Simplified antimalarial therapeutic monitoring: using the day-7 drug level?

N WHITE, Kasia Stepniewska, K Barnes, Ric Price, J SIMPSON

    Research output: Contribution to journalArticlepeer-review

    Abstract

    The blood concentration profiles of most antimalarial drugs vary considerably between patients. The interpretation of antimalarial drug trials evaluating efficacy and effectiveness would be improved considerably if the exposure of the infecting parasite population to the antimalarial drug treatment could be measured. Artemisinin combination treatments are now recommended as first-line drugs for the treatment of falciparum malaria. Measurement of the blood, serum or plasma concentration of the slowly eliminated partner antimalarial drug on day 7 of follow-up is simpler and might be a better determinant of therapeutic response than the area under the concentration-time curve. Measurement of the day-7 drug level should be considered as a routine part of antimalarial drug trials. � 2008 Elsevier Ltd. All rights reserved.
    Original languageEnglish
    Pages (from-to)159-163
    Number of pages5
    JournalTrends in Parasitology
    Volume24
    Issue number4
    Publication statusPublished - 2008

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