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Table 1 Pharmacokinetic parameters of artemether, dihydroartemisinin (DHA) and lumefantrine (mean or mean ± SD) among healthy volunteers and patients with malaria receiving a six-dose, three-day regimen of AL

From: Understanding the pharmacokinetics of Coartem®

   

Pharmacokinetic parameters

  

Artemether

DHA

Subjects (n)

Food or fat content (g)

Country/Area

Cmax

(ng/mL)

AUC

(μg·h/mL)

t1/2

(h)

Cmax

(ng/mL)

AUC

(μg·h/mL)

t1/2

(h)

Healthy volunteers

(n = 14) [22]

~65 ga

Europe

30.8 ± 25.4

61.4 ± 87.5

2.0 ± 1.2

84.5 ± 26.5

178 ± 71

1.2 ± 0.4

Malaria patients

(n = 13) [6]

7 gd

Thailand

34.8

66.4

1.5

165

367

1.3

Malaria patients

Local

Thailand

66.2 ± 54.3

211 ± 109

2.2 ± 1.0

205 ± 102

604 ± 259

1.6 ± 0.4

   

Lumefantrine

Subjects (n)

Food or fat content (g)

Country/Area

C max

(μg/mL)

AUC

(μg·h/mL)

t 1/2

(day)

Day 7

concentration (ng/mL)

Healthy volunteers

(n = 14) [22]

~65 ga

Europe

10.0 ± 5.5

383 ± 304e

6.0 ± 1.3

-

Malaria patients

(n = 266) [7]

Local standard food

Thailand

9.0

561

3.2

-

Malaria patients

(n = 74) [13]

23 gb

Uganda

5.6 ± 2.7

-

-

460 ± 288

Malaria patients

(n = 17) [9]

6.4 gc

Thailand

7.0

410

4.1

350

Malaria patients

(n = 13) [6]

7 gd

Thailand

7.34

252f

2.83

384

  1. aFDA breakfast = 2 eggs, 2 strips bacon, 1 slice of toast with butter, 2 hash potatoes, 240 mL full-fat milk; b10 g (300 mL milk) + 13 g (peanuts) or breast milk; c200 mL carton chocolate milk; d250 mL chocolate milk; eAUC62 h-last; fAUC60 h-∞