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. 2020 Aug 17;103(5):1910–1917. doi: 10.4269/ajtmh.20-0491

Table 3.

Association of explanatory parameters with elevated peak ALT in induced blood-stage malaria

Explanatory parameter Peak ALT Logistic regression Logistic regression with fixed cohort effect
< 2.5 × ULN (n = 21) ≥ 2.5 × ULN (n = 11) OR (95% CI) P-value OR (95% CI) P-value
Median parasite clearance half-life (hours), (IQR) 4.70 (4.12–5.69) 4.36 (3.16–5.40) 0.69 (0.34–1.39) 0.30 1.06 (0.43–2.60) 0.90
Median peak parasitemia (parasites/mL), (IQR) 45,156 (12,922–78,227) 96,020 (52,370–201,433) 3.72 (0.77–18.03) 0.10 1.78 (0.17–18.72) 0.63
Median parasite clearance burden (IQR) 0.96 (0.71–1.41) 2.06 (1.15–2.32) 4.28 (1.26–14.59) 0.020 4.04 (0.38–49.84) 0.25
Median maximum temperature (°C), (IQR) 38.4 (37.3–39.1) 38.7 (38.4–39.3) 1.92 (0.78–4.69) 0.15 2.28 (0.65–7.97) 0.20
Median maximum clinical score (IQR) 4 (2–6) 6 (4–11) 1.19 (0.98–1.45) 0.085 1.09 (0.87–1.37) 0.45
Median maximum C-reactive protein × ULN (to EOS), (IQR) 5.4 (2.6–9.2) 12.0 (7.2–14.2) 1.43 (1.10–1.86) 0.008 1.45 (1.05–2.01) 0.025
Median lactate dehydrogenase × ULN (to EOS), (IQR) 0.96 (0.86–1.08) 1.25 (1.05–1.36) 1.56 (1.08–2.24) 0.017 1.43 (0.94–2.16) 0.093

ALT = alanine transaminase; EOS = end of study; IQR = interquartile range; OR = odds ratio; ULN = upper limit of normal. Odds ratio refer to a 1-unit change in the measure of the explanatory parameter (e.g., 1°C for maximum temperature). Statistically significant P-values < 0.05 are highlighted in bold.