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Acyclovir Achieves a Lower Concentration in African HIV-Seronegative, Herpes Simplex Virus 2-Seropositive Women than in Non-African Populations
Author(s) -
Yanhui Lu,
Connie Celum,
Anna Wald,
Jared M. Baeten,
Frances M. Cowan,
Sinéad DelanyMoretlwe,
Stewart E. Reid,
James P. Hughes,
Ellen Wilcox,
Lawrence Corey,
Craig W. Hendrix
Publication year - 2012
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.06160-11
Subject(s) - pharmacokinetics , herpes simplex virus , geometric mean , human immunodeficiency virus (hiv) , virus , virology , aciclovir , medicine , genital herpes , gastroenterology , viral disease , herpesviridae , mathematics , statistics
Acyclovir pharmacokinetics was evaluated in 68 HIV-seronegative, herpes simplex virus 2 (HSV-2)-seropositive African women, who received a single oral 400-mg dose of acyclovir, with plasma acyclovir concentrations measured over 8 h. Geometric mean peak concentration and area under the concentration-time curve were 0.31 μg/ml and 1.59 h · μg/ml, respectively, 54% and 52% lower than values from non-Africans. Lower acyclovir concentrations may partly explain the reduced acyclovir suppression of HSV-2 genital ulcer recurrence in HPTN 039 African women participants.

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