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长效卡博特韦是否是有生育潜力女性的暴露前预防选择?

Is Long-acting Cabotegravir a Pre-exposure Prophylaxis Option for Women of Childbearing Potential?

作者信息

Sahloff Eric G, Hamons Nikki, Baumgartner Kevin, Duggan Joan M

机构信息

University of Toledo College of Pharmacy and Pharmaceutical Sciences, Toledo, Ohio, USA.

Department of Pharmacy, University of Toledo Medical Center, Toledo, Ohio, USA.

出版信息

Open Forum Infect Dis. 2022 May 11;9(7):ofac230. doi: 10.1093/ofid/ofac230. eCollection 2022 Jul.

DOI:10.1093/ofid/ofac230
PMID:35836749
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9274437/
Abstract

Long-acting cabotegravir (CAB-LA) provides an exciting new option for pre-exposure prophylaxis (PrEP) in multiple populations. In this Perspective, we consider the unique pharmacokinetics of CAB-LA and the potential impact on the prescribing of CAB-LA, specifically in cis-women of reproductive potential.

摘要

长效卡博特韦(CAB-LA)为多人群的暴露前预防(PrEP)提供了一个令人兴奋的新选择。在这篇观点文章中,我们探讨了CAB-LA独特的药代动力学以及对CAB-LA处方的潜在影响,特别是对有生殖潜力的顺性别女性的影响。

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本文引用的文献

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Cabotegravir for the prevention of HIV-1 in women: results from HPTN 084, a phase 3, randomised clinical trial.卡博特韦用于女性艾滋病毒 1 型的预防:来自 HPTN 084 的结果,一项 3 期、随机临床试验。
Lancet. 2022 May 7;399(10337):1779-1789. doi: 10.1016/S0140-6736(22)00538-4. Epub 2022 Apr 1.
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Efficacy and safety of dolutegravir with emtricitabine and tenofovir alafenamide fumarate or tenofovir disoproxil fumarate, and efavirenz, emtricitabine, and tenofovir disoproxil fumarate HIV antiretroviral therapy regimens started in pregnancy (IMPAACT 2010/VESTED): a multicentre, open-label, randomised, controlled, phase 3 trial.多替拉韦与恩曲他滨和富马酸替诺福韦艾拉酚胺或富马酸替诺福韦二吡呋酯,以及依非韦伦、恩曲他滨和富马酸替诺福韦二吡呋酯用于孕期启动的HIV抗逆转录病毒治疗方案的疗效和安全性(IMPAACT 2010/VESTED):一项多中心、开放标签、随机、对照、3期试验。
Lancet. 2021 Apr 3;397(10281):1276-1292. doi: 10.1016/S0140-6736(21)00314-7.
3
Risk of birth defects and perinatal outcomes in HIV-infected women exposed to integrase strand inhibitors during pregnancy.HIV 感染孕妇使用整合酶抑制剂与出生缺陷和围生期结局的风险。
AIDS. 2021 Feb 2;35(2):219-226. doi: 10.1097/QAD.0000000000002719.
4
Tail-phase safety, tolerability, and pharmacokinetics of long-acting injectable cabotegravir in HIV-uninfected adults: a secondary analysis of the HPTN 077 trial.长效注射用卡替拉韦在未感染 HIV 的成年人中的尾部阶段安全性、耐受性和药代动力学:HPTN 077 试验的二次分析。
Lancet HIV. 2020 Jul;7(7):e472-e481. doi: 10.1016/S2352-3018(20)30106-5. Epub 2020 Jun 1.
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Brief Report: Hormonal Contraception Use and Cabotegravir Pharmacokinetics in HIV-Uninfected Women Enrolled in HPTN 077.简要报告:在参加 HPTN 077 的未感染 HIV 的女性中,激素避孕的使用与卡替拉韦的药代动力学。
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Lancet HIV. 2020 May;7(5):e332-e339. doi: 10.1016/S2352-3018(20)30050-3.
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Lancet Glob Health. 2018 Jul;6(7):e804-e810. doi: 10.1016/S2214-109X(18)30218-3. Epub 2018 Jun 4.
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Lack of effect of oral cabotegravir on the pharmacokinetics of a levonorgestrel/ethinyl oestradiol-containing oral contraceptive in healthy adult women.口服卡博特韦对健康成年女性含左炔诺孕酮/炔雌醇口服避孕药药代动力学无影响。
Br J Clin Pharmacol. 2017 Jul;83(7):1499-1505. doi: 10.1111/bcp.13236. Epub 2017 Feb 14.
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Formulation and pharmacology of long-acting cabotegravir.长效卡博特韦的制剂与药理学
Curr Opin HIV AIDS. 2015 Jul;10(4):239-45. doi: 10.1097/COH.0000000000000168.
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GSK1265744 pharmacokinetics in plasma and tissue after single-dose long-acting injectable administration in healthy subjects.在健康受试者中单次长效注射给药后,GSK1265744 在血浆和组织中的药代动力学。
J Acquir Immune Defic Syndr. 2014 Dec 15;67(5):481-6. doi: 10.1097/QAI.0000000000000301.