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. 2018 Jun 12;15(6):e1002579. doi: 10.1371/journal.pmed.1002579

Table 2. Population parameter estimates from the final lumefantrine pharmacokinetic model.

Parameter Fixed effects Random effects
Population estimate (BS estimate) %RSE (95% CI) %CV for IIV (BS estimate) %RSE (95% CI)
F 1 (fixed) 70.3 (70.2) 5.95 (65.3–75.3)
Box–Cox shape parameter on F −0.343 (−0.342) 19.5 (−0.469 to 0.215)
ka (h−1) 0.0386 (0.0388) 2.72 (0.0368 to 0.0410)
CL/F (l/h) 1.35 (1.36) 29.7 (0.538 to 2.19)
VC/F (l) 11.2 (11.6) 30.3 (4.65 to 18.8) 144 (141) 10.8 (115–165)
Q/F (l/h) 0.344 (0.350) 29.8 (0.137 to 0.566)
VP/F (l) 59.0 (59.5) 29.7 (23.6 to 96.4)
Dose50 (mg/kg) on F 3.86 (4.07) 41.5 (1.25 to 8.04)
Pregnancy on ka 0.352 (0.355) 21.2 (0.212 to 0.510)
Parasitaemia on F −0.643 (−0.635) 13.0 (−0.793 to 0.473)
σ 0.323 (0.323) 4.88 (0.293 to 0.357)

Coefficient of variation (%CV) for inter-individual variability (IIV) was calculated as 100×eestimate1. The relative standard error (%RSE) was calculated as 100×StandarddeviationAverageparameterestimate from 1,000 iterations of a non-parametric bootstrap (BS) procedure. The 95% confidence interval (95% CI) is displayed as the 2.5th to 97.5th percentile of the BS estimate, and the BS estimate as the average value.

F: relative bioavailability; Box–Cox shape parameter: shape parameter on Box–Cox transformation; ka: absorption rate constant; CL/F: elimination clearance; VC/F: apparent central volume of distribution; Q/F: inter-compartmental clearance; VP/F: apparent peripheral volume of distribution; dose50: dose (mg/kg) needed for half of maximum dose-dependent saturation of F; pregnancy: categorical covariate effect of pregnancy on ka; parasitaemia: continuous covariate effect of enrolment parasite density on F; and σ: additive residual error on log scale. All parameters were centred on a non-pregnant patient weighing 42 kg with an admission parasitaemia of 15,800 parasites/μl.

Clearance and volume parameters were centred on the median body weight (WT) and scaled allometrically (CLandQ=θ(n)×WT4234,V=θ(n)×WT42); dose-dependent absorption was implemented as a saturation model (F=θ(n)×(1DosageθDosage50+Dosage)); baseline parasitaemia was implemented as an exponential relationship centred on the median natural logarithm transformed value (F=θ(n)×(eθparasitaemia(parasitaemia4.2))), and the categorical pregnancy effect was implemented as a proportional effect (ka = θ(n) × (1 + θpregnancy)).