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Antiviral Agents

Pharmacokinetics of Stavudine and Didanosine Coadministered with Nelfinavir in Human Immunodeficiency Virus-Exposed Neonates

Chokechai Rongkavilit, Pimolrat Thaithumyanon, Theshinee Chuenyam, Bharat D. Damle, Sompop Limpongsanurak, Chantana Boonrod, Aeumporn Srigritsanapol, Elly A. M. Hassink, Richard M. W. Hoetelmans, David A. Cooper, Joep M. A. Lange, Kiat Ruxrungtham, Praphan Phanuphak
Chokechai Rongkavilit
HIV Netherlands-Australia-Thailand Research Collaboration, Thai Red Cross AIDS Research Centre,
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Pimolrat Thaithumyanon
Department of Pediatrics and
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Theshinee Chuenyam
HIV Netherlands-Australia-Thailand Research Collaboration, Thai Red Cross AIDS Research Centre,
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Bharat D. Damle
Bristol-Myers Squibb, Princeton, New Jersey;
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Sompop Limpongsanurak
Department of Obstetrics & Gynecology, Faculty of Medicine, Chulalongkorn University,
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Chantana Boonrod
Division of Pharmacy, King Chulalongkorn Memorial Hospital, and
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Aeumporn Srigritsanapol
Roche Thailand, Bangkok, Thailand;
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Elly A. M. Hassink
HIV Netherlands-Australia-Thailand Research Collaboration, Thai Red Cross AIDS Research Centre,
International Antiviral Therapy Evaluation Center, University of Amsterdam, and
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Richard M. W. Hoetelmans
Department of Pharmacy and Pharmacology, Slotervaart Hospital, Amsterdam, The Netherlands; and
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David A. Cooper
HIV Netherlands-Australia-Thailand Research Collaboration, Thai Red Cross AIDS Research Centre,
National Centre in HIV Epidemiology and Clinical Research, University of New South Wales, Sydney, Australia
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Joep M. A. Lange
HIV Netherlands-Australia-Thailand Research Collaboration, Thai Red Cross AIDS Research Centre,
Department of Pharmacy and Pharmacology, Slotervaart Hospital, Amsterdam, The Netherlands; and
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Kiat Ruxrungtham
HIV Netherlands-Australia-Thailand Research Collaboration, Thai Red Cross AIDS Research Centre,
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Praphan Phanuphak
HIV Netherlands-Australia-Thailand Research Collaboration, Thai Red Cross AIDS Research Centre,
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DOI: 10.1128/AAC.45.12.3585-3590.2001
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    Fig. 1.

    Logarithmic plots of the median plasma concentration-time profiles of d4T and ddI in infants at 14 and 28 days of age. Each datum point represents the plasma drug concentration at a specific time point for each infant.

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  • Table 1.

    Baseline characteristics of mothers and infants

    CharacteristicValue(s)
    Maternal age (yr)25.6 ± 4.7a
    Maternal CDCbclassification for HIV (no. of subjects)
     A7
     B1
    Duration of prenatal ZDV use, days75.5 (49.0–157.0)c
    No. of ZDV doses during labor2 (0–7)c
    Duration of membrane rupture before birth (min)18 (0–412)c
    Mode of delivery (no. of subjects)
     Vaginal delivery6
     Cesarean delivery2
    Obstetric complication, fetal distress (no. of subjects)1
    Infant's gender (no. of infants)
     Male4
     Female4
    Infant's birth wt (kg)3.3 ± 0.3a
    Infant's gestational age (wk)38.9 ± 2.0a
    • ↵a Values are means ± standard deviations.

    • ↵b CDC, Centers for Disease Control and Prevention.

    • ↵c Values are medians (ranges).

  • Table 2.

    Pharmacokinetic parameters of d4T and ddI in newborn infantsa

    Drug and age (days)Cmax(ng/ml)Tmax (h)AUC0–12(ng · h/ml)AUC0–∞ (ng · h/ml)Half-life (h)
    d4T
     14463 (335–582, 17.5)2.5 (1.0–2.5, 40.1)1,866 (1,286–2,420, 22.6)1,930 (1,369–2,461, 21.9)1.8 (1.2–2.0, 17.6)
     28507 (337–589, 20.6)2.5 (1.0–2.5, 32.7)1,603 (1,107–1,986, 24.5)1,890 (1,126–2,010, 23.2)b1.4 (1.2–1.8, 13.5)b
    ddI
     14627 (168–786, 38.9)1.3 (0.5–2.0, 64.1)1,573 (451–2,327, 39.3)d1,595 (464–2,332, 43.8)c1.2 (0.9–1.4, 14.8)c
     28687 (208–982, 46.3)1.0 (0.5–2.0, 63.4)1,562 (776–2,270, 41.1)d1,856 (782–2,327, 43.6)b1.1 (0.5–1.5, 30.8)b
    • ↵a The values are medians (ranges, coefficients of variation, with coefficients of variation presented as percentages).

    • ↵b The value was undetermined in an infant due to insufficient datum points in the terminal elimination phase.

    • ↵c The values were undetermined in two infants due to insufficient datum points in the terminal elimination phase.

    • ↵d For ddI, values are AUC0–10.

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Pharmacokinetics of Stavudine and Didanosine Coadministered with Nelfinavir in Human Immunodeficiency Virus-Exposed Neonates
Chokechai Rongkavilit, Pimolrat Thaithumyanon, Theshinee Chuenyam, Bharat D. Damle, Sompop Limpongsanurak, Chantana Boonrod, Aeumporn Srigritsanapol, Elly A. M. Hassink, Richard M. W. Hoetelmans, David A. Cooper, Joep M. A. Lange, Kiat Ruxrungtham, Praphan Phanuphak
Antimicrobial Agents and Chemotherapy Dec 2001, 45 (12) 3585-3590; DOI: 10.1128/AAC.45.12.3585-3590.2001

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Pharmacokinetics of Stavudine and Didanosine Coadministered with Nelfinavir in Human Immunodeficiency Virus-Exposed Neonates
Chokechai Rongkavilit, Pimolrat Thaithumyanon, Theshinee Chuenyam, Bharat D. Damle, Sompop Limpongsanurak, Chantana Boonrod, Aeumporn Srigritsanapol, Elly A. M. Hassink, Richard M. W. Hoetelmans, David A. Cooper, Joep M. A. Lange, Kiat Ruxrungtham, Praphan Phanuphak
Antimicrobial Agents and Chemotherapy Dec 2001, 45 (12) 3585-3590; DOI: 10.1128/AAC.45.12.3585-3590.2001
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KEYWORDS

Anti-HIV Agents
Didanosine
HIV infections
Nelfinavir
stavudine

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