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拉替拉韦:药代动力学、药效学和临床研究综述。

Raltegravir: a review of its pharmacokinetics, pharmacology and clinical studies.

机构信息

Department of Pharmacy, 864 Radboud University Nijmegen Medical Center, Geert Grooteplein 10, 6525 GA Nijmegen, the Netherlands.

出版信息

Expert Opin Drug Metab Toxicol. 2010 Sep;6(9):1151-60. doi: 10.1517/17425255.2010.513383.

DOI:10.1517/17425255.2010.513383
PMID:20701552
Abstract

IMPORTANCE OF THE FIELD

Raltegravir is the first HIV-integrase inhibitor licensed by the FDA.

AREAS COVERED IN THIS REVIEW

A PubMed search was conducted for all published reports up to 1 May 2010 related to raltegravir pharmacokinetics, pharmacology, drug-drug interactions and clinical studies in HIV-infected patients. Also included in this review are the updated European and US Prescriber's Information (European Medicines Agency and the FDA) and abstracts from recent international scientific meetings.

WHAT THE READER WILL GAIN

After reading the review, a thorough insight in raltegravir pharmacokinetics and pharmacology will be obtained, as well as an up-to-date overview of all published drug-drug interaction studies. Furthermore, one should be able to make an evidence-based opinion on the drug's clinical efficacy and tolerability.

TAKE HOME MESSAGE

Raltegravir is a welcome addition to the antiretroviral drug armamentarium due to its good tolerability, low potential for drug-drug interactions and good clinical efficacy in both treatment-naive and -experienced patients.

摘要

重要性领域

拉替拉韦是第一个获得美国食品药品监督管理局批准的 HIV 整合酶抑制剂。

本篇综述涵盖内容

对截至 2010 年 5 月 1 日所有与拉替拉韦药代动力学、药理学、药物相互作用和 HIV 感染患者临床研究相关的已发表报告进行了 PubMed 检索。此外,还包括更新后的欧洲和美国处方信息(欧洲药品管理局和美国食品药品监督管理局)以及最近国际科学会议的摘要。

读者将获得的收益

阅读本综述后,读者将深入了解拉替拉韦的药代动力学和药理学,并全面了解所有已发表的药物相互作用研究。此外,读者应该能够对该药物的临床疗效和耐受性做出基于证据的判断。

带回家的信息

拉替拉韦由于其良好的耐受性、低药物相互作用潜力以及在初治和经治患者中的良好临床疗效,是抗逆转录病毒药物治疗的一个可喜的补充。

相似文献

1
Raltegravir: a review of its pharmacokinetics, pharmacology and clinical studies.拉替拉韦:药代动力学、药效学和临床研究综述。
Expert Opin Drug Metab Toxicol. 2010 Sep;6(9):1151-60. doi: 10.1517/17425255.2010.513383.
2
Integrase inhibitors in the treatment of HIV-1 infection.整合酶抑制剂在 HIV-1 感染治疗中的应用。
J Antimicrob Chemother. 2010 Dec;65(12):2485-8. doi: 10.1093/jac/dkq350. Epub 2010 Sep 18.
3
Novel integrase inhibitors for HIV.新型 HIV 整合酶抑制剂。
Expert Opin Investig Drugs. 2010 Sep;19(9):1087-98. doi: 10.1517/13543784.2010.501078.
4
Raltegravir: the first HIV integrase inhibitor.雷特格韦:首个HIV整合酶抑制剂。
Clin Ther. 2008 Oct;30(10):1747-65. doi: 10.1016/j.clinthera.2008.10.012.
5
Integrase inhibitors for the treatment of HIV infection.用于治疗HIV感染的整合酶抑制剂。
Curr Opin Drug Discov Devel. 2008 Jul;11(4):471-9.
6
[Integrase inhibitor: raltegravir also as first line therapy].[整合酶抑制剂:拉替拉韦也作为一线治疗药物]
MMW Fortschr Med. 2010 Apr 29;152(17):48.
7
[Integrase inhibition--a new mode of action in HIV therapy].[整合酶抑制——HIV治疗中的一种新作用模式]
MMW Fortschr Med. 2008 Apr 28;150 Spec No 1:64-7.
8
[Integrase inhibition].[整合酶抑制]
MMW Fortschr Med. 2009 Apr 30;151(18):68-71.
9
Raltegravir, an HIV-1 integrase inhibitor for HIV infection.拉替拉韦,一种用于治疗HIV感染的HIV-1整合酶抑制剂。
Curr Opin Investig Drugs. 2008 Aug;9(8):885-98.
10
Discovery of raltegravir, a potent, selective orally bioavailable HIV-integrase inhibitor for the treatment of HIV-AIDS infection.发现雷特格韦,一种有效、选择性口服生物可利用的HIV整合酶抑制剂,用于治疗HIV-艾滋病感染。
J Med Chem. 2008 Sep 25;51(18):5843-55. doi: 10.1021/jm800245z.

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