Research Topics
| N WhiteSummaryAffiliation: Mahidol University Country: Thailand Publications
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Publications
Why is it that antimalarial drug treatments do not always work?N J White
Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Ann Trop Med Parasitol 92:449-58. 1998..How parasites persist despite apparently adequate antimalarial treatment remains unresolved...
Simplified antimalarial therapeutic monitoring: using the day-7 drug level?Nicholas J White
Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand
Trends Parasitol 24:159-63. 2008..Measurement of the day-7 drug level should be considered as a routine part of antimalarial drug trials...
Chloroquine versus sulfadoxine-pyrimethamine for treatment of Plasmodium falciparum malaria in Savannakhet Province, Lao People's Democratic Republic: an assessment of national antimalarial drug recommendationsMayfong Mayxay
Department of Medicine, Faculty of Medical Science, National University of Laos, Savannakhet, Lao People s Democratic Republic
Clin Infect Dis 37:1021-8. 2003..Gametocytemia after antimalarial treatment was associated with receipt of sulfadoxine-pyrimethamine therapy and with treatment failure (P=.009). The efficacy of both chloroquine and sulfadoxine-pyrimethamine in Laos is unsatisfactory...
MelioidosisN J White
Faculty of Tropical Medicine, Mahidol University, 10400, Bangkok, Thailand
Lancet 361:1715-22. 2003..With improvements in health care and diagnostic microbiology in endemic areas of Asia, and increased travel, melioidosis will probably be recognised increasingly during the next decade...
The de novo selection of drug-resistant malaria parasitesN J White
Faculty of Tropical Medicine, Mahidol University, 420 6 Rajvithi Road, Bangkok 10400, Thailand
Proc Biol Sci 270:545-54. 2003..Artemisinin derivative combinations are particularly effective. Ensuring adequate treatment of the relatively few heavily infected patients would slow the emergence of resistance...
The assessment of antimalarial drug efficacyNicholas J White
Faculty of Tropical Medicine, Mahidol University, 10400, Bangkok, Thailand
Trends Parasitol 18:458-64. 2002..A relapse cannot be distinguished confidently from a recrudescence. Host immunity is a major contributor to the therapeutic response, and can make failing drugs appear effective...
Ex-vivo short-term culture and developmental assessment of Plasmodium vivaxK Chotivanich
Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Trans R Soc Trop Med Hyg 95:677-80. 2001..This simple method of culturing P. vivax ex vivo is suitable for antimalarial susceptibility and immunoparasitology studies...
Clinical pharmacokinetics and pharmacodynamics and pharmacodynamics of artemether-lumefantrineN J White
Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Clin Pharmacokinet 37:105-25. 1999..Characterisation of these pharmacokinetic-pharmacodynamic relationships provided the basis for dosage optimisation, an approach that could be applied to other antimalarial drugs...
Antimalarial drug resistance and combination chemotherapyN White
Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Philos Trans R Soc Lond B Biol Sci 354:739-49. 1999..There are good arguments for no longer using antimalarial drugs alone in treatment, and instead always using a combination with artemisinin or one of its derivatives...
The pharmacokinetics of intravenous artesunate in adults with severe falciparum malariaPaul N Newton
Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Rd, Bangkok 10400, Thailand
Eur J Clin Pharmacol 62:1003-9. 2006..CONCLUSION: The large inter-individual variability (10 fold) in DHA Cmax and AUC in patients with potentially lethal, severe malaria, suggests that 2.4 mg/kg should be the minimum daily dose in severe malaria...
Pharmacokinetics of oral doxycycline during combination treatment of severe falciparum malariaPaul N Newton
Mae Sot, Tak and Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Rd, Bangkok 10400, Thailand
Antimicrob Agents Chemother 49:1622-5. 2005..The data suggest that the doses of doxycycline currently recommended (circa 3.5 mg/kg of body weight daily) may not be optimal...
Limited polymorphism in the dihydropteroate synthetase gene (dhps) of Plasmodium vivax isolates from ThailandMallika Imwong
Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Antimicrob Agents Chemother 49:4393-5. 2005..Mutations of Pvdhps and Pvdhfr were correlated. Multiple mutations were associated with high-grade sulfadoxine-pyrimethamine resistance...
Dihydroartemisinin-piperaquine versus chloroquine to treat vivax malaria in Afghanistan: an open randomized, non-inferiority, trialGhulam Rahim Awab
Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Malar J 9:105. 2010..Chloroquine resistance in P. vivax is emerging in Asia. Therapeutic responses across Afghanistan have not been evaluated in detail...
