Table 3.

Pharmacokinetic Parameter Estimates From the Noncompartmental Analysis of the First Dose According to Study Site

Wang Pha (n = 79),Median (Range)Pailin (n = 40),Median (Range)P Valuea
Body weight (kg)51.0 (39.0–69.0)52.0 (24.0–64.9).2636
Total artesunate dose (mg/kg)a4.25 (2.88–8.19)5.56 (2.86–8.33).2777
Artesunate
 Cmax (ng/mL)533 (71.1–3330)341 (44.4–3610).0153
 Cmax/dose ([ng/mL]/mg)1.92 (0.203–8.83)1.35 (0.222–15.6).0474
 Tmax (h)0.500 (0.180–5.03)0.983 (0.217–4.98).2296
 CL/F (L/h)645 (290–2950)659 (136–2250).5699
 V/F (L)255 (65.8–3720)358 (40.1–2430).0434
 T1/2 (h)0.279 (0.0900–2.21)0.392 (0.125–2.73).0135
 AUC0-∞ (h × ng/mL)386 (102–1230)375 (77.7–1470).3006
 AUC0-∞/dose ([h × ng/mL]/mg)1.55 (0.339–3.45)1.51 (0.444–7.35).4925
Dihydroartemisinin
 Cmax (ng/mL)2430 (583–8160)1960 (427–4050).0130
 Cmax/dose ([ng/mL]/mg)14.2 (3.54–31.7)10.3 (2.60–27.3).0299
 Tmax (h)1.00 (0.500–5.03)1.48 (0.483–4.98).8077
 CL/F (L/h)37.1 (15.0–82.3)41.8 (15.8–91.3).2442
 V/F (L)45.9 (18.0–185)55.7 (13.1–166).0802
 T1/2 (h)0.842 (0.426–2.77)0.836 (0.442–2.08).6896
 AUC0-∞ (h × ng/mL)4540 (1440–19700)4680 (1260–12900).1630
 AUC0-∞/dose ([h × ng/mL]/mg)26.9 (12.2–66.7)23.9 (7.88–63.5).2330
Wang Pha (n = 79),Median (Range)Pailin (n = 40),Median (Range)P Valuea
Body weight (kg)51.0 (39.0–69.0)52.0 (24.0–64.9).2636
Total artesunate dose (mg/kg)a4.25 (2.88–8.19)5.56 (2.86–8.33).2777
Artesunate
 Cmax (ng/mL)533 (71.1–3330)341 (44.4–3610).0153
 Cmax/dose ([ng/mL]/mg)1.92 (0.203–8.83)1.35 (0.222–15.6).0474
 Tmax (h)0.500 (0.180–5.03)0.983 (0.217–4.98).2296
 CL/F (L/h)645 (290–2950)659 (136–2250).5699
 V/F (L)255 (65.8–3720)358 (40.1–2430).0434
 T1/2 (h)0.279 (0.0900–2.21)0.392 (0.125–2.73).0135
 AUC0-∞ (h × ng/mL)386 (102–1230)375 (77.7–1470).3006
 AUC0-∞/dose ([h × ng/mL]/mg)1.55 (0.339–3.45)1.51 (0.444–7.35).4925
Dihydroartemisinin
 Cmax (ng/mL)2430 (583–8160)1960 (427–4050).0130
 Cmax/dose ([ng/mL]/mg)14.2 (3.54–31.7)10.3 (2.60–27.3).0299
 Tmax (h)1.00 (0.500–5.03)1.48 (0.483–4.98).8077
 CL/F (L/h)37.1 (15.0–82.3)41.8 (15.8–91.3).2442
 V/F (L)45.9 (18.0–185)55.7 (13.1–166).0802
 T1/2 (h)0.842 (0.426–2.77)0.836 (0.442–2.08).6896
 AUC0-∞ (h × ng/mL)4540 (1440–19700)4680 (1260–12900).1630
 AUC0-∞/dose ([h × ng/mL]/mg)26.9 (12.2–66.7)23.9 (7.88–63.5).2330

Abbreviations: AUC0-∞, predicted area under the plasma concentration time curve after the first dose from zero time to infinity; CL, elimination clearance; Cmax, maximum observed plasma concentration after oral administration; F oral bioavailability; Tmax, observed time to reach Cmax; T1/2, terminal elimination half-life; V, apparent volume of distribution.

aP values are given using the Mann-Whitney test.

b The median dose of artesunate is lower in Pailin compared to Wang Pha because of discontinuation of the 8 mg/kg/d arm in Pailin (see Figure 1).

