Population pharmacokinetics of mefloquine, piperaquine and artemether-lumefantrine in Cambodian and Tanzanian malaria patients.

Abstract:

BACKGROUND:Inter-individual variability in plasma concentration-time profiles might contribute to differences in anti-malarial treatment response. This study investigated the pharmacokinetics of three different forms of artemisinin combination therapy (ACT) in Tanzania and Cambodia to quantify and identify potential sources of variability. METHODS:Drug concentrations were measured in 143 patients in Tanzania (artemether, dihydroartemisinin, lumefantrine and desbutyl-lumefantrine), and in 63 (artesunate, dihydroartemisinin and mefloquine) and 60 (dihydroartemisinin and piperaquine) patients in Cambodia. Inter- and intra-individual variabilities in the pharmacokinetic parameters were assessed and the contribution of demographic and other covariates was quantified using a nonlinear mixed-effects modelling approach (NONMEM®). RESULTS:A one-compartment model with first-order absorption from the gastrointestinal tract fitted the data for all drugs except piperaquine (two-compartment). Inter-individual variability in concentration exposure was about 40% and 12% for mefloquine. From all the covariates tested, only body weight (for all antimalarials) and concomitant treatment (for artemether only) showed a significant influence on these drugs' pharmacokinetic profiles. Artesunate and dihydroartemisinin could not be studied in the Cambodian patients due to insufficient data-points. Modeled lumefantrine kinetics showed that the target day 7 concentrations may not be achieved in a substantial proportion of patients. CONCLUSION:The marked variability in the disposition of different forms of ACT remained largely unexplained by the available covariates. Dosing on body weight appears justified. The concomitance of unregulated drug use (residual levels found on admission) and sub-optimal exposure (variability) could generate low plasma levels that contribute to selecting for drug-resistant parasites.

journal_name

Malar J

journal_title

Malaria journal

authors

Staehli Hodel EM,Guidi M,Zanolari B,Mercier T,Duong S,Kabanywanyi AM,Ariey F,Buclin T,Beck HP,Decosterd LA,Olliaro P,Genton B,Csajka C

doi

10.1186/1475-2875-12-235

subject

Has Abstract

pub_date

2013-07-10 00:00:00

pages

235

issn

1475-2875

pii

1475-2875-12-235

journal_volume

12

pub_type

杂志文章
  • One-step concentration of malarial parasite-infected red blood cells and removal of contaminating white blood cells.

    abstract:BACKGROUND:Isolation of a concentrated, living preparation of malarial parasite-infected red blood cells (PRBCs) that have low contamination of white blood cells (WBCs) facilitates research on the molecular, biochemical and immunological aspects of malarial parasites. This is currently carried out by a two-step method,...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-3-7

    authors: Trang DT,Huy NT,Kariu T,Tajima K,Kamei K

    更新日期:2004-03-17 00:00:00

  • Avian Plasmodium in Eastern Austrian mosquitoes.

    abstract:BACKGROUND:Insect vectors, namely mosquitoes (Diptera: Culicidae), are compulsory for malaria parasites (Plasmodium spp.) to complete their life cycle. Despite this, little is known about vector competence of different mosquito species for the transmission of avian malaria parasites. METHODS:In this study, nested PCR ...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/s12936-017-2035-1

    authors: Schoener E,Uebleis SS,Butter J,Nawratil M,Cuk C,Flechl E,Kothmayer M,Obwaller AG,Zechmeister T,Rubel F,Lebl K,Zittra C,Fuehrer HP

    更新日期:2017-09-29 00:00:00

  • Long-lasting control of Anopheles arabiensis by a single spray application of micro-encapsulated pirimiphos-methyl (Actellic® 300 CS).

    abstract:BACKGROUND:Pyrethroid-resistant mosquitoes are an increasing threat to malaria vector control. The Global Plan for Insecticide Resistance Management (GPIRM) recommends rotation of non-pyrethroid insecticides for indoor residual spraying (IRS). The options from other classes are limited. The carbamate bendiocarb and the...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-13-37

    authors: Oxborough RM,Kitau J,Jones R,Feston E,Matowo J,Mosha FW,Rowland MW

    更新日期:2014-01-29 00:00:00

  • Application of the automated haematology analyzer XN-30 for discovery and development of anti-malarial drugs.