Artemether bioavailability after oral or intramuscular administration in uncomplicated falciparum malariaKamolrat Silamut
Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Antimicrob Agents Chemother 47:3795-8. 2003..5 to 3.0 h) than after intramuscular administration (median, 8 h; range, 4 to 24 h) (P=0.001). Intramuscular artemether is absorbed very slowly in patients with acute malaria...
A randomized comparison of oral chloroquine and sulfadoxine-pyrimethamine for the treatment of uncomplicated Plasmodium falciparum malaria in LaosMayfong Mayxay
Department of Medicine, Faculty of Medical Science, National University of Laos, Laos
Trans R Soc Trop Med Hyg 97:343-4. 2003..The proportion of patients with treatment failure was high (CQ = 78%, RIII 46%; SP = 36%, RIII 15%). The treatment policy for uncomplicated P. falciparum malaria in Laos needs to be reviewed urgently...
Relapses of Plasmodium vivax infection usually result from activation of heterologous hypnozoitesMallika Imwong
Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
J Infect Dis 195:927-33. 2007..Thus, reappearance of parasitemia after treatment can result from relapse, recrudescence, or reinfection. It has been assumed that parasites causing relapse would be a subset of the parasites that caused the primary infection...
Randomized, controlled dose-optimization studies of dihydroartemisinin-piperaquine for the treatment of uncomplicated multidrug-resistant falciparum malaria in ThailandElizabeth A Ashley
Shoklo Malaria Research Unit, Mae Sot, and Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
J Infect Dis 190:1773-82. 2004..2 mg/kg piperaquine phosphate) given over the course of 48 h is highly effective, safe, and well tolerated for the treatment of multidrug-resistant falciparum malaria, and its efficacy is not improved by the addition of more DHA...
Risk factors for recurrent melioidosis in northeast ThailandDirek Limmathurotsakul
Faculty of Tropical Medicine, Mahidol University, Bangkok, 10400, Thailand
Clin Infect Dis 43:979-86. 2006..A recent study revealed that 25% of patients with recurrence had reinfection rather than a relapse resulting from a failure to cure. The aim of this study was to reevaluate these 2 patient groups to define their individual risk factors...
Artemisinin resistance in Plasmodium falciparum malariaArjen M Dondorp
Mahidol Oxford Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
N Engl J Med 361:455-67. 2009..There are recent concerns that the efficacy of such therapies has declined on the Thai-Cambodian border, historically a site of emerging antimalarial-drug resistance...
Plasmodium falciparum gametocyte dynamics in areas of different malaria endemicityKasia Stepniewska
Mahidol Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, 420 6 Rajvithi Road, Bangkok 10400, Thailand
Malar J 7:249. 2008..The aim of this study was to identify and compare factors associated with Plasmodium falciparum gametocyte carriage in three regions of differing malaria endemicity...
Chloroquine pharmacokinetics in pregnant and nonpregnant women with vivax malariaSue Jean Lee
Mahidol Oxford Tropical Medicine Research Unit, MORU, Mahidol University, Bangkok, Thailand
Eur J Clin Pharmacol 64:987-92. 2008..We compared the pharmacokinetics of chloroquine in pregnant and nonpregnant women treated for Plasmodium vivax malaria...
Activities of artesunate and primaquine against asexual- and sexual-stage parasites in falciparum malariaSasithon Pukrittayakamee
Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Antimicrob Agents Chemother 48:1329-34. 2004..038). These results suggest that artesunate predominantly inhibits gametocyte development whereas primaquine accelerates gametocyte clearance in P. falciparum malaria...
Artesunate-dapsone-proguanil treatment of falciparum malaria: genotypic determinants of therapeutic responseSivicha Krudsood
Department of Tropical Hygiene, Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Road, Bangkok 10400, Thailand
Trans R Soc Trop Med Hyg 99:142-9. 2005..The addition of artesunate considerably augments the antimalarial activity of the biguanide-dapsone combination, but this is insufficient for infections with parasites carrying the highly antifol-resistant Pfdhfr I164L mutation...
Optimising operational use of artesunate-mefloquine: a randomised comparison of four treatment regimensFrank Smithuis
Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Road, Bangkok, 10400 Thailand
Trans R Soc Trop Med Hyg 98:182-92. 2004..Active measures to ensure absorption and improve adherence will be necessary to realise this advantage operationally...
A comparison of two short-course primaquine regimens for the treatment and radical cure of Plasmodium vivax malaria in ThailandSasithon Pukrittayakamee
Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Am J Trop Med Hyg 82:542-7. 2010..A 1 week course of primaquine 60 mg daily is an effective treatment of vivax malaria in this region...
