Piperaquine Exposure Is Altered by Pregnancy, HIV, and Nutritional Status in Ugandan Women

Author:

Hughes Emma1,Imperial Marjorie1,Wallender Erika2ORCID,Kajubi Richard3,Huang Liusheng2,Jagannathan Prasanna4ORCID,Zhang Nan1,Kakuru Abel3,Natureeba Paul3,Mwima Moses W.3,Muhindo Mary3,Mwebaza Norah5,Clark Tamara D.6,Opira Bishop3,Nakalembe Miriam3,Havlir Diane6,Kamya Moses37,Rosenthal Philip J.6ORCID,Dorsey Grant6,Aweeka Francesca2,Savic Radojka M.1ORCID

Affiliation:

1. Department of Bioengineering and Therapeutic Sciences, University of California San Francisco, San Francisco, California, USA

2. Department of Clinical Pharmacy, University of California, San Francisco, California, USA

3. Infectious Disease Research Collaboration, Kampala, Uganda

4. Department of Medicine, Stanford University, California, USA

5. Department of Pharmacology & Therapeutics, Makerere University College of Health Sciences, Kampala, Uganda

6. Department of Medicine, University of California San Francisco, San Francisco, California, USA

7. Department of Medicine, Makerere University College of Health Sciences, Kampala, Uganda

Abstract

Dihydroartemisinin-piperaquine (DHA-PQ) provides highly effective therapy and chemoprevention for malaria in pregnant African women. PQ concentrations of >10.3 ng/ml have been associated with reduced maternal parasitemia, placental malaria, and improved birth outcomes. We characterized the population pharmacokinetics (PK) of PQ in a post hoc analysis of human immunodeficiency virus (HIV)-infected and -uninfected pregnant women receiving DHA-PQ as chemoprevention every 4 or 8 weeks.

Funder

Division of Intramural Research, National Institute of Allergy and Infectious Diseases

HHS | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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