Skip to main content
. 2022 Jun 21;2022(6):CD006404. doi: 10.1002/14651858.CD006404.pub4
Author (year) Day Elevation (x ULN) Participants with raised liver enzymes % (n) Liver injury severity
ALT AST Bilirubin  Participants 
with > 1 raised 
liver enzyme (n)
Severity index judgement
Bui 2020 0 > 2.6 0 (0) 0 (0) 2.7 (4)
Bui 2020 7 > 2.6 7.8 (12) 4.8 (8) 1.5 (2) 0 Mild 
Bui 2020 28 > 2.6 1.4 (2) 4.8 (7) 3.8 (5) 1  Mild1
Leang 2016 0 to 7 > 3 4.9 (6) 0 Mild 
Leang 2016 7 > 3 2.4 (3) 0 Mild 
Leang 2016 3 > 2 0.8 (1) 0 None2 
Abbreviations: ALT: alanine aminotransferase; AST: aspartate transaminase; ULN: upper limit of normal.
1The 1 participant with > 1 raised liver enzyme result had ALT 5.1 x ULN and bilirubin 3.2 x ULN at day 28 (Bui 2020). The authors reported that this participant had falciparum malaria recrudescence at day 28, and that the increased liver enzymes were not thought to be treatment‐related.
2Elevated bilirubin alone does not indicate liver injury.