Spread of anti-malarial drug resistance: mathematical model with implications for ACT drug policiesWirichada Pongtavornpinyo
Mahidol Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Malar J 7:229. 2008..Formulating an appropriate dynamic data-driven model is a powerful predictive tool for exploring the impact of these strategies quantitatively...
An open, randomized, controlled trial of penicillin, doxycycline, and cefotaxime for patients with severe leptospirosisYupin Suputtamongkol
Department of Medicine, Faculty of Medicine at Siriraj Hospital, Mahidol University, Bangkok, Thailand
Clin Infect Dis 39:1417-24. 2004..Although leptospirosis generally is susceptible to antibiotics, there is no consensus regarding the optimal treatment for severe leptospirosis...
In vivo assessment of drug efficacy against Plasmodium falciparum malaria: duration of follow-upKasia Stepniewska
Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Rd, Bangkok 10400, Thailand
Antimicrob Agents Chemother 48:4271-80. 2004..94) or if the entomological inoculation rate was known. In the assessment of drug efficacy against falciparum malaria, 28 days should be the minimum period of follow-up...
Pharmacokinetic and pharmacodynamic assessment of co-amoxiclav in the treatment of melioidosisWirongrong Chierakul
Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
J Antimicrob Chemother 58:1215-20. 2006..We conducted a prospective pharmacokinetic study of oral co-amoxiclav in patients with melioidosis to determine the optimal dosage and dosing interval in this potentially fatal infection...
Short report: disease severity and outcome of melioidosis in HIV coinfected individualsWirongrong Chierakul
Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Am J Trop Med Hyg 73:1165-6. 2005..Coinfection was detected in only 8 of 524 (1.5%) adults with melioidosis in northeast Thailand. Clinical presentation and acute outcome were similar in HIV-positive and HIV-negative patients...
Overestimating resistance in field testing of malaria parasites: simple methods for estimating high EC50 values using a Bayesian approachKasia Stepniewska
Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand
Malar J 6:4. 2007..If isolates cannot be stored for re-testing, more accurate estimations of the degree of resistance can be obtained using a Bayesian approach to data analysis which is described here...
Activation of the coagulation cascade in patients with leptospirosisWirongrong Chierakul
Department of Clinical Tropical Medicine, Mahidol University, Bangkok, Thailand
Clin Infect Dis 46:254-60. 2008..The aim of this study was to evaluate coagulation factors and the presence of DIC in patients with leptospirosis in northeast Thailand...
Gene amplification of the multidrug resistance 1 gene of Plasmodium vivax isolates from Thailand, Laos, and MyanmarMallika Imwong
Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, 420 6 Rajvithi Rd, Bangkok 10400, Thailand
Antimicrob Agents Chemother 52:2657-9. 2008..02). Five coding mutations in pvmdr1, independent of gene amplification, were also found...
A simple scoring system to differentiate between relapse and re-infection in patients with recurrent melioidosisDirek Limmathurotsakul
Mahidol Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
PLoS Negl Trop Dis 2:e327. 2008..Distinguishing between the two is important but requires bacterial genotyping. The aim of this study was to develop a simple scoring system to distinguish re-infection from relapse...
In vivo parasitological measures of artemisinin susceptibilityKasia Stepniewska
Mahidol Oxford Tropical Medicine Research Unit, Mahidol University, Bangkok, Thailand
J Infect Dis 201:570-9. 2010....
The role of anti-malarial drugs in eliminating malariaNicholas J White
Mahidol Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Malar J 7:S8. 2008..More evidence is needed on the safety of primaquine when administered without screening for G6PD deficiency to inform individual and mass treatment approaches in the context of malaria elimination programmes...
N-acetylcysteine as adjunctive treatment in severe malaria: a randomized, double-blinded placebo-controlled clinical trialPrakaykaew Charunwatthana
Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Crit Care Med 37:516-22. 2009..It has been suggested that the antioxidant N-acetylcysteine (NAC) may be beneficial in treatment. We studied the efficacy and safety of parenteral NAC as an adjunct to artesunate treatment of severe falciparum malaria...
Hyperparasitaemia and low dosing are an important source of anti-malarial drug resistanceNicholas J White
Mahidol Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, 420 6 Rajvithi Road, Bangkok 10400, Thailand
Malar J 8:253. 2009..The importance of anti-malarial treatment dosing has been underappreciated. Treatment recommendations are often for the lowest doses that produce "satisfactory" results...
Randomized comparison of artesunate and quinine in the treatment of severe falciparum malariaPaul N Newton
Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Clin Infect Dis 37:7-16. 2003..03). Artesunate is at least as effective as quinine in the treatment of adults with severe malaria. Larger trials are required to determine whether mortality is reduced among patients treated with artesunate...
