Combining artesunate with existing antimalarial drugs may improve cure rates, delay emergence of
resistance, and reduce transmission. We performed a randomized comparative trial to quantify the effect of adding
artesunate to sulfadoxine-pyrimethamine in the treatment of uncomplicated falciparum malaria in Indonesia. Using a
modified 1997 World Health Organization protocol for assessment of therapeutic efficacy of antimalarial drugs, 105
patients (stratified by age/ethnic group) were randomized: 53 received artesunate orally, 4 mg/kg of body weight, a
single daily dose for three days, plus sulfadoxine-pyrimethamine orally (1.25 mg of pyrimethamine/kg of body
weight), a single dose on day 0, and 52 patients received sulfadoxine-pyrimethamine alone. Six from the combination
group were withdrawn from analysis, as were six of the sulfadoxine-pyrimethamine group.
Combining artesunate with existing antimalarial drugs may improve cure rates, delay emergence of
resistance, and reduce transmission. We performed a randomized comparative trial to quantify the effect of adding
artesunate to sulfadoxine-pyrimethamine in the treatment of uncomplicated falciparum malaria in Indonesia. Using a
modified 1997 World Health Organization protocol for assessment of therapeutic efficacy of antimalarial drugs, 105
patients (stratified by age/ethnic group) were randomized: 53 received artesunate orally, 4 mg/kg of body weight, a
single daily dose for three days, plus sulfadoxine-pyrimethamine orally (1.25 mg of pyrimethamine/kg of body
weight), a single dose on day 0, and 52 patients received sulfadoxine-pyrimethamine alone. Six from the combination
group were withdrawn from analysis, as were six of the sulfadoxine-pyrimethamine group.
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