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Artemether-lumefantrine dosing for malaria treatment in young children and pregnant women: A pharmacokinetic-pharmacodynamic meta-analysis.

Frank KloproggeLesley WorkmanSteffen BorrmannMamadou TékétéGilbert LefèvreKamal HamedPatrice PiolaJohan UrsingPoul Erik KofoedAndreas MårtenssonBilly NgasalaAnders BjörkmanMichael AshtonSofia Friberg HietalaFrancesca AweekaSunil ParikhLeah MwaiTimothy M E DavisHarin KarunajeewaSam SalmanFrancesco ChecchiCarole FoggPaul N NewtonMayfong MayxayPhilippe DeloronJean François FaucherFrancois H NostenElizabeth A AshleyRose McGreadyMichele van VugtStephane ProuxRichard N PriceJuntra KarbwangFarkad EzzetRajesh BakshiKasia StepniewskaNicholas J WhitePhilippe J GuerinKaren I BarnesJoel Tarning
Published in: PLoS medicine (2018)
Our findings suggest that revised AL dosing regimens for young children and pregnant women would improve drug exposure but would require longer or more complex schedules. These dosing regimens should be evaluated in prospective clinical studies to determine whether they would improve cure rates, demonstrate adequate safety, and thereby prolong the useful therapeutic life of this valuable antimalarial treatment.
Keyphrases
  • pregnant women
  • systematic review
  • plasmodium falciparum
  • combination therapy
  • pregnancy outcomes