Antimalarial activity of single-dose DSM265, a novel plasmodium dihydroorotate dehydrogenase inhibitor, in patients with uncomplicated Plasmodium falciparum.

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Antimalarial activity of single-dose DSM265, a novel plasmodium dihydroorotate dehydrogenase inhibitor, in patients with uncomplicated Plasmodium falciparum or Plasmodium vivax malaria infection: a proof-of-concept, open-label, phase 2a study  Alejandro Llanos-Cuentas, PhD, Martin Casapia, MPH, Raúl Chuquiyauri, PhD, Juan-Carlos Hinojosa, MD, Nicola Kerr, MA, Maria Rosario, PhD, Stephen Toovey, MD, Robert H Arch, PhD, Margaret A Phillips, PhD, Felix D Rozenberg, BA, Jade Bath, BA, Caroline L Ng, PhD, Annie N Cowell, MD, Elizabeth A Winzeler, PhD, David A Fidock, PhD, Mark Baker, PhD, Jörg J Möhrle, PhD, Rob Hooft van Huijsduijnen, PhD, Nathalie Gobeau, PhD, Nada Araeipour, MA, Nicole Andenmatten, PhD, Thomas Rückle, PhD, Stephan Duparc, MD  The Lancet Infectious Diseases  Volume 18, Issue 8, Pages 874-883 (August 2018) DOI: 10.1016/S1473-3099(18)30309-8 Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions

Figure 1 Trial design and patients ITT=intention-to-treat. The Lancet Infectious Diseases 2018 18, 874-883DOI: (10.1016/S1473-3099(18)30309-8) Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions

Figure 2 Parasitaemia in the patients with Plasmodium falciparum malaria Parasitaemia was measured by microscopy. Patients received a single oral dose at 0 h with 400 mg (A) or 250 mg (B) DSM265. Patient F2003 developed suspected bacteraemia, a serious, non-treatment-related adverse event, and was discontinued from the study. The Lancet Infectious Diseases 2018 18, 874-883DOI: (10.1016/S1473-3099(18)30309-8) Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions

Figure 3 Parasitaemia in the patients with Plasmodium vivax malaria Parasitaemia was measured by microscopy. Patients received a single oral dose at 0 h with 400 mg (A), 600 mg (B), or 800 mg (C) DSM265. The Lancet Infectious Diseases 2018 18, 874-883DOI: (10.1016/S1473-3099(18)30309-8) Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions