Table 8.
Ref. | Subjects | Artesunate regimen | DHA half-life (hours) |
---|---|---|---|
[29] | 10 healthy male Vietnamese adults | 200 mg once daily × 5 days | 0.87 (from pooled data) |
[30] | 12 healthy male Malaysian adults | 200 mg single dose | 0.49 |
[40] | 20 male and female healthy Thai adults | 4 mg/kg once | 0.74a |
[27] | 13 healthy adults in Africa | Mean dose: 4.26 mg/kg with (ACT) or without (AS only) amodiaquine single dose | AS only:1.46 ACT: 3.08 |
[28] | 8 healthy male Thai adults | 300 mg AS (Guilin or Arenco formulation) | Guilin: 1.77 Arenco:1.73 |
[41] | 10 healthy Vietnamese males | 100 mg AS once | Half-life: 0.55b |
[25] | 6 healthy adults in Geneva | 200 mg AS once | 0.65 |
[26] | 23 healthy Malaysian adults | 200 mg once with amodiaquine as fixed or non-fixed product | Fixed:1.68 Non-fixed:1.42 |
[24] | 20 healthy adult males in Australia | 200 mg/day × 3 days alone (Period 1); repeated with mefloquine after washout (Period 2) | Period 1/Day 1: 1.14 Period 1/Day 3: 1.14 Period 2/Day 1: 1.02 Period 2/Day 3: 1.09 |
[23] | 15 healthy Cambodian male adults | 4 mg/kg once with mefloquine | 1.30b |
[42] | 12 healthy adults | 200 mg once | 0.68 |
[34] | 86 acute uncomplicated falciparum malaria patients from Malawi and Gambia | 1, 2, or 4 mg/kg AS with chlorproguanil and dapsone once daily × 3 days | 1 mg/kg: 0.779b 2 mg/kg: 0.917b 4 mg/kg: 1.09b |
[7] | 12 Vietnamese adult male vivax malaria patients | 100 mg single dose | 0.67 (n = 11) |
[8] | 26 Vietnamese adult patients with uncomplicated falciparum malaria | 100 mg single dose | 0.66 (n = 16) |
[39] | 21 children (5 - 13 years) with uncomplicated malaria in Uganda | 4 mg/kg once daily with amodiaquine × 3 days | 1.3a |
[38] | 24 children with uncomplicated falciparum malaria in Gabon | 4 mg/kg once daily for 3 days in one of two formulations (blister pack and fixed dose) of AS/mefloquine | Fixed dose: 0.9(n = 9)a Blister pack: 1.0 (n = 11)a |
[32] | 43 adults with uncomplicated falciparum malaria in Thailand | 200 mg/day for fixed dose AS-mefloquine tablet or 4 mg/kg/day as nonfixed AS-mefloquine | Fixed: 1.1 (n = 14) Nonfixed: 0.8 (n = 18) |
[31] | 11 male Thai adults with uncomplicated falciparum malaria | 200 mg AS once, followed by 100 mg 12 hours later, then 100 mg once daily × 4 days | Acute: 0.64a Convalescence: 0.66a |
[43] | 24 pregnant Karen women in the 2nd and 3rd trimesters with uncomplicated falciparum malaria | 4 mg/kg once daily × 3 days with atovaquone plus proguanil | Half-life: 1.0 (n = 13)a PopPK half-life estimate: 1.81 hr |
[35] | 6 male Thai adults with uncomplicated falciparum malaria and 6 healthy male adults | 100 mg AS once | Healthy: 0.85 Patients: 1.06 |
[9] | 8 Vietnamese adults with uncomplicated falciparum malaria and 10 healthy Vietnamese adults | 150 mg once | Healthy: 0.77 Patients: 0.88 |
[53] | 26 2nd and 3rd trimester pregnant women with asymptomatic falciparum parasitaemia, the same women postpartum, and 25 non-pregnant asymptomatic, parasitaemic controls | 200 mg once | Pregnant: 1.28a Postpartum:1.63a Controls: 1.41a |
[36] | 57 children (2-14 years) with uncomplicated falciparum malaria in Gabon | AS dose (mg/kg) Group A:2.1(1.4-2.4) Group B:3.3(2.4 - 3.9) Group C:4.8(3.0 - 6.1) Group D: 3.8(3.0-4.3) Administered with pyronaridine |
Group A:1.0 Group B: 0.9 Group C: 1.2 Group D:1.2 |
[37] | 40 children and adults with uncomplicated falciparum malaria in Pailin, Cambodia and 40 adults with uncomplicated falciparum malaria in Wang Pha, Thailand | At each site: Group 1: AS monotherapy: 2 mg/kg/day × 7 days Group 2: AS 4 mg/kg/day × 3 days + mefloquine |
Thailand: Group 1: 0.71a Group 2: 0.85a Cambodia: Group 1: 0.84a Group 2: 0.77a |
Estimates from PopPK studies are described in the text. Values given as mean unless otherwise specified.
a. Median b. Geometric mean