Indinavir, Efavirenz, and Abacavir Pharmacokinetics in Human Immunodeficiency Virus-Infected Subjects
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Published in | Antimicrobial Agents and Chemotherapy Vol. 47; no. 6; pp. 1929 - 1935 |
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Adult AIDS Clinical Trials Group (AACTG) Protocol 886 examined the dispositions of indinavir, efavirenz, and abacavir in human immunodeficiency virus-infected subjects who received indinavir at 1,000 mg every 8 h (q8h) and efavirenz at 600 mg q24h or indinavir at 1,200 mg and efavirenz at 300 mg q12h with or without abacavir 300 at mg q12h. Thirty-six subjects participated. The median minimum concentration in plasma (C(min)) for indinavir administered at 1,200 mg q12h was 88.1 nM (interquartile range [IR], 61.7 to 116.5 nM), whereas the median C(min) for indinavir administered at 1,000 mg q8h was 139.3 nM (IR, 68.8 to 308.7 nM) (P = 0.19). Compared to the minimum C(min) range for wild-type virus (80 to 120 ng/ml) estimated by the AACTG Adult Pharmacology Committee, the C(min) for indinavir administered at 1,200 mg q12h (54 ng/ml) is inadequate. The apparent oral clearance (CL/F) (P = 0.28), apparent volume of distribution at steady state (V(ss)/F) (P = 0.25), and half-life (t(1/2)) (P = 0.80) of indinavir did not differ between regimens. The levels of efavirenz exposure were similar between regimens. For efavirenz administered at 600 mg q24h and 300 mg q12h, the median maximum concentrations in plasma (C(max)s) were 8,968 nM (IR, 5,784 to 11,768 nM) and 8,317 nM (6,587 to 10,239 nM), respectively (P = 0.66), and the C(min)s were 4,289 nM (IR, 2,462 to 5,904 nM) and 4,757 nM (IR, 3,088 to 6,644 nM), respectively (P = 0.29). Efavirenz pharmacokinetic parameters such as CL/F (P = 0.62), V(ss)/F (P = 0.33), and t(1/2) (P = 0.37) were similar regardless of the dosing regimen. The median C(max), C(min), CL/F, V(ss)/F, and t(1/2) for abacavir were 6,852 nM (IR, 5,702 to 7,532), 21.0 nM (IR, 21.0 to 87.5), 43.7 liters/h (IR, 37.9 to 55.2), 153.9 liters (IR, 79.6 to 164.4), and 2.0 h (IR, 1.8 to 2.8), respectively. In summary, when indinavir was given with efavirenz, the trough concentration of indinavir after administration of 1,200 mg q12h was inadequate. Abacavir did not influence the pharmacokinetics or exposure parameters of either indinavir or efavirenz. The levels of efavirenz exposure were similar in subjects receiving efavirenz q12h or q24h. Adult AIDS Clinical Trials Group (AACTG) Protocol 886 examined the dispositions of indinavir, efavirenz, and abacavir in human immunodeficiency virus-infected subjects who received indinavir at 1,000 mg every 8 h (q8h) and efavirenz at 600 mg q24h or indinavir at 1,200 mg and efavirenz at 300 mg q12h with or without abacavir 300 at mg q12h. Thirty-six subjects participated. The median minimum concentration in plasma ( C min ) for indinavir administered at 1,200 mg q12h was 88.1 nM (interquartile range [IR], 61.7 to 116.5 nM), whereas the median C min for indinavir administered at 1,000 mg q8h was 139.3 nM (IR, 68.8 to 308.7 nM) ( P = 0.19). Compared to the minimum C min range for wild-type virus (80 to 120 ng/ml) estimated by the AACTG Adult Pharmacology Committee, the C min for indinavir administered at 1,200 mg q12h (54 ng/ml) is inadequate. The apparent oral clearance (CL/F) ( P = 0.28), apparent volume