Artesunate

An artemisin derivate antimalarial drug.

Phase of research

Potential treatment - pre-clinical evidence

How it helps

Antiviral

Drug status

Used to treat other disease

1
Supporting references
0
Contradictory references
14
AI-suggested references
7
Clinical trials

General information

Artesunate on DrugBank
Artesunate on PubChem
Artesunate on Wikipedia


Marketed as

ARTESUNATE or in a fixed-dose with Mefloquine

 

Structure image - Artesunate

C[C@@H]1CC[C@H]2[C@H]([C@@H](O[C@H]3[C@@]24[C@H]1CC[C@](O3)(OO4)C)OC(=O)CCC(=O)O)C


Supporting references

Link Tested on Impact factor Notes Publication date
Antimalarial artemisinin-based combination therapies (ACT) and COVID-19 in Africa: In vitro inhibition of SARS-CoV-2 replication by mefloquine-artesunate
Small molecule In vitro
VERO E6 cells; IHUMI-3 SARS-CoV-2 strain 3.20

Manifested strong inhibitory activity on SARS-CoV-2 in vitro when present at expected maximum blood concentration (fixed-dose with mefloquine).

Aug/13/2020

AI-suggested references

Link Publication date
[Clinical study of artesunate in the treatment of coronavirus disease 2019].
Jun/13/2020
Could Artesunate Have a Positive Effect on the Neurological Complications Related to Infection When It Is Used in the Treatment of COVID-19?
Dec/03/2020
Artesunate: could be an alternative drug to chloroquine in COVID-19 treatment?
May/28/2020
Inhibition of Human Coronaviruses by Antimalarial Peroxides
Jul/30/2021
Antimalarial-agent artemisinin and derivatives portray more potent binding to Lys353 and Lys31-binding hotspots of SARS-CoV-2 spike protein than hydroxychloroquine: potential repurposing of artenimol for COVID-19
Jun/16/2021
Synthesis, Biological and In Silico Studies of a Tripodal Schiff Base Derived from 2,4,6-Triamino-1,3,5-triazine and Its Trinuclear Dy(III), Er(III), and Gd(III) Salen Capped Complexes.
Jul/20/2021
Repurposing Antimalarials to Tackle the COVID-19 Pandemic.
Oct/19/2020
In vitro efficacy of artemisinin-based treatments against SARS-CoV-2
Aug/27/2021
In-silico drug repurposing for targeting SARS-CoV-2 main protease (Mpro)
Feb/06/2022
Antimalarial artemisinin-based combination therapies (ACT) and COVID-19 in Africa: In vitro inhibition of SARS-CoV-2 replication by mefloquine-artesunate.
Aug/14/2020
Artesunate induces substantial topological alterations in the SARS-CoV-2 Nsp1 protein structure.
Jan/03/2022
Artemether, Artesunate, Arteannuin B, Echinatin, Licochalcone B and Andrographolide Effectively Inhibit SARS-CoV-2 and Related Viruses In Vitro
Aug/30/2021
Combinatorial therapeutic trial plans for COVID-19 treatment armed up with antiviral, antiparasitic, cell-entry inhibitor, and immune-boosters.
Nov/11/2020
Anti-SARS-CoV-2 Potential of Artemisinins In Vitro
Feb/09/2022

