Fosmidomycin for malaria

被引:184
作者
Missinou, MA
Borrmann, S
Schindler, A
Issifou, S
Adegnika, AA
Matsiegui, PB
Binder, R
Lell, B
Wiesner, J
Baranek, T
Jomaa, H
Kremsner, PG [1 ]
机构
[1] Albert Schweitzer Hosp, Med Res Unit, Lambarene, Gabon
[2] Univ Tubingen, Inst Trop Med, Dept Parasitol, D-72074 Tubingen, Germany
[3] Jomaa Pharmaka GmbH, Giessen, Germany
关键词
D O I
10.1016/S0140-6736(02)11860-5
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Safe and effective antimalarial drugs with new methods of action are urgently needed. Fosmidomycin inhibits the synthesis of isoprenoid by Plasmodium falciparum, and suppresses the growth of multidrug-resistant strains in vitro. Our aim was to assess the efficacy and tolerability of fosmidomycin in adults with malaria in Gabon. We administered the drug for 5, 4, or 3 days (1-2 g every 8 h), in nine, eight, and ten evaluable patients, respectively. All treatment regimens were well tolerated. Cure rates by day 14 were 89% (eight of nine), 88% (seven of eight), and 60% (six of ten), for treatment durations of 5, 4, and 3 days, respectively. These data suggest that fosmidomycin is a safe and effective treatment for uncomplicated malaria if given for 4 days or more.
引用
收藏
页码:1941 / 1942
页数:2
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