Etravirine concentrations in the cervicovaginal compartment in HIV-1-infected women receiving etravirine-containing antiretroviral therapy: DIVA 02 study

Antimicrob Agents Chemother. 2012 Jul;56(7):4018-20. doi: 10.1128/AAC.06474-11. Epub 2012 Apr 23.

Abstract

We studied the penetration of etravirine and HIV shedding in the genital tract among 12 HIV-1-infected women receiving an etravirine-containing regimen who had <40 copies/ml blood plasma (BP) HIV RNA. None of the cervicovaginal fluid (CVF) samples showed detectable HIV RNA. Median etravirine concentrations were 663 ng/ml in BP and 857 ng/ml in CVF, with a CVF/BP etravirine ratio of approximately 1.2. This good penetration of etravirine may contribute to the control of viral replication in the female genital tract.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anti-HIV Agents / pharmacokinetics*
  • Anti-HIV Agents / therapeutic use*
  • Cervix Uteri / metabolism*
  • Female
  • HIV Infections / blood
  • HIV Infections / drug therapy*
  • HIV Infections / metabolism
  • Humans
  • Middle Aged
  • Nitriles
  • Pyridazines / pharmacokinetics*
  • Pyridazines / therapeutic use*
  • Pyrimidines
  • RNA, Viral / blood
  • RNA, Viral / genetics
  • Vagina / metabolism*
  • Virus Replication / drug effects

Substances

  • Anti-HIV Agents
  • Nitriles
  • Pyridazines
  • Pyrimidines
  • RNA, Viral
  • etravirine