Treatment of chloroquine-resistant malaria in monkeys with a drug combination that reverses resistance in vitro

Ann Trop Med Parasitol. 1992 Oct;86(5):467-73. doi: 10.1080/00034983.1992.11812695.

Abstract

Compounds that inhibit the P-glycoprotein-related efflux mechanism of multidrug-resistant cells reverse chloroquine resistance in vitro. Hence, the co-administration of chloroquine and an efflux-blocking drug could potentially treat chloroquine-resistant malaria infections. We administered a drug combination (chloroquine and a tiapamil analogue), that has been shown to reverse chloroquine resistance in vitro, to Aotus monkeys but failed to safely clear experimentally-induced chloroquine-resistant Plasmodium falciparum parasitaemias.

MeSH terms

  • Animals
  • Aotus trivirgatus
  • Calcium Channel Blockers / therapeutic use*
  • Chloroquine / therapeutic use*
  • Drug Combinations
  • Drug Resistance
  • Drug Therapy, Combination
  • Malaria, Falciparum / drug therapy*
  • Malaria, Falciparum / parasitology
  • Plasmodium falciparum / drug effects*
  • Propylamines / therapeutic use*
  • Time Factors

Substances

  • Calcium Channel Blockers
  • Drug Combinations
  • Propylamines
  • Ro 11
  • Chloroquine