Evidence map›Paper›PMID 28630183›Full record

Trial reportAntimicrobial agents and chemotherapy2017

Bioavailability of Lumefantrine Is Significantly Enhanced with a Novel Formulation Approach, an Outcome from a Randomized, Open-Label Pharmacokinetic Study in Healthy Volunteers.

Jay Prakash Jain, F Joel Leong, Lan Chen, Sampath Kalluri, Vishal Koradia, Daniel S Stein, Marie-Christine Wolf, Gangadhar Sunkara, Jagannath Kota

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Antimicrobial agents and chemotherapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
2.7field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.

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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

9 authors at 5 institutions in 5 countries.

Jay Prakash JainNovartis Healthcare Pvt. Ltd., Hyderabad, India jay_prakash.jain@novartis.com joel.leong@novartis.com.
F Joel LeongNovartis Institute for Tropical Diseases, Singapore jay_prakash.jain@novartis.com joel.leong@novartis.com.
Lan ChenNovartis Institutes for BioMedical Research, Shanghai, People's Republic of China.
Sampath KalluriNovartis Healthcare Pvt. Ltd., Hyderabad, India.
Vishal KoradiaNovartis Pharma AG, Basel, Switzerland.
Daniel S SteinNovartis Pharma, East Hanover, New Jersey, USA.
Marie-Christine WolfNovartis Pharma AG, Basel, Switzerland.
Gangadhar SunkaraNovartis Pharma, East Hanover, New Jersey, USA.
Jagannath KotaNovartis Healthcare Pvt. Ltd., Hyderabad, India.
Novartis (India) · INNovartis (Switzerland) · CHNovartis (United States) · USNovartis (China) · CNNovartis (Singapore) · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The artemether-lumefantrine combination requires food intake for the optimal absorption of lumefantrine. In an attempt to enhance the bioavailability of lumefantrine, new solid dispersion formulations (SDF) were developed, and the pharmacokinetics of two SDF variants were assessed in a randomized, open-label, sequential two-part study in healthy volunteers. In part 1, the relative bioavailability of the two SDF variants was compared with that of the conventional formulation after administration of a single dose of 480 mg under fasted conditions in three parallel cohorts. In part 2, the pharmacokinetics of lumefantrine from both SDF variants were evaluated after a single dose of 480 mg under fed conditions and a single dose of 960 mg under fasted conditions. The bioavailability of lumefantrine from SDF variant 1 and variant 2 increased up to ∼48-fold and ∼24-fold, respectively, relative to that of the conventional formulation. Both variants demonstrated a positive food effect and a less than proportional increase in exposure between the 480-mg and 960-mg doses. Most adverse events (AEs) were mild to moderate in severity and not suspected to be related to the study drug. All five drug-related AEs occurred in subjects taking SDF variant 2. No clinically significant treatment-emergent changes in vital signs, electrocardiograms, or laboratory blood assessments were noted. The solid dispersion formulation enhances the lumefantrine bioavailability to a significant extent, and SDF variant 1 is superior to SDF variant 2.

Indexed as

AdolescentAdultAntimalarialsArea Under CurveArtemether, Lumefantrine Drug CombinationArtemisininsBiological AvailabilityDrug CombinationsEthanolaminesFemaleFluorenesHealthy VolunteersHumansLumefantrineMaleMiddle AgedAntimalarialsArtemether, Lumefantrine Drug CombinationArtemisininsDrug CombinationsEthanolaminesFluorenesLumefantrineantimalarial agentsbioavailabilitylumefantrinemalariasolid dispersion

Identifiers

PMID28630183
PMCPMC5571342
OpenAlexW2641848379

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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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.