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Trial · NCT00403260

Pyronaridine - Artesunate (3:1) Versus Mefloquine Plus Artesunate in Plasmodium Falciparum Malaria Patients

NCT00403260, Phase 3, Completed, Medicines for Malaria Venture; results first posted 2021-09-17

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Pyronaridine - Artesunate (3:1) Versus Mefloquine Plus Artesunate in Plasmodium Falciparum Malaria Patients. Trials, record NCT00403260. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00403260

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Pyronaridine - Artesunate (3:1) Versus Mefloquine Plus Artesunate in Plasmodium Falciparum Malaria Patients
NCT number
NCT00403260
Status
Completed
Phases
Phase 3
Enrollment
1,271 participants, actual
Lead sponsor
Medicines for Malaria Venture
Conditions
Falciparum Malaria
Interventions
Pyronaridine - artesunate, Mefloquine plus artesunate
First posted
2006-11-23
Last updated
2021-11-02
Results first posted
2021-09-17

Source ClinicalTrials.gov

Registered outcomes8

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPercentage of Subjects With PCR-corrected Adequate Clinical and Parasitological Response (ACPR) on Day 28Day 28
Percentage of subjects with PCR-corrected adequate clinical and parasitological response (ACPR) on Day 28, defined as absence of parasitaemia on Day 28 without the subject's meeting any of the criteria of early treatment failure, late clinical failure, or late parasitological failure.
SecondaryPCR-corrected ACPR on Day 14Day 14
Percentage of subjects with PCR-corrected adequate clinical and parasitological response (ACPR) on Day 14, defined as absence of parasitaemia on Day 14 without the subject's meeting any of the criteria of early treatment failure, late clinical failure, or late parasitological failure
SecondaryCrude ACPR on Days 14 and 28Days 14 and 28
Percentage of subjects with adequate clinical and parasitological response (ACPR) on Days 14 and 28, without correction by PCR, defined as absence of parasitaemia on Days 14 and 28 without the subject's meeting any of the criteria of early treatment failure, late clinical failure, or late parasitological failure
SecondaryParasite Clearance Time
Thick blood films were examined every 8 hours until ≥72 hours or until 2 consecutive negative readings occurred 7 to 25 hours apart, and on Days 3, 7, 14, 21, 28, 35, and 42 (or any other day if the subject returned).
Parasite clearance time was defined as the time from first dosing to time of first blood draw with parasite clearance. Parasite clearance was defined as zero presence of asexual parasites for 2 consecutive negative readings taken between 7 and 25 hours apart.
SecondaryFever Clearance TimeEvery 8 hours over ≥72 hours following first study drug administration or temperature normalisation for ≥2 readings between 7 and 25 hours apart, then at each visit.
Fever clearance time was defined as the time from first dosing to first normal reading of temperature (\<37.5°C taken axillary or tympanic; \<38°C taken oral or rectal) for 2 consecutive normal temperature readings taken between 7 and 25 hours apart.
SecondaryParasite Clearance at Day 1, 2 and 3Days 1, 2 and 3
Parasite clearance time was defined as the time from first dosing to the time of first blood draw with parasite clearance. Parasite clearance was defined as zero presence of asexual parasites for 2 consecutive negative readings taken between 7 and 25 hours apart.
SecondaryFever Clearance at Day 1, 2 and 3Days 1, 2 and 3
Fever clearance time was defined as the time for at least 2 consecutive normal body temperature measurements (\<37.5°C axillary/tympanic or \<38.0°C oral/rectal) to be obtained within an interval of 7 to 25 hours post-dosing.
SecondaryAdverse Events and Clinically Significant Laboratory ResultsDay 0 to 42. Subjects experiencing AEs at Day 42 were followed for up to 30 days after the end of study or resolution of the event, whichever was earlierCases and severity of adverse events and of clinically significant laboratory results, ECG, vital signs or physical examination abnormalities

