosquito flight and host-seeking behaviours, facilitating development of individual (agent) based models at much finer spatial scales than previously possible. METHODS:Quantified behavioural p...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/s12936-020-03546-5

    authors: Jones J,Murray GPD,McCall PJ

    更新日期:2021-01-07 00:00:00

  • Global action for training in malaria elimination.

    abstract::The Rethinking Malaria Leadership Forum, held at Harvard Business School in February 2017 with collaboration of the Barcelona Institute for Global Health and the Swiss Tropical and Public Health Institute, identified this training gap as a high priority for both analysis and action. The gap in human resource training ...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/s12936-018-2199-3

    authors: Wirth DF,Casamitjana N,Tanner M,Reich MR

    更新日期:2018-01-25 00:00:00

  • Anti-malarial drug quality in Lagos and Accra - a comparison of various quality assessments.

    abstract:BACKGROUND:Two major cities in West Africa, Accra, the capital of Ghana, and Lagos, the largest city of Nigeria, have significant problems with substandard pharmaceuticals. Both have actively combated the problem in recent years, particularly by screening products on the market using the Global Pharma Health Fund e.V. ...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-9-157

    authors: Bate R,Hess K

    更新日期:2010-06-11 00:00:00

  • Frozen blood clots can be used for the diagnosis of distinct Plasmodium species in man and non-human primates from the Brazilian Atlantic Forest.

    abstract:BACKGROUND:Zoonotic infections with epidemic potential, as non-human primate malaria and yellow fever (YF), can overlap geographically. Optimizing a small blood sample for diagnosis and surveillance is of great importance. Blood are routinely collected for YF diagnosis and blood clots usually discarded after serum obte...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/s12936-018-2485-0

    authors: de Abreu FVS,Gomes LR,Mello ARL,Bianco-Júnior C,de Pina-Costa A,Dos Santos E,Teixeira DS,Brasil P,Daniel-Ribeiro CT,Lourenço-de-Oliveira R,de Fátima Ferreira-da-Cruz M

    更新日期:2018-09-24 00:00:00

  • Individuals living in a malaria-endemic area of Cameroon do not have an acquired antibody response to Plasmodium falciparum histidine-rich protein 2.

    abstract:BACKGROUND:Diagnosis of Plasmodium falciparum is often based on detection of histidine-rich protein 2 (HRP2) in blood. Most HRP2-based assays have high sensitivity and specificity; however, authors have suggested that antibodies (Ab) to HRP2 could reduce assay sensitivity. This study sought to characterize the antibody...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/s12936-017-1704-4

    authors: Taylor DW,Bobbili N,Khadka VS,Quakyi IA,Leke RG

    更新日期:2017-02-01 00:00:00

  • A high-resolution geospatial surveillance-response system for malaria elimination in Solomon Islands and Vanuatu.

    abstract:BACKGROUND:A high-resolution surveillance-response system has been developed within a geographic information system (GIS) to support malaria elimination in the Pacific. This paper examines the application of a GIS-based spatial decision support system (SDSS) to automatically locate and map the distribution of confirmed...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-12-108

    authors: Kelly GC,Hale E,Donald W,Batarii W,Bugoro H,Nausien J,Smale J,Palmer K,Bobogare A,Taleo G,Vallely A,Tanner M,Vestergaard LS,Clements AC

    更新日期:2013-03-21 00:00:00

  • Using the entomological inoculation rate to assess the impact of vector control on malaria parasite transmission and elimination.

    abstract:BACKGROUND:Prior studies have shown that annual entomological inoculation rates (EIRs) must be reduced to less than one to substantially reduce the prevalence of malaria infection. In this study, EIR values were used to quantify the impact of insecticide-treated bed nets (ITNs), indoor residual spraying (IRS), and sour...

    journal_title:Malaria journal

    pub_type: 杂志文章,评审

    doi:10.1186/1475-2875-9-122

    authors: Shaukat AM,Breman JG,McKenzie FE

    更新日期:2010-05-12 00:00:00

  • Asymptomatic recrudescence after artemether-lumefantrine treatment for uncomplicated falciparum malaria: a systematic review and meta-analysis.

    abstract:BACKGROUND:In clinical trials of therapy for uncomplicated Plasmodium falciparum, there are usually some patients who fail treatment even in the absence of drug resistance. Treatment failures, which can be due to recrudescence or re-infection, are categorized as 'clinical' or 'parasitological' failures, the former indi...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/s12936-020-03520-1

    authors: Mumtaz R,Okell LC,Challenger JD

    更新日期:2020-12-09 00:00:00

  • High-resolution metabolomics to discover potential parasite-specific biomarkers in a Plasmodium falciparum erythrocytic stage culture system.

