Real-Life Therapeutic Concentration Monitoring of Long-Acting Cabotegravir and Rilpivirine: Preliminary Results of an Ongoing Prospective Observational Study in Switzerland.

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State: Public
Version: Final published version
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Serval ID
serval:BIB_EA4A25E4F31E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Real-Life Therapeutic Concentration Monitoring of Long-Acting Cabotegravir and Rilpivirine: Preliminary Results of an Ongoing Prospective Observational Study in Switzerland.
Journal
Pharmaceutics
Author(s)
Thoueille P., Alves Saldanha S., Schaller F., Munting A., Cavassini M., Braun D., Günthard H.F., Kusejko K., Surial B., Furrer H., Rauch A., Ustero P., Calmy A., Stoeckle M., Battegay M., Marzolini C., Andre P., Guidi M., Buclin T., Decosterd L.A., On Behalf Of The Swiss Hiv Cohort Study -
ISSN
1999-4923 (Print)
ISSN-L
1999-4923
Publication state
Published
Issued date
29/07/2022
Peer-reviewed
Oui
Volume
14
Number
8
Pages
1588
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
SHCS#879 is an ongoing Switzerland-wide multicenter observational study conducted within the Swiss HIV Cohort Study (SHCS) for the prospective follow-up of people living with HIV (PLWH) receiving long-acting injectable cabotegravir-rilpivirine (LAI-CAB/RPV). All adults under LAI-CAB/RPV and part of SHCS are enrolled in the project. The study addresses an integrated strategy of treatment monitoring outside the stringent frame of controlled clinical trials, based on relevant patient characteristics, clinical factors, potential drug-drug interactions, and measurement of circulating blood concentrations. So far, 91 blood samples from 46 PLWH have been collected. Most individuals are less than 50 years old, with relatively few comorbidities and comedications. The observed concentrations are globally in accordance with the available values reported in the randomized clinical trials. Yet, low RPV concentrations not exceeding twice the reported protein-adjusted 90% inhibitory concentration have been observed. Data available at present confirm a considerable between-patient variability overall. Based on the growing amount of PK data accumulated during this ongoing study, population pharmacokinetic analysis will characterize individual concentration-time profiles of LAI-CAB/RPV along with their variability in a real-life setting and their association with treatment response and tolerability, thus bringing key data for therapeutic monitoring and precision dosage adjustment of this novel long-acting therapy.
Keywords
Pharmaceutical Science, cabotegravir, long-acting antiretroviral therapy, pharmacokinetic simulation, pharmacokinetics, population pharmacokinetic modeling, rilpivirine, therapeutic drug monitoring
Pubmed
Web of science
Open Access
Yes
Funding(s)
Swiss National Science Foundation / 324730_192449
Create date
15/08/2022 13:55
Last modification date
25/08/2023 19:25
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