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Cited by 256

The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.

Atovaquone‐Proguanil versus Mefloquine for Malaria Prophylaxis in Nonimmune Travelers: Results from a Randomized, Double‐Blind Study

Overbosch, David, Schilthuis, Herbert, Bienzle, Ulrich, Behrens, Ronald H., Kain, Kevin C., Clarke, Paul D., Toovey, Stephen, Knobloch, Jürgen, Nothdurft, Hans Dieter, Shaw, Dea, Roskell, Neil S., Chulay, Jeffrey D., the Malarone International Study Team·2001·Clinical Infectious Diseases

Abstract

Concerns about the tolerability of mefloquine highlight the need for new drugs to prevent malaria. Atovaquone-proguanil (Malarone; GlaxoSmithKline) was safe and effective for prevention of falciparum malaria in lifelong residents of malaria-endemic countries, but experience in nonimmune people is limited. In a randomized, double-blind study, nonimmune travelers received malaria prophylaxis with atovaquone-proguanil (493 subjects) or mefloquine (483 subjects). Information about adverse events (AEs) and potential episodes of malaria was obtained 7, 28, and 60 days after travel. AEs were reported by an equivalent proportion of subjects who had received atovaquone-proguanil or mefloquine (71.4% versus 67.3%; difference, 4.1%; 95% confidence interval, -1.71 to 9.9). Subjects who received atovaquone-proguanil had fewer treatment-related neuropsychiatric AEs (14% versus 29%; P=.001), fewer AEs of moderate or severe intensity (10% versus 19%; P=.001), and fewer AEs that caused prophylaxis to be discontinued (1.2% versus 5.0%; P=.001), compared with subjects who received melfoquine. No confirmed diagnoses of malaria occurred in either group. Atovaquone-proguanil was better tolerated than was mefloquine, and it was similarly effective for malaria prophylaxis in nonimmune travelers.

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Metadata

Authors
Overbosch, D., Schilthuis, H., Bienzle, U., Behrens, R. H., Kain, K. C., Clarke, P. D., Toovey, S., Knobloch, J., Nothdurft, H. D., Shaw, D., Roskell, N. S., Chulay, J. D., & the Malarone International Study Team
Venue
Clinical Infectious Diseases
Published
2001-10
Volume
33
Issue
7
Pages
1015-1021
ISSN
  • 1058-4838 (ISSN-L)
  • 1537-6591
OpenAlex
W2109766515
Cited by
256
References
11
FWCI
26.94
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Atovaquone‐Proguanil versus Mefloquine for Malaria Prophylaxis in Nonimmune Travelers: Results from a Randomized, Double‐Blind Study. https://app.cochat.ai/papers/10.1086/322694
The paper
Overbosch, D., Schilthuis, H., Bienzle, U., Behrens, R. H., Kain, K. C., Clarke, P. D., Toovey, S., Knobloch, J., Nothdurft, H. D., Shaw, D., Roskell, N. S., Chulay, J. D., & the Malarone International Study Team. (2001). Atovaquone‐Proguanil versus Mefloquine for Malaria Prophylaxis in Nonimmune Travelers: Results from a Randomized, Double‐Blind Study. Clinical Infectious Diseases. https://doi.org/10.1086/322694

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.