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Table 6 Summary of the reported lumefantrine AUC and elimination half-life

From: Efficacy of artemisinin-based combination therapy (ACT) in people living with HIV (PLHIV) diagnosed with uncomplicated Plasmodium falciparum malaria in Africa: a WWARN systematic review

Study ID

Statistics

HIV-uninfected group

TS prophylaxis

NVP

EFV

LPV/r

ATV/r

PLHIV not yet on ART

Lumefantrine half-life (h)

 10

Mean (95%CI)

 

36.0 (34.1–37.9)

33.3 (30.9–35.7)

33.3 (30.9–35.7)

   

 11

Median (IQR)

  

63.4 (46.8–111.1)

23.7 (21.8–46.0)

98.7 (88.4–119.1)

64.3 (52.0–120.6)

 13

Mean (SEM)

31.16 (1.86)

    

42.59 (3.77)

 

 15

GM (90%CI)

   

59.2 (46.7–75.1)

  

89.5 (75.3–106.3)

Lumefantrine AUC (ng.h/ml)

 21

Median (IQR), AUC0-∞

  

977,645 (688,477–1,383,975)

303,130 (211,080–431,962)

  

784,830 (547,405–1,116,250)

 10

Mean (95%CI) AUC0-∞

 

375,200 (349,700–400,700)

264,800 (243,100–286,500)

264,800 (243,100–286,500)

   

 11

GM (90%CI), AUC0-∞

  

278,000 (228,000–339,000)

130,000 (107,000–157,000)

579,000

(477,000–704,000)

 

270,000 (232,000–313,000)

 13

Mean (SEM), AUC0–168

447,976 (± 80,887)

    

670,530 (± 157,173)

 

 15

GM (90%CI), AUC0-∞

   

188 (125–281)

  

287 (237–349)

 16

Mean (SEM), AUC0–168

83,508 (± 5361)

 

125,285 (± 35,221)

58,396 (± 8019)

357,295

(± 5156)

  
  1. ART antiretroviral therapies, ATV/r atazanavir-ritonavir, AUC area under the curve (from 0 h to infinite or to 168 h), CI confidence interval (90% or 95%), EFV efavirenz, IQR interquartile range, GM geometric mean, LPV/r lopinavir/ritonavir, NVP nevirapine, PLHIV people living with HIV, SEM standard error of the mean, TS trimethoprim-sulfamethoxazole preventive treatment
  2. aPopulation PK study, values presented are from 9960 simulations