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One-Month Transplacental Pharmacokinetics of Raltegravir in a Premature Newborn after Short-Course Treatment of the HIV-1-Infected Mother
Author(s) -
C. Clavel-Osorio,
François Cazassus,
Stephani Stegmann,
Patricia Huc-Anaïs,
D. Lecam,
G. Peytavin
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.01349-13
Subject(s) - raltegravir , transplacental , lopinavir , pharmacokinetics , medicine , context (archaeology) , human immunodeficiency virus (hiv) , pediatrics , pharmacology , virology , pregnancy , fetus , viral load , placenta , antiretroviral therapy , biology , paleontology , genetics
We describe the pharmacokinetics of raltegravir of a preterm newborn after short-course treatment of the mother tested HIV + the day of delivery. At age 1 month, the circulating concentration of raltegravir in the newborn was 29 ng/ml (the IC95 of RAL against HIV-1 is 15 ng/ml). Raltegravir should therefore be considered a potential transplacental postexposure prophylaxis for HIV-1 and an alternative to the use of boosted lopinavir in this context.

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