The effects of quinine and chloroquine antimalarial treatments in the first trimester of pregnancyRose McGready
Faculty of Tropical Medicine, Mahidol University, Bangkok, 10400, Thailand
Trans R Soc Trop Med Hyg 96:180-4. 2002..These results suggest that therapeutic doses of quinine and chloroquine are safe to use in the first trimester of pregnancy...
In vitro efficacy of antimalarial drugs against Plasmodium vivax on the western border of ThailandKesinee Chotivanich
Faculty of Tropical Medicine, and Department of Pathobiology, Mahidol University, Bangkok, Thailand
Am J Trop Med Hyg 70:395-7. 2004..5 ng/mL. Compared with P. falciparum in this area, P. vivax was more sensitive to chloroquine and artesunate, equally sensitive to quinine, and more resistant to mefloquine...
Clinical trial of oral artesunate with or without high-dose primaquine for the treatment of vivax malaria in ThailandUdomsak Silachamroon
Department of Clinical Tropical Medicine and Hospital for Tropical Diseases, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Am J Trop Med Hyg 69:14-8. 2003..The combination of five days of artesunate and 14 days of primaquine is a highly effective and generally well-tolerated treatment regimen for vivax malaria in Thailand...
Antimalarial drug resistanceNicholas J White
Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
J Clin Invest 113:1084-92. 2004..Artemisinin-derivative combinations are particularly effective, since they act rapidly and are well tolerated and highly effective. Widespread use of these drugs could roll back malaria...
Oral artesunate dose-response relationship in acute falciparum malariaBrian J Angus
Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand
Antimicrob Agents Chemother 46:778-82. 2002..6 mg/kg of body weight. These results imply that there is no reduction in PCTs with the use of single doses of artesunate higher than 2 mg/kg, and this therefore reflects the average lower limit of the maximally effective dose...
Comparison of oral artesunate and dihydroartemisinin antimalarial bioavailabilities in acute falciparum malariaPaul N Newton
Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Antimicrob Agents Chemother 46:1125-7. 2002..The mean antimalarial activity in terms of the bioavailability of DHA relative to that of artesunate did not differ significantly from 1, suggesting that DHA can be formulated to be an acceptable oral alternative to artesunate...
Antimalarial drug resistance, artemisinin-based combination therapy, and the contribution of modeling to elucidating policy choicesShunmay Yeung
Wellcome Trust Mahidol University Oxford Tropical Medicine Research Program, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Am J Trop Med Hyg 71:179-86. 2004....
Transmission-blocking activities of quinine, primaquine, and artesunateKesinee Chotivanich
Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Antimicrob Agents Chemother 50:1927-30. 2006..Artesunate both prevents the maturation of immature P. falciparum gametocytes and reduces the transmission potential of mature gametocytes. Both of these effects may contribute to reducing malaria transmission...
Modelling malaria controlNicholas J White
Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
PLoS Med 3:e111. 2006
The last man standing is the most resistant: eliminating artemisinin-resistant malaria in CambodiaRichard J Maude
Faculty of Tropical Medicine, Mahidol University, Rajthevee, Bangkok 10400, Thailand
Malar J 8:31. 2009..The use of such an approach to investigate the likely effectiveness of different containment measures with the ultimate aim of eliminating artemisinin-resistant malaria is described...
Short communication: An assessment of the use of malaria rapid tests by village health volunteers in rural LaosMayfong Mayxay
Faculty of Medical Science, National University of Laos, Vientiane, Lao People s Democratic Republic
Trop Med Int Health 9:325-9. 2004..2). Previously untrained Lao VHVs performed malaria rapid tests reliably with high sensitivity and specificity after minimal training...
Early treatment failure in severe malaria resulting from abnormally low plasma quinine concentrationsPaul N Newton
Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand
Trans R Soc Trop Med Hyg 100:184-6. 2006..Plasma quinine concentrations were subtherapeutic. Abnormal quinine pharmacokinetics may explain sporadic reports of quinine treatment failures in severe malaria...
Plasmodium falciparum-based bioassay for measurement of artemisinin derivatives in plasma or serumPaktiya Teja-Isavadharm
Armed Forces Research Institute of Medical Sciences Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Antimicrob Agents Chemother 48:954-60. 2004....
Malaria--time to actNicholas J White
Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
N Engl J Med 355:1956-7. 2006
Central role of the spleen in malaria parasite clearanceKesinee Chotivanich
Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
J Infect Dis 185:1538-41. 2002..Current criteria for high-grade antimalarial drug resistance that are based on changes in parasitemia are not appropriate for asplenic patients...
