Prevention of TB using rifampicin plus isoniazid reduces nevirapine concentrations in HIV-exposed infants.
Identifieur interne : 004066 ( Ncbi/Merge ); précédent : 004065; suivant : 004067Prevention of TB using rifampicin plus isoniazid reduces nevirapine concentrations in HIV-exposed infants.
Auteurs : Helen Mcilleron [Afrique du Sud] ; Paolo Denti [Afrique du Sud] ; Silvia Cohn [États-Unis] ; Fildah Mashabela [Afrique du Sud] ; Jennifer D. Hoffmann [États-Unis] ; Saba Shembe [Afrique du Sud] ; Regina Msandiwa [Afrique du Sud] ; Lubbe Wiesner [Afrique du Sud] ; Sithembiso Velaphi [Afrique du Sud] ; Sanjay G. Lala [Afrique du Sud] ; Richard E. Chaisson [États-Unis] ; Neil Martinson [Afrique du Sud] ; Kelly E. Dooley [États-Unis]Source :
- The Journal of antimicrobial chemotherapy [ 1460-2091 ] ; 2017.
Abstract
Newborns of HIV-infected mothers are given daily doses of nevirapine to prevent HIV-1 acquisition. Infants born to mothers with TB should also receive TB preventive therapy. TB preventive regimens include isoniazid for 6 months or rifampicin plus isoniazid for 3 months (RH preventive therapy). The effect of concomitant RH preventive therapy on nevirapine concentrations in infants is unknown.
DOI: 10.1093/jac/dkx112
PubMed: 28419277
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<author><name sortKey="Msandiwa, Regina" sort="Msandiwa, Regina" uniqKey="Msandiwa R" first="Regina" last="Msandiwa">Regina Msandiwa</name>
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<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>Perinatal HIV Research Unit (PHRU), MRC Soweto Matlosana Collaborating Center for HIV/AIDS and TB, University of the Witwatersrand</wicri:regionArea>
<placeName><settlement type="city">Johannesbourg</settlement>
<region type="region" nuts="2">Gauteng</region>
</placeName>
<orgName type="university">Université du Witwatersrand</orgName>
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<author><name sortKey="Wiesner, Lubbe" sort="Wiesner, Lubbe" uniqKey="Wiesner L" first="Lubbe" last="Wiesner">Lubbe Wiesner</name>
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<country xml:lang="fr">Afrique du Sud</country>
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<wicri:noRegion>Cape Town</wicri:noRegion>
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<author><name sortKey="Velaphi, Sithembiso" sort="Velaphi, Sithembiso" uniqKey="Velaphi S" first="Sithembiso" last="Velaphi">Sithembiso Velaphi</name>
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<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>Perinatal HIV Research Unit (PHRU), MRC Soweto Matlosana Collaborating Center for HIV/AIDS and TB, University of the Witwatersrand</wicri:regionArea>
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<region type="region" nuts="2">Gauteng</region>
</placeName>
<orgName type="university">Université du Witwatersrand</orgName>
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<author><name sortKey="Lala, Sanjay G" sort="Lala, Sanjay G" uniqKey="Lala S" first="Sanjay G" last="Lala">Sanjay G. Lala</name>
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<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>Perinatal HIV Research Unit (PHRU), MRC Soweto Matlosana Collaborating Center for HIV/AIDS and TB, University of the Witwatersrand</wicri:regionArea>
<placeName><settlement type="city">Johannesbourg</settlement>
<region type="region" nuts="2">Gauteng</region>
</placeName>
<orgName type="university">Université du Witwatersrand</orgName>
</affiliation>
</author>
<author><name sortKey="Chaisson, Richard E" sort="Chaisson, Richard E" uniqKey="Chaisson R" first="Richard E" last="Chaisson">Richard E. Chaisson</name>
<affiliation wicri:level="2"><nlm:affiliation>Johns Hopkins University Center for Tuberculosis Research, School of Medicine, Baltimore, MD, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Johns Hopkins University Center for Tuberculosis Research, School of Medicine, Baltimore, MD</wicri:regionArea>
<placeName><region type="state">Maryland</region>
</placeName>
</affiliation>
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<author><name sortKey="Martinson, Neil" sort="Martinson, Neil" uniqKey="Martinson N" first="Neil" last="Martinson">Neil Martinson</name>
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<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>Perinatal HIV Research Unit (PHRU), MRC Soweto Matlosana Collaborating Center for HIV/AIDS and TB, University of the Witwatersrand</wicri:regionArea>
<placeName><settlement type="city">Johannesbourg</settlement>
<region type="region" nuts="2">Gauteng</region>
</placeName>
<orgName type="university">Université du Witwatersrand</orgName>
</affiliation>
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<author><name sortKey="Dooley, Kelly E" sort="Dooley, Kelly E" uniqKey="Dooley K" first="Kelly E" last="Dooley">Kelly E. Dooley</name>
