Publications by authors named "Joao Paulo Ximenez"

Article Synopsis
  • The study aimed to explore how genetic variations affect efavirenz (EFV) levels and metabolism in HIV-infected Brazilians on specific antiretroviral treatments.
  • Researchers collected blood samples from 82 HIV-positive adults on stable EFV regimens and analyzed both drug concentrations and genetic polymorphisms.
  • Findings revealed significant individual differences in EFV levels, with about 70% of participants within the therapeutic range, while genetic variations explained a notable portion of the differences in drug metabolism.
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Background: Considering the disruptions imposed by lockdowns and social distancing recommendations, coupled with overwhelmed healthcare systems, researchers worldwide have been exploring drug repositioning strategies for treating severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

Objective: To compile results from randomized clinical trials on the effect of dexamethasone, compared with standard treatment for management of SARS-CoV-2.

Design And Setting: We conducted a systematic review and meta-analysis in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines in a Brazilian public university.

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Plasma concentration data points (n = 2,640) from 16 healthy adults were used to develop and validate limited sampling strategies (LSS) for estimation of phenotypic metrics for CYP enzymes and the ABCB1 transporter, using a cocktail of subtherapeutic doses of the selective probes caffeine (CYP1A2), metoprolol (CYP2D6), midazolam (CYP3A), losartan (CYP2C9), omeprazole (CYP2C19), and fexofenadine (ABCB1). All-subsets linear regression modelling was applied to estimate the AUC for caffeine, fexofenadine, and midazolam, and the AUC ratio of metoprolol: α-OH metoprolol and omeprazole:5-OH omeprazole. LSS-derived metrics were compared with the parameters' 'best estimates' obtained by non-compartmental analysis using all plasma concentration data points.

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