Maraviroc: pharmacokinetics and drug interactions.

作者: Samantha Abel , David J Back , Manoli Vourvahis

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摘要: Maraviroc is a potent selective CCR5 antagonist and the first of this new class oral agents to be approved for treatment CCR5-tropic HIV type-1. extensively metabolized by CYP3A4, with renal clearance accounting approximately 23% total clearance. The half-life maraviroc 16 h. does not inhibit any major CYP450 enzymes at clinically relevant doses it has shown effects on plasma concentrations other agents; hence, no dose adjustments coadministered are required. exposure altered that modulate activity CYP3A4 and, in some circumstances, adjustment necessary. This article aims review all pharmacokinetic drug interaction data available maraviroc, provide comprehensive summary recommendations when from classes antiretroviral therapy as well commonly agents.

参考文章(32)
J Y Chatton, F Roch-Ramel, J P Chave, J Biollaz, M P Glauser, A Munafo, F Steinhäuslin, Trimethoprim, alone or in combination with sulphamethoxazole, decreases the renal excretion of zidovudine and its glucuronide. British Journal of Clinical Pharmacology. ,vol. 34, pp. 551- 554 ,(1992)
M Ingelman-Sundberg, F Sjöqvist, L Bertilsson, I Johansson, M L Dahl, Ultrarapid hydroxylation of debrisoquine in a Swedish population. Analysis of the molecular genetic basis. Journal of Pharmacology and Experimental Therapeutics. ,vol. 274, pp. 516- 520 ,(1995)
Roy M Gulick, Jacob Lalezari, James Goodrich, Nathan Clumeck, Edwin DeJesus, Andrzej Horban, Jeffrey Nadler, Bonaventura Clotet, Anders Karlsson, Michael Wohlfeiler, John B Montana, Mary McHale, John Sullivan, Caroline Ridgway, Steve Felstead, Michael W Dunne, Elna Van Der Ryst, Howard Mayer, None, Maraviroc for Previously Treated Patients with R5 HIV-1 Infection The New England Journal of Medicine. ,vol. 359, pp. 1429- 1441 ,(2008) , 10.1056/NEJMOA0803152
Phylinda L. S. Chan, Barry Weatherley, Lynn McFadyen, A population pharmacokinetic meta-analysis of maraviroc in healthy volunteers and asymptomatic HIV-infected subjects. British Journal of Clinical Pharmacology. ,vol. 65, pp. 76- 85 ,(2008) , 10.1111/J.1365-2125.2008.03139.X
Patrick F. Smith, Robert DiCenzo, Gene D. Morse, Clinical pharmacokinetics of non-nucleoside reverse transcriptase inhibitors. Clinical Pharmacokinectics. ,vol. 40, pp. 893- 905 ,(2001) , 10.2165/00003088-200140120-00002
Patrick Dorr, Mike Westby, Susan Dobbs, Paul Griffin, Becky Irvine, Malcolm Macartney, Julie Mori, Graham Rickett, Caroline Smith-Burchnell, Carolyn Napier, Rob Webster, Duncan Armour, David Price, Blanda Stammen, Anthony Wood, Manos Perros, Maraviroc (UK-427,857), a Potent, Orally Bioavailable, and Selective Small-Molecule Inhibitor of Chemokine Receptor CCR5 with Broad-Spectrum Anti-Human Immunodeficiency Virus Type 1 Activity Antimicrobial Agents and Chemotherapy. ,vol. 49, pp. 4721- 4732 ,(2005) , 10.1128/AAC.49.11.4721-4732.2005
Samantha Abel, Deborah Russell, Lyndsey A. Whitlock, Caroline E. Ridgway, Gary J. Muirhead, The effects of cotrimoxazole or tenofovir co‐administration on the pharmacokinetics of maraviroc in healthy volunteers British Journal of Clinical Pharmacology. ,vol. 65, pp. 47- 53 ,(2008) , 10.1111/J.1365-2125.2008.03135.X
Samantha Abel, Elna van der Ryst, Maria C. Rosario, Caroline E. Ridgway, Christine G. Medhurst, Richard J. Taylor-Worth, Gary J. Muirhead, Assessment of the pharmacokinetics, safety and tolerability of maraviroc, a novel CCR5 antagonist, in healthy volunteers British Journal of Clinical Pharmacology. ,vol. 65, pp. 5- 18 ,(2008) , 10.1111/J.1365-2125.2008.03130.X
Stephane Mouly, Nathalie Rizzo-Padoin, Guy Simoneau, Celine Verstuyft, Guy Aymard, Cecile Salvat, Isabelle Mahe, Jean-Francois Bergmann, Effect of widely used combinations of antiretroviral therapy on liver CYP3A4 activity in HIV‐infected patients British Journal of Clinical Pharmacology. ,vol. 62, pp. 200- 209 ,(2006) , 10.1111/J.1365-2125.2006.02637.X