Outcomes8

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Subjects With PCR-corrected Adequate Clinical and Parasitological Response (ACPR) on Day 28Day 28
Efficacy evaluable population subjects completed a full course of study med., did not miss a dose, did not use a concomitant med. that may have interfered with the treatment outcome up to D14, did not have a concomitant disease which may have interfered with the classification of the treatment outcome, and did not have major protocol deviations.
percentage of subjectsNUMBER
SECONDARYPCR-corrected ACPR on Day 14Day 14
Efficacy evaluable population subjects completed a full course of study med., did not miss a dose, did not use a concomitant med. that may have interfered with the treatment outcome up to D14, did not have a concomitant disease which may have interfered with the classification of the treatment outcome, and did not have major protocol deviations.
percentage of subjectsMEAN
SECONDARYCrude ACPR on Days 14 and 28Days 14 and 28
Efficacy evaluable population subjects completed a full course of study med., did not miss a dose, did not use a concomitant med. that may have interfered with the treatment outcome up to D14, did not have a concomitant disease which may have interfered with the classification of the treatment outcome, and did not have major protocol deviations.
percentage of subjectsNUMBER
SECONDARYParasite Clearance Time
Thick blood films were examined every 8 hours until ≥72 hours or until 2 consecutive negative readings occurred 7 to 25 hours apart, and on Days 3, 7, 14, 21, 28, 35, and 42 (or any other day if the subject returned).
Efficacy evaluable population subjects completed a full course of study med., did not miss a dose, did not use a concomitant med. that may have interfered with the treatment outcome up to D14, did not have a concomitant disease which may have interfered with the classification of the treatment outcome, and did not have major protocol deviations.
hoursMEDIAN
SECONDARYFever Clearance TimeEvery 8 hours over ≥72 hours following first study drug administration or temperature normalisation for ≥2 readings between 7 and 25 hours apart, then at each visit.
Efficacy evaluable population subjects completed a full course of study med., did not miss a dose, did not use a concomitant med. that may have interfered with the treatment outcome up to D14, did not have a concomitant disease which may have interfered with the classification of the treatment outcome, and did not have major protocol deviations.
hoursMEDIAN
SECONDARYParasite Clearance at Day 1, 2 and 3Days 1, 2 and 3
Efficacy evaluable population subjects completed a full course of study med., did not miss a dose, did not use a concomitant med. that may have interfered with the treatment outcome up to D14, did not have a concomitant disease which may have interfered with the classification of the treatment outcome, and did not have major protocol deviations.
percentage of subjectsNUMBER
SECONDARYFever Clearance at Day 1, 2 and 3Days 1, 2 and 3
Efficacy evaluable population subjects completed a full course of study med., did not miss a dose, did not use a concomitant med. that may have interfered with the treatment outcome up to D14, did not have a concomitant disease which may have interfered with the classification of the treatment outcome, and did not have major protocol deviations.
percentage of subjectsNUMBER
SECONDARYAdverse Events and Clinically Significant Laboratory ResultsDay 0 to 42. Subjects experiencing AEs at Day 42 were followed for up to 30 days after the end of study or resolution of the event, whichever was earlierThe safety population consisted of all randomised subjects who received any amount of study medication; subjects were analysed as treated.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group40

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of Subjects With PCR-corrected Adequate Clinical and Parasitological Response (ACPR) on Day 28Pyronaridine - Artesunate99.295% Confidence Interval 98.3 to 99.7percentage of subjects
Percentage of Subjects With PCR-corrected Adequate Clinical and Parasitological Response (ACPR) on Day 28Mefloquine Plus Artesunate98.195% Confidence Interval 96.1 to 99.2percentage of subjects
PCR-corrected ACPR on Day 14Pyronaridine - Artesunate99.995% Confidence Interval 99.3 to 100.0percentage of subjects
PCR-corrected ACPR on Day 14Mefloquine Plus Artesunate99.595% Confidence Interval 98.0 to 99.9percentage of subjects
Crude ACPR on Days 14 and 28Pyronaridine - ArtesunateCure rate (%) on Day 1499.995% Confidence Interval 99.3 to 100.0percentage of subjects
Crude ACPR on Days 14 and 28Mefloquine Plus ArtesunateCure rate (%) on Day 1499.595% Confidence Interval 98.0 to 99.9percentage of subjects
Crude ACPR on Days 14 and 28Pyronaridine - ArtesunateCure rate (%) on Day 2898.795% Confidence Interval 97.6 to 99.4percentage of subjects
Crude ACPR on Days 14 and 28Mefloquine Plus ArtesunateCure rate (%) on Day 2896.795% Confidence Interval 94.4 to 98.3percentage of subjects
Parasite Clearance TimePyronaridine - Artesunate31.795% Confidence Interval 31.4 to 31.8hours
Parasite Clearance TimeMefloquine Plus Artesunate32.095% Confidence Interval 31.8 to 36.8hours

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPyronaridine - Artesunate848
Overall StudySTARTEDMefloquine Plus Artesunate423
Overall StudyCOMPLETEDPyronaridine - Artesunate723
Overall StudyCOMPLETEDMefloquine Plus Artesunate357
Overall StudyNOT COMPLETEDPyronaridine - Artesunate125
Overall StudyNOT COMPLETEDMefloquine Plus Artesunate66

Adverse events72

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherMyalgiaMusculoskeletal and connective tissue disordersPyronaridine - Artesunate5384860
otherMyalgiaMusculoskeletal and connective tissue disordersMefloquine Plus Artesunate1942320
otherDizzinessNervous system disordersPyronaridine - Artesunate2684826
otherDizzinessNervous system disordersMefloquine Plus Artesunate2842329
otherHeadacheNervous system disordersPyronaridine - Artesunate101848120
otherHeadacheNervous system disordersMefloquine Plus Artesunate4442348
otherAnorexiaMetabolism and nutrition disordersPyronaridine - Artesunate3984841
otherAnorexiaMetabolism and nutrition disordersMefloquine Plus Artesunate1342313
otherAnaemiaBlood and lymphatic system disordersPyronaridine - Artesunate3184831
otherAnaemiaBlood and lymphatic system disordersMefloquine Plus Artesunate1742317

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPyronaridine - Artesunate0848
Total, all-cause mortalityMefloquine Plus Artesunate0423
Total, other adverse eventsPyronaridine - Artesunate389848
Total, other adverse eventsMefloquine Plus Artesunate190423
Total, serious adverse eventsPyronaridine - Artesunate6848
Total, serious adverse eventsMefloquine Plus Artesunate3423

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
22475593RESULTPubMed
23433102DERIVEDPubMed
26666916DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Pyronaridine - Artesunate vs Mefloquine Plus Artesunate: deaths from any causeTrial comparisons
Pyronaridine - Artesunate vs Mefloquine Plus Artesunate: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00403260

GET https://conductscience.org/api/trials/v1/NCT00403260/results?page=2