Malaria

Since April 2001, the World Health Organisation (WHO) has recommended the use of artemisinin-based combination therapies (ACTs)¹ for the treatment of Plasmodium falciparum malaria

Following these recommendations Dafra Pharma International is proud to present its R&D achievements:

Year Composition Presentation
1997 Artesunate 100mg
Artemether 20 and 80 mg
Tablets
IM Injections
2000 Artemether Powder for suspension
2002 Artesunate + Sulfadoxine (AS+ SP) Co-blister tablets
2003 Artemether + Lumefantine (AL)

Artesunate + Amodiaquine (AS + AQ)
FDC Powder for oral suspension (syrup)
Co-blister tablets
2004 Artesunate + Sulfamethoxypyrazine – Pyrimethamine (AS+SMP) Co-blister tablets
2005 Artemether + Lumefantine (AL) FDC tablets
2006 Artesunate + Sulfamethoxypyrazine – Pyrimethamine (AS+SMP)
Artesunate + Amodiaquine
FDC tablets

FDC tablets
2007/2008 AS + Piperaquine FDC tablets
FDC tablets

ACTs ensure the highest cure rates and have the potential to reduce the spread of drug resistance. They are now generally considered as the best current treatment for uncomplicated falciparum malaria.

An antimalarial combination therapy is the simultaneous use of two or more blood schizontocidal drugs with independent modes of action and thus unrelated biochemical targets in the parasite. The concept is based on the potential of two or more simultaneously administered schizontocidal drugs with independent modes of action to improve therapeutic efficacy and also to delay the development of resistance to the individual components of the combination.

The rationale for combining antimalarials with different modes of action is twofold:

  1. The combination is often more effective
  2. In the rare event that a mutant parasite that is resistant to one of the drugs arises de novo during the course of the infection, the parasite will be killed by the other drug. This mutual protection is thought to prevent or delay the emergence of resistance. To realize the two advantages, the partner drugs in a combination must be independently effective²
¹ ACT= Artemisinin-based combination therapy = A combination of artemisinin or one of its derivatives with a partner drug which is an antimalarial or antimalarials of a different class.
² http://www.who.int/malaria/docs/TreatmentGuidelines2006.pdf