Evidence map›Paper›PMID 30012152›Full record

ArticleMalaria journal2018

Pharmacokinetics of mefloquine administered with artesunate in patients with uncomplicated falciparum malaria from the Brazilian Amazon basin.

Michelle V D Ferreira, José L F Vieira, Eduardo D Almeida, Juan G B Rivera, Margarete S M Gomes, André M de Siqueira

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

3 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
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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

6 authors at 3 institutions in 1 country.

Michelle V D FerreiraPharmacy Faculty, Pará Federal University, Augusto Correa Street 01, Campus Universitário do Guamá, Belém, Pará, Brazil.
José L F VieiraPharmacy Faculty, Pará Federal University, Augusto Correa Street 01, Campus Universitário do Guamá, Belém, Pará, Brazil. jvieira@ufpa.br.
Eduardo D AlmeidaPharmacy Faculty, Pará Federal University, Augusto Correa Street 01, Campus Universitário do Guamá, Belém, Pará, Brazil.
Juan G B RiveraPharmacy Faculty, Pará Federal University, Augusto Correa Street 01, Campus Universitário do Guamá, Belém, Pará, Brazil.
Margarete S M GomesLaboratory of Public Health of Macapa, Av. Adilson José Pinto Pereira, 907, Macapá, Amapá, Brazil.
André M de SiqueiraFiocruz, Av. Brasil, Manguinhos, Rio De Janeiro, Brazil.
Universidade Federal do Pará · BRFundação Oswaldo Cruz · BRUniversidade Estadual do Amapá · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA fixed-dose combination of mefloquine with artesunate was evaluated in cases of falciparum malaria in the Brazilian Amazon basin with acceptable efficacy, safety and tolerability. However, there are no data on the pharmacokinetics of mefloquine in this coformulation in Brazil, which is valuable to evaluate whether Plasmodium is exposed to an effective concentration of the drug.

methodsA prospective, single-arm study was conducted in male patients with slide-confirmed infection by Plasmodium falciparum using two tablets of a fixed-dose combination of artesunate (100 mg) and mefloquine base (200 mg) once daily and over 3 consecutive days. Serial blood samples were collected at admission and throughout 672 h post-administration of the drugs. Mefloquine was measured in each blood sample by high-performance liquid chromatography. The pharmacokinetic parameters were determined by non-compartmental analysis.

resultsA total of 61 patients were enrolled in the study and 450 whole blood samples were collected for mefloquine measurement. The mefloquine half-life was 10.25 days, the maximum concentration (C

conclusionThe pharmacokinetic parameters of mefloquine determined in the study suggest an adequate exposure of parasite to mefloquine in the multiple oral dose regimen of the fixed dose combination of mefloquine and artesunate.

Indexed as

AdultAgedAntimalarialsArtesunateBrazilChromatography, High Pressure LiquidDrug CombinationsHumansMalaria, FalciparumMaleMefloquineMiddle AgedPlasmodium falciparumProspective StudiesYoung AdultAntimalarialsArtesunateDrug CombinationsMefloquineMalariaMefloquinePharmacokinetics

Identifiers

PMID30012152
PMCPMC6048755
OpenAlexW2884953739

What OpenQuestion holds

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LicenceCC BY
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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.