of distribution at steady state ( V ss /F) ( P = 0.25), and half-life ( t 1/2 ) ( P = 0.80) of indinavir did not differ between regimens. The levels of efavirenz exposure were similar between regimens. For efavirenz administered at 600 mg q24h and 300 mg q12h, the median maximum concentrations in plasma ( C max s) were 8,968 nM (IR, 5,784 to 11,768 nM) and 8,317 nM (6,587 to 10,239 nM), respectively ( P = 0.66), and the C min s were 4,289 nM (IR, 2,462 to 5,904 nM) and 4,757 nM (IR, 3,088 to 6,644 nM), respectively ( P = 0.29). Efavirenz pharmacokinetic parameters such as CL/F ( P = 0.62), V ss /F ( P = 0.33), and t 1/2 ( P = 0.37) were similar regardless of the dosing regimen. The median C max , C min , CL/F, V ss / F , and t 1/2 for abacavir were 6,852 nM (IR, 5,702 to 7,532), 21.0 nM (IR, 21.0 to 87.5), 43.7 liters/h (IR, 37.9 to 55.2), 153.9 liters (IR, 79.6 to 164.4), and 2.0 h (IR, 1.8 to 2.8), respectively. In summary, when indinavir was given with efavirenz, the trough concentration of indinavir after administration of 1,200 mg q12h was inadequate. Abacavir did not influence the pharmacokinetics or exposure parameters of either indinavir or efavirenz. The levels of efavirenz exposure were similar in subjects receiving efavirenz q12h or q24h. Adult AIDS Clinical Trials Group (AACTG) Protocol 886 examined the dispositions of indinavir, efavirenz, and abacavir in human immunodeficiency virus-infected subjects who received indinavir at 1,000 mg every 8 h (q8h) and efavirenz at 600 mg q24h or indinavir at 1,200 mg and efavirenz at 300 mg q12h with or without abacavir 300 at mg q12h. Thirty-six subjects participated. The median minimum concentration in plasma (Cmin) for indinavir administered at 1,200 mg q12h was 88.1 nM (interquartile range [IR], 61.7 to 116.5 nM), whereas the median Cmin for indinavir administered at 1,000 mg q8h was 139.3 nM (IR, 68.8 to 308.7 nM) (P = 0.19). Compared to the minimum Cmin range for wild-type virus (80 to 120 ng/ml) estimated by the AACTG Adult Pharmacology Committee, the Cmin for indinavir administered at 1,200 mg q12h (54 ng/ml) is inadequate. The apparent oral clearance (CL/F) (P = 0.28), apparent volume of distribution at steady state (Vss/F) (P = 0.25), and half-life (t1/2) (P = 0.80) of indinavir did not differ between regimens. The levels of efavirenz exposure were similar between regimens. For efavirenz administered at 600 mg q24h and 300 mg q12h, the median maximum concentrations in plasma (Cmaxs) were 8,968 nM (IR, 5,784 to 11,768 nM) and 8,317 nM (6,587 to 10,239 nM), respectively (P = 0.66), and the Cmins were 4,289 nM (IR, 2,462 to 5,904 nM) and 4,757 nM (IR, 3,088 to 6,644 nM), respectively (P = 0.29). Efavirenz pharmacokinetic parameters such as CL/F (P = 0.62), Vss/F (P = 0.33), and t1/2 (P = 0.37) were similar regardless of the dosing regimen. The median Cmax, Cmin, CL/F, Vss/F, and t1/2 for abacavir were 6,852 nM (IR, 5,702 to 7,532), 21.0 nM (IR, 21.0 to 87.5), 43.7 liters/h (IR, 37.9 to 55.2), 153.9 liters (IR, 79.6 to 164.4), and 2.0 h (IR, 1.8 to 2.8), respectively. In summary, when indinavir was given with efavirenz, the trough concentration of indinavir after administration of 1,200 mg q12h was inadequate. Abacavir did not influence the pharmacokinetics or exposure parameters of either indinavir or efavirenz. The levels of efavirenz exposure were similar in subjects