Skip to main content

Table 3 Artemether and dihydroartemisinin pharmacokinetic parameters in HIV-1 infected patients who are antiretroviral (ARV)-naïve or on lopinavir-based antiretroviral therapy (ART), after artemether-lumefantrine dose 1 (0–8 hours) and dose 6 (60–68 hours)

From: The interaction between artemether-lumefantrine and lopinavir/ritonavir-based antiretroviral therapy in HIV-1 infected patients

0–8 hours

60–68 hours

 

ARV-Naïve group

Lopinavir group

p value

ARV-Naïve group

Lopinavir group

p value

Artemether

Cmax (ng/mL)

59.7 (37.8–88.9)

85.8 (39.7–145)

0. 16

11.9 (8.2–17.5)

16.5 (7.2–50.5)

0.35

Tmax (h)

1.5 (1.5–2.0)

1.8 (1.5–3.0)

0. 97

61.5 (61.5–62.0)

61.5 (61.5–62.0)

0. 84

AUC(0-inf) (ng.h/mL)

151.0 (110.7–220.6)

220.0 (113.9–431.2)

0.17

71.1 (45.5–114.2)

93.8 (37.5–219.1)

0. 37

t1/2 (hr)

1.5 (1.1–1.7)

1.4 (0.9–1.6)

0. 39

2.9 (1.8–5.4)

3.0 (1.9–3.4)

0. 68

Dihydroartemisinin

Cmax (ng/mL)

42.2 (31.8–63.1)

77.5 (59.4–102)

0.004

40.0 (31.2–66.7)

65.8 (38.2–92.7)

0.21

Tmax (h)

2.0 (1.5–4.0)

2.0 (1.5–3.0)

0.41

61.5 (61.5–62.0)

61.6 (61.5–62.5)

0.71

AUC(0-inf) (ng.h/mL)

123.8 (101.3–235.6)

283.6 (178.1–340.7)

0.001

165.7 (143.7–246.5)

243.5 (145.1–305.0)

0.27

T1/2 (h)

1.6 (1.3–2.1)

1.4 (1.1–1.6)

0. 07

2.0 (1.8–2.7)

1.8 (1.5–2.0)

0. 02

  1. Values are reported as median (interquartile range [IQR]). Cmax, maximal concentration; Tmax, time at the maximal concentration; AUC (0-inf), area under the plasma concentration-time curve, from 0 h to infinity; t1/2, elimination half-life. Statistical significance (p values) calculated using the Kruskal-Wallis test