A Systematic Review on the Effect of HIV Infection on the Pharmacokinetics of First-Line Tuberculosis Drugs.


Journal

Clinical pharmacokinetics
ISSN: 1179-1926
Titre abrégé: Clin Pharmacokinet
Pays: Switzerland
ID NLM: 7606849

Informations de publication

Date de publication:
06 2019
Historique:
pubmed: 9 11 2018
medline: 20 8 2020
entrez: 9 11 2018
Statut: ppublish

Résumé

Contrasting findings have been published regarding the effect of human immunodeficiency virus (HIV) on tuberculosis (TB) drug pharmacokinetics (PK). The aim of this systematic review was to investigate the effect of HIV infection on the PK of the first-line TB drugs (FLDs) rifampicin, isoniazid, pyrazinamide and ethambutol by assessing all published literature. Searches were performed in MEDLINE (through PubMed) and EMBASE to find original studies evaluating the effect of HIV infection on the PK of FLDs. The included studies were assessed for bias and clinical relevance. PK data were extracted to provide insight into the difference of FLD PK between HIV-positive and HIV-negative TB patients. This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement and its protocol was registered at PROSPERO (registration number CRD42017067250). Overall, 27 studies were eligible for inclusion. The available studies provide a heterogeneous dataset from which consistent results could not be obtained. In both HIV-positive and HIV-negative TB groups, rifampicin (13 of 15) and ethambutol (4 of 8) peak concentration (C HIV infection may be one of several factors that reduce FLD exposure. We could not make general recommendations with respect to the role of dosing. There is a need for consistent and homogeneous studies to be conducted.

Identifiants

pubmed: 30406475
doi: 10.1007/s40262-018-0716-8
pii: 10.1007/s40262-018-0716-8
pmc: PMC7019645
doi:

Substances chimiques

Antitubercular Agents 0
Drug Combinations 0

Types de publication

Journal Article Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

747-766

Subventions

Organisme : Medical Research Council
ID : MC_U117588499
Pays : United Kingdom

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Auteurs

Alper Daskapan (A)

Department of Clinical Pharmacy and Pharmacology, University of Groningen, University Medical Center Groningen, PO Box 30.001, 9700 RB, Groningen, The Netherlands.

Lusiana R Idrus (LR)

Unit of PharmacoTherapy, -Epidemiology and -Economics, Groningen Research Institute of Pharmacy, University of Groningen, Groningen, The Netherlands.

Maarten J Postma (MJ)

Unit of PharmacoTherapy, -Epidemiology and -Economics, Groningen Research Institute of Pharmacy, University of Groningen, Groningen, The Netherlands.
Department of Health Sciences, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

Bob Wilffert (B)

Department of Clinical Pharmacy and Pharmacology, University of Groningen, University Medical Center Groningen, PO Box 30.001, 9700 RB, Groningen, The Netherlands.
Unit of PharmacoTherapy, -Epidemiology and -Economics, Groningen Research Institute of Pharmacy, University of Groningen, Groningen, The Netherlands.

Jos G W Kosterink (JGW)

Department of Clinical Pharmacy and Pharmacology, University of Groningen, University Medical Center Groningen, PO Box 30.001, 9700 RB, Groningen, The Netherlands.
Unit of PharmacoTherapy, -Epidemiology and -Economics, Groningen Research Institute of Pharmacy, University of Groningen, Groningen, The Netherlands.

Ymkje Stienstra (Y)

Department of Internal Medicine-Infectious Diseases, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

Daniel J Touw (DJ)

Department of Clinical Pharmacy and Pharmacology, University of Groningen, University Medical Center Groningen, PO Box 30.001, 9700 RB, Groningen, The Netherlands.
Unit of Pharmacokinetics, Toxicology and Targeting, Groningen Research Institute of Pharmacy, University of Groningen, Groningen, The Netherlands.

Aase B Andersen (AB)

Department of Infectious Diseases, Rigshospitalet, Copenhagen, Denmark.

Adrie Bekker (A)

Department of Paediatrics and Child Health, University of Stellenbosch, Cape Town, South Africa.

Paolo Denti (P)

Division of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa.

Agibothu K Hemanth Kumar (AK)

National Institute for Research in Tuberculosis (ICMR), Chennai, India.

Kidola Jeremiah (K)

National Institute for Medical Research, Mwanza Medical Research Centre, Mwanza, Tanzania.

Awewura Kwara (A)

College of Medicine and Emerging Pathogens Institutes, University of Florida, Gainesville, FL, USA.

Helen McIlleron (H)

Division of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa.

Graeme Meintjes (G)

Institute of Infectious Diseases and Molecular Medicine, Wellcome Centre for Infectious Diseases Research in Africa, University of Cape Town, Cape Town, South Africa.

Joep J van Oosterhout (JJ)

Dignitas International, Zomba, Malawi.
Department of Medicine, College of Medicine, University of Malawi, Blantyre, Malawi.

Geetha Ramachandran (G)

National Institute for Research in Tuberculosis (ICMR), Chennai, India.

Neesha Rockwood (N)

Institute of Infectious Diseases and Molecular Medicine, Wellcome Centre for Infectious Diseases Research in Africa, University of Cape Town, Cape Town, South Africa.
Department of Medicine, Imperial College London, London, UK.

Robert J Wilkinson (RJ)

Institute of Infectious Diseases and Molecular Medicine, Wellcome Centre for Infectious Diseases Research in Africa, University of Cape Town, Cape Town, South Africa.
Department of Medicine, Imperial College London, London, UK.
The Francis Crick Institute, London, UK.

Tjip S van der Werf (TS)

Department of Internal Medicine-Infectious Diseases, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

Jan-Willem C Alffenaar (JC)

Department of Clinical Pharmacy and Pharmacology, University of Groningen, University Medical Center Groningen, PO Box 30.001, 9700 RB, Groningen, The Netherlands. j.w.c.alffenaar@umcg.nl.

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