Evaluation of the efficacy and safety of artemether-lumefantrine in the treatment of acute uncomplicated Plasmodium falciparum malaria in Nigerian infants and children
2008

Efficacy and Safety of Artemether-Lumefantrine in Treating Malaria in Nigerian Children

Sample size: 103 publication Evidence: high

Author Information

Author(s): Falade Catherine O, Ogunkunle Oluwatoyin O, Dada-Adegbola Hannah O, Falade Adegoke G, de Palacios Patricia Ibarra, Hunt Philip, Virtanen Mailis, Oduola Ayoade M, Salako Lateef A

Primary Institution: University College Hospital, Ibadan, Nigeria

Hypothesis

The six-dose regimen of artemether-lumefantrine is safe and effective for treating acute uncomplicated malaria in Nigerian infants and children.

Conclusion

The six-dose regimen of artemether-lumefantrine is safe and effective for treating acute uncomplicated malaria in Nigerian infants and children weighing between five and 25 kg.

Supporting Evidence

  • Day 14 cure rates for the intent to treat population were 95.1%.
  • The six-dose regimen was well tolerated with no drug-related serious adverse events.
  • Mean fever clearance time was 24.9 hours.
  • Mean parasite clearance time was 26 hours.
  • Overall PCR corrected day 28 cure rate was 95.1% for the intent to treat population.

Takeaway

This study shows that a medicine called artemether-lumefantrine works well and is safe for treating malaria in young children.

Methodology

An open label, non-comparative trial assessed the efficacy and safety of six-dose regimen of AL tablets in 103 Nigerian infants and children suffering from acute uncomplicated malaria.

Limitations

The study was conducted in a single location and may not be generalizable to all populations.

Participant Demographics

The study included 103 children aged between five weeks and nine years, with a near-equal gender distribution (50 males and 53 females).

Statistical Information

Confidence Interval

(80.8–97.8)

Digital Object Identifier (DOI)

10.1186/1475-2875-7-246

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