In silico study supports the efficacy of a reduced dose regimen for stavudine.

Abstract:

:Stavudine (d4T) is used extensively as part of HAART in resource poor settings, despite its toxicities. The revised WHO guidelines specify replacement of d4T with less toxic but more expensive drugs when feasible, and that d4T doses be standardized to 30 mg twice daily (bid) (irrespective of body-weight), from the approved 40 mg bid in adults (body-weight ≥60 kg). Therefore, an in silico population pharmacokinetic and biochemical model was utilized to compare relative efficacies of the two doses in humans. Assessment of predicted quartile ranges of simulated concentrations of the triphosphate of d4T suggested sufficient trough concentrations to inhibit wild type HIV-1 reverse transcriptase at the reduced dose, lending support to the revised WHO recommendations.

journal_name

Antiviral Res

journal_title

Antiviral research

authors

Hurwitz SJ,Schinazi RF

doi

10.1016/j.antiviral.2011.08.004

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

372-7

issue

2

eissn

0166-3542

issn

1872-9096

pii

S0166-3542(11)00393-7

journal_volume

92

pub_type

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