Clinical trials

ID Title Status Phase Start date Completion date
NCT05273242 Add-on Study on Solidarity Trial Plus in Nepal Recruiting Phase 4 Dec/06/2021 Dec/01/2022
  • Alternative id - Solidarity Trial Plus In Nepal|ISRCTN18066414
  • Interventions - Drug: Artesunate Injection
  • Study type - Interventional
  • Study results - No Results Available
  • Locations - Chitwan Medical College, Bharatpur, Bagmati, Nepal|Civil Service Hospital, Kathmandu, Bagmati, Nepal|Patan Academy of Health Sciences, Lalitpur, Bagmati, Nepal|Lumbini Provincial Hospital, Butwāl, Lumbini, Nepal|Narayani Hospital, Birgunj, Province 2, Nepal
  • Study designs - Allocation: Randomized|Intervention Model: Parallel Assignment|Masking: None (Open Label)|Primary Purpose: Treatment
  • Enrollment - 400
  • Age - 18 Years and older   (Adult, Older Adult)
  • Outcome measures - Assessment of the Hospital Mortality|Assessment of duration of hospital stay,|Initiation of ventilation|Assessment of Serious adverse reactions (SAE)
NCT04387240 Evaluating the Efficacy of Artesunate in Adults With Mild Symptoms of COVID-19 Not yet recruiting Phase 2 Jan/01/2022 Dec/01/2022
  • Alternative id - 20-0192
  • Interventions - Drug: Artemisinin / Artesunate|Other: placebo
  • Study type - Interventional
  • Study results - No Results Available
  • Locations - Princess Nourah Bint Abdulrahman Univeristy, Riyadh, Central, Saudi Arabia
  • Study designs - Allocation: Randomized|Intervention Model: Parallel Assignment|Masking: Triple (Participant, Care Provider, Investigator)|Primary Purpose: Treatment
  • Enrollment - 22
  • Age - 18 Years to 60 Years   (Adult)
  • Outcome measures - length of stay in hospital|number of ICU admission|resolution of symptoms
NCT04475107 The Efficacy and Safety of Pyramax in Mild to Moderate COVID-19 Patients Completed Phase 2 Jul/09/2020 Apr/15/2021
  • Alternative id - SP-PA-COV-201
  • Interventions - Drug: Pyronaridine-Artesunate|Drug: Placebo
  • Study type - Interventional
  • Study results - No Results Available
  • Locations - Korea University Ansan Hospital, Ansan, Korea, Republic of|Chungnam national University Hospital, Daejeon, Korea, Republic of|Inha University Hospital, Incheon, Korea, Republic of|Gangnam Severance Hospital, Seoul, Korea, Republic of|Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea, Republic of|Korea University Guro Hospital, Seoul, Korea, Republic of|Kyungpook National University Hospital, Seoul, Korea, Republic of|National Medical Center, Seoul, Korea, Republic of|Sahmyook Medical Center, Seoul, Korea, Republic of|Seoul Medical Center, Seoul, Korea, Republic of|Severance Hospital, Seoul, Korea, Republic of|The Catholic University of Korea, Eunpyeong St. Marys' Hospital, Seoul, Korea, Republic of|Ajou University Hospital, Suwon, Korea, Republic of
  • Study designs - Allocation: Randomized|Intervention Model: Parallel Assignment|Masking: Triple (Participant, Investigator, Outcomes Assessor)|Primary Purpose: Treatment
  • Enrollment - 113
  • Age - 19 Years and older   (Adult, Older Adult)
  • Outcome measures - Proportion (%) of patients with virological clearance of SARS-CoV-2 at day 7 post-dose*|Viral load reduction of SARS-CoV-2 at Day 3, 7, 10, and 14 post-dose compared to the baseline|Proportion (%) of patients with virological clearance of SARS-CoV-2 at Day 3, 10, and 14 post-dose*|Change in WHO Ordinal Scale for Clinical Improvement at Day 3, 7, 10, 14, and 28 post-dose from the baseline|Change in NEWS score at Day 3, 7, 10, 14, and 28 post-dose from the baseline|Time to achieve normalization of body temperature, post-dose|Time to achieve normalization of respiratory rate, post-dose|Time to achieve normalization of oxygen saturation, post-dose
NCT04532931 COVID-19 Treatment in South Africa Completed Phase 2 Sep/03/2020 Aug/23/2021
  • Alternative id - SP-PA-COV-202
  • Interventions - Other: Standard of care (Paracetamol)|Drug: Artesunate-amodiaquine|Drug: Pyronaridine-artesunate|Drug: Favipiravir plus Nitazoxanide|Drug: Sofosbuvir/daclatasvir
  • Study type - Interventional
  • Study results - No Results Available
  • Locations - Ezintsha, Wits Reproductive Health & HIV Institute University of the Witwatersrand, Johannesburg, South Africa
  • Study designs - Allocation: Randomized|Intervention Model: Parallel Assignment|Masking: None (Open Label)|Primary Purpose: Treatment
  • Enrollment - 192
  • Age - 18 Years to 65 Years   (Adult, Older Adult)
  • Outcome measures - Incidence of SARS-CoV-2 clearance|Time to clearance of nasal SARS-CoV-2|Median quantity of SARS-CoV-2|Proportion of days with fever after randomization|Proportion of days with respiratory symptoms after randomization|FLU-PRO© Plus|Serious adverse events|Adverse events resulting in treatment discontinuation|Adverse events considered related to the investigational products|LRTI|Maximum score on WHO Ordinal Scale for Clinical Improvement during study participation|Cumulative incidence of hospitalization|Days of hospitalization|Cumulative incidence of mortality