Table 3.

Pharmacokinetic Parameter Estimates From the Noncompartmental Analysis of the First Dose According to Study Site

Wang Pha (n = 79),Median (Range)Pailin (n = 40),Median (Range)P Valuea
Body weight (kg)51.0 (39.0–69.0)52.0 (24.0–64.9).2636
Total artesunate dose (mg/kg)a4.25 (2.88–8.19)5.56 (2.86–8.33).2777
Artesunate
 Cmax (ng/mL)533 (71.1–3330)341 (44.4–3610).0153
 Cmax/dose ([ng/mL]/mg)1.92 (0.203–8.83)1.35 (0.222–15.6).0474
 Tmax (h)0.500 (0.180–5.03)0.983 (0.217–4.98).2296
 CL/F (L/h)645 (290–2950)659 (136–2250).5699
 V/F (L)255 (65.8–3720)358 (40.1–2430).0434
 T1/2 (h)0.279 (0.0900–2.21)0.392 (0.125–2.73).0135
 AUC0-∞ (h × ng/mL)386 (102–1230)375 (77.7–1470).3006
 AUC0-∞/dose ([h × ng/mL]/mg)1.55 (0.339–3.45)1.51 (0.444–7.35).4925
Dihydroartemisinin
 Cmax (ng/mL)2430 (583–8160)1960 (427–4050).0130
 Cmax/dose ([ng/mL]/mg)14.2 (3.54–31.7)10.3 (2.60–27.3).0299
 Tmax (h)1.00 (0.500–5.03)1.48 (0.483–4.98).8077
 CL/F (L/h)37.1 (15.0–82.3)41.8 (15.8–91.3).2442
 V/F (L)45.9 (18.0–185)55.7 (13.1–166).0802
 T1/2 (h)0.842 (0.426–2.77)0.836 (0.442–2.08).6896
 AUC0-∞ (h × ng/mL)4540 (1440–19700)4680 (1260–12900).1630
 AUC0-∞/dose ([h × ng/mL]/mg)26.9 (12.2–66.7)23.9 (7.88–63.5).2330
Wang Pha (n = 79),Median (Range)Pailin (n = 40),Median (Range)P Valuea
Body weight (kg)51.0 (39.0–69.0)52.0 (24.0–64.9).2636
Total artesunate dose (mg/kg)a4.25 (2.88–8.19)5.56 (2.86–8.33).2777
Artesunate
 Cmax (ng/mL)533 (71.1–3330)341 (44.4–3610).0153
 Cmax/dose ([ng/mL]/mg)1.92 (0.203–8.83)1.35 (0.222–15.6).0474
 Tmax (h)0.500 (0.180–5.03)0.983 (0.217–4.98).2296
 CL/F (L/h)645 (290–2950)659 (136–2250).5699
 V/F (L)255 (65.8–3720)358 (40.1–2430).0434
 T1/2 (h)0.279 (0.0900–2.21)0.392 (0.125–2.73).0135
 AUC0-∞ (h × ng/mL)386 (102–1230)375 (77.7–1470).3006
 AUC0-∞/dose ([h × ng/mL]/mg)1.55 (0.339–3.45)1.51 (0.444–7.35).4925
Dihydroartemisinin
 Cmax (ng/mL)2430 (583–8160)1960 (427–4050).0130
 Cmax/dose ([ng/mL]/mg)14.2 (3.54–31.7)10.3 (2.60–27.3).0299
 Tmax (h)1.00 (0.500–5.03)1.48 (0.483–4.98).8077
 CL/F (L/h)37.1 (15.0–82.3)41.8 (15.8–91.3).2442
 V/F (L)45.9 (18.0–185)55.7 (13.1–166).0802
 T1/2 (h)0.842 (0.426–2.77)0.836 (0.442–2.08).6896
 AUC0-∞ (h × ng/mL)4540 (1440–19700)4680 (1260–12900).1630
 AUC0-∞/dose ([h × ng/mL]/mg)26.9 (12.2–66.7)23.9 (7.88–63.5).2330

Abbreviations: AUC0-∞, predicted area under the plasma concentration time curve after the first dose from zero time to infinity; CL, elimination clearance; Cmax, maximum observed plasma concentration after oral administration; F oral bioavailability; Tmax, observed time to reach Cmax; T1/2, terminal elimination half-life; V, apparent volume of distribution.

aP values are given using the Mann-Whitney test.

b The median dose of artesunate is lower in Pailin compared to Wang Pha because of discontinuation of the 8 mg/kg/d arm in Pailin (see Figure 1).

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