SERCAP: is the perfect the enemy of the good?

Abstract Single Encounter Radical Cure and Prophylaxis (SERCAP) describes an ideal anti-malarial drug that cures all malaria in a single dose. This target product profile has dominated anti-malarial drug discovery and development over the past decade. The operational advantage of a single encounter...

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Main Authors: Nicholas J. White, François H. Nosten
Format: Article
Language:English
Published: BMC 2021-06-01
Series:Malaria Journal
Online Access:https://doi.org/10.1186/s12936-021-03821-z
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spelling doaj-b98b1c0c5aae4839ab7e69a32365be0b2021-06-27T11:46:09ZengBMCMalaria Journal1475-28752021-06-012011410.1186/s12936-021-03821-zSERCAP: is the perfect the enemy of the good?Nicholas J. White0François H. Nosten1Mahidol Oxford Tropical Medicine Research Unit (MORU), Faculty of Tropical Medicine, Mahidol UniversityCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of OxfordAbstract Single Encounter Radical Cure and Prophylaxis (SERCAP) describes an ideal anti-malarial drug that cures all malaria in a single dose. This target product profile has dominated anti-malarial drug discovery and development over the past decade. The operational advantage of a single encounter has to be balanced against the need for a high dose, reliable absorption, little variability in pharmacokinetic properties, slow elimination (to ensure curative drug exposures in all patients) and a very low rate of vomiting. The demanding aspirational target may have hindered anti-malarial drug development. Aiming for three-day regimens, as in current anti-malarial treatments, would be better.https://doi.org/10.1186/s12936-021-03821-z
collection DOAJ
language English
format Article
sources DOAJ
author Nicholas J. White
François H. Nosten
spellingShingle Nicholas J. White
François H. Nosten
SERCAP: is the perfect the enemy of the good?
Malaria Journal
author_facet Nicholas J. White
François H. Nosten
author_sort Nicholas J. White
title SERCAP: is the perfect the enemy of the good?
title_short SERCAP: is the perfect the enemy of the good?
title_full SERCAP: is the perfect the enemy of the good?
title_fullStr SERCAP: is the perfect the enemy of the good?
title_full_unstemmed SERCAP: is the perfect the enemy of the good?
title_sort sercap: is the perfect the enemy of the good?
publisher BMC
series Malaria Journal
issn 1475-2875
publishDate 2021-06-01
description Abstract Single Encounter Radical Cure and Prophylaxis (SERCAP) describes an ideal anti-malarial drug that cures all malaria in a single dose. This target product profile has dominated anti-malarial drug discovery and development over the past decade. The operational advantage of a single encounter has to be balanced against the need for a high dose, reliable absorption, little variability in pharmacokinetic properties, slow elimination (to ensure curative drug exposures in all patients) and a very low rate of vomiting. The demanding aspirational target may have hindered anti-malarial drug development. Aiming for three-day regimens, as in current anti-malarial treatments, would be better.
url https://doi.org/10.1186/s12936-021-03821-z
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