receiving efavirenz q12h or q24h. Adult AIDS Clinical Trials Group (AACTG) Protocol 886 examined the dispositions of indinavir, efavirenz, and abacavir in human immunodeficiency virus-infected subjects who received indinavir at 1,000 mg every 8 h (q8h) and efavirenz at 600 mg q24h or indinavir at 1,200 mg and efavirenz at 300 mg q12h with or without abacavir 300 at mg q12h. Thirty-six subjects participated. The median minimum concentration in plasma (C(min)) for indinavir administered at 1,200 mg q12h was 88.1 nM (interquartile range [IR], 61.7 to 116.5 nM), whereas the median C(min) for indinavir administered at 1,000 mg q8h was 139.3 nM (IR, 68.8 to 308.7 nM) (P = 0.19). Compared to the minimum C(min) range for wild-type virus (80 to 120 ng/ml) estimated by the AACTG Adult Pharmacology Committee, the C(min) for indinavir administered at 1,200 mg q12h (54 ng/ml) is inadequate. The apparent oral clearance (CL/F) (P = 0.28), apparent volume of distribution at steady state (V(ss)/F) (P = 0.25), and half-life (t(1/2)) (P = 0.80) of indinavir did not differ between regimens. The levels of efavirenz exposure were similar between regimens. For efavirenz administered at 600 mg q24h and 300 mg q12h, the median maximum concentrations in plasma (C(max)s) were 8,968 nM (IR, 5,784 to 11,768 nM) and 8,317 nM (6,587 to 10,239 nM), respectively (P = 0.66), and the C(min)s were 4,289 nM (IR, 2,462 to 5,904 nM) and 4,757 nM (IR, 3,088 to 6,644 nM), respectively (P = 0.29). Efavirenz pharmacokinetic parameters such as CL/F (P = 0.62), V(ss)/F (P = 0.33), and t(1/2) (P = 0.37) were similar regardless of the dosing regimen. The median C(max), C(min), CL/F, V(ss)/F, and t(1/2) for abacavir were 6,852 nM (IR, 5,702 to 7,532), 21.0 nM (IR, 21.0 to 87.5), 43.7 liters/h (IR, 37.9 to 55.2), 153.9 liters (IR, 79.6 to 164.4), and 2.0 h (IR, 1.8 to 2.8), respectively. In summary, when indinavir was given with efavirenz, the trough concentration of indinavir after administration of 1,200 mg q12h was inadequate. Abacavir did not influence the pharmacokinetics or exposure parameters of either indinavir or efavirenz. The levels of efavirenz exposure were similar in subjects receiving efavirenz q12h or q24h.Adult AIDS Clinical Trials Group (AACTG) Protocol 886 examined the dispositions of indinavir, efavirenz, and abacavir in human immunodeficiency virus-infected subjects who received indinavir at 1,000 mg every 8 h (q8h) and efavirenz at 600 mg q24h or indinavir at 1,200 mg and efavirenz at 300 mg q12h with or without abacavir 300 at mg q12h. Thirty-six subjects participated. The median minimum concentration in plasma (C(min)) for indinavir administered at 1,200 mg q12h was 88.1 nM (interquartile range [IR], 61.7 to 116.5 nM), whereas the median C(min) for indinavir administered at 1,000 mg q8h was 139.3 nM (IR, 68.8 to 308.7 nM) (P = 0.19). Compared to the minimum C(min) range for wild-type virus (80 to 120 ng/ml) estimated by the AACTG Adult Pharmacology Committee, the C(min) for indinavir administered at 1,200 mg q12h (54 ng/ml) is inadequate. The apparent oral clearance (CL/F) (P = 0.28), apparent volume of distribution at steady state (V(ss)/F) (P = 0.25), and half-life (t(1/2)) (P = 0.80) of indinavir did not differ between regimens. The levels of efavirenz exposure were similar between regimens. For efavirenz administered at 600 mg q24h and 300 mg q12h, the