    abstract:BACKGROUND:The erythrocytic stage of Plasmodium falciparum parasites in humans is clinically important, as the parasites at this growth stage causes malarial symptoms. Most of the currently available anti-malarial drugs target this stage, but the emergence and spread of parasites resistant to anti-malarial drugs are a ...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/s12936-019-2642-0

    authors: Tougan T,Toya Y,Uchihashi K,Horii T

    更新日期:2019-01-14 00:00:00

  • Computational analysis of binding between malarial dihydrofolate reductases and anti-folates.

    abstract:BACKGROUND:Plasmodium falciparum readily develops resistance to the anti-folates pyrimethamine and proguanil via a characteristic set of mutations in the dihydrofolate reductase (PfDHFR) gene that leads to reduced competitive drug binding at the enzyme's active site. Analogous mutations can be found in the DHFR gene in...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-9-65

    authors: Choowongkomon K,Theppabutr S,Songtawee N,Day NP,White NJ,Woodrow CJ,Imwong M

    更新日期:2010-03-02 00:00:00

  • The impact of livestock on the abundance, resting behaviour and sporozoite rate of malaria vectors in southern Tanzania.

    abstract:BACKGROUND:Increases in the coverage of long-lasting insecticidal nets (LLINs) have significantly reduced the abundance of Anopheles gambiae sensu stricto in several African settings, leaving its more zoophagic sibling species Anopheles arabiensis as the primary vector. This study investigated the impact of livestock o...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/s12936-014-0536-8

    authors: Mayagaya VS,Nkwengulila G,Lyimo IN,Kihonda J,Mtambala H,Ngonyani H,Russell TL,Ferguson HM

    更新日期:2015-01-21 00:00:00

  • Allomonal effect of breath contributes to differential attractiveness of humans to the African malaria vector Anopheles gambiae.

    abstract::BACKGROUND: Removal of exhaled air from total body emanations or artificially standardising carbon dioxide (CO2) outputs has previously been shown to eliminate differential attractiveness of humans to certain blackfly (Simuliidae) and mosquito (Culicidae) species. Whether or not breath contributes to between-person di...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-3-1

    authors: Mukabana WR,Takken W,Killeen GF,Knols BG

    更新日期:2004-01-29 00:00:00

  • Sexual forms obtained in a continuous in vitro cultured Colombian strain of Plasmodium falciparum (FCB2).

    abstract:BACKGROUND:The epidemiological control of malaria has been hampered by the appearance of parasite resistance to anti-malarial drugs and by the resistance of mosquito vectors to control measures. This has also been associated with weak transmission control, mostly due to poor control of asymptomatic patients associated ...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/s12936-020-3142-y

    authors: Ararat-Sarria M,Prado CC,Camargo M,Ospina LT,Camargo PA,Curtidor H,Patarroyo MA

    更新日期:2020-02-03 00:00:00

  • A minimal 3D model of mosquito flight behaviour around the human baited bed net.

    abstract:BACKGROUND:Advances in digitized video-tracking and behavioural analysis have enabled accurate recording and quantification of mosquito flight and host-seeking behaviours, facilitating development of individual (agent) based models at much finer spatial scales than previously possible. METHODS:Quantified behavioural p...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/s12936-020-03546-5

    authors: Jones J,Murray GPD,McCall PJ

    更新日期:2021-01-07 00:00:00

  • Public-private delivery of insecticide-treated nets: a voucher scheme in Volta Region, Ghana.

    abstract:BACKGROUND:Coverage of vulnerable groups with insecticide-treated nets (ITNs) in Ghana, as in the majority of countries of sub-Saharan Africa is currently low. A voucher scheme was introduced in Volta Region as a possible sustainable delivery system for increasing this coverage through scale-up to other regions. Succes...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-6-14

    authors: Kweku M,Webster J,Taylor I,Burns S,Dedzo M

    更新日期:2007-02-02 00:00:00

  • A study of malaria vector surveillance as part of the Malaria Elimination Demonstration Project in Mandla, Madhya Pradesh.