    abstract:BACKGROUND:Current available malaria diagnostic methods each have some limitations to meet the need for real-time and large-scale screening of asymptomatic and low density malaria infection at community level. It was proposed that malaria parasite-specific low molecular-weight metabolites could be used as biomarkers fo...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/s12936-015-0651-1

    authors: Park YH,Shi YP,Liang B,Medriano CA,Jeon YH,Torres E,Uppal K,Slutsker L,Jones DP

    更新日期:2015-03-24 00:00:00

  • Drug resistance genes: pvcrt-o and pvmdr-1 polymorphism in patients from malaria endemic South Western Coastal Region of India.

    abstract:BACKGROUND:Malaria is highly prevalent in many parts of India and is mostly caused by the parasite species Plasmodium vivax followed by Plasmodium falciparum. Chloroquine (CQ) is the first-line treatment for blood stage P. vivax parasites, but cases of drug resistance to CQ have been reported from India. One of the sur...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/s12936-018-2188-6

    authors: Joy S,Mukhi B,Ghosh SK,Achur RN,Gowda DC,Surolia N

    更新日期:2018-01-19 00:00:00

  • Development, validation and evaluation of a rapid PCR-nucleic acid lateral flow immuno-assay for the detection of Plasmodium and the differentiation between Plasmodium falciparum and Plasmodium vivax.

    abstract:BACKGROUND:Molecular tools are very sensitive and specific and could be an alternative for the diagnosis of malaria. The complexity and need for expensive equipment may hamper implementation and, therefore, simplifications to current protocols are warranted. METHODS:A PCR detecting the different Plasmodium species and...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-11-279

    authors: Mens PF,Moers AP,de Bes LM,Flint J,Sak JR,Keereecharoen L,van Overmeir C,Verweij JJ,Hallett RL,Wihokhoen B,Proux S,Schallig HD,van Amerongen A

    更新日期:2012-08-17 00:00:00

  • Child bed net use before, during, and after a bed net distribution campaign in Bo, Sierra Leone.

    abstract:BACKGROUND:This analysis examined how the proportion of children less than 5-years-old who slept under a bed net the previous night changed during and after a national long-lasting insecticidal net (LLIN) distribution campaign in Sierra Leone in November-December 2010. METHODS:A citywide cross-sectional study in 2010-...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/s12936-015-0990-y

    authors: Ranasinghe S,Ansumana R,Bockarie AS,Bangura U,Jimmy DH,Stenger DA,Jacobsen KH

    更新日期:2015-11-18 00:00:00

  • One-step concentration of malarial parasite-infected red blood cells and removal of contaminating white blood cells.

    abstract:BACKGROUND:Isolation of a concentrated, living preparation of malarial parasite-infected red blood cells (PRBCs) that have low contamination of white blood cells (WBCs) facilitates research on the molecular, biochemical and immunological aspects of malarial parasites. This is currently carried out by a two-step method,...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-3-7

    authors: Trang DT,Huy NT,Kariu T,Tajima K,Kamei K

    更新日期:2004-03-17 00:00:00

  • Prevalence and clinical impact of malaria infections detected with a highly sensitive HRP2 rapid diagnostic test in Beninese pregnant women.

    abstract:BACKGROUND:While sub-microscopic malarial infections are frequent and potentially deleterious during pregnancy, routine molecular detection is still not feasible. This study aimed to assess the performance of a Histidine Rich Protein 2 (HRP2)-based ultrasensitive rapid diagnostic test (uRDT, Alere Malaria Ag Pf) for th...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/s12936-020-03261-1

    authors: Briand V,Cottrell G,Tuike Ndam N,Martiáñez-Vendrell X,Vianou B,Mama A,Kouwaye B,Houzé S,Bailly J,Gbaguidi E,Sossou D,Massougbodji A,Accrombessi M,Mayor A,Ding XC,Fievet N

    更新日期:2020-05-24 00:00:00

  • Pre-infection administration of asiatic acid retards parasitaemia induction in Plasmodium berghei murine malaria infected Sprague-Dawley rats.

    abstract:BACKGROUND:Malaria prevention has remained a critical area in the absence of efficacious vaccines against malaria. Drugs currently used as chemotherapeutics are also used in chemoprophylaxis increasing possible drug resistance. Asiatic acid is a natural phytochemical with oxidant, antioxidant and anti-inflammatory prop...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/s12936-016-1278-6

    authors: Mavondo GA,Mkhwananzi BN,Mabandla MV

    更新日期:2016-04-21 00:00:00

  • The effect of blood storage age on treatment of lactic acidosis by transfusion in children with severe malarial anaemia: a pilot, randomized, controlled trial.

    abstract:BACKGROUND:Severe malarial anaemia requiring blood transfusion is a life-threatening condition affecting millions of children in sub-Saharan Africa. Up to 40% of children with severe malarial anaemia have associated lactic acidosis. Lactic acidosis in these children is strongly associated with fatal outcomes and is cor...

