Doravirine Exposure and HIV-1 Suppression after Switching from an Efavirenz-Based Regimen to Doravirine-Lamivudine-Tenofovir Disoproxil Fumarate

被引:3
|
作者
Greaves, Wayne [1 ]
Wan, Hong [2 ]
Yee, Ka Lai [3 ]
Kandala, Bhargava [3 ]
Vaddady, Pavan [3 ]
Hwang, Carey [1 ]
机构
[1] Merck & Co Inc, Global Clin Dev Infect Dis, Kenilworth, NJ 07033 USA
[2] Merck & Co Inc, Biostat & Res Decis Sci, Kenilworth, NJ USA
[3] Merck & Co Inc, Pharmacokinet Pharmacodynam & Drug Metab, Kenilworth, NJ USA
关键词
HIV-1; doravirine; efavirenz; efficacy; pharmacokinetics;
D O I
10.1128/AAC.01298-19
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Doravirine is a nonnucleoside reverse transcriptase inhibitor that has been approved for the treatment of HIV-1. In a phase 1 trial, doravirine exposure was transiently decreased when treatment was started immediately after the cessation of efavirenz treatment. In a post hoc subgroup analysis of participants who switched from an efavirenz-based regimen to doravirine-lamivudine-tenofovir disoproxil fumarate in the phase 3 DRIVE-SHIFT trial, doravirine plasma levels at week 4 were similar to noninduced levels, and HIV-1 suppression was maintained at weeks 24 and 48.
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页数:5
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