Last Updated: 07/06/2024

Optimizing Malaria treatment for HIV-malaria co-infected individuals by addressing drug interactions between artemisinin-based combination therapies and antiretroviral drugs (OPTIMAL)

Objectives

The overall goal of this project is to generate data to optimize malaria treatment for individuals co-infected with HIV and malaria, by utilizing innovative interventions to overcome the significant drug interactions between artemether-lumefantrine and efavirenz. 

Principal Investigators / Focal Persons

Pauline Byakika-Kibwika

Rationale and Abstract

Malaria and HIV have significant interactions at various levels; the geographical and epidemiological overlap increases risk for co-infection and co-treatment, HIV immunosuppression increases malaria incidence, parasitaemia, severity and risk for poor treatment outcomes including mortality and adverse pregnancy outcomes such as anemia and low birth weight. Malaria infection increases HIV viral replication and viral load. Both malaria and HIV are treated with combination therapy to enhance treatment outcomes and reduce risk for development of resistance, consequently creating potential for drug-drug interactions (DDIs) when the two diseases are treated concomitantly.

Date

Apr 2019 — Mar 2024

Total Project Funding

$560,853

Funding Details
European and Developing Countries Clinical Trials Partnership (EDCTP), The Netherlands

Senior Fellowship-2017
Grant ID: TMA2017SF-1943
EUR 499,999
Project Site

Uganda

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