    journal_title:Malaria journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1475-2875-12-55

    authors: Dhabangi A,Mworozi E,Lubega IR,Cserti-Gazdewich CM,Maganda A,Dzik WH

    更新日期:2013-02-06 00:00:00

  • Avian malaria prevalence and mosquito abundance in the Western Cape, South Africa.

    abstract:BACKGROUND:The close relationship between vector-borne diseases and their environment is well documented, especially for diseases with water-dependent vectors such as avian malaria. Mosquitoes are the primary vectors of avian malaria and also the definitive hosts in the disease life cycle. Factors pertinent to mosquito...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-12-370

    authors: Okanga S,Cumming GS,Hockey PA

    更新日期:2013-10-25 00:00:00

  • Central nervous system exposure of next generation quinoline methanols is reduced relative to mefloquine after intravenous dosing in mice.

    abstract:BACKGROUND:The clinical use of mefloquine (MQ) has declined due to dose-related neurological events. Next generation quinoline methanols (NGQMs) that do not accumulate in the central nervous system (CNS) to the same extent may have utility. In this study, CNS levels of NGQMs relative to MQ were measured and an early le...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-10-150

    authors: Dow GS,Milner E,Bathurst I,Bhonsle J,Caridha D,Gardner S,Gerena L,Kozar M,Lanteri C,Mannila A,McCalmont W,Moon J,Read KD,Norval S,Roncal N,Shackleford DM,Sousa J,Steuten J,White KL,Zeng Q,Charman SA

    更新日期:2011-06-06 00:00:00

  • Expanding malaria diagnosis and treatment in Lao PDR: lessons learned from a public-private mix initiative.

    abstract:BACKGROUND:As in other countries of the Greater Mekong Sub-region (GMS), the private health sector constitutes a significant avenue where malaria services are provided and presents a unique opportunity for public-private collaboration. In September 2008, a public-private mix (PPM) strategy was launched initially in fou...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/s12936-017-2104-5

    authors: Simmalavong N,Phommixay S,Kongmanivong P,Sichanthongthip O,Hongvangthong B,Gopinath D,Sintasath DM

    更新日期:2017-11-13 00:00:00

  • Mass drug administration for the control and elimination of Plasmodium vivax malaria: an ecological study from Jiangsu province, China.

    abstract:BACKGROUND:Recent progress in malaria control has caused renewed interest in mass drug administration (MDA) as a potential elimination strategy but the evidence base is limited. China has extensive experience with MDA, but it is not well documented. METHODS:An ecological study was conducted to describe the use of MDA ...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-12-383

    authors: Hsiang MS,Hwang J,Tao AR,Liu Y,Bennett A,Shanks GD,Cao J,Kachur SP,Feachem RG,Gosling RD,Gao Q

    更新日期:2013-11-01 00:00:00

  • Estimation of insecticide persistence, biological activity and mosquito resistance to PermaNet® 2 long-lasting insecticidal nets over three to 32 months of use in Ethiopia.

    abstract:BACKGROUND:Information is needed on the expected durability of insecticidal nets under operational conditions. The persistence of insecticidal efficacy is important to estimate the median serviceable life of nets under field conditions and to plan for net replacement. METHODS:Deltamethrin residue levels were evaluated...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-13-80

    authors: Anshebo GY,Graves PM,Smith SC,Wills AB,Damte M,Endeshaw T,Shargie EB,Gebre T,Mosher AW,Patterson AE,Emerson PM

    更新日期:2014-03-06 00:00:00

  • Alternative splicing of the Anopheles gambiae Dscam gene in diverse Plasmodium falciparum infections.

    abstract:BACKGROUND:In insects, including Anopheles mosquitoes, Dscam (Down syndrome cell adhesion molecule) appears to be involved in phagocytosis of pathogens, and shows pathogen-specific splice-form expression between divergent pathogen (or parasite) types (e.g. between bacteria and Plasmodium or between Plasmodium berghei a...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-10-156

    authors: Smith PH,Mwangi JM,Afrane YA,Yan G,Obbard DJ,Ranford-Cartwright LC,Little TJ

    更新日期:2011-06-08 00:00:00

  • Host attraction and biting behaviour of Anopheles mosquitoes in South Halmahera, Indonesia.

    abstract:BACKGROUND:Indonesia is home to a variety of malaria vectors whose specific bionomic traits remain largely uncharacterized. Species-specific behaviours, such as host feeding preferences, impact the dynamics of malaria transmission and the effectiveness of vector control interventions. METHODS:To examine species-specif...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/s12936-017-1950-5

    authors: St Laurent B,Burton TA,Zubaidah S,Miller HC,Asih PB,Baharuddin A,Kosasih S,Shinta,Firman S,Hawley WA,Burkot TR,Syafruddin D,Sukowati S,Collins FH,Lobo NF

