Population Pharmacokinetics of Mefloquine Intermittent Preventive Treatment for Malaria in Pregnancy in Gabon

Author:

Ramharter Michael123,Schwab Matthias45,Mombo-Ngoma Ghyslain1236,Zoleko Manego Rella1237,Akerey-Diop Daisy12,Basra Arti12,Mackanga Jean-Rodolphe12,Würbel Heike12,Wojtyniak Jan-Georg48,Gonzalez Raquel9,Hofmann Ute45,Geditz Mirjam45,Matsiegui Pierre-Blaise7,Kremsner Peter G.12,Menendez Clara9,Kerb Reinhold45,Lehr Thorsten8

Affiliation:

1. Centre de Recherches Médicales de Lambaréné, Albert Schweitzer Hospital, Lambaréné, Gabon

2. Institut für Tropenmedizin, Universität Tübingen, Tübingen, Germany

3. Department of Tropical Medicine, Bernhard Nocht Institute for Tropical Medicine & I. Department of Medicine University Medical Center Hamburg-Eppendorf, Hamburg, Germany

4. Dr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, Stuttgart, Germany

5. Department of Clinical Pharmacology, University Hospital, Tübingen, Germany

6. Département de Parasitologie, Université des Sciences de la Santé, Libreville, Gabon

7. Ngounié Medical Research Centre, Fougamou, Gabon

8. Clinical Pharmacy, Saarland University, Saarbrücken, Germany

9. Barcelona Centre for International Health Research (CRESIB, Hospital Clínic—Universitat de Barcelona), Barcelona, Spain

Abstract

Mefloquine was evaluated as an alternative for intermittent preventive treatment of malaria in pregnancy (IPTp) due to increasing resistance against the first-line drug sulfadoxine-pyrimethamine (SP). This study determined the pharmacokinetic characteristics of the mefloquine stereoisomers and the metabolite carboxymefloquine (CMQ) when given as IPTp in pregnant women.

Funder

Liverpool School of Tropical Medicine

European Commission Horizon 2020 UPGx

Deutsche Forschungsgemeinschaft

Bundesministerium für Bildung und Forschung

European and Developing Countries Clinical Trials Partnership

Robert Bosch Stiftung

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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