    abstract:BACKGROUND:Understanding of malaria vector density, distribution, insecticide resistance, vector incrimination, infection status, and identification of sibling species are some of the essential components of vector control measures for achieving malaria elimination goals. METHODS:As part of the malaria elimination dem...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/s12936-020-03517-w

    authors: Mishra AK,Bharti PK,Vishwakarma A,Nisar S,Rajvanshi H,Sharma RK,Saha KB,Shukla MM,Jayswar H,Das A,Kaur H,Wattal SL,Lal AA

    更新日期:2020-12-02 00:00:00

  • Identification of three single nucleotide polymorphisms in Anopheles gambiae immune signaling genes that are associated with natural Plasmodium falciparum infection.

    abstract:BACKGROUND:Laboratory studies have demonstrated that a variety of immune signaling pathways regulate malaria parasite infection in Anopheles gambiae, the primary vector species in Africa. METHODS:To begin to understand the importance of these associations under natural conditions, an association mapping approach was a...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-9-160

    authors: Horton AA,Lee Y,Coulibaly CA,Rashbrook VK,Cornel AJ,Lanzaro GC,Luckhart S

    更新日期:2010-06-11 00:00:00

  • Human population movement and behavioural patterns in malaria hotspots on the Thai-Myanmar border: implications for malaria elimination.

    abstract:BACKGROUND:Malaria is heterogeneously distributed across landscapes. Human population movement (HPM) could link sub-regions with varying levels of transmission, leading to the persistence of disease even in very low transmission settings. Malaria along the Thai-Myanmar border has been decreasing, but remains heterogene...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/s12936-019-2704-3

    authors: Saita S,Pan-Ngum W,Phuanukoonnon S,Sriwichai P,Silawan T,White LJ,Parker DM

    更新日期:2019-03-08 00:00:00

  • Varying efficacy of artesunate+amodiaquine and artesunate+sulphadoxine-pyrimethamine for the treatment of uncomplicated falciparum malaria in the Democratic Republic of Congo: a report of two in-vivo studies.

    abstract:BACKGROUND:Very few data on anti-malarial efficacy are available from the Democratic Republic of Congo (DRC). DRC changed its anti-malarial treatment policy to amodiaquine (AQ) and artesunate (AS) in 2005. METHODS:The results of two in vivo efficacy studies, which tested AQ and sulphadoxine-pyrimethamine (SP) monother...

    journal_title:Malaria journal

    pub_type: 临床试验,杂志文章

    doi:10.1186/1475-2875-8-192

    authors: Bonnet M,Broek Iv,van Herp M,Urrutia PP,van Overmeir C,Kyomuhendo J,Ndosimao CN,Ashley E,Guthmann JP

    更新日期:2009-08-10 00:00:00

  • Factors contributing to delay in parasite clearance in uncomplicated falciparum malaria in children.

    abstract:BACKGROUND:Drug resistance in Plasmodium falciparum is common in many endemic and other settings but there is no clear recommendation on when to change therapy when there is delay in parasite clearance after initiation of therapy in African children. METHODS:The factors contributing to delay in parasite clearance, def...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-9-53

    authors: Sowunmi A,Adewoye EO,Gbotsho GO,Happi CT,Sijuade A,Folarin OA,Okuboyejo TM,Michael OS

    更新日期:2010-02-15 00:00:00

  • Quantifying late-stage host-seeking behaviour of Anopheles gambiae at the insecticidal net interface using a baited-box bioassay.

    abstract:BACKGROUND:Insecticide-treated nets (ITNs) are losing efficacy against pyrethroid-resistant malaria vector populations throughout Africa. Safeguarding bed net efficacy, vital for effective malaria control, requires greater knowledge of mosquito-ITN interactions and how this impacts on the mosquito. METHODS:A purpose-b...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/s12936-020-03213-9

    authors: Hughes A,Foster GM,Guy A,Matope A,Abe M,Towers D,McCall PJ

    更新日期:2020-04-07 00:00:00

  • Distribution and utilization of vector control strategies in a malarious village of Jabi Tehnan District, north-western Ethiopia.