<affiliation wicri:level="2"><nlm:affiliation>Johns Hopkins University Center for Tuberculosis Research, School of Medicine, Baltimore, MD, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<front><div type="abstract" xml:lang="en">Newborns of HIV-infected mothers are given daily doses of nevirapine to prevent HIV-1 acquisition. Infants born to mothers with TB should also receive TB preventive therapy. TB preventive regimens include isoniazid for 6 months or rifampicin plus isoniazid for 3 months (RH preventive therapy). The effect of concomitant RH preventive therapy on nevirapine concentrations in infants is unknown.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">28419277</PMID>
<DateCreated><Year>2017</Year>
<Month>04</Month>
<Day>18</Day>
</DateCreated>
<DateRevised><Year>2017</Year>
<Month>09</Month>
<Day>08</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1460-2091</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>72</Volume>
<Issue>7</Issue>
<PubDate><Year>2017</Year>
<Month>Jul</Month>
<Day>01</Day>
</PubDate>
</JournalIssue>
<Title>The Journal of antimicrobial chemotherapy</Title>
<ISOAbbreviation>J. Antimicrob. Chemother.</ISOAbbreviation>
</Journal>
<ArticleTitle>Prevention of TB using rifampicin plus isoniazid reduces nevirapine concentrations in HIV-exposed infants.</ArticleTitle>
<Pagination><MedlinePgn>2028-2034</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1093/jac/dkx112</ELocationID>
<Abstract><AbstractText Label="Background" NlmCategory="UNASSIGNED">Newborns of HIV-infected mothers are given daily doses of nevirapine to prevent HIV-1 acquisition. Infants born to mothers with TB should also receive TB preventive therapy. TB preventive regimens include isoniazid for 6 months or rifampicin plus isoniazid for 3 months (RH preventive therapy). The effect of concomitant RH preventive therapy on nevirapine concentrations in infants is unknown.</AbstractText>
<AbstractText Label="Patients and methods" NlmCategory="UNASSIGNED">Tshepiso was a prospective case-control cohort study of pregnant HIV-infected women with and without TB whose newborn infants received standard doses of nevirapine for HIV prophylaxis. Infants born to mothers with TB also received RH preventive therapy. Infant plasma nevirapine concentrations were measured at 1 and 6 weeks. The effects of RH preventive therapy on nevirapine disposition were investigated in a population pharmacokinetic model.</AbstractText>
<AbstractText Label="Results" NlmCategory="UNASSIGNED">Of 164 infants undergoing pharmacokinetic sampling, 46 received RH preventive therapy. After adjusting for weight using allometric scaling, the model estimated a 33% reduction in nevirapine trough concentrations with RH preventive therapy compared with TB-unexposed infants not receiving concomitant rifampicin and a 30% decline in trough concentrations in a typical infant between day 7 and 35 post-partum.</AbstractText>
<AbstractText Label="Conclusions" NlmCategory="UNASSIGNED">Rifampicin-based TB preventative treatment reduces nevirapine concentrations significantly in HIV-exposed infants. Although the nevirapine exposures required to prevent HIV acquisition in breastfeeding infants are undefined, given the potential risks associated with underdosing nevirapine in this setting, it is prudent to avoid rifampicin-based preventive therapy in HIV-exposed children receiving prophylactic nevirapine.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>McIlleron</LastName>
<ForeName>Helen</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Division of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Denti</LastName>
<ForeName>Paolo</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Division of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Cohn</LastName>
<ForeName>Silvia</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Johns Hopkins University Center for Tuberculosis Research, School of Medicine, Baltimore, MD, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Mashabela</LastName>
<ForeName>Fildah</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Perinatal HIV Research Unit (PHRU), MRC Soweto Matlosana Collaborating Center for HIV/AIDS and TB, University of the Witwatersrand, South Africa.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hoffmann</LastName>
<ForeName>Jennifer D</ForeName>
<Initials>JD</Initials>
<AffiliationInfo><Affiliation>Johns Hopkins University Center for Tuberculosis Research, School of Medicine, Baltimore, MD, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Shembe</LastName>
<ForeName>Saba</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Perinatal HIV Research Unit (PHRU), MRC Soweto Matlosana Collaborating Center for HIV/AIDS and TB, University of the Witwatersrand, South Africa.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Msandiwa</LastName>
