Table 2.  Pharmacokinetic parameters for artesunate in humans

Dose (mg/kg)

Route

Subjects

(n)*

Cmax (mg/l)

tmax

(min)

t½

(min)

V

(l/kg)

CL

(l/h/kg)

Ref.

3.8

i.v.

4; H

39.0

-

a = 2.3

b = 31

0.13

2.31

158

2.0 -

3.75

i.v.

3; H

-

-

a = 5

b = 37

0.33 -

0.4

0.3 -

0.9

163

2.4

i.v.

26; PF

11.3

2

2.7

0.14

2.33

17

2.5

i.v.

12; PV

13.7

2

2.2

0.16

3.01

16,98

2.4

i.v.

17, H

-

-

3.0

0.17

2.6

25

2.23

i.v.

12; PF

severe

-

-

2.3

0.08

1.63

36

2.16

i.v.

8; PF

moderately severe

-

-

4.6

0.24

2.49

36

4.9

i.v. infusion; 4h

10; PF

moderately severe

-

-

3.2

0.23

3.07

36

300 mg

oral

8; H

397

15

a = 11

b = 32

-

-

98

300 mg††

oral

8; H

194

19

a = 10

b = 34

-

-

98

1.8

rectal

12; CPF

90

35

-

-

-

50

3.1

oral

rectal

12; H

0.26

0.45

40

86

29

57

 

 

102

 

* H = healthy adult volunteers, PF = adult patients with falciparum malaria, PV = adult patients with vivax malaria, CPF = child patients with falciparum malaria, 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

Artesunate tablets from Guilin Pharmaceutical Factory, PRC; †† Artesunate tablets from Arenco, Belgium