Association of Sofosbuvir and Daclatasvir Plasma Trough Concentrations with Patient-, Treatment-, and Disease-Related Factors Among HIV/HCV-Coinfected Persons.


Journal

European journal of drug metabolism and pharmacokinetics
ISSN: 2107-0180
Titre abrégé: Eur J Drug Metab Pharmacokinet
Pays: France
ID NLM: 7608491

Informations de publication

Date de publication:
Jan 2022
Historique:
accepted: 19 09 2021
pubmed: 9 10 2021
medline: 29 3 2022
entrez: 8 10 2021
Statut: ppublish

Résumé

Sofosbuvir plus daclatasvir achieves high rates of sustained virologic response (SVR), with no differences according to HIV serostatus. However, only limited information is available on the pharmacokinetic variability of sofosbuvir and daclatasvir in HIV/HCV-coinfected patients. The aim of this study was to identify patient-, treatment-, and disease-related factors that are significantly associated with sofosbuvir and daclatasvir plasma trough concentrations (C In this observational cohort pilot study, HIV/HCV-coinfected patients undergoing sofosbuvir plus daclatasvir treatment were prospectively enrolled. Biochemical and viro-immunological parameters were assessed at baseline, week 4 (W4), end of treatment (EOT), and after EOT. The FIB-4 score and CKD-EPI equation were used to estimate liver disease and glomerular filtration rate (eGFR), respectively. For sofosbuvir, sofosbuvir metabolite (GS-331007), and daclatasvir, C Thirty-five patients were included (SVR 94%). An increased GS-331007 mean-C In HIV/HCV-coinfected patients in a real-world setting, exposure to a high GS-331007 C

Sections du résumé

BACKGROUND BACKGROUND
Sofosbuvir plus daclatasvir achieves high rates of sustained virologic response (SVR), with no differences according to HIV serostatus. However, only limited information is available on the pharmacokinetic variability of sofosbuvir and daclatasvir in HIV/HCV-coinfected patients.
OBJECTIVES OBJECTIVE
The aim of this study was to identify patient-, treatment-, and disease-related factors that are significantly associated with sofosbuvir and daclatasvir plasma trough concentrations (C
METHODS METHODS
In this observational cohort pilot study, HIV/HCV-coinfected patients undergoing sofosbuvir plus daclatasvir treatment were prospectively enrolled. Biochemical and viro-immunological parameters were assessed at baseline, week 4 (W4), end of treatment (EOT), and after EOT. The FIB-4 score and CKD-EPI equation were used to estimate liver disease and glomerular filtration rate (eGFR), respectively. For sofosbuvir, sofosbuvir metabolite (GS-331007), and daclatasvir, C
RESULTS RESULTS
Thirty-five patients were included (SVR 94%). An increased GS-331007 mean-C
CONCLUSIONS CONCLUSIONS
In HIV/HCV-coinfected patients in a real-world setting, exposure to a high GS-331007 C

Identifiants

pubmed: 34623616
doi: 10.1007/s13318-021-00725-w
pii: 10.1007/s13318-021-00725-w
doi:

Substances chimiques

Antiviral Agents 0
Carbamates 0
Imidazoles 0
Pyrrolidines 0
Valine HG18B9YRS7
daclatasvir LI2427F9CI
Sofosbuvir WJ6CA3ZU8B

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

135-142

Informations de copyright

© 2021. The Author(s), under exclusive licence to Springer Nature Switzerland AG.

Références

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Auteurs

Ilaria Mastrorosa (I)

National Institute for Infectious Diseases "L. Spallanzani" I.R.C.C.S., Via Portuense 292, 00149, Rome, Italy.

Massimo Tempestilli (M)

National Institute for Infectious Diseases "L. Spallanzani" I.R.C.C.S., Via Portuense 292, 00149, Rome, Italy. massimo.tempestilli@inmi.it.
Immunology and Pharmacology Laboratory, National Institute for Infectious Diseases "L. Spallanzani" I.R.C.C.S., Via Portuense 292, 00149, Rome, Italy. massimo.tempestilli@inmi.it.

Stefania Notari (S)

National Institute for Infectious Diseases "L. Spallanzani" I.R.C.C.S., Via Portuense 292, 00149, Rome, Italy.

Patrizia Lorenzini (P)

National Institute for Infectious Diseases "L. Spallanzani" I.R.C.C.S., Via Portuense 292, 00149, Rome, Italy.

Gabriele Fabbri (G)

National Institute for Infectious Diseases "L. Spallanzani" I.R.C.C.S., Via Portuense 292, 00149, Rome, Italy.

Elisabetta Grilli (E)

National Institute for Infectious Diseases "L. Spallanzani" I.R.C.C.S., Via Portuense 292, 00149, Rome, Italy.

Rita Bellagamba (R)

National Institute for Infectious Diseases "L. Spallanzani" I.R.C.C.S., Via Portuense 292, 00149, Rome, Italy.

Alessandra Vergori (A)

National Institute for Infectious Diseases "L. Spallanzani" I.R.C.C.S., Via Portuense 292, 00149, Rome, Italy.

Stefania Cicalini (S)

National Institute for Infectious Diseases "L. Spallanzani" I.R.C.C.S., Via Portuense 292, 00149, Rome, Italy.

Adriana Ammassari (A)

National Institute for Infectious Diseases "L. Spallanzani" I.R.C.C.S., Via Portuense 292, 00149, Rome, Italy.

Chiara Agrati (C)

National Institute for Infectious Diseases "L. Spallanzani" I.R.C.C.S., Via Portuense 292, 00149, Rome, Italy.

Andrea Antinori (A)

National Institute for Infectious Diseases "L. Spallanzani" I.R.C.C.S., Via Portuense 292, 00149, Rome, Italy.

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