Population pharmacokinetics of artesunate and amodiaquine in African childrenKasia Stepniewska
Mahidol Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, 420 6 Rajvithi Road, Bangkok 10400, Thailand
Malar J 8:200. 2009..The aim of this study was to evaluate the PK properties of a newly developed and registered fixed dose combination (FDC) of artesunate and amodiaquine...
How antimalarial drug resistance affects post-treatment prophylaxisNicholas J White
Mahidol Oxford Research Unit, Faculty of Tropical Medicine, Mahidol University, 420 6 Rajvithi Rd, Bangkok 10400, Thailand
Malar J 7:9. 2008..More information is needed on PTP following intermittent preventive treatments, and on the relationship between the duration of PTP and immunity, so that policy recommendations can have a firmer evidence base...
Assessment of the neurotoxicity of oral dihydroartemisinin in miceApichart Nontprasert
Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand
Trans R Soc Trop Med Hyg 96:99-101. 2002..These data indicate that once and twice daily oral administration of artemether, artesunate and dihydroartemisinin is relatively safe when compared to intramuscular administration of the oil-based compounds...
Optimization of culture of Leptospira from humans with leptospirosisVanaporn Wuthiekanun
Faculty of Tropical Medicine, Mahidol University, 420 6 Rajvithi Road, Bangkok 10400, Thailand
J Clin Microbiol 45:1363-5. 2007....
Effects of different antimalarial drugs on gametocyte carriage in P. vivax malariaSasithon Pukrittayakamee
Department of Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Am J Trop Med Hyg 79:378-84. 2008..4% versus 14.1%, P = 0.002). Sexual stage activities corresponded with asexual stage activity for all tested regimens. Treatment with potent antimalarial drugs reduces the transmission potential of P. vivax...
Levamisole inhibits sequestration of infected red blood cells in patients with falciparum malariaArjen M Dondorp
Faculty of Tropical Medicine, Mahidol University, Bangkok, 10400, Thailand
J Infect Dis 196:460-6. 2007..Binding to CD36, the major vascular receptor, is stabilized through dephosphorylation of CD36 by an alkaline phosphatase. This is inhibited by the alkaline phosphatase-inhibitor levamisole, resulting in decreased cytoadhesion...
Novel point mutations in the dihydrofolate reductase gene of Plasmodium vivax: evidence for sequential selection by drug pressureMallika Imwong
Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, National Science and Technology Development Agency, Bangkok, Thailand
Antimicrob Agents Chemother 47:1514-21. 2003..Highly mutated genes carry the S-->T rather than the S-->N mutation at residue 117. Mutations at residues 57 and 61 then occur, followed by a fifth mutation at residue 13...
Intermittent presumptive treatment for malariaNicholas J White
Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
PLoS Med 2:e3. 2005
Evaluation of immunoglobulin M (IgM) and IgG rapid cassette test kits for diagnosis of melioidosis in an area of endemicityVanaporn Wuthiekanun
Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Rd, Bangkok, 10400 Thailand
J Clin Microbiol 42:3435-7. 2004..This kit represents an improvement over IHA for the diagnosis of melioidosis an area of endemicity although, as with other serological tests, it has reduced diagnostic utility in a population with high background seropositivity...
Host vascular endothelial growth factor is trophic for Plasmodium falciparum-infected red blood cellsNavakanit Sachanonta
Department of Tropical Pathology, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Asian Pac J Allergy Immunol 26:37-45. 2008..We conclude that P. falciparum iRBC can bind host VEGF-R on the erythrocyte membrane and accumulate host VEGF within the parasitophorous vacuole, which may have a trophic effect on parasite growth...
Spurious amplification of a Plasmodium vivax small-subunit RNA gene by use of primers currently used to detect P. knowlesiMallika Imwong
Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
J Clin Microbiol 47:4173-5. 2009..vivax genomic DNA. A nested primer set that targets one of the P. knowlesi small-subunit rRNA genes was validated for specificity and for sensitivity of detection of <10 parasite genomes...
Haematinic treatment of anaemia increases the risk of Plasmodium vivax malaria in pregnancyMathieu Nacher
Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Road, Bangkok 10400, Thailand
Trans R Soc Trop Med Hyg 97:273-6. 2003..vivax malaria. In P. vivax-endemic areas, systematic iron and folate supplementation confers both benefit and risk in pregnancy...
Neuropathologic toxicity of artemisinin derivatives in a mouse modelApichart Nontprasert
Department of Clinical Tropical Medicine and Bangkok Hospital for Tropical Diseases, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Am J Trop Med Hyg 67:423-9. 2002..Thus clinical assessment was a sensitive measure of neurotoxicity. There may be a reversible component to artemether neurotoxicity...
