Proposal Summary


Investigator(s)

WHO Technical Officer Deyer Gopinath
WCO Myanmar
Deyer Gopinath Mail
Principal Investigator Dr. Moe Kyaw Myint Mail
Parasitology Research Division, Department of Medical Research, Myanmar
Dr. Moe Kyaw Myint Mail Mail
Co-Investigator(s) Dr. Myat Htut Nyunt
Bioinformatics Division, Advanced Molecular Research Center, Department of Medical Research, Myanmar
Dr. Myat Htut Nyunt Mail
Co-Investigator(s) Dr. Nwe Ni Lin
Vector Borne Disease Control Programme, Department of Public Health, Ministry of Health, Myanma
Dr. Nwe Ni Lin Mail


Title(s) and abstract

Scientific title Efficacy and safety of artemether-lumefantrine for the treatment of uncomplicated Plasmodium falciparum malaria and chloroquine for Plasmodium vivax malaria in Nansang Township, Southern-Shan State, Myanmar
Public title Efficacy and safety of artemether-lumefantrine for the treatment of uncomplicated Plasmodium falciparum malaria and chloroquine for Plasmodium vivax malaria in Nansang Township, Southern-Shan State, Myanmar
 
Background The recommended ACTs for treatment of uncomplicated falciparum malaria in Myanmar are: (a) artemether-lumefantrine (b) dihydroartemisinin-piperaquine combination and (c) artesunate-mefloquine combination Chloroquine is the first line drug for treatment of vivax malaria. All these antimalarials are given free of charge by public health facilities, volunteers in the community and some private clinics/hospitals. Therapeutic efficacy studies (TES) done in 2016 showed that Adequate Clinical and Parasitological Response (ACPR) to artemether-lumefantrine and dihydroartemisinin-piperaquine phosphate were 96.2 % and 100 %, respectively, in Ta Beik Kyin township, Mandalay Region and 98.1 % and 100 %, respectively, in Ta-mu township, Kachin State. In 2017, ACPR of artemether-lumefantrine in Moe Nyin township, Kachin State and Naung Cho, township, Northern Shan State was 93.3% and 93.1%, respectively. In the same sentinel sites, ACPR to pyronaridine-artesunate was 100% in 2017. Similar studies in other sentinel sites showed that ACPR was more than 95 % in the previous years. For vivax malaria, the 2014 and 2015 TES results showed chloroquine efficacy against P. vivax malaria from 96% to 100% i
Objectives To assess the efficacy and safety of artemether-lumefantrine for the treatment of uncomplicated Plasmodium falciparum malaria and chloroquine for Plasmodium vivax malaria
Study Methods This surveillance study is a one arm prospective evaluation of clinical and parasitological responses to directly observed treatment for uncomplicated malaria. People with uncomplicated malaria who meet the study inclusion criteria will be enrolled, treated on site with artemether-lumefantrine for uncomplicated P. falciparum malaria and chloroquine phosphate for P. vivax and monitored for 28 days.
Expected outcomes and use of results The results of this study will be used to assist the Ministry of Health, Myanmar in assessing the efficacy of drugs in current national treatment guidelines for uncomplicated P. falciparum malaria and for P. vivax malaria and to update the treatment policy, if necessary
 
Keywords malaria,Therapeutic efficacy


Research Details

Student research No
Start Date 01-Apr-2025
End Date 31-Mar-2026
Key Implementing Institution World Health Organization
Multi-country research No
Nationwide research No
  Myanmar
Research Domain(s) Communicable Disease Research
Research field(s) Malaria
Involves human subjects Yes
  Clinical Trial with Human Subjects
Data Collection Primary and secondary data
Proposal reviewed by other Committee Final decision available