    更新日期:2017-08-02 00:00:00

  • Prevalence of Plasmodium falciparum field isolates with deletions in histidine-rich protein 2 and 3 genes in context with sub-Saharan Africa and India: a systematic review and meta-analysis.

    abstract:BACKGROUND:In 2017, nearly 80% of malaria morbidity and mortality occurred in sub-Saharan African (SSA) countries and India. Rapid diagnostic tests (RDTs), especially those targeting histidine-rich protein 2 (PfHRP2) of Plasmodium falciparum, have become an important diagnostic tool in these malaria-endemic areas. Howe...

    journal_title:Malaria journal

    pub_type: 杂志文章,meta分析

    doi:10.1186/s12936-019-3090-6

    authors: Kojom LP,Singh V

    更新日期:2020-01-28 00:00:00

  • Most outdoor malaria transmission by behaviourally-resistant Anopheles arabiensis is mediated by mosquitoes that have previously been inside houses.

    abstract:BACKGROUND:Anopheles arabiensis is stereotypical of diverse vectors that mediate residual malaria transmission globally, because it can feed outdoors upon humans or cattle, or enter but then rapidly exit houses without fatal exposure to insecticidal nets or sprays. METHODS:Life histories of a well-characterized An. ar...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/s12936-016-1280-z

    authors: Killeen GF,Govella NJ,Lwetoijera DW,Okumu FO

    更新日期:2016-04-19 00:00:00

  • Randomized, controlled trial of the long term safety, immunogenicity and efficacy of RTS,S/AS02(D) malaria vaccine in infants living in a malaria-endemic region.

    abstract:BACKGROUND:The RTS,S/AS malaria candidate vaccine is being developed with the intent to be delivered, if approved, through the Expanded Programme on Immunization (EPI) of the World Health Organization. Safety, immunogenicity and efficacy of the RTS,S/AS02(D) vaccine candidate when integrated into a standard EPI schedul...

    journal_title:Malaria journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1475-2875-12-11

    authors: Abdulla S,Salim N,Machera F,Kamata R,Juma O,Shomari M,Kubhoja S,Mohammed A,Mwangoka G,Aebi T,Mshinda H,Schellenberg D,Carter T,Villafana T,Dubois MC,Leach A,Lievens M,Vekemans J,Cohen J,Ballou WR,Tanner M

    更新日期:2013-01-08 00:00:00

  • Spatio-temporal distribution of malaria and its association with climatic factors and vector-control interventions in two high-risk districts of Nepal.

    abstract:BACKGROUND:Over the last decade, the incidence of confirmed malaria has declined significantly in Nepal. The aim of this paper is to assess the spatio-temporal distribution of malaria and its association with climatic factors and vector control interventions in two high-risk districts of Nepal. METHODS:Hotspot analysi...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-13-457

    authors: Dhimal M,O'Hara RB,Karki R,Thakur GD,Kuch U,Ahrens B

    更新日期:2014-11-25 00:00:00

  • Parasitaemia data and molecular characterization of Haemoproteus catharti from New World vultures (Cathartidae) reveals a novel clade of Haemosporida.

    abstract:BACKGROUND:New World vultures (Cathartiformes: Cathartidae) are obligate scavengers comprised of seven species in five genera throughout the Americas. Of these, turkey vultures (Cathartes aura) and black vultures (Coragyps atratus) are the most widespread and, although ecologically similar, have evolved differences in ...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/s12936-017-2165-5

    authors: Yabsley MJ,Vanstreels RET,Martinsen ES,Wickson AG,Holland AE,Hernandez SM,Thompson AT,Perkins SL,West CJ,Bryan AL,Cleveland CA,Jolly E,Brown JD,McRuer D,Behmke S,Beasley JC

    更新日期:2018-01-08 00:00:00

  • The effects of urbanization on global Plasmodium vivax malaria transmission.

    abstract:BACKGROUND:Many recent studies have examined the impact of urbanization on Plasmodium falciparum malaria endemicity and found a general trend of reduced transmission in urban areas. However, none has examined the effect of urbanization on Plasmodium vivax malaria, which is the most widely distributed malaria species an...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-11-403

    authors: Qi Q,Guerra CA,Moyes CL,Elyazar IR,Gething PW,Hay SI,Tatem AJ

    更新日期:2012-12-05 00:00:00

  • Community perceptions of malaria and vaccines in two districts of Mozambique.

    abstract:BACKGROUND:Malaria is a leading cause of mortality and morbidity in Mozambique, with nearly three-quarters of the country's malaria-related deaths occurring in children younger than five years. A malaria vaccine is not yet available, but planning is underway for a possible introduction, as soon as one becomes available...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-11-394

    authors: Bingham A,Gaspar F,Lancaster K,Conjera J,Collymore Y,Ba-Nguz A

    更新日期:2012-11-28 00:00:00