Table 1.  Pharmacokinetic parameters for artemisinin in humans

Dose (mg/kg)

Route

Subjects

(n)*

Cmax (µg/l)

tmax

(h)

t½

(h)

ka

(1/h)

V/F

(l/kg)

CL/F

(l/h/kg)

Ref.

5.3

oral

10; H

260

1.0

1.9

1.3

-

-

134

5.3

i.m.

10; H

209

3.4

7.4

0.44

-

 

134

10

oral

12; H

391

1.8

2.6

1.2

19.4

51

42

9.5

oral - SD

oral - MD

19; P

588

116

2.4

3.1

2.3

2.2

-

32

184

6.0

35.8

51

51

9.3

9.1

oral

oral + M

18; P

20; P

587

818

2.5

2.0

2.2

2.5

-

29

18

5.8

3.5

2

2

500 mg

oral - SD

oral - MD

9; P

428

161

1.6

2.0

2.5

3.2

-

-

-

7

7

500 mg

oral - Fs

12; H

391

1.8

2.6

 

19.4

-

141

600 mg

rectal

8; PF

105

7.2

3.1

 

80.8

-

141

6.2

oral

6; H

360

1.7

a = 2.6

b = 4.3

1.2

32.6

6.3

20

6.8

oral

4; H

150

-

2.3

-

-

16

123

9.1

oral

11; P

364

2.9

2.7

0.9

22.8

7.8

40

10.4

oral - F

oral - CC

6; H

623

483

2.7

1.8

2.5

2.6

0.75

1.0

16.4

16.2

5.4

6.7

41

41

10

10.8

oral

oral

23;CPF

31;PF

-

-

1.8

2.6

-

1.7

37.9

34.4

14.4

9.3

124

124

9.1

oral - D1

oral - D4

oral - D7

oral - D21

10; H

10; H

10; H

7; H

311

148

110

195

-

3.0

3.8

4.8

2.7

 

-

9.1

55.1

146.3

10.1

12.2

rectal

8; PF

108

6.5

-

 

-

-

71

4.6

9.3

18.5

oral

8; H

205

450

792

2.8

2.3

2.8

1.4

2.0

2.8

 

38.4

35.5

33.7

8.9

7.8

6.2

4

9.8

oral - SD

oral - MD

15; PF

706

134

2.5

2.0

2.0

1.9

 

-

5.8

31.7

6

10.0

rectal - SD

rectal - MD

15; PF

185

41

4.0

2.5

2.0

3.5

 

-

-

6

500 mg

oral - D1

oral - D7

9; H

501

125

 

3.0

2.5

 

 

 

129

7.3

10.0

rectal (Std)

rectal (PEG)

8; H

6; H

100

75

7.1

6.7

 

 

89

72

25

20

72

9.4

oral

6; Cirr

332

3.0

4.0

 

39

7.2

39

 

* H = healthy adult volunteers, P = adult patients, CPF = child patients with falciparum malaria, PF adult patients with falciparum malaria = , M = mefloquine, SD = single dose, MD = multiple doses, F = fasting, CC = with food, = pooled data for adults and children, Fs = fasting, Cirr = hepatic cirrhosis, rectal (Std) = conventional suppositories, rectal (PEG) = polyethylene glycol suppositories. Cmax=maximum plasma concentration; tmax=time of maximum concentration; t1/2=elimination half-life; ka=first order absorption rate constant; V/F= volume of distribution after non-i.v. administration; CL/F=clearance after non-i.v. administration;

 

Subjects received 500 mg daily for 7 days, followed by a washout period of 14 days, and a single dose on day 21 (at the end of the washout period). Pharmacokinetic parameters were determined on days 1, 4, 7 and 21.