Lopinavir/ritonavir combined with twice-daily 400 mg indinavir: pharmacokinetics and pharmacodynamics in blood, CSF and semen

A Isaac, S Taylor, Patricia Cane, E Smit, SE Gihbons, DJ White, SM Drake, S Khoo, DJ Back

    Research output: Contribution to journalArticle

    28 Citations (Scopus)

    Abstract

    Objectives: To evaluate the steady-state blood plasma (BP), CSF and seminal plasma (SP) pharmacokinetics (PK) of twice-daily indinavir 400 mg and lopinavir/ritonavir. Methods: Ten HIV-1-positive men on lopinavir/ritonavir participated in a PK study. PK sampling was performed before and 2 weeks after adding indinavir to lopinavir/ritonavir-containing regimens. BP, CSF and SP RNA levels, CD4 counts and blood chemistry were checked at baseline and 2 weeks after indinavir. Results: At baseline: lopinavir parameters (n=10) in BP were within expected levels. Median lopinavir trough concentrations (n=5) in CSF and SP were below the limit of detection (BLD) (i.e. 80 ng/mL in seven of eight plasma samples, and all CSF and semen samples collected.
    Original languageEnglish
    Pages (from-to)498-502
    Number of pages5
    JournalJournal of Antimicrobial Chemotherapy
    Volume54
    Issue number2
    DOIs
    Publication statusPublished - 1 Aug 2004

    Keywords

    • drug interactions
    • double boosted
    • protease inhibitors
    • HIV
    • sanctuary sites

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