Standard versus double dose dolutegravir in patients with HIV-associated tuberculosis: a phase 2 non-comparative randomised controlled (RADIANT-TB) trial [version 1; peer review: 2 approved]. Griesel, R., Hill, A., Meintjes, G. A, & Maartens, G. Wellcome Open Research, 6:1, F1000 Research Limited, jan, 2021. Paper doi abstract bibtex Dolutegravir, a second-generation integrase strand transfer inhibitor (InSTI), is replacing efavirenz as first-line antiretroviral therapy (ART) in low middle-income countries (LMICs). Tuberculosis remains the leading cause of HIV-related morbidity and mortality in LMICs. Rifampicin is a key agent in the treatment of tuberculosis but induces genes involved in dolutegravir metabolism and efflux. The resulting drug