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Table 1 Efficacy of antimalarial drugs in Angola

From: Plasmodium falciparum drug resistance in Angola

Reference

Location

Drug therapy

Follow up

Results (between baseline and follow up)

Cambournac et al. [8]

Province: Huambo

Type of study: efficacy, case-control (placebo), probably partially randomized. Bind to the patient

Sampling date: 1953

Participants: 200, mainly < 515 year old.

Pyrimethamine

24 weeks

All treated subjects were parasite free after the completion of the trial. 5.4 % of the participants in the control group (placebo) carried parasites at endpoint

  

Suleimanov SD [62]

Province:

Type of study: ex vivo survey

Sampling date: 1991–1992

Participants: 105

CQ

Fansidar

Quinine-tetracycline

 

Resistance

CQ: 61 % showed resistance

Fansidar: 40 % showed resistance

Quinine-tetracycline: 56 % were successfully cured

Quinine-Delayed elimination of the parasites within 7 days of initiation of the therapy

  

Guthmann et al. [19]

Provinces: Huambo and Bié

Type of study: efficacy, partial randomization, with “absence of allocation concealment”

Sampling date: 2002–2003

Participants: 619 children (240 Huambo and 379 Bié)

CQ-Huambo

AQ-Huambo and Bié

SP-Huambo and Bié

AQAS-Bié

SPAS-Bié

28 days

Failure rates

CQ-84 %

AQ-17 % in Huambo and 22 % in Bié

SP: 25 % in Huambo and 39 % in Bié

AQAS-1.2 %

SPAS-1.2 %

Decreased anemia

AQ-86 to 45 %

SP–85 to 66 % in Huambo and 93 to 66 % in Bié

AQAS–83 to 39 %

SPAS-90 to 37 %

 

Guthmann et al. [18]

Provinces: Huambo and Bié

Type of study: randomized efficacy trial

Sampling date: 2004

Participants: 137 children

(6–59 months)

AL

ASAQ

28 days

Reinfection

AL-3.2 %

ASAQ: 6.2 %

Decreased anemia

AL: 54 to 13 %

ASAQ: 53 to 16 %

Cure rates

AL and ASAQ: 100 %

Kiaco et al. [29]

Province: Luanda

Type of study: Interventional prospective cohort

Sampling dates: 2011, 2012 and 2013

Participants

103 children and adults (6 months to 56 years; 37 from 2011, 33 from 2012 and 33 from 2013)

AL

28 days

Adequate clinical and

Parasitological response: 90 %

Global failure rate (before PCR correction): 9.7 %

Samples

With pfmdr1 increased copy number + adequate clinical and

Parasitological response: 92 %

Cure rate: 91 %

Plucinski et al. [23]

Province: Uíge and Zaire

Type of study: open-label, nonrandomized

Sampling date: 2013

Participants: 320 children (6–108 months)

AL

DHA-PPQ

28 days

Treatment failure

AL-7.5 %

DHA-PPQ-0.3 %

Adequate clinical and parasitological response

AL: Zaire-88 % and Uíge-97 %

DHA-PPQ: Zaire-100 % and Uíge-100 %