NCT04374019 Novel Agents for Treatment of High-risk COVID-19 Positive Patients Terminated Phase 2 May/01/2020 Jan/12/2022
  • Alternative id - MCC-20-COVID-01-PMC
  • Interventions - Drug: Ivermectin|Drug: Camostat Mesilate|Dietary Supplement: Artemesia annua|Drug: Artesunate
  • Study type - Interventional
  • Study results - Has Results
  • Locations - University of Kentucky Markey Cancer Center, Lexington, Kentucky, United States
  • Study designs - Allocation: Randomized|Intervention Model: Parallel Assignment|Masking: None (Open Label)|Primary Purpose: Treatment
  • Enrollment - 13
  • Age - 18 Years to 99 Years   (Adult, Older Adult)
  • Outcome measures - Clinical Deterioration|Change in Viral Load|Rate of Organ Failure|Progression to ICU Care or Ventilation|Number of Participants Who Had a Change in Clinical Status Measured by Decrease in COVID 7-point Ordinal Scale|Mortality|Rate of Severe Adverse Events|Number of Patients That Required Oxygen Supplementation|Number of Patients That Required Mechanical Ventilation|Number of Patients Who Required Vasopressors|Number of Patients Who Required ICU Services|Number of Patients That Required Hospitalization|Heart Function
NCT04701606 The Safety and Efficacy of Pyronaridine-artesunate (Pyramax® or Artecom®)in COVID-19 Patients Recruiting Phase 2|Phase 3 Mar/29/2021 Apr/15/2022
  • Alternative id - SP-PA-COV-203
  • Interventions - Drug: Artecom® (pyronaridine-artesunate)|Drug: Placebo
  • Study type - Interventional
  • Study results - No Results Available
  • Locations - De La Salle University Medical Center, Dasmariñas, Gov, D. Mangubat St, 4114 Cavite, Philippines|The Medical City, Pasig City, Ortigas Avenue, Barangay Ugong, Metro Manila, Philippines|Lung Center of the Philippines, Quezon City, Quezon Avenue, Quezon City, 1100 Philippines, Philippines|Philippine General Hospital, Manila, Taft Ave, Ermita, Manila, 1000 Metro, Philippines
  • Study designs - Allocation: Randomized|Intervention Model: Parallel Assignment|Masking: Triple (Participant, Care Provider, Investigator)|Primary Purpose: Treatment
  • Enrollment - 402
  • Age - 19 Years and older   (Adult, Older Adult)
  • Outcome measures - Proportion of participants with clinical improvement as defined by an improvement of categories on the WHO Ordinal Scale of clinical status until Days 28.|Time to clinical improvement was defined as time from randomization to an improvement of categories on the WHO Ordinal Scale of clinical status.|Changes in the WHO Ordinal Scale for Clinical Improvement until Days 28 compared to Baseline.|Changes in National Early Warning Score (NEWS) until Days 28 compared to Baseline.|Proportion of participants with negative for COVID-19 as determined by real-time RT-PCR test until Days 14.|Changes in viral load until Days 14 compared to Baseline.|The time to body temperature normalization after the administration of investigational Product (IP).|The time to respiratory rate normalization after the administration of IP.|The time to oxygen saturation (SpO2) normalization after the administration of IP.|Mortality rate at Day 28.|Duration of hospitalization (Day 1 to Day 28).|The incidence of adverse events (AEs).|The incidence of serious adverse events (SAEs).
NCT04695197 Malaria as a Risk Factor for COVID-19 in Western Kenya and Burkina Faso Recruiting Phase 3 Jan/08/2021 Jul/31/2023
  • Alternative id - 20-063|202009642148520
  • Interventions - Drug: Artemether-lumefantrine (AL)|Drug: Pyronaridine-artesunate (PA)
  • Study type - Interventional
  • Study results - No Results Available
  • Locations - Ouagadougou Hospitals, Ouagadougou, Burkina Faso|Kisumu County Referral Hospital, Kisumu, Kenya
  • Study designs - Allocation: Randomized|Intervention Model: Parallel Assignment|Masking: None (Open Label)|Primary Purpose: Treatment
  • Enrollment - 142
  • Age - 6 Months to 100 Years   (Child, Adult, Older Adult)
  • Outcome measures - Incidence of SARS-CoV-2 clearance|Median viral load of SARS-CoV-2|Cumulative incidence of SARS-CoV-2 clearance|Time to clearance of nasal SARS-CoV-2|Cumulative seroconversion rates (IgG, IgM, IgA)|IgG, IgM, IgA antibody titres against SARS-CoV-2|IL-6, IL-7, IL-10, TNF-alpha and Interferon-Gamma|CRP and angiotensin-2, angiopoietin-1 and angiopoietin-2|Genomic responses to SARS-CoV-2 infection|Cellular immune responses to SARS-CoV-2 infection|The clinical and parasitological antimalarial treatment response|COVID-19 disease severity|COVID-19 disease duration|COVID-19 fever duration|COVID-19 respiratory symptoms duration|COVID-19 disease duration in days|Treatment-related adverse events, serious adverse events, and adverse events resulting in treatment discontinuation