Mixed-species malaria infections in humansMayfong Mayxay
Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Road, Bangkok 10400, Thailand
Trends Parasitol 20:233-40. 2004
Combined molecular and clinical assessment of Plasmodium falciparum antimalarial drug resistance in the Lao People's Democratic Republic (Laos)Mayfong Mayxay
Wellcome Trust Mahosot Hospital Oxford Tropical Medicine Research Collaboration, Mahosot Hospital, Vientiane, Lao People Democratic Republic
Am J Trop Med Hyg 77:36-43. 2007..These findings suggest that chloroquine and sulfadoxine-pyrimethamine are no longer viable therapy in this country...
Artemisinin-based combination treatment of falciparum malariaFrancois Nosten
Shoklo Malaria Research Unit, Mae Sot, Thailand
Am J Trop Med Hyg 77:181-92. 2007....
The evolution of drug-resistant malaria: the role of drug elimination half-lifeIan M Hastings
Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L3 5QA, UK
Philos Trans R Soc Lond B Biol Sci 357:505-19. 2002..The model is also applicable to the evolution of antibiotic resistance in bacteria: in particular, the need for these models to incorporate drug pharmacokinetics to avoid potentially large errors in their predictions...
A selective sweep driven by pyrimethamine treatment in southeast asian malaria parasitesShalini Nair
Southwest Foundation for Biomedical Research, San Antonio, Texas, USA
Mol Biol Evol 20:1526-36. 2003....
Dihydroartemisinin-piperaquine against multidrug-resistant Plasmodium falciparum malaria in Vietnam: randomised clinical trialTinh Hien Tran
Hospital for Tropical Diseases, Ho Chi Minh City, Viet Nam
Lancet 363:18-22. 2004..INTERPRETATION: Dihydroartemisinin-piperaquine is an inexpensive, safe, highly efficacious fixed-dose antimalarial combination treatment that could make an important contribution to the control of multidrug-resistant falciparum malaria...
Increased gametocytemia after treatment: an early parasitological indicator of emerging sulfadoxine-pyrimethamine resistance in falciparum malariaKaren I Barnes
Division of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa
J Infect Dis 197:1605-13. 2008..Although malaria treatment aims primarily to eliminate the asexual blood stages that cause illness, reducing the carriage of gametocytes is critical for limiting malaria transmission and the spread of resistance...
A randomized, controlled study of a simple, once-daily regimen of dihydroartemisinin-piperaquine for the treatment of uncomplicated, multidrug-resistant falciparum malariaElizabeth A Ashley
Shoklo Malaria Research Unit, Mae Sot, Thailand
Clin Infect Dis 41:425-32. 2005..This simple, safe, and relatively inexpensive fixed combination could become the treatment of choice for falciparum malaria...
Diagnosis and management of malaria by rural community health providers in the Lao People's Democratic Republic (Laos)Mayfong Mayxay
Wellcome Trust Mahosot Hospital Oxford Tropical Medicine Research Collaboration, Mahosot Hospital, Vientiane, Lao PDR
Trop Med Int Health 12:540-6. 2007..This study strongly suggests that further training of Lao rural health providers in malaria diagnosis and management is needed to improve the quality of health services in areas remote from district hospitals...
Open-label randomized trial of oral trimethoprim-sulfamethoxazole, doxycycline, and chloramphenicol compared with trimethoprim-sulfamethoxazole and doxycycline for maintenance therapy of melioidosisWipada Chaowagul
Medical Department, Sappasithiprasong Hospital, Ubon Ratchathani, Thailand
Antimicrob Agents Chemother 49:4020-5. 2005..7-fold increase of relapse or death. A combination of TMP-SMX and doxycycline is as effective as and better tolerated than the conventional four-drug regimen for the oral treatment phase of melioidosis...
Treatment of uncomplicated multidrug-resistant falciparum malaria with artesunate-atovaquone-proguanilMichele van Vugt
Shoklo Malaria Research Unit, Mae Sot, Thailand
Clin Infect Dis 35:1498-504. 2002..014). Artesunate-atovaquone-proguanil is a highly effective and well-tolerated treatment for multidrug-resistant falciparum malaria...
Decreased protein C, protein S, and antithrombin levels are predictive of poor outcome in Gram-negative sepsis caused by Burkholderia pseudomalleiSteven P Larosa
Division of Infectious Disease, Rhode Island Hospital, Gerry House 113, 593 Eddy Street, and Infectious Diseases and Microbiologic Divisions of Brown University School of Medicine, Providence, Rhode Island 02903, USA
Int J Infect Dis 10:25-31. 2006..Excessive release of these cytokines may lead to endothelial injury, depletion of naturally occurring endothelial modulators, microvascular thrombosis, organ failure, and death...
