Rigorous Assessment of P. vivax Relapses and Primaquine Efficacy for Radical Cure

严格评估间日疟原虫复发和伯氨喹根治疗效

基本信息

批准号：
10657543
负责人：
David Serre
金额：
$ 57.47万
依托单位：
UNIVERSITY OF MARYLAND BALTIMORE
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-07-17 至 2025-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10657543
关键词：
Address Adherence Africa Alleles Area Biology Blood Blood specimen CYP2D6 gene Cambodia Chloroguanide Collaborations Collection Country Detection Development Dose Drug Kinetics Enrollment Erythropoiesis Falciparum Malaria Fingers Frequencies Gene Expression Genes Genetic Polymorphism Genome Genomic approach Genomics Genotype Glucosephosphate Dehydrogenase Deficiency Human In Vitro Incidence Individual Infection Inflammation Laboratories Liver Malaria Metabolism Modernization Morbidity - disease rate Parasites Patients Pattern Persons Pharmaceutical Preparations Plasmodium falciparum Plasmodium vivax Population Predisposition Primaquine Primary Infection Proteins Proxy Recommendation Recrudescences Recurrence Regimen Relapse Retreatment Sepsis Serology Sporozoites Testing Time Variant Vivax Malaria Work atovaquone clinically relevant design economic impact efficacy evaluation empowerment field study genome sequencing improved insight patient subsets response side effect transmission process whole genome

项目摘要

Plasmodium vivax threatens half of the world’s population. While on-going malaria elimination efforts are successfully reducing the burden of falciparum malaria worldwide, the situation is much less promising for P. vivax. In particular, the unique ability of P. vivax parasites to remain dormant in the liver and cause relapse infections weeks or months later greatly complicates malaria elimination campaigns. Here we propose to conduct a tightly-controlled field study in Cambodia, specifically designed to support and empower state-of-the-art genomic analyses, to determine the frequency of relapse and the factors associated with hypnozoite reactivation, as well as to rigorously evaluate the efficacy of different doses of primaquine for radical cure treatment. Our studies will provide a unique perspective on P. vivax relapse and will contribute to better understand how to successfully eliminate this understudied parasite.

间日疟原虫威胁着世界一半的人口，而消除疟疾的努力仍在进行中。尽管成功地减轻了全世界恶性疟疾的负担，但疟原虫的情况却不容乐观。特别是间日疟原虫寄生虫在肝脏中保持休眠并导致复发的独特能力。几周或几个月后的感染使消除疟疾运动变得非常复杂。在柬埔寨进行的严格控制的实地研究，专门用于支持和增强最先进的技术基因组分析，以确定复发频率和与催眠体重新激活相关的因素，以及严格评估不同剂量的伯氨喹用于根治治疗的疗效。研究将为间日疟原虫复发提供独特的视角，并将有助于更好地了解如何成功消除了这种未被充分研究的寄生虫。