median maximum concentrations in plasma (C(max)s) were 8,968 nM (IR, 5,784 to 11,768 nM) and 8,317 nM (6,587 to 10,239 nM), respectively (P = 0.66), and the C(min)s were 4,289 nM (IR, 2,462 to 5,904 nM) and 4,757 nM (IR, 3,088 to 6,644 nM), respectively (P = 0.29). Efavirenz pharmacokinetic parameters such as CL/F (P = 0.62), V(ss)/F (P = 0.33), and t(1/2) (P = 0.37) were similar regardless of the dosing regimen. The median C(max), C(min), CL/F, V(ss)/F, and t(1/2) for abacavir were 6,852 nM (IR, 5,702 to 7,532), 21.0 nM (IR, 21.0 to 87.5), 43.7 liters/h (IR, 37.9 to 55.2), 153.9 liters (IR, 79.6 to 164.4), and 2.0 h (IR, 1.8 to 2.8), respectively. In summary, when indinavir was given with efavirenz, the trough concentration of indinavir after administration of 1,200 mg q12h was inadequate. Abacavir did not influence the pharmacokinetics or exposure parameters of either indinavir or efavirenz. The levels of efavirenz exposure were similar in subjects receiving efavirenz q12h or q24h. Adult AIDS Clinical Trials Group (AACTG) Protocol 886 examined the dispositions of indinavir, e. .a.i.human immunodeficiency virus-infected subjects who received indinavir at 1,000 mg every 8 h (q8h) and efavirenz at 600 mg q24h or indinavir at 1,200 mg and efavirenz at 300 mg q12h with or without abacavir 300 at mg q12h. Thirty-six subjects participated. The median minimum concentration in plasma (C sub(min)) for indinavir administered at 1,200 mg q12h was 88.1 nM (interquartile range (IR), 61.7 to 116.5 nM), whereas the median C sub(min) for indinavir administered at 1,000 mg q8h was 139.3 nM (IR, 68.8 to 308.7 nM) (P = 0.19). Compared to the minimum C sub(min) range for wild-type virus (80 to 120 ng/ml) estimated by the AACTG Adult Pharmacology Committee, the C sub(min) for indinavir administered at 1,200 mg q12h (54 ng/ml) is inadequate. The apparent oral clearance (CL/F) (P = 0.28), apparent volume of distribution at steady state (V sub(ss)/F) (P = 0.25), and half-life (t sub(1/2)) (P = 0.80) of indinavir did not differ between regimens. The levels of efavirenz exposure were similar between regimens. For efavirenz administered at 600 mg q24h and 300 mg q12h, the median maximum concentrations in plasma (C sub(max)s) were 8,968 nM (IR, 5,784 to 11,768 nM) and 8,317 nM (6,587 to 10,239 nM), respectively (P = 0.66), and the C sub(min)s were 4,289 nM (IR, 2,462 to 5,904 nM) and 4,757 nM (IR, 3,088 to 6,644 nM), respectively (P = 0.29). Efavirenz pharmacokinetic parameters such as CL/F (P = 0.62), V sub(ss)/F (P = 0.33), and t sub(1/2) (P = 0.37) were similar regardless of the dosing regimen. The median C sub(max), C sub(min), CL/F, V sub(ss)/F, and t sub(1/2) for abacavir were 6,852 nM (IR, 5,702 to 7,532), 21.0 nM (IR, 21.0 to 87.5), 43.7 liters/h (IR, 37.9 to 55.2), 153.9 liters (IR, 79.6 to 164.4), and 2.0 h (IR, 1.8 to 2.8), respectively. In summary, when indinavir was given with efavirenz, the trough concentration of indinavir after administration of 1,200 mg q12h was inadequate. Abacavir did not influence the pharmacokinetics or exposure parameters of either indinavir or efavirenz. The levels of efavirenz exposure were similar in subjects receiving efavirenz q12h or q24h. |
Author | Margaret A. Fischl Gene D. Morse Scott M. Hammer Alan Forrest The Adult AIDS Clinical Trials Group Protocol 368/886 Study Team Robert DiCenzo Kathleen E. Squires Hulin Wu Raymond Cha |
