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Article Synopsis
  • African children with severe malaria have high death rates, particularly within the first 24 hours of hospital admission, largely due to lactic acidosis caused by parasite sequestration.
  • Sevuparin, a heparin-like drug, may improve outcomes by preventing merozoite invasion and enhancing blood flow in infected individuals when administered early during admission.
  • A Phase I trial in Kenya and Zambia will evaluate the safety and optimal dosing of sevuparin in children with severe malaria and lactic acidosis, with results expected to inform future Phase II trials.
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Recent developments in antimalarial drug discovery.

Bioorg Med Chem

June 2023

Department of Pharmacy, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Rwanda.

Although malaria remains a big burden to many countries that it threatens their socio-economic stability, particularly in the countries where malaria is endemic, there have been great efforts to eradicate this disease with both successes and failures. For example, there has been a great improvement in malaria prevention and treatment methods with a net reduction in infection and mortality rates. However, the disease remains a global threat in terms of the number of people affected because it is one of the infectious diseases that has the highest prevalence rate, especially in Africa where the deadly Plasmodium falciparum is still widely spread.

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Background: There are no approved treatments for vaso-occlusive crises in sickle cell disease. Sevuparin is a novel non-anticoagulant low molecular weight heparinoid, with anti-adhesive properties. In this study, we tested whether sevuparin could shorten vaso-occlusive crisis duration in hospitalised patients with sickle cell disease.

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The last two decades have seen a surge in antimalarial drug development with product development partnerships taking a leading role. Resistance of Plasmodium falciparum to the artemisinin derivatives, piperaquine and mefloquine in Southeast Asia means new antimalarials are needed with some urgency. There are at least 13 agents in clinical development.

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