Review of drug interactions with telaprevir and antiretrovirals.

Antivir Ther

Janssen Infectious Diseases BVBA, Beerse, Belgium.

Published: April 2014

AI Article Synopsis

  • HCV infection is a significant global health issue, contributing to high mortality rates, especially among individuals also infected with HIV.
  • Telaprevir, a protease inhibitor, is used to treat chronic HCV genotype 1 in adults, showing improved viral response rates when combined with other antiviral medications.
  • Research has been conducted on how telaprevir interacts with various antiretroviral drugs, highlighting potential drug-drug interactions in the treatment of HIV-HCV co-infected patients.

Article Abstract

HCV infection is a major cause of mortality worldwide. HCV-related deaths also represent a leading cause of mortality in HIV-coinfected individuals. Telaprevir is an NS3/4A protease inhibitor approved for the treatment of chronic HCV genotype 1 infection in adults in combination with pegylated interferon and ribavirin. Telaprevir-based treatment has been shown to increase rates of sustained viral response in HCV genotype-1-monoinfected patients, and studies in HCV-HIV-coinfected patients are ongoing. Drug-drug interactions of telaprevir with antiretroviral drugs were investigated in a series of studies in healthy subjects. This review summarizes the results of interaction studies with low-dose ritonavir, ritonavir-boosted HIV protease inhibitors (atazanavir, darunavir, fosamprenavir and lopinavir), efavirenz, etravirine, rilpivirine, tenofovir disoproxil fumarate and raltegravir.

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Source
http://dx.doi.org/10.3851/IMP2527DOI Listing

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