AuthorAffiliation | University at Buffalo, Buffalo, New York, 1 University of Southern California, Los Angeles, California, 2 Columbia University, New York, New York, 6 University of Miami, Miami, Florida, 4 Harvard University, Boston, Massachusetts, 3 National Institute of Allergy and Infectious Diseases, Bethesda, Maryland 5 |
AuthorAffiliation_xml | – name: University at Buffalo, Buffalo, New York, 1 University of Southern California, Los Angeles, California, 2 Columbia University, New York, New York, 6 University of Miami, Miami, Florida, 4 Harvard University, Boston, Massachusetts, 3 National Institute of Allergy and Infectious Diseases, Bethesda, Maryland 5 |
Author_xml | – sequence: 1 givenname: Robert surname: DiCenzo fullname: DiCenzo, Robert organization: University at Buffalo, Buffalo, New York – sequence: 2 givenname: Alan surname: Forrest fullname: Forrest, Alan organization: University at Buffalo, Buffalo, New York – sequence: 3 givenname: Kathleen E. surname: Squires fullname: Squires, Kathleen E. organization: University of Southern California, Los Angeles, California – sequence: 4 givenname: Scott M. surname: Hammer fullname: Hammer, Scott M. organization: Harvard University, Boston, Massachusetts – sequence: 5 givenname: Margaret A. surname: Fischl fullname: Fischl, Margaret A. organization: University of Miami, Miami, Florida – sequence: 6 givenname: Hulin surname: Wu fullname: Wu, Hulin organization: National Institute of Allergy and Infectious Diseases, Bethesda, Maryland – sequence: 7 givenname: Raymond surname: Cha fullname: Cha, Raymond organization: Columbia University, New York, New York – sequence: 8 givenname: Gene D. surname: Morse fullname: Morse, Gene D. organization: University at Buffalo, Buffalo, New York |
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Keywords | Human Immunopathology Drug combination Acetylenic compound Oral administration AIDS Immune deficiency Efavirenz Infection Multiple dose In vivo Viral disease Reverse transcriptase inhibitor Abacavir Antiviral Drug interaction Nucleosidic analog Pharmacokinetics Indinavir Protease inhibitor |
Language | English |
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Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 ObjectType-Undefined-3 Corresponding author. Mailing address: AACTG Pharmacology Support Laboratory, School of Pharmacy and Pharmaceutical Sciences, 317 Hochstetter Hall, University at Buffalo, Amherst, NY 14260. Phone: (716) 645-2828. Fax: (716) 645-2886. E-mail: emorse@acsu.buffalo.edu. |
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PublicationPlace | Washington, DC |
PublicationPlace_xml | – name: Washington, DC – name: United States |
PublicationTitle | Antimicrobial Agents and Chemotherapy |
PublicationTitleAbbrev | AAC |
PublicationTitleAlternate | Antimicrob Agents Chemother |
PublicationYear | 2003 |
Publisher | American Society for Microbiology |
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References | e_1_3_2_26_2 e_1_3_2_27_2 e_1_3_2_20_2 e_1_3_2_21_2 e_1_3_2_23_2 e_1_3_2_24_2 e_1_3_2_25_2 (e_1_3_2_8_2) 1999; 37 (e_1_3_2_5_2) 2000; 21 e_1_3_2_9_2 e_1_3_2_15_2 (e_1_3_2_10_2) 1998; 95 e_1_3_2_7_2 e_1_3_2_17_2 e_1_3_2_6_2 e_1_3_2_18_2 (e_1_3_2_12_2) 2000; 14 e_1_3_2_19_2 (e_1_3_2_16_2) 2001; 89 (e_1_3_2_3_2); 18 e_1_3_2_11_2 e_1_3_2_4_2 e_1_3_2_13_2 e_1_3_2_2_2 (e_1_3_2_22_2) 1999; 179 (e_1_3_2_14_2) 1998; 177 |
