Postmarketing In Vitro/In Vivo Assessment of Fixed Dose Combination Products of First Line Antiretrovirals

2010 ◽  
Vol 99 (6) ◽  
pp. 2655-2663 ◽  
Author(s):  
A. Joshi ◽  
F. Esseku ◽  
L. Silva ◽  
C. Igwilo ◽  
D. Oqua ◽  
...  
2017 ◽  
Vol 262 ◽  
pp. 296-304 ◽  
Author(s):  
Fabio Sonvico ◽  
Chiara Conti ◽  
Gaia Colombo ◽  
Francesca Buttini ◽  
Paolo Colombo ◽  
...  

Pharmaceutics ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 1110
Author(s):  
Kunal Jhunjhunwala ◽  
Charles W. Dobard ◽  
Sunita Sharma ◽  
Natalia Makarova ◽  
Angela Holder ◽  
...  

Receptive anal intercourse (RAI) contributes significantly to HIV acquisition underscoring the need to develop HIV prevention options for populations engaging in RAI practices. We explored the feasibility of formulating rectal suppositories with potent antiviral drugs for on-demand use. A fixed-dose combination of tenofovir (TFV) and elvitegravir (EVG) (40 mg each) was co-formulated in six different suppository bases (three fat- and three water-soluble). Fat-soluble witepsol H15 and water-soluble polyethylene glycol (PEG) based suppositories demonstrated favorable in vitro release and were advanced to assess in vivo pharmacokinetics following rectal administration in macaques. In vivo drug release profiles were similar for both suppository bases. Median concentrations of TFV and EVG detected in rectal fluids at 2 h were 1- and 2-logs higher than the in vitro IC50, respectively; TFV-diphosphate levels in rectal tissues met or exceeded those associated with high efficacy against rectal simian HIV (SHIV) exposure in macaques. Leveraging on these findings, a PEG-based suppository with a lower dose combination of tenofovir alafenamide (TAF) and EVG (8 mg each) was developed and found to achieve similar rectal drug exposures in macaques. This study establishes the utility of rectal suppositories as a promising on-demand strategy for HIV PrEP and supports their clinical development.


2012 ◽  
Vol 28 (10) ◽  
pp. 1685-1697 ◽  
Author(s):  
Sverre E. Kjeldsen ◽  
Franz H. Messerli ◽  
Chern-En Chiang ◽  
Peter A. Meredith ◽  
Lisheng Liu

2009 ◽  
Vol 4 (1) ◽  
pp. 73-77 ◽  
Author(s):  
Sanjay Shrivastava ◽  
Sandeep Saurabh ◽  
Dharmendra Rai ◽  
Vivek Dwivedi ◽  
Manu Chaudhary

2015 ◽  
Vol 14 (11) ◽  
pp. 2061 ◽  
Author(s):  
Raúl Medina ◽  
Maximiliano Miranda ◽  
Marcela Hurtado ◽  
Adriana M Domínguez- Ramírez ◽  
Octavio Reyes ◽  
...  

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