Table 1 PKPD and reinfection model parameters.

From: Contrasting benefits of different artemisinin combination therapies as first-line malaria treatments using model-based cost-effectiveness analysis

Parameters

Symbol

Prior distribution

Prior median (95% interval)

Posterior estimate and 95% credible interval, or fixed value

Units

Source

Fitted parameters, full PKPD model

 Probability of reinfection as piperaquine concentration tends towards infinity

P min

Beta α=1, β=15

0.0045 (0.0018, 0.2184)

0.0038 (0.0001–0.0210)

19

 Piperaquine capillary concentration that gives half the maximum reduction in the probability of blood-stage infection

C 50

Half-normal, mean=0, s.d.=30 (absolute values)

20.2 (0.9, 67.2)

22.1 (19.9–24.1)

ng ml−1

8

 Piperaquine power parameter

k

Half-normal, mean=0, s.d.=15 (absolute values)

10.1 (0.5, 33.6)

21.0 (9.5–40.7)

 Probability of reinfection as lumefantrine concentration tends towards infinity

P min

Beta α=1, β=15

0.0045 (0.0018, 0.2184)

0.0224 (0.0006–0.1017)

19

 Lumefantrine venous concentration at which gives half the maximum reduction in the probability of blood-stage infection

C 50

Half-normal, mean=0, s.d.=500 (absolute values)

337.3 (15.6, 1121.2)

331.0 (229.2–543.4)

ng ml−1

51

 Lumefantrine power parameter

k

Half-normal, mean=0, s.d.=15 (absolute values)

10.1 (0.5, 33.6)

12.2 (2.6–34.3)

 Annual EIR—Nanoro, Burkina Faso

ε

Log-normal, mean=log* (130), s.d.=0.7

130 (33, 513)

97.3 (66.2–145.6)

ibpppy

14

 Annual EIR—Kilifi, Kenya

ε

Log-normal, mean=log(34), s.d.=0.7

34 (9, 135)

19.6 (11.7–31.6)

ibpppy

14

 Annual EIR—Manhiça, Mozambique

ε

Log-normal, mean=log(38), s.d.=0.7

38 (10, 150)

24.9 (16–39.3)

ibpppy

14

 Annual EIR—Mbarara, Uganda

ε

Log-normal, mean=log(14.5), s.d.=0.8

14.5 (3, 70)

19.8 (11.5–34.3)

ibpppy

57, 58

 Annual EIR—Ndola, Zambia

ε

Log-normal, mean=log(6), s.d.=0.8

6 (1, 29)

41.1 (24.7–64.7)

ibpppy

58, 59

 Annual EIR—Bobo-Dioulasso, Burkina Faso

ε

Log-normal, mean=log(117), s.d.=0.8

117 (24, 561)

25.2 (17.1–36.5)

ibpppy

58

Fitted parameters: model of prophylaxis without PKPD (Weibull survival curve)

 Piperaquine scale parameter

λ

Half-normal, mean=0, s.d.=3,000 (absolute values)

84 (3.9, 280.2)

28.1 (23.6, 34.5)

Days

 Piperaquine slope parameter

w

Half-normal, mean=0, s.d.=15 (absolute values)

10.1 (0.5, 33.6)

4.4 (2.9, 7.6)

 Lumefantrine scale parameter

λ

Half-normal, mean=0, s.d.=3,000 (absolute values)

84 (3.9, 280.2)

10.6 (9.3, 13.1)

Days

 Lumefantrine slope parameter

w

Half-normal, mean=0, s.d.=15 (absolute values)

10.1 (0.5, 33.6)

11.3 (4.0, 32.2)

 Annual EIR—Nanoro, Burkina Faso

ε

Log-normal, mean=log*(130), s.d.=0.7

130 (33, 513)

74.4 (48.7–111.5)

ibpppy

14

 Annual EIR—Kilifi, Kenya

ε

Log-normal, mean=log(34), s.d.=0.7

34 (9, 135)

17.9 (10.9–28.7)

ibpppy

14

 Annual EIR—Manhiça, Mozambique

ε

Log-normal, mean=log(38), s.d.=0.7

38 (10, 150)

21.9 (14.5–33.2)

ibpppy

14

 Annual EIR—Mbarara, Uganda

ε

Log-normal, mean=log(14.5), s.d.=0.8

14.5 (3, 70)

16.5 (9.6–27.6)

ibpppy

57, 58

 Annual EIR—Ndola, Zambia

ε

Log-normal, mean=log(6), s.d.=0.8

6 (1, 29)

32.7 (20.6–51.9)

ibpppy

58, 59

 Annual EIR—Bobo-Dioulasso, Burkina Faso

ε

Log-normal, mean=log(117), s.d.=0.8

117 (24, 561)

20 (13.6-28.9)

ibpppy

58

Fixed parameters

 Age-related biting parameter

ρ

Fixed

0.85

 

17

 Age-related biting parameter

a 0

Fixed

2920

Days

17

 Variance in exposure to mosquito bites

 

Fixed

1.768

17

 Infectiousness after AL treatment relative to an untreated infection

 

Fixed

0.05094

11, 60

 Infectiousness after DHA–PQP treatment relative to an untreated infection

 

Fixed

0.09434

11, 60

 Duration of treated infection

 

Fixed

5

Days

17

 Duration of untreated infection

 

Fixed

195 patent infection followed by 84 subpatent infection

Days

17

Pre-erythrocytic immunity

 Time during which immunity cannot be boosted after a previous boost

u b

Fixed

4.44

17

 Decay parameter

d b

Fixed

3650

Days

17

 Infection probability in non-immunes

b h

Fixed

0.637

17

 Lowest infection probability at maximum immunity relative to non-immunes

b min

Fixed

0.500

17

 Scale parameter

I B0

Fixed

57.89

17

 Shape parameter

q

Fixed

2.11

17

  1. ibpppy, infectious bites per person per year; PKPD, pharmacokinetic-pharmacodynamic.
  2. *Natural log.