Artemisinin-based combinationsElizabeth A Ashley
Shoklo Malaria Research Unit, Mae Sot, Tak, Thailand
Curr Opin Infect Dis 18:531-6. 2005..Artemisinin-based combination treatments have consistently been shown to be highly effective and safe. The challenge is to make them accessible in tropical countries...
Mefloquine resistance in Plasmodium falciparum and increased pfmdr1 gene copy numberRic N Price
Department of Cellular and Molecular Medicine-Infectious Diseases, St George's Hospital Medical School, London, UK
Lancet 364:438-47. 2004..Monitoring of pfmdr1 copy number will be useful in epidemiological surveys of drug resistance in P falciparum, and potentially for predicting treatment failure in individual patients...
Effect of artemether-lumefantrine policy and improved vector control on malaria burden in KwaZulu-Natal, South AfricaKaren I Barnes
Division of Clinical Pharmacology, University of Cape Town, Cape Town, South Africa
PLoS Med 2:e330. 2005..Malaria is diagnosed definitively and treatment is provided free of charge in reasonably accessible public-sector health-care facilities...
A randomized trial of artemether-lumefantrine versus mefloquine-artesunate for the treatment of uncomplicated multi-drug resistant Plasmodium falciparum on the western border of ThailandRobert Hutagalung
Shoklo Malaria Research Unit, Mae Sod, Tak Province, Thailand
Malar J 4:46. 2005..The trial presented here was conducted to monitor the efficacy of the six-dose regimen of artemether-lumefantrine (ALN) in an area of multi-drug resistance, along the Thai-Myanmar border...
Short report: no evidence of cardiotoxicity of atovaquone-proguanil alone or in combination with artesunateRavindra K Gupta
Department of Infection, St. Thomas' Hospital, London, United Kingdom
Am J Trop Med Hyg 73:267-8. 2005..We conclude that atovaquone-proguanil shows no evidence of cardiotoxicity either alone or when combined with artesunate...
A randomized comparison of artesunate-atovaquone-proguanil versus quinine in treatment for uncomplicated falciparum malaria during pregnancyRose McGready
Shoklo Malaria Research Unit, Mae Sot, Tak, Thailand
J Infect Dis 192:846-53. 2005..Despite the small number of subjects, our results add to the growing body of evidence that AAP is safe for the mother and the fetus...
Population biology and antimalarial resistance: The transmission of antimalarial drug resistance in Plasmodium falciparumKaren I Barnes
Division of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town 7925, South Africa
Acta Trop 94:230-40. 2005..Artemisinin-based combination therapies are the only antimalarials currently available which rapidly reduce both asexual and gametocyte stages of the P. falciparum lifecycle...
Artesunate-atovaquone-proguanil rescue treatment of multidrug-resistant Plasmodium falciparum malaria in pregnancy: a preliminary reportRose McGready
Shoklo Malaria Research Unit, Mae Sot, Thailand
Trans R Soc Trop Med Hyg 97:592-4. 2003..falciparum malaria...
Comparison of chloroquine, sulfadoxine/pyrimethamine, mefloquine and mefloquine-artesunate for the treatment of falciparum malaria in Kachin State, North MyanmarFrank Smithuis
Medecins Sans Frontieres-Holland, Yangon, Myanmar
Trop Med Int Health 9:1184-90. 2004..Mefloquine treatment is much more effective, but three day combination regimens with artesunate will be needed for optimum efficacy and protection against resistance...
Molecular and pharmacological determinants of the therapeutic response to artemether-lumefantrine in multidrug-resistant Plasmodium falciparum malariaRic N Price
Centre for Vaccinology and Tropical Medicine, Nuffield Department of Clinical Medicine, John Radcliffe Hospital, Headington, Oxford, United Kingdom
Clin Infect Dis 42:1570-7. 2006..Our study examined the relative contributions of host, pharmacokinetic, and parasitological factors in determining the therapeutic response to artemether-lumefantrine (AL)...
Efficacy and effectiveness of dihydroartemisinin-piperaquine versus artesunate-mefloquine in falciparum malaria: an open-label randomised comparisonFrank Smithuis
, Yangon, Myanmar
Lancet 367:2075-85. 2006..Dihydroartemisinin-piperaquine is a good alternative to artesunate-mefloquine...
