Cardiac Conduction Safety during Coadministration of Artemether-Lumefantrine and LopinavirRitonavir in HIV-Infected Ugandan Adults英文文献资料.docVIP
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Cardiac Conduction Safety during Coadministration of Artemether-Lumefantrine and LopinavirRitonavir in HIV-Infected Ugandan Adults英文文献资料
HindawiPublishingCorporation
ChemotherapyResearchandPractice
Volume2011,ArticleID393976,4pages
doi:10.1155/2011/393976
ResearchArticle
CardiacConductionSafetyduringCoadministrationof
Artemether-LumefantrineandLopinavir/Ritonavirin
HIV-InfectedUgandanAdults
WilsonB.Nyakoojo,
PaulineByakika-Kibwika,1,2,3MohammedLamorde,1,2PeterLwabi,4 4
HarrietMayanja-Kizza,1,3MartaBof?to, EllyKatabira, 1,3
andConceptaMerry1,2,3
VioletOkaba-Kayom,
1
5
DavidBack, SayeKhoo,
6 6
1
2
3
4
5
6
InfectiousDiseasesInstitute,MakerereUniversity,P.O.Box22418,Kampala,Uganda
TrinityCollege,Dublin2,Ireland
InfectiousDiseasesNetworkforTreatmentandResearchinAfrica(INTERACT),P.O.Box7062,Kampala,Uganda
UgandaHeartInstitute,MulagoHospital,P.OBox7051,Kampala,Uganda
St.Stephen’sAIDSTrust,LondonSW109TR,UK
UniversityofLiverpool,LiverpoolL693BX,UK
CorrespondenceshouldbeaddressedtoPaulineByakika-Kibwika,pbyakika@
Received31August2010;Revised26November2010;Accepted14February2011
AcademicEditor:KazuoTamura
Copyright?2011PaulineByakika-Kibwikaetal. This is an open access article distributed under the Creative Commons
AttributionLicense,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkis
properlycited.
Background.WeaimedtoassesscardiacconductionsafetyofcoadministrationoftheCYP3A4inhibitorlopinavir/ritonavir(LPV/r)
andtheCYP3A4substrateartemether-lumefantrine(AL)inHIV-positiveUgandans.Methods.Open-labelsafetystudyofHIV-
positiveadults administered single-doseAL (80/400mg) aloneorwith LPV/r(400/100mg).Cardiacfunction wasmonitored
usingcontinuouselectrocardiograph(ECG).Results.Thirty-twopatientswereenrolled;16takingLPV/r-basedARTand16ART
na¨?ve.AlltooksingledoseAL.Noseriousadverseeventswereobserved.ECGparametersinmillisecondsremainedwithinnormal
limits.QTcmeasurementsdidnotchangesigni?cantlyover72hoursalthoughwerehigherinLPV/rarmat24(424versus406;
P =.02)and72hours(424versus408;P =.004)afterALintake.Conclusion.Coadministrationofsin
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