Extended cell and plasma drug levels after one dose of a three-in-one nanosuspension containing lopinavir, efavirenz, and tenofovir in nonhuman primates

OBJECTIVE: To characterize a drug-combination nanoparticle (DcNP) containing water-insoluble lopinavir (LPV) and efavirenz (EFV), and water-soluble tenofovir (TFV), for its potential as a long-acting combination HIV treatment.

DESIGN: Three HIV drugs (LPV, EFV, TFV) with well established efficacy and safety were coformulated into a single DcNP suspension. Two macaques were administered one subcutaneous injection and drug concentrations in plasma and mononuclear cells (in peripheral blood and lymph nodes) were analyzed over 2 weeks. Pharmacokinetic parameters and cell-to-plasma relationships of LPV, EFV, and TFV were determined.

RESULTS: This three-in-one nanoformulation provided extended concentrations of all drugs in lymph node cells that were 57- to 228-fold higher than those in plasma. Levels of all three drugs in peripheral blood mononuclear cells persisted for 2 weeks at levels equal to or higher than those in plasma.

CONCLUSION: With long-acting characteristics and higher drug penetration/persistence in cells, this three-in-one DcNP may enhance therapeutic efficacy of these well studied HIV drugs due to colocalization and targeting of this three-drug combination to HIV host cells.

Errataetall:

CommentIn: AIDS. 2018 Nov 13;32(17):2625-2627. - PMID 30379688

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:32

Enthalten in:

AIDS (London, England) - 32(2018), 17 vom: 13. Nov., Seite 2463-2467

Sprache:

Englisch

Beteiligte Personen:

Koehn, Josefin [VerfasserIn]
Iwamoto, Jennifer F [VerfasserIn]
Kraft, John C [VerfasserIn]
McConnachie, Lisa A [VerfasserIn]
Collier, Ann C [VerfasserIn]
Ho, Rodney J Y [VerfasserIn]

Links:

Volltext

Themen:

2494G1JF75
99YXE507IL
Alkynes
Anti-HIV Agents
Antiviral Agents
Benzoxazines
Cyclopropanes
Delayed-Action Preparations
Drug Combinations
Efavirenz
JE6H2O27P8
Journal Article
Lopinavir
Research Support, N.I.H., Extramural
Suspensions
Tenofovir

Anmerkungen:

Date Completed 30.10.2019

Date Revised 09.12.2020

published: Print

CommentIn: AIDS. 2018 Nov 13;32(17):2625-2627. - PMID 30379688

Citation Status MEDLINE

doi:

10.1097/QAD.0000000000001969

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM287416232