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Table 3 Efficacy outcomes of artemether–lumefantrine use during pregnancy

From: A systematic review of the safety and efficacy of artemether-lumefantrine against uncomplicated Plasmodium falciparum malaria during pregnancy

Publication

Description

Treatment (n)

Fever clearance

Parasite clearance

Cure rate

McGready et al. , 2008[22]

Thai study. Open- label, randomized study of AL vs. AS in the 2nd and 3rd trimesters

AL (125)

2 (1–3) days†

2 (1–5) days†

87.2% (95% CI 81.1–93.2)‡ at Day 42.82.0% (95% CI 74.8–89.3)‡ at delivery (or Day 42 if later)

  

AS (128)

1 (1–2) days†

2 (1–5) days†

95.2% (95% CI 91.5–97.1)‡ at Day 42.89.2% (95% CI 82.3–96.1)‡ at delivery (or Day 42 if later)

Kaye et al. , 2008[23]

Ugandan study. Open-label, randomized study of AL vs. chlorproguanil-dapsone* in the 2nd and 3rd trimesters

AL (58)

47 (85.5%) clear at Day 2

49 (89.1%) clear at Day 2

100% at Day 28

Piola et al., 2010[25]

Ugandan study. Open-label, randomized study of AL vs. Q in the 2nd and 3rd trimesters

AL (152)

130 (100%) clear at Day 2

148 (99%) clear at Day 2

99.3% (range 96.0–99.9)§ at Day 42.98.2% (range 93.5–99.7)§ at delivery (or Day 42 if later)

  

Q (152)

127 (99%) clear at Day 2

123 (86%) clear at Day 2

97.6% (range 93.1–99.5)§ at Day 42.96.1% (range 90.2–98.9)§ at delivery (or Day 42 if later)

  1. AL artemether-lumefantrine; AS artesunate; CI confidence interval; Q quinine; *Chlorproguanil-dapsone has been withdrawn, so the chloroproguanil-dapsone data are not shown; †median (range) days; ‡PCR-adjusted, intent-to-treat population; §PCR-adjusted, modified intent-to-treat population.