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Table 3 Simulated lumefantrine pharmacokinetics parameters in HIV-malaria co-infected patients treated with AL (9960 simulations)

From: The influence of nevirapine and efavirenz-based anti-retroviral therapy on the pharmacokinetics of lumefantrine and anti-malarial dose recommendation in HIV-malaria co-treatment

Parameters

Control-arm

Nevirapine-arm

Efavirenz-arm

Dose

480 mg bid 3 days

480 mg bid 3 days

480 mg bid 3 days

480 mg bid 5 days

480 mg bid 7 days

1200 mg bid 3 days

Cmax (ng/ml)

8192.7 (5664.3 - 11896.8)

10229 (7173.4 - 14606)

3182.2 (2198.4 - 4586.1)

3678.2 (2609.7 - 5150.7)

3887.5 (2690.4 - 5531.4)

7955 (5496.2 - 11464)

AUC0-inf (ng.hr/ml)

784830 (547405–1116250)

977645 (688477–1383975)

303130 (211080–431962)

513760 (359212.5 - 713715)

755090 (528277–1086525)

757835 (527702–1079925)

Tmax (hr)

66.1 (63.6 - 67.7 )

66.1 (60.0 - 67.7 )

66.1 (60.4 - 67.6)

-

-

-

Simulated day 7 plasma concentration (ng/ml)

858.7 (562.3 - 1333.8)

1090.3 (704.4 - 1680.4)

335.5 (215.8 - 519.5)

1039.4 (678.1- 1552.8)

1079.2 (694.1- 1689.6)

838.9 (539.6 - 1298.9)

Observed day 7 plasma concentration (ng/ml)

970 (562.1 - 1729)

1125 (638.8 - 1913)

300.4 (220.8 - 343.1)

-

-

-

  1. AL, artemether-lumefantrine; bid, after every 12hrs; AUC0-inf, plasma AUC from 0 hour extrapolated to infinity; Cmax, maximum plasma concentration; Tmax, time to reach maximum plasma concentrations. The presented values above are expressed as median with inter-quartile range.