Evidence map›Paper›PMID 23511715›Full record

ArticleClinical pharmacology and therapeutics2013

Population pharmacokinetics of intramuscular artesunate in African children with severe malaria: implications for a practical dosing regimen.

I C E Hendriksen, G Mtove, A Kent, S Gesase, H Reyburn, M M Lemnge, N Lindegardh, N P J Day, L von Seidlein, N J White and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Clinical pharmacology and therapeutics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Development and Validation of anAntimicrobial agents and chemotherapy · 2021
    Article
  8. Review
  9. Article
  10. Model-Informed Drug Development for Malaria Therapeutics.Annual review of pharmacology and toxicology · 2018
    Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Artesunate treatment of severe pediatric malaria: A review of parasite clearance kinetics and clinical implications.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 9 institutions in 4 countries.

I C E HendriksenMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
G Mtove
A Kent
S Gesase
H Reyburn
M M Lemnge
N Lindegardh
N P J Day
L von Seidlein
N J White
A M Dondorp
J Tarning
Mahidol University · THNational Institute for Medical Research · TZAfrican Malaria Network Trust · TZChurchill Hospital · GBLondon School of Hygiene & Tropical Medicine · GBMahidol Oxford Tropical Medicine Research Unit · THMenzies School of Health Research · AUThe Francis Crick Institute · GBUniversity of Oxford · GB

Funding

Wellcome Trust 076908Wellcome Trust 082541Wellcome Trust 089275Wellcome Trust 093956
6 · The paper itself

Abstract

Parenteral artesunate (ARS) is the drug of choice for the treatment of severe malaria. Pharmacokinetics data on intramuscular ARS are limited with respect to the main treatment group that carries the highest mortality, namely, critically ill children with severe malaria. A population pharmacokinetic study of ARS and dihydroartemisinin (DHA) was conducted from sparse sampling in 70 Tanzanian children of ages 6 months to 11 years. All the children had been admitted with severe falciparum malaria and were treated with intramuscular ARS (2.4 mg/kg at 0, 12, and 24 h). Venous plasma concentration-time profiles were characterized using nonlinear mixed-effects modeling (NONMEM). A one-compartment disposition model accurately described first-dose population pharmacokinetics of ARS and DHA. Body weight significantly affected clearance and apparent volume of distribution (P < 0.001), resulting in lower ARS and DHA exposure levels in smaller children. An adapted dosing regimen including a practical dosing table per weight band is proposed for young children based on the pharmacokinetic model.

Indexed as

Models, BiologicalAntimalarialsArtemisininsArtesunateBody WeightChildChild, PreschoolDose-Response Relationship, DrugDrug Administration ScheduleHumansInfantInjections, IntramuscularMalaria, FalciparumNonlinear DynamicsSeverity of Illness IndexTanzaniaAntimalarialsArtemisininsartenimolArtesunate

Identifiers

PMID23511715
PMCPMC3630454
OpenAlexW2105028287

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.