Thiamin deficiency and uncomplicated falciparum malaria in LaosMayfong Mayxay
Wellcome Trust Mahosot Hospital Oxford Tropical Medicine Research Collaboration, Microbiology Laboratory, Mahosot Hospital, Vientiane, Lao PDR
Trop Med Int Health 12:363-9. 2007..We therefore estimated the frequency of biochemical thiamin deficiency in patients presenting with uncomplicated falciparum malaria in southern Laos...
Chloroquine prophylaxis against vivax malaria in pregnancy: a randomized, double-blind, placebo-controlled trialLeopoldo Villegas
Shoklo Malaria Research Unit, Mae SotThailand
Trop Med Int Health 12:209-18. 2007..To assess the safety of chloroquine (CQ) as prophylaxis against Plasmodium vivax infection during pregnancy...
Pharmacokinetic study of artemether-lumefantrine given once daily for the treatment of uncomplicated multidrug-resistant falciparum malariaElizabeth A Ashley
Shoklo Malaria Research Unit, Mae Sot, Thailand
Trop Med Int Health 12:201-8. 2007..If the fixed antimalarial drug combination artemether-lumefantrine (AL) could be given once daily, this should improve adherence and thus effectiveness and lower the risk of selecting for resistance...
How much fat is necessary to optimize lumefantrine oral bioavailability?Elizabeth A Ashley
Shoklo Malaria Research Unit, Mae Sot, Thailand
Trop Med Int Health 12:195-200. 2007..The aim of this study was to describe the dose-response relationship between coadministration of fat and relative lumefantrine bioavailability, in order to determine the minimum amount of fat necessary to optimize absorption...
In vitro antimalarial drug susceptibility and pfcrt mutation among fresh Plasmodium falciparum isolates from the Lao PDR (Laos)Mayfong Mayxay
Wellcome Trust Mahosot Hospital Oxford Tropical Medicine Research Collaboration, Mahosot Hospital, Vientiane, Lao PDR
Am J Trop Med Hyg 76:245-50. 2007..P. falciparum in Laos is multi-drug resistant; antimalarial immunity resulting from the use of ineffective chloroquine before 2005 probably contributes significantly to the therapeutic responses in clinical trials...
Sulfadoxine-pyrimethamine pharmacokinetics in malaria: pediatric dosing implicationsKaren I Barnes
Division of Clinical Pharmacology and Department of Statistical Sciences, University of Cape Town, Cape Town, South Africa
Clin Pharmacol Ther 80:582-96. 2006..Despite decades of widespread use, there are few data to inform dose recommendations...
An open label randomized comparison of mefloquine-artesunate as separate tablets vs. a new co-formulated combination for the treatment of uncomplicated multidrug-resistant falciparum malaria in ThailandElizabeth A Ashley
Shoklo Malaria Research Unit, Tak, Thailand
Trop Med Int Health 11:1653-60. 2006..3). There was a lower incidence of early vomiting in the group receiving the fixed combination. CONCLUSION: This new fixed combination of mefloquine and artesunate was efficacious, well tolerated and convenient to administer...
The pharmacokinetics of artemether and lumefantrine in pregnant women with uncomplicated falciparum malariaRose McGready
Shoklo Malaria Research Unit, P.O. Box 46, Mae Sot, Tak, Thailand
Eur J Clin Pharmacol 62:1021-31. 2006..Further studies are needed to determine the optimum dose regimen of artemether-lumefantrine in pregnancy...
The effects of Plasmodium falciparum and P. vivax infections on placental histopathology in an area of low malaria transmissionRose McGready
Shoklo Malaria Research Unit, Mae Sot, Thailand
Am J Trop Med Hyg 70:398-407. 2004..These findings emphasize the importance of treating malaria in pregnancy promptly with effective antimalarial drugs...
Population pharmacokinetic assessment of a new regimen of mefloquine used in combination treatment of uncomplicated falciparum malariaElizabeth A Ashley
Shoklo Malaria Research Unit, P O Box 46, Mae Sot, Tak 63110, Thailand
Antimicrob Agents Chemother 50:2281-5. 2006..This new regimen is well tolerated and results in an equivalent therapeutic response...
Randomized comparison of chloroquine plus sulfadoxine-pyrimethamine versus artesunate plus mefloquine versus artemether-lumefantrine in the treatment of uncomplicated falciparum malaria in the Lao People's Democratic RepublicMayfong Mayxay
Wellcome Trust-Mahosot Hospital, Oxford Tropical Medicine Research Collaboration, Vientiane, Lao PDR
Clin Infect Dis 39:1139-47. 2004..47 mu g/mL; 95% CI, 0.38-0.56 mu g/mL). CONCLUSION: Oral artesunate plus mefloquine and artemether-lumefantrine are highly effective for the treatment of uncomplicated falciparum malaria in Laos...