References_xml | – ident: e_1_3_2_27_2 doi: 10.1128/AAC.44.8.2052-2060.2000 – ident: e_1_3_2_15_2 doi: 10.1128/AAC.43.3.609 – ident: e_1_3_2_23_2 doi: 10.1128/AAC.45.1.30-37.2001 – volume: 179 start-page: 1116 year: 1999 ident: e_1_3_2_22_2 publication-title: J. Infect. Dis. doi: 10.1086/314703 – ident: e_1_3_2_19_2 doi: 10.1097/00002030-200101050-00011 – ident: e_1_3_2_2_2 doi: 10.1067/mcp.2002.121424 – ident: e_1_3_2_24_2 doi: 10.2165/00003088-200140120-00002 – volume: 177 start-page: 1514 year: 1998 ident: e_1_3_2_14_2 publication-title: J. Infect. Dis. doi: 10.1086/515317 – volume: 89 start-page: 62 year: 2001 ident: e_1_3_2_16_2 publication-title: Nephron doi: 10.1159/000046045 – ident: e_1_3_2_4_2 doi: 10.1086/313852 – ident: e_1_3_2_7_2 – ident: e_1_3_2_18_2 doi: 10.1128/AAC.43.3.603 – ident: e_1_3_2_9_2 doi: 10.1097/00002030-200007070-00005 – volume: 14 start-page: 1973 year: 2000 ident: e_1_3_2_12_2 publication-title: AIDS doi: 10.1097/00002030-200009080-00013 – volume: 37 start-page: 485 year: 1999 ident: e_1_3_2_8_2 publication-title: Clin. Pharmacokinet. doi: 10.2165/00003088-199937060-00004 – ident: e_1_3_2_25_2 doi: 10.1046/j.1365-2125.1999.00071.x – ident: e_1_3_2_17_2 doi: 10.1038/86882 – volume: 21 start-page: 424 year: 2000 ident: e_1_3_2_5_2 publication-title: Pharmacotherapy – ident: e_1_3_2_6_2 doi: 10.1016/0010-468X(79)90025-4 – ident: e_1_3_2_20_2 doi: 10.1128/AAC.43.12.2855 – ident: e_1_3_2_26_2 doi: 10.1128/AAC.43.7.1708 – ident: e_1_3_2_21_2 doi: 10.1128/AAC.44.8.2061-2067.2000 – ident: e_1_3_2_11_2 doi: 10.1097/00002030-200203080-00006 – ident: e_1_3_2_13_2 doi: 10.1086/318083 – volume: 18 start-page: 825 ident: e_1_3_2_3_2 publication-title: Hum. Retrovir. doi: 10.1089/08892220260190290 – volume: 95 start-page: 13176 year: 1998 ident: e_1_3_2_10_2 publication-title: Proc. Natl. Acad. Sci. USA doi: 10.1073/pnas.95.22.13176 |
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Reddit... Adult AIDS Clinical Trials Group (AACTG) Protocol 886 examined the dispositions of indinavir, efavirenz, and abacavir in human immunodeficiency virus-infected... Adult AIDS Clinical Trials Group (AACTG) Protocol 886 examined the dispositions of indinavir, e. .a.i.human immunodeficiency virus-infected subjects who... |
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StartPage | 1929 |
SubjectTerms | Administration, Oral Adult Anti-HIV Agents Anti-HIV Agents - administration & dosage Anti-HIV Agents - blood Anti-HIV Agents - pharmacokinetics Antibiotics. Antiinfectious agents. Antiparasitic agents Antiviral Agents Benzoxazines Biological and medical sciences Dideoxynucleosides Dideoxynucleosides - administration & dosage Dideoxynucleosides - blood Dideoxynucleosides - pharmacokinetics Drug Administration Schedule Drug Interactions Drug Therapy, Combination Female HIV Infections HIV Infections - drug therapy HIV Infections - metabolism HIV Infections - virology HIV-1 Humans Indinavir Indinavir - administration & dosage Indinavir - blood Indinavir - pharmacokinetics Male Medical sciences Oxazines Oxazines - administration & dosage Oxazines - blood Oxazines - pharmacokinetics Pharmacology. Drug treatments RNA, Viral - blood |
Title | Indinavir, Efavirenz, and Abacavir Pharmacokinetics in Human Immunodeficiency Virus-Infected Subjects |
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