    abstract:BACKGROUND:Adequate coverage and proper use of long-lasting insecticidal nets (LLINs) and indoor residual spaying (IRS) reduce density of indoor-resting mosquitoes, man-mosquito contact and malaria infection. However, distribution, ownership and usage of the interventions may vary among households in a malarious area, ...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-13-356

    authors: Animut A,Negash Y,Kebede N

    更新日期:2014-09-10 00:00:00

  • Characterizing the effect of temperature fluctuation on the incidence of malaria: an epidemiological study in south-west China using the varying coefficient distributed lag non-linear model.

    abstract:BACKGROUND:Malaria transmission is strongly determined by the environmental temperature and the environment is rarely constant. Therefore, mosquitoes and parasites are not only exposed to the mean temperature, but also to daily temperature variation. Recently, both theoretical and laboratory work has shown, in addition...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-13-192

    authors: Zhao X,Chen F,Feng Z,Li X,Zhou XH

    更新日期:2014-05-27 00:00:00

  • District level external quality assurance (EQA) of malaria microscopy in Pakistan: pilot implementation and feasibility.

    abstract:BACKGROUND:Prompt, quality assured laboratory diagnosis is key to effective malaria case management and control, especially since the introduction of the more expensive artemisinin combination therapy (ACT). The malaria programme and its non-government partners, on the basis of WHO recommended Lot Quality Assurance met...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-10-45

    authors: Khan MA,Walley JD,Munir MA,Khan MA,Khokar NG,Tahir Z,Nazir A,Shams N

    更新日期:2011-02-17 00:00:00

  • Using mobile phone text messaging for malaria surveillance in rural Kenya.

    abstract:BACKGROUND:Effective surveillance systems are required to track malaria testing and treatment practices. A 26-week study "SMS for Life" was piloted in five rural districts of Kenya to examine whether SMS reported surveillance data could ensure real-time visibility of accurate data and their use by district managers to ...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-13-107

    authors: Githinji S,Kigen S,Memusi D,Nyandigisi A,Wamari A,Muturi A,Jagoe G,Ziegler R,Snow RW,Zurovac D

    更新日期:2014-03-19 00:00:00

  • Modelling the benefits of long-acting or transmission-blocking drugs for reducing Plasmodium falciparum transmission by case management or by mass treatment.

    abstract:BACKGROUND:Anti-malarial drugs are an important tool for malaria control and elimination. Alongside their direct benefit in the treatment of disease, drug use has a community-level effect, clearing the reservoir of infection and reducing onward transmission of the parasite. Different compounds potentially have differen...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/s12936-017-1988-4

    authors: Bretscher MT,Griffin JT,Ghani AC,Okell LC

    更新日期:2017-08-16 00:00:00

  • Glycerol: an unexpected major metabolite of energy metabolism by the human malaria parasite.

    abstract:BACKGROUND:Malaria is a global health emergency, and yet our understanding of the energy metabolism of the principle causative agent of this devastating disease, Plasmodium falciparum, remains rather basic. Glucose was shown to be an essential nutritional requirement nearly 100 years ago and since this original observa...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-8-38

    authors: Lian LY,Al-Helal M,Roslaini AM,Fisher N,Bray PG,Ward SA,Biagini GA

    更新日期:2009-03-06 00:00:00

  • Design and pre-clinical profiling of a Plasmodium falciparum MSP-3 derived component for a multi-valent virosomal malaria vaccine.

    abstract:BACKGROUND:Clinical profiling of two components for a synthetic peptide-based virosomal malaria vaccine has yielded promising results, encouraging the search for additional components for inclusion in a final multi-valent vaccine formulation. This report describes the immunological characterization of linear and cycliz...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-8-314

    authors: Tamborrini M,Mueller MS,Stoffel SA,Westerfeld N,Vogel D,Boato F,Zurbriggen R,Robinson JA,Pluschke G

    更新日期:2009-12-30 00:00:00

  • Zooprophylaxis or zoopotentiation: the outcome of introducing animals on vector transmission is highly dependent on the mosquito mortality while searching.

