Optimal dose finding for novel antimalarial combination therapy.

Optimal dose finding for novel antimalarial combination therapy.
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新型抗疟疾组合疗法的最佳剂量发现。

DOI:
10.1111/j.1365-3156.2012.02963.x
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发表时间:
2012-04
期刊:
Tropical medicine & international health : TM & IH
影响因子:
--
通讯作者:
Kellam L
Kellam L
中科院分区:
其他
文献类型:
--
作者:
Duparc S;Lanza C;Ubben D;Borghini-Fuhrer I;Kellam L

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疟疾药物合资企业最近召开的一次讨论会议研究了如何最好地管理发现和临床前流水线,以实现新的联合疗法,以满足疟疾的关键临床需求。很明显,联合疗法中各成分的剂量优化是实现抗疟疾疗效和保持对抗寄生虫耐药性出现的有效性的关键问题。这篇论文概述了疟疾中导致剂量范围和剂量优化研究特别具有挑战性的一些具体问题,并讨论了析因研究设计应对这些挑战的潜力。
A recent discussion meeting convened by the Medicines for Malaria Venture examined how best to manage the discovery and preclinical pipeline to achieve novel combination therapies which would address the key clinical needs in malaria. It became clear that dose optimisation of components within combination therapy was a key issue in achieving antimalarial efficacy and for preserving that efficacy against parasite resistance emergence. This paper outlines some of the specific issues in malaria that cause dose-ranging and dose-optimisation studies to be particularly challenging and discusses the potential of factorial study design to address such challenges.
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