Pharmacokinetic evidence for the induction of lopinavir metabolism by efavirenz

被引:15
作者
Dailly, E
Allavena, C
Raffi, F
Jolliet, P
机构
[1] Hop Hotel Dieu, Lab Pharmacol Clin, Dept Clin Pharmacol, F-44093 Nantes, France
[2] Hop Hotel Dieu, Dept Infect Dis, F-44093 Nantes, France
关键词
efavirenz; interaction; lopinavir; pharmacokinetics;
D O I
10.1111/j.1365-2125.2005.02369.x
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Aims The influence of efavirenz on lopinavir pharmacokinetics was investigated using a population approach. Methods Forty-five HIV patients treated with lopinavir/ritonavir plus efavirenz (A) and 24 patients treated with lopinavir/ritonavir plus nucleoside/nucleotide reverse transcriptase inhibitors (B) were studied. Results A relationship (P < 0.01) was established between the elimination rate constant of lopinavir (k(10)) and treatment with efavirenz. Mean k(10) was higher in group A than in group B (0.3838 vs 0.2810 h(-1)) (P < 0.001, 95% confidence interval for difference between means 0.1004, 0.1052). Conclusions These results suggest that lopinavir metabolism is induced by efavirenz.
引用
收藏
页码:32 / 34
页数:3
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