    abstract:BACKGROUND:Zooprophylaxis, the diversion of disease carrying insects from humans to animals, may reduce transmission of diseases such as malaria. However, as the number of animals increases, improved availability of blood meals may increase mosquito survival, thereby countering the impact of diverting feeds. METHODS:C...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-2-32

    authors: Saul A

    更新日期:2003-09-19 00:00:00

  • Outdoor host seeking behaviour of Anopheles gambiae mosquitoes following initiation of malaria vector control on Bioko Island, Equatorial Guinea.

    abstract:BACKGROUND:Indoor-based anti-vector interventions remain the preferred means of reducing risk of malaria transmission in malaria endemic areas around the world. Despite demonstrated success in reducing human-mosquito interactions, these methods are effective solely against endophilic vectors. It may be that outdoor loc...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-10-184

    authors: Reddy MR,Overgaard HJ,Abaga S,Reddy VP,Caccone A,Kiszewski AE,Slotman MA

    更新日期:2011-07-07 00:00:00

  • Increase in imported malaria in the Netherlands in asylum seekers and VFR travellers.

    abstract:BACKGROUND:Malaria is a notifiable disease in the Netherlands, a non-endemic country. Imported malaria infections occur regularly among travellers, migrants and visitors. Surveillance data were analysed from 2008 to 2015. Trends in amounts of notifications among risk groups were analysed using Poisson regression. For a...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/s12936-017-1711-5

    authors: de Gier B,Suryapranata FS,Croughs M,van Genderen PJ,Keuter M,Visser LG,van Vugt M,Sonder GJ

    更新日期:2017-02-02 00:00:00

  • Changing patterns of malaria during 1996-2010 in an area of moderate transmission in southern Senegal.

    abstract:BACKGROUND:Malaria is reportedly receding in different epidemiological settings, but local long-term surveys are limited. At Mlomp dispensary in south-western Senegal, an area of moderate malaria transmission, year-round, clinically-suspected malaria was treated with monotherapy as per WHO and national policy in the 19...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-10-203

    authors: Brasseur P,Badiane M,Cisse M,Agnamey P,Vaillant MT,Olliaro PL

    更新日期:2011-07-25 00:00:00

  • Using rapid diagnostic tests as source of malaria parasite DNA for molecular analyses in the era of declining malaria prevalence.

    abstract:BACKGROUND:Malaria prevalence has recently declined markedly in many parts of Tanzania and other sub-Saharan African countries due to scaling-up of control interventions including more efficient treatment regimens (e.g. artemisinin-based combination therapy) and insecticide-treated bed nets. Although continued molecula...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-10-6

    authors: Ishengoma DS,Lwitiho S,Madebe RA,Nyagonde N,Persson O,Vestergaard LS,Bygbjerg IC,Lemnge MM,Alifrangis M

    更新日期:2011-01-12 00:00:00

  • Hyperparasitaemic human Plasmodium knowlesi infection with atypical morphology in peninsular Malaysia.

    abstract::Plasmodium knowlesi is a potentially life-threatening zoonotic malaria parasite due to its relatively short erythrocytic cycle. Microscopic identification of P. knowlesi is difficult, with "compacted parasite cytoplasm" being one of the important identifying keys. This report is about a case of hyperparasitaemic human...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-12-88

    authors: Lee WC,Chin PW,Lau YL,Chin LC,Fong MY,Yap CJ,Supramaniam RR,Mahmud R

    更新日期:2013-03-06 00:00:00

  • New Agilent platform DNA microarrays for transcriptome analysis of Plasmodium falciparum and Plasmodium berghei for the malaria research community.

    abstract:BACKGROUND:DNA microarrays have been a valuable tool in malaria research for over a decade but remain in limited use in part due their relatively high cost, poor availability, and technical difficulty. With the aim of alleviating some of these factors next-generation DNA microarrays for genome-wide transcriptome analys...

    journal_title:Malaria journal

    pub_type: 杂志文章

    doi:10.1186/1475-2875-11-187

    authors: Kafsack BF,Painter HJ,Llinás M

    更新日期:2012-06-08 00:00:00