Artemisinin-based combination therapies are a key pillar in global malaria control and are recommended as a first-line Plasmodium falciparum treatment. They rely upon a rapid 4-log-unit reduction in parasitemia by artemisinin compounds with a short half-life and the killing of remaining parasites by a partner compound with a longer half-life. Current treatment guidelines stipulate giving three 24-h-interval doses or six 12-h-interval doses over a 3-day period. Due to the short half-life of artesunate and artemether, almost all of the resulting cytocidal activity is confined within a single 48-h asexual P. falciparum cycle. Here, we utilized a luciferase reporter, Plasmodium berghei ANKA, in a cytocidal model in which treatment was initiated at high parasitemia, allowing us to monitor a greater than 3-log-unit reduction in parasite density, as well as 30-day survival. In this study, we demonstrated that increasing the artesunate duration from spanning one asexual cycle to spanning three asexual cycles while keeping the total dose constant results in enhanced cytocidal activity. Single daily artesunate doses at 50 mg/kg of body weight over 7 days were the minimum necessary for curative monotherapy. In combination with a single sub-human-equivalent dose of the partner drug amodiaquine or piperaquine, the three-asexual-cycle artesunate duration was able to cure 75% and 100% of mice, respectively, whereas 0% and 33% cures were achieved with the single-asexual-cycle artesunate duration. In summary, cytocidal activity of the artemisinin compounds, such as artesunate, can be improved solely by altering the dosing duration.KEYWORDS antimalarial agents, artemisinin, pharmacodynamics I nfection with the malaria parasite resulted in approximately 438,000 deaths in 2015, with 99% of the cases attributable to the most lethal species, Plasmodium falciparum (1). As there is no available vaccine, antimalarial drugs remain the primary defense against this deadly disease. Current guidelines from the World Health Organization recommend the use of artemisinin-based combination therapy (ACT) for cases of uncomplicated malaria caused by P. falciparum (2). Naturally occurring artemisinin is not used clinically; rather, it has been replaced by its semisynthetic derivatives artesunate and artemether or by the metabolite of the semisynthetic derivatives, dihydroartemisinin (DHA) (3). Dihydroartemisinin is activated by iron and or heme to cause radical damage to surrounding proteins, resulting in reduction of the total parasite burden more rapidly than other antimalarials (4). However, both dihydroartemisinin and the parent drugs have a short plasma half-life of less than a few hours, necessitating a partner drug with a longer plasma half-life to clear residual parasites (5,6). Over the past decade, the adoption of ACT as a first-line treatment has been integral in a promising 30% decrease in malaria-associated mortality rates (1).