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. 2015 Jul 22;80(4):642–653. doi: 10.1111/bcp.12660

Table 2.

Summary of parameter estimates from the final simultaneous population pharmacokinetic artesunate-dihydroartemisinin model

Population estimates IIV/IOV* [%CV]
Parameters (%RSE) (%RSE)
F (%) 49.4 (3.53) 27.1 (20.9)
BIO (%) 17.1 (6.98) 60.2 (21.3)*
MTT (h) 0.407 (7.24) 31.0 (20.2)
Transit compartments (n) 6 (fixed) -
DUR (h) 0.0167 (fixed) -
ka (h−1) 1.57 (8.59) 36.8 (18.9)
VcART (l) 8.80 (5.32) -
QART (l h–1) 7.51 (12.6) 6.60 (23.2)
VpART (l) 2.43 (13.8) 63.3 (12.8)
CLART (l h–1) 170 (6.75) -
VcDHA (l) 44.3 (6.35) -
QDHA (l h–1) 16.8 (9.7) -
VpDHA (l) 20.7 (9.35) -
CLDHA (l h–1) 60.9 (4.54) 10.4 (22.7)
Disease effect on F (%) 86.6 (3.50) -
Pregnancy effect on F (%) −23.3 (18.7) -
σARS i.v. 0.856 -
σARS oral 1.16 -
σDHA i.v. 0.333 -
σDHA oral 0.793 -
*

inter-occasion variability.

Population mean values, inter-occasion variability (IOV) and inter-individual variability (IIV) estimated by nonmem. IIV and IOV is presented as Inline graphic. Population parameter estimates are given for a typical non-pregnant patient with a body weight of 46 kg.

The relative standard error (RSE) is calculated as Inline graphic from 99 (out of a total of 100) iterations of a bootstrap.

F absolute oral bioavailability of artesunate, BIO first pass metabolism of artesunate, MTT mean transit time, DUR infusion duration, ka absorption rate constant, Vc apparent volume of central compartment, Q inter-compartmental clearance, Vp apparent volume of peripheral compartment and CL elimination clearance.