The Role of Clinical Pharmacology in Chemotherapy of Multidrug-Resistant Plasmodium falciparum

J Clin Pharmacol. 2020 Jul;60(7):830-847. doi: 10.1002/jcph.1589. Epub 2020 Feb 27.

Abstract

Malaria remains one of the major global public health problems due to the emergence and spread of multidrug-resistant Plasmodium falciparum. In recent years, clinical pharmacology has significantly contributed to the optimal dosing regimens of antimalarial drugs. The application of pharmacometric modeling and simulation has assisted in the accurate characterization of pharmacokinetic-pharmacodynamic relationships and the optimization of the dosage regimens of existing antimalarial drugs, including new antimalarial candidates for multidrug-resistant P falciparum in different populations.

Keywords: Plasmodium falciparum; artemisinin-based combination therapies (ACTs); clinical pharmacology; multidrug resistance.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Antimalarials / pharmacokinetics*
  • Antimalarials / therapeutic use*
  • Drug Resistance, Multiple / drug effects
  • Drug Therapy, Combination
  • Humans
  • Malaria, Falciparum / drug therapy*
  • Models, Biological
  • Pharmacology, Clinical
  • Plasmodium falciparum / drug effects*

Substances

  • Antimalarials