Skip to main content
Vai all'homepage della Commissione europea (si apre in una nuova finestra)
italiano it
CORDIS - Risultati della ricerca dell’UE
CORDIS

Antibiotic-based combination therapy fosmidomycin-artesunate-clindamycin for the concurrent treatment of severe malaria and bacterial blood stream infections in African children

Obiettivo

Severe malaria is a major cause of preventable morbidity and mortality in endemic regions. 76% of all malaria deaths occur in children <5 years in SSA. While severe malaria constitutes a medical emergency, about one third of children diagnosed with severe malaria suffer from another life-threatening infection, most commonly systemic bacterial infections. Diagnostic differentiation is often not possible in resource limited settings. Ideally, empiric treatment for both aetiologies is warranted. However, often enough either antimalarial or antibiotic therapy is administered, putting the patient at an increased risk of death. Additionally, artemisinin partial resistant Plasmodium isolates constitute an increasing therapeutic challenge for currently recommended artesunate monotherapy. Finally, a high proportion of bacterial isolates with resistance against commonly used antibiotics poses a similar therapeutic challenge.
To overcome the 1) lack of adequate initial coverage of antimalarial and antibacterial pathogens, 2) increase of artemisinin partial resistant Plasmodium, and 3)high incidence of antimicrobial drug-resistant bacterial pathogens, we develop an antibiotic-based combination therapy with fosmidomycin-artesunate-clindamycin (FACT) for the simultaneous treatment of severe malaria and bacterial bloodstream infections. FACT includes parenteral artesunate, the currently recommended treatment of severe malaria, coverage of gram-positive and anaerobic bacteria by clindamycin and gram-negative bacteria by fosmidomycin. Clindamycin and fosmidomycin also exert proven synergistic antimalarial activity even in artemisinin resistant isolates. Matching pharmacokinetic parameters and independent modes of action provide further protection against selection for antimalarial drug resistance.
Based on previous clinical trials, this project targets the late clinical development of FACT in a Phase II and Phase III clinical trial for subsequent implementation in health services.

Campo scientifico (EuroSciVoc)

Questo progetto non è ancora stato classificato con EuroSciVoc.
Suggerisci i campi scientifici che ritieni più rilevanti e aiutaci a migliorare il nostro servizio di classificazione.

Parole chiave

Programma(i)

Argomento(i)

Meccanismo di finanziamento

HORIZON-JU-RIA - HORIZON JU Research and Innovation Actions

Vedi tutti i progetti finanziati nell’ambito di questo schema di finanziamento

Invito a presentare proposte

(si apre in una nuova finestra) HORIZON-JU-GH-EDCTP3-2025-01-two-stage

Vedi tutti i progetti finanziati nell’ambito del bando

Coordinatore

BERNHARD-NOCHT-INSTITUT FUER TROPENMEDIZIN
Contributo netto dell'UE
€ 2 495 250,00
Indirizzo
BERNHARD NOCHT STRASSE 74
20359 Hamburg
Germania
Regione
Hamburg Hamburg Hamburg
Tipo di attività
Research Organisations
Collegamenti
Costo totale
€ 4 049 375,00

Partecipanti (8)

Partner (1)