Lack of association between plasma levels of non-nucleoside reverse transcriptase inhibitors & virological outcomes during rifampicin co-administration in HIV-infected TB patients.

作者: Geetha Ramachandran , AK Hemanth Kumar , C Ponnuraja , K Ramesh , Lakshmi Rajesh

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摘要: Background & objectives: Among patients with HIV-associated tuberculosis (TB), reduced plasma non-nucleoside reverse transcriptase inhibitors (NNRTI) concentrations during rifampicin (RMP) co-administration could lead to HIV treatment failure. This study was undertaken examine the association between nevirapine (NVP) and efavirenz (EFV) virological outcomes in infected HIV-1 TB. Methods: a nested clinical trial of TB, randomized two different once-daily antiretroviral (ART) regimens along anti-TB (ATT). Trough NVP EFV were estimated at months 1 (during ATT ART) 6 (ART only) by HPLC. Plasma RNA level >400 copies/ml or death within ART considered as unfavourable outcomes. Genotyping CYP2B6 516G>T polymorphism performed. Results: Twenty nine per cent arm had an outcome compared 9 (P T significantly associated virologic receiving EFV-based regimen. Interpretation conclusions: did not show any response on ART. among EFV.

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