<ForeName>Regina</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Perinatal HIV Research Unit (PHRU), MRC Soweto Matlosana Collaborating Center for HIV/AIDS and TB, University of the Witwatersrand, South Africa.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wiesner</LastName>
<ForeName>Lubbe</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Division of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Velaphi</LastName>
<ForeName>Sithembiso</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Perinatal HIV Research Unit (PHRU), MRC Soweto Matlosana Collaborating Center for HIV/AIDS and TB, University of the Witwatersrand, South Africa.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Paediatrics and Child Health, Chris Hani Baragwanath Academic Hospital, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lala</LastName>
<ForeName>Sanjay G</ForeName>
<Initials>SG</Initials>
<AffiliationInfo><Affiliation>Perinatal HIV Research Unit (PHRU), MRC Soweto Matlosana Collaborating Center for HIV/AIDS and TB, University of the Witwatersrand, South Africa.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Paediatrics and Child Health, Chris Hani Baragwanath Academic Hospital, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chaisson</LastName>
<ForeName>Richard E</ForeName>
<Initials>RE</Initials>
<AffiliationInfo><Affiliation>Johns Hopkins University Center for Tuberculosis Research, School of Medicine, Baltimore, MD, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Martinson</LastName>
<ForeName>Neil</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Perinatal HIV Research Unit (PHRU), MRC Soweto Matlosana Collaborating Center for HIV/AIDS and TB, University of the Witwatersrand, South Africa.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Dooley</LastName>
<ForeName>Kelly E</ForeName>
<Initials>KE</Initials>
<AffiliationInfo><Affiliation>Johns Hopkins University Center for Tuberculosis Research, School of Medicine, Baltimore, MD, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><CollectiveName>Tshepiso Study Team</CollectiveName>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>J Antimicrob Chemother</MedlineTA>
<NlmUniqueID>7513617</NlmUniqueID>
<ISSNLinking>0305-7453</ISSNLinking>
</MedlineJournalInfo>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year>
<Month>12</Month>
<Day>14</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2017</Year>
<Month>03</Month>
<Day>17</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2017</Year>
<Month>4</Month>
<Day>19</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2017</Year>
<Month>4</Month>
<Day>19</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2017</Year>
<Month>4</Month>
<Day>19</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">28419277</ArticleId>
<ArticleId IdType="pii">3737542</ArticleId>
<ArticleId IdType="doi">10.1093/jac/dkx112</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>Afrique du Sud</li>
<li>États-Unis</li>
</country>
<region><li>Gauteng</li>
<li>Maryland</li>
</region>
<settlement><li>Johannesbourg</li>
</settlement>
<orgName><li>Université du Witwatersrand</li>
</orgName>
</list>
<tree><country name="Afrique du Sud"><noRegion><name sortKey="Mcilleron, Helen" sort="Mcilleron, Helen" uniqKey="Mcilleron H" first="Helen" last="Mcilleron">Helen Mcilleron</name>
</noRegion>
<name sortKey="Denti, Paolo" sort="Denti, Paolo" uniqKey="Denti P" first="Paolo" last="Denti">Paolo Denti</name>
<name sortKey="Lala, Sanjay G" sort="Lala, Sanjay G" uniqKey="Lala S" first="Sanjay G" last="Lala">Sanjay G. Lala</name>
<name sortKey="Martinson, Neil" sort="Martinson, Neil" uniqKey="Martinson N" first="Neil" last="Martinson">Neil Martinson</name>
<name sortKey="Mashabela, Fildah" sort="Mashabela, Fildah" uniqKey="Mashabela F" first="Fildah" last="Mashabela">Fildah Mashabela</name>
<name sortKey="Msandiwa, Regina" sort="Msandiwa, Regina" uniqKey="Msandiwa R" first="Regina" last="Msandiwa">Regina Msandiwa</name>
<name sortKey="Shembe, Saba" sort="Shembe, Saba" uniqKey="Shembe S" first="Saba" last="Shembe">Saba Shembe</name>
<name sortKey="Velaphi, Sithembiso" sort="Velaphi, Sithembiso" uniqKey="Velaphi S" first="Sithembiso" last="Velaphi">Sithembiso Velaphi</name>
<name sortKey="Wiesner, Lubbe" sort="Wiesner, Lubbe" uniqKey="Wiesner L" first="Lubbe" last="Wiesner">Lubbe Wiesner</name>
</country>
<country name="États-Unis"><region name="Maryland"><name sortKey="Cohn, Silvia" sort="Cohn, Silvia" uniqKey="Cohn S" first="Silvia" last="Cohn">Silvia Cohn</name>
</region>
<name sortKey="Chaisson, Richard E" sort="Chaisson, Richard E" uniqKey="Chaisson R" first="Richard E" last="Chaisson">Richard E. Chaisson</name>
<name sortKey="Dooley, Kelly E" sort="Dooley, Kelly E" uniqKey="Dooley K" first="Kelly E" last="Dooley">Kelly E. Dooley</name>
<name sortKey="Hoffmann, Jennifer D" sort="Hoffmann, Jennifer D" uniqKey="Hoffmann J" first="Jennifer D" last="Hoffmann">Jennifer D. Hoffmann</name>
</country>
</tree>
</affiliations>
</record>
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