Pharmacokinetics and pharmacodynamics of fosmidomycin monotherapy and combination therapy with clindamycin in the treatment of multidrug resistant falciparum malaria
2007

Fosmidomycin and Clindamycin for Malaria Treatment

Sample size: 33 publication 10 minutes Evidence: high

Author Information

Author(s): Na-Bangchang Kesara, Ruengweerayut Ronnatrai, Karbwang Juntra, Chauemung Anurak, Hutchinson David

Primary Institution: Faculty of Allied Health Sciences, Thammasat University, Pathumthani, Thailand

Hypothesis

The study investigates the pharmacokinetics of fosmidomycin when given alone and in combination with clindamycin in patients with acute uncomplicated falciparum malaria.

Conclusion

Combination therapy with fosmidomycin and clindamycin was highly effective with a 100% cure rate, while monotherapy had a cure rate of only 22%.

Supporting Evidence

  • Combination therapy achieved a 100% cure rate.
  • Monotherapy with fosmidomycin had a cure rate of only 22%.
  • Both treatment regimens were well tolerated with no serious adverse events.

Takeaway

This study looked at how well two medicines work together to treat malaria. When used together, they worked much better than when used alone.

Methodology

Patients were treated with either fosmidomycin alone or in combination with clindamycin, and their blood and urine samples were analyzed for drug concentrations.

Potential Biases

Potential bias due to the open-label design of the study.

Limitations

The study was conducted in a specific geographic area, which may limit the generalizability of the results.

Participant Demographics

33 patients (15 Thais, 5 Karens, 13 Burmeses) aged 18-50 with acute uncomplicated malaria.

Statistical Information

P-Value

0.004

Confidence Interval

95% C.I.

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1475-2875-6-70

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