No influence of the P-glycoprotein genotype (MDR1 C3435T) on plasma levels of lopinavir and efavirenz during antiretroviral treatment

Eur J Med Res. 2003 Dec 9;8(12):531-4.

Abstract

Background: In a retrospective study of HIV patients under antiretroviral therapy, we investigated the influence of the MDR1 genotype (C3435T) on plasma levels of lopinavir (LPV) and efavirenz (EFV).

Methods: The MDR1 genotype was analysed from 67 patients who were treated with LPV (n = 32; mean treatment period 53 weeks) and/or EFV (n = 43, mean treatment period 105 weeks) between 1999 and 2003. Plasma levels of LPV (trough levels) and EFV (12-h-levels) were determined every three months. Data were analysed by the Kruskal-Wallis test.

Results: There were no significant differences in the LPV and EFV plasma levels with respect to the MDR1 3435 genotype.

Conclusions: We did not find evidence for an influence of the MDR1 3435 genotype on plasma levels of LPV and EFV.

Publication types

  • Comparative Study

MeSH terms

  • ATP Binding Cassette Transporter, Subfamily B, Member 1 / genetics*
  • Adult
  • Aged
  • Alkynes
  • Anti-HIV Agents / blood*
  • Anti-HIV Agents / therapeutic use
  • Benzoxazines
  • Cyclopropanes
  • Female
  • Genotype
  • HIV Infections / blood
  • HIV Infections / drug therapy*
  • HIV-1
  • Humans
  • Lopinavir
  • Male
  • Middle Aged
  • Oxazines / blood*
  • Oxazines / therapeutic use
  • Polymorphism, Genetic
  • Pyrimidinones / blood*
  • Pyrimidinones / therapeutic use
  • Retrospective Studies

Substances

  • ATP Binding Cassette Transporter, Subfamily B, Member 1
  • Alkynes
  • Anti-HIV Agents
  • Benzoxazines
  • Cyclopropanes
  • Oxazines
  • Pyrimidinones
  • Lopinavir
  • efavirenz