Review of drug interactions with telaprevir and antiretrovirals

Antivir Ther. 2013;18(4):553-60. doi: 10.3851/IMP2527. Epub 2013 Jan 23.

Abstract

HCV infection is a major cause of mortality worldwide. HCV-related deaths also represent a leading cause of mortality in HIV-coinfected individuals. Telaprevir is an NS3/4A protease inhibitor approved for the treatment of chronic HCV genotype 1 infection in adults in combination with pegylated interferon and ribavirin. Telaprevir-based treatment has been shown to increase rates of sustained viral response in HCV genotype-1-monoinfected patients, and studies in HCV-HIV-coinfected patients are ongoing. Drug-drug interactions of telaprevir with antiretroviral drugs were investigated in a series of studies in healthy subjects. This review summarizes the results of interaction studies with low-dose ritonavir, ritonavir-boosted HIV protease inhibitors (atazanavir, darunavir, fosamprenavir and lopinavir), efavirenz, etravirine, rilpivirine, tenofovir disoproxil fumarate and raltegravir.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adult
  • Antiviral Agents / therapeutic use*
  • Coinfection
  • Drug Interactions
  • Drug Therapy, Combination
  • HIV Infections / drug therapy
  • HIV Infections / virology
  • Hepacivirus / drug effects
  • Hepatitis C, Chronic / drug therapy*
  • Hepatitis C, Chronic / virology
  • Humans
  • Male
  • Oligopeptides / therapeutic use*
  • Protease Inhibitors / therapeutic use*
  • Reverse Transcriptase Inhibitors / therapeutic use*
  • Ritonavir / therapeutic use*

Substances

  • Antiviral Agents
  • Oligopeptides
  • Protease Inhibitors
  • Reverse Transcriptase Inhibitors
  • telaprevir
  • Ritonavir