Drug concentrations | Case No. | Parasite slope half-life (h)a | In vitro sensitivity (IC50, nM)b | Pfmdr1 copy number | MQ AUC0-7d/ DHA AUC0-24h/ | Conclusion on parasite sensitivity and adequacy of systemic drung exposure | |
---|---|---|---|---|---|---|---|
 |  |  | AS | MQ |  |  |  |
Adequate DHA exposure alone (n= 4) | 18 | 2.90 | Reduced (2.4±1.0) | Resistant (34.5±3.2) | >1 | 8.40c | -Possible AS resistant |
-MQ resistant + Inadequate MQ exposure | |||||||
19 | 2.97 | Sensitive (1.1±0.15) | Sensitive (8.0±1.4) | 1 | 6.78c | -AS sensitive | |
-MQ sensitive + Inadequate MQ exposure | |||||||
-Predicted by pfmdr1 copy number | |||||||
20 | 3.01 | Sensitive (2.0±0.25) | Resistant (31.3±1.6) | 1 | 7.77c | - AS sensitive | |
- MQ resistant + Inadequate MQ exposure | |||||||
-Predicted by pfmdr1 copy number | |||||||
21 | 2.78 | Sensitive (1.8±0.13) | Sensitive (17.5±3.0) | 1 | 7.09c | -AS sensitive | |
- MQ sensitive + Inadequate MQ exposure | |||||||
-Predicted by pfmdr1 copy number | |||||||
Adequate MQ exposure alone (n=9) | 22 | 3.11 | Reduced (3.2±0.15) | Resistant (90.0±16.5) | 1 | 402d | -Possible AS resistant + Inadequate DHA exposure |
-MQ resistant | |||||||
-Predicted by pfmdr1 copy number | |||||||
23 | 3.23 | Sensitive (0.4±0.04) | Sensitive (14.6±2.2) | 1 | 389d | -AS sensitive + Inadequate DHA exposure | |
-MQ sensitive | |||||||
-Predicted by pfmdr1 copy number | |||||||
24 | 2.78 | Sensitive (0.3±0.10) | Sensitive (13.7±2.4) | 1 | 390d | -AS sensitive+ Inadequate DHA exposure | |
-MQ sensitive | |||||||
-Predicted by pfmdr1 copy number | |||||||
25 | 3.01 | Sensitive (1.8±0.31) | Resistant (47.5±1.7) | >1 | 391d | -AS sensitive + Inadequate DHA exposure | |
-MQ resistant | |||||||
26 | 2.89 | Sensitive (1.6±0.30) | Sensitive (20.9±0.5) | 1 | 398d | -AS sensitive+ Inadequate DHA exposure | |
-MQ sensitive | |||||||
-Predicted by pfmdr1 copy number entration | |||||||
27 | 2.77 | Sensitive (1.6±0.24) | Resistant (27.1±1.0) | 1 | 450d | -Possible AS resistant + Inadequate DHA exposure | |
-MQ sensitive | |||||||
-Predicted by pfmdr1 copy number | |||||||
28 | 3.01 | Sensitive (1.9±0.35) | Sensitive (18.5±2.4) | 1 | 409d | -AS sensitive + Inadequate DHA exposure | |
-MQ sensitive | |||||||
-Predicted by pfmdr1 copy number | |||||||
29 | 2.89 | Sensitive (1.0±0.03) | Sensitive (8.1±0.1) | 1 | 379d | -AS sensitive + Inadequate DHA exposure | |
-MQ sensitive | |||||||
-Predicted by pfmdr1 copy number | |||||||
30 | 3.01 | Sensitive (2.2±0.16) | Sensitive (19.1±1.0) | 1 | 423d | -AS sensitive + Inadequate DHA exposure | |
-MQ sensitive | |||||||
-Predicted by pfmdr1 copy number | |||||||
Adequate DHA and MQ exposure (n=6) | 31 | 2.67 | Reduced (3.4±0.44) | Resistant (100.7±16.8) | >1 | - | -Possible AS resistant |
-MQ resistant | |||||||
32 | 2.89 | Reduced (3.8±0.62) | Resistant (62.2±4.6) | >1 | - | -Possible AS resistant | |
-MQ resistant | |||||||
33 | 3.00 | Reduced (3.3±0.37) | Resistant (60.0±4.2) | >1 | - | -Possible AS resistant | |
-MQ resistant | |||||||
34 | 3.00 | Sensitive (1.4±0.31) | Sensitive (6.8±0.5) | 1 | - | -AS sensitive | |
-MQ sensitive | |||||||
-Predicted by pfmdr1 copy number | |||||||
35 | 2.09 | Sensitive (0.9±0.13) | Resistant (25.1±0.2) | 1 | - | -AS sensitive | |
-MQ resistant | |||||||
-Predicted by pfmdr1 copy number | |||||||
36 | 2.89 | Sensitive (1.6±0.19) | Sensitive (21.2±0.3) | 1 | - | -AS sensitive | |
-MQ sensitive | |||||||
-Predicted by pfmdr1 copy number | |||||||
Inadequate DHA and MQ exposure (n=2) | 37 | 2.90 | Sensitive (1.5±0.23) | Sensitive (14.3±2.7) | >1 | 5.34c | -AS sensitive |
234d | -MQ sensitive | ||||||
38 | 3.01 | Sensitive (1.9±0.28) | Sensitive (22.1±0.4) | 1 | 7.09c | -AS sensitive | |
209d | -MQ sensitive | ||||||
 |  |  |  |  |  |  | -Predicted by pfmdr1 copy number |