Artemether-Lumefantrine Exposure in HIV-Infected Nigerian Subjects on Nevirapine-Containing Antiretroviral Therapy

Antimicrob Agents Chemother. 2015 Dec;59(12):7852-6. doi: 10.1128/AAC.01153-15. Epub 2015 Sep 21.

Abstract

Coadministration of nevirapine-based antiretroviral therapy (ART) and artemether-lumefantrine is reported to result in variable changes in lumefantrine exposure. We conducted an intensive pharmacokinetic study with 11 HIV-infected adults who were receiving artemether-lumefantrine plus nevirapine-based ART, and we compared the results with those for 16 HIV-negative adult historical controls. Exposure to artemether and lumefantrine was significantly lower and dihydroartemisinin exposure was unchanged in subjects receiving nevirapine-based ART, compared with controls. Nevirapine exposure was unchanged before and after artemether-lumefantrine administration.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anti-HIV Agents / therapeutic use*
  • Antimalarials / blood
  • Antimalarials / pharmacokinetics*
  • Antimalarials / pharmacology
  • Artemether
  • Artemisinins / blood
  • Artemisinins / pharmacokinetics*
  • Artemisinins / pharmacology
  • Case-Control Studies
  • Coinfection
  • Drug Combinations
  • Drug Interactions
  • Ethanolamines / blood
  • Ethanolamines / pharmacokinetics*
  • Ethanolamines / pharmacology
  • Female
  • Fluorenes / blood
  • Fluorenes / pharmacokinetics*
  • Fluorenes / pharmacology
  • HIV Infections / drug therapy*
  • HIV Infections / virology
  • HIV-1 / drug effects
  • HIV-1 / physiology
  • Humans
  • Lumefantrine
  • Malaria, Falciparum / drug therapy
  • Malaria, Falciparum / parasitology
  • Male
  • Nevirapine / therapeutic use*
  • Nigeria
  • Plasmodium falciparum / drug effects
  • Plasmodium falciparum / physiology

Substances

  • Anti-HIV Agents
  • Antimalarials
  • Artemisinins
  • Drug Combinations
  • Ethanolamines
  • Fluorenes
  • artenimol
  • Nevirapine
  • Artemether
  • Lumefantrine