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 Jjournal_title
Malaria journalauthors
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 Cdoi
10.1186/1475-2875-12-235subject
Has Abstractpub_date
2013-07-10 00:00:00pages
235issn
1475-2875pii
1475-2875-12-235journal_volume
12pub_type
杂志文章相关文献
MALARIA JOURNAL文献大全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
更新日期:2004-03-17 00:00:00
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
更新日期:2017-09-29 00:00:00
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
更新日期:2014-01-29 00:00:00
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
更新日期:2019-01-14 00:00:00
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
更新日期:2010-03-02 00:00:00
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
更新日期:2015-01-21 00:00:00
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
更新日期:2004-01-29 00:00:00
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
更新日期:2020-02-03 00:00:00
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
更新日期:2021-01-07 00:00:00
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
更新日期:2007-02-02 00:00:00
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
更新日期:2020-12-02 00:00:00
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
更新日期:2010-06-11 00:00:00
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
更新日期:2019-03-08 00:00:00
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
更新日期:2009-08-10 00:00:00
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
更新日期:2010-02-15 00:00:00
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
更新日期:2020-04-07 00:00:00
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
更新日期:2014-09-10 00:00:00
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
更新日期:2014-05-27 00:00:00
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
更新日期:2011-02-17 00:00:00
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
更新日期:2014-03-19 00:00:00
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
更新日期:2017-08-16 00:00:00
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
更新日期:2009-03-06 00:00:00
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
更新日期:2009-12-30 00:00:00
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
更新日期:2003-09-19 00:00:00
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
更新日期:2011-07-07 00:00:00
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
更新日期:2017-02-02 00:00:00
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
更新日期:2011-07-25 00:00:00
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
更新日期:2011-01-12 00:00:00
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
更新日期:2013-03-06 00:00:00
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
更新日期:2012-06-08 00:00:00