SERCAP: is the perfect the enemy of the good?

Malar J. 2021 Jun 24;20(1):281. doi: 10.1186/s12936-021-03821-z.

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.

Publication types

  • Letter

MeSH terms

  • Antimalarials / pharmacology*
  • Antimalarials / therapeutic use
  • Drug Discovery*
  • Humans
  • Malaria / prevention & control
  • Malaria / veterinary*

Substances

  • Antimalarials