Evidence map›Paper›PMID 28695570›Full record

Trial reportBritish journal of clinical pharmacology2017

Population pharmacokinetics and electrocardiographic effects of dihydroartemisinin-piperaquine in healthy volunteers.

Palang Chotsiri, Thanaporn Wattanakul, Richard M Hoglund, Borimas Hanboonkunupakarn, Sasithon Pukrittayakamee, Daniel Blessborn, Podjanee Jittamala, Nicholas J White, Nicholas P J Day, Joel Tarning

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of clinical pharmacology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.7field-weighted citation impact, top 7% 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

26 citing papers in PubMed, 38 citations in OpenAlex.

  1. Piperaquine-Induced QTc Prolongation Decreases With Repeated Monthly Dihydroartemisinin-Piperaquine Dosing in Pregnant Ugandan Women.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
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  7. Intermittent Preventive Treatment for Malaria in Pregnancy: Optimization of Target Concentrations of Dihydroartemisinin-Piperaquine.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018
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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

10 authors at 1 institution in 2 countries.

Palang ChotsiriMahidol-Oxford Tropical Medicine Research Unit, Mahidol University, Bangkok, Thailand.
Thanaporn WattanakulMahidol-Oxford Tropical Medicine Research Unit, Mahidol University, Bangkok, Thailand.
Richard M HoglundMahidol-Oxford Tropical Medicine Research Unit, Mahidol University, Bangkok, Thailand.
Borimas HanboonkunupakarnFaculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Sasithon PukrittayakameeFaculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Daniel BlessbornMahidol-Oxford Tropical Medicine Research Unit, Mahidol University, Bangkok, Thailand.
Podjanee JittamalaFaculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Nicholas J WhiteMahidol-Oxford Tropical Medicine Research Unit, Mahidol University, Bangkok, Thailand.
Nicholas P J DayMahidol-Oxford Tropical Medicine Research Unit, Mahidol University, Bangkok, Thailand.
Joel TarningMahidol-Oxford Tropical Medicine Research Unit, Mahidol University, Bangkok, Thailand.ORCID 0000-0003-4566-4030
Mahidol University · TH

Funding

Wellcome Trust
6 · The paper itself

Abstract

aimsThe aims of the present study were to evaluate the pharmacokinetic properties of dihydroartemisinin (DHA) and piperaquine, potential drug-drug interactions with concomitant primaquine treatment, and piperaquine effects on the electrocardiogram in healthy volunteers.

methodsThe population pharmacokinetic properties of DHA and piperaquine were assessed in 16 healthy Thai adults using an open-label, randomized, crossover study. Drug concentration-time data and electrocardiographic measurements were evaluated with nonlinear mixed-effects modelling.

resultsThe developed models described DHA and piperaquine population pharmacokinetics accurately. Concomitant treatment with primaquine did not affect the pharmacokinetic properties of DHA or piperaquine. A linear pharmacokinetic-pharmacodynamic model described satisfactorily the relationship between the individually corrected QT intervals and piperaquine concentrations; the population mean QT interval increased by 4.17 ms per 100 ng ml

conclusionsPharmacokinetic-pharmacodynamic modelling and simulation in healthy adult volunteers suggested that therapeutic doses of DHA-piperaquine in the prevention or treatment of P. falciparum malaria are unlikely to be associated with dangerous QT prolongation.

Indexed as

ElectrocardiographyModels, BiologicalAdultAntimalarialsArtemisininsComputer SimulationCross-Over StudiesDrug CombinationsDrug InteractionsHealthy VolunteersHeart RateHumansLinear ModelsLong QT SyndromeMiddle AgedNonlinear DynamicsAntimalarialsArtemisininsartenimolDrug CombinationspiperaquinePiperazinesPrimaquineQuinolinesdihydroartemisinininteractionpiperaquinepopulation pharmacokinetic-pharmacodynamic modelprimaquineQT prolongation

Identifiers

PMID28695570
PMCPMC5698590
OpenAlexW2735829757

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.