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Antimicrobial Agents and Chemotherapy, September 2007, p. 3063-3066, Vol. 51, No. 9
0066-4804/07/$08.00+0 doi:10.1128/AAC.01391-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.

Panacos Pharmaceuticals, Inc., Gaithersburg, Maryland,1 Buffalo Clinical Research Center, Buffalo, New York,2 Emprexe Analytical LLC, Buffalo, New York,3 Quintiles Inc., Kansas City, Missouri,4 University of North Carolina, Chapel Hill, North Carolina5
Received 7 November 2006/ Returned for modification 7 March 2007/ Accepted 9 June 2007
Bevirimat (BVM; formerly known as PA-457) is a novel inhibitor of human immunodeficiency virus (HIV) maturation that is being developed for the treatment of HIV infection. The pharmacokinetics of this agent in healthy male volunteers were studied in a randomized, double-blind study in which the participants received single oral doses of placebo (n = 8) or escalating doses of BVM at 25, 50, 100, or 250 mg (n = 6 per dose); escalation was performed only after the pharmacokinetics and safety of the preceding dose had been evaluated. Plasma was collected over 480 h after dosing and urine was collected over 48 h after dosing for determination of the values of pharmacokinetic parameters. BVM was well absorbed after oral administration, with peak plasma concentrations being achieved 1 to 3 h after dosing. The half-life was 60 to 80 h. The exposure assessed by determination of the peak concentration and the area under the concentration-time curve was dose proportional. Single oral doses of BVM were well tolerated: there were no dose-limiting toxicities, and no serious adverse events were reported. These findings suggest that that BVM offers a favorable pharmacokinetic profile, with predictable pharmacokinetics following the oral administration of single doses. The long half-life of BVM may facilitate once-daily dosing.
Published ahead of print on 18 June 2007.
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