Darunavir is predominantly unbound to protein in cerebrospinal fluid and concentrations exceed the wild-type HIV-1 median 90% inhibitory concentration
Author(s) -
David Croteau,
Steven S. Rossi,
Brookie M. Best,
Edmund V. Capparelli,
Ronald J. Ellis,
David B. Clifford,
Ann C. Collier,
Benjamin B. Gelman,
Christina M. Marra,
Justin C. McArthur,
J. Allen McCutchan,
Susan Morgello,
David M. Simpson,
Igor Grant,
Scott Letendre
Publication year - 2012
Publication title -
journal of antimicrobial chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.124
H-Index - 194
eISSN - 1460-2091
pISSN - 0305-7453
DOI - 10.1093/jac/dks441
Subject(s) - darunavir , chemistry , pharmacology , pharmacokinetics , chromatography , medicine , human immunodeficiency virus (hiv) , virology , viral load , antiretroviral therapy
Higher CSF antiretroviral concentrations may be associated with better control of HIV replication and neurocognitive performance, but only the unbound fraction of antiretrovirals is available to inhibit HIV. Therefore, the objective of this study was to determine total and unbound darunavir concentrations in CSF and compare findings with plasma concentrations as well as the wild-type HIV-1 90% inhibitory concentration (IC(90)).
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