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Table 2 Population pharmacokinetic parameter values (BSV%) † for each drug

From: Assessing the utility of an anti-malarial pharmacokinetic-pharmacodynamic model for aiding drug clinical development

 

Drug

PKa parameter

ARS/DHAb

ART

LF

MQ

PQc

ka (/h)

19.7d

0.37

0.17

7d

0.717

(26.5%)

(63%)

(52%)

(26%)

(168%)

CL/F (L/h)

24.2e

180

7.04

0.8e

66

(22.4%)

(50%)

(16%)

(33%)

(42%)

V/F (L)

0.83f

217

-

10.2f

-

(50%)

(30–50%)

(51%)

Vc/F (L)

-

-

103

-

8660

(30–50%)

(101%)

Q/F (L/h)

-

-

4.08

-

131

(30–50%)

(85%)

Vp/F (L)

-

-

272

-

24000

   

(30–50%)

 

(50%)

  1. ARS – artesunate, ART – artemether, DHA – dihydroartemisinin, LF – lumefantrine, MQ – mefloquine, PQ – piperaquine.
  2. †Parameter values were taken from the literature: dihydroartemisinin[16], artemether[17], lumefantrine[17], mefloquine[18], piperaquine[19]. Between-subject variability (BSV%) presented as standard deviation multiplied by 100 (lognormal error model).
  3. aka – absorption rate constant; CL/F – clearance; V/F – volume of distribution; Vc – volume of central compartment; Q – inter-compartmental clearance; and Vp –volume of peripheral compartment.
  4. bDihydroartemisinin profiles were simulated for artesunate, since dihydroartemisinin is the primary active metabolite of artesunate and artesunate is considered the pro-drug.
  5. cPK parameters are for a 48kg individual.
  6. d/day.
  7. eL/kg/day.
  8. fL/kg.