Surveillance for the safety and effectiveness of artemether-lumefantrine in patients with uncomplicated Plasmodium falciparum malaria in the USA: a descriptive analysis

Malaria Journal

Research

Alyson M. Gray¹  Paul M. Arguin¹  Kamal Hamed² 

[1] Centers for Disease Control and Prevention, 1600 Clifton Road NE, Mailstop A06, 30329-4027, Atlanta, GA, USA;Novartis Pharmaceuticals Corporation, One Health Plaza, 07936-1080, East Hanover, NJ, USA;

关键词: Artemether-lumefantrine;    Effectiveness;    Malaria;    Safety;   

DOI  :  10.1186/s12936-015-0881-2

 received in 2015-07-10, accepted in 2015-09-03,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundData from clinical studies show that artemether-lumefantrine (AL) is effective and well tolerated in adults and children with uncomplicated Plasmodium falciparum malaria. However, data on effectiveness and safety of AL in patients in non-endemic settings are limited.MethodsA 5-year surveillance plan included all AL-treated adult and paediatric patients with confirmed or suspected P. falciparum malaria in the USA, as reported to the National Malaria Surveillance System at the Centers for Disease Control and Prevention. Descriptive analyses included demographics, baseline characteristics, clinical effectiveness, and safety. From May 2010 to April 2015, demographics and baseline characteristics were collected for 203 patients and safety data for 108 patients. Treatment effectiveness data at day 7 were collected for 117 patients and at day 28 for 98 patients.ResultsThe majority of patients were male (58.6 %), Black (62.6 %), non-Hispanic (92.6 %), and likely malaria non-immune (80.8 %). The median age was 32 (range 1–88) years and the median body mass index was 25.5 (range 13.8–42.4) kg/m2. All patients with effectiveness data had confirmed (n = 116) or suspected (n = 1) malaria. The overall cure rate for patients treated with AL was 91.5 % (95 % CI 84.8–95.8 %) at day 7 and 96.9 % (95 % CI 91.3–99.4 %) at day 28. Adverse events were reported in four (3.7 %) patients, and there were no new or unexpected safety signals.ConclusionAL was effective and well tolerated in the treatment of likely non-immune patients with P. falciparum malaria.

【 授权许可】

CC BY   
© Gray et al. 2015