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Arterolane-piperaquine+mefloquine

University of Oxford · Phase 3 active Small molecule

A triple artemisinin-based combination therapy that kills malaria parasites through multiple mechanisms: artemether (artemisinin derivative) damages parasite membranes, piperaquine accumulates in parasites and disrupts hemoglobin digestion, and mefloquine interferes with parasite metabolism.

A triple artemisinin-based combination therapy that kills malaria parasites through multiple mechanisms: artemether (artemisinin derivative) damages parasite membranes, piperaquine accumulates in parasites and disrupts hemoglobin digestion, and mefloquine interferes with parasite metabolism. Used for Uncomplicated Plasmodium falciparum malaria, Malaria in endemic regions (Phase 3 development).

At a glance

Generic nameArterolane-piperaquine+mefloquine
SponsorUniversity of Oxford
Drug classArtemisinin-based combination therapy (ACT)
TargetPlasmodium falciparum (multiple parasite targets: heme polymerization, mitochondrial function, membrane integrity)
ModalitySmall molecule
Therapeutic areaInfectious Disease / Parasitology
PhasePhase 3

Mechanism of action

Arterolane (a semi-synthetic artemisinin derivative) rapidly reduces parasite biomass by generating reactive oxygen species and damaging parasite membranes. Piperaquine, a bisquinoline, concentrates in parasites and inhibits heme polymerization, causing toxic accumulation. Mefloquine acts synergistically by disrupting parasite mitochondrial function and metabolism. The triple combination targets multiple pathways to reduce treatment duration and prevent resistance.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

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