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Pharmacokinetics of a Multipurpose Pod-Intravaginal Ring Simultaneously Delivering Five Drugs in an Ovine Model
Author(s) -
John A. Moss,
Amanda Malone,
Thomas J. Smith,
Sean Kennedy,
Cali Nguyen,
Kathleen L. Vincent,
Massoud Motamedi,
Marc M. Baum
Publication year - 2013
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.00547-13
Subject(s) - nevirapine , pharmacokinetics , pharmacology , medicine , progestin , tenofovir , vaginal ring , estrogen , human immunodeficiency virus (hiv) , family planning , virology , antiretroviral therapy , population , viral load , research methodology , environmental health
Multipurpose technologies that simultaneously protect from sexually transmitted infections and unintended pregnancy are urgently needed. Pod-intravaginal rings (IVRs) formulated with the antiretroviral agents (ARVs) tenofovir, nevirapine, and saquinavir and the contraceptives etonogestrel and estradiol were evaluated in sheep. Steady-state concentrations were maintained for 28 days with controlled, sustained delivery. This proof-of-principle study demonstrates that pod IVRs can deliver three ARVs from different mechanistic classes and a progestin-estrogen combination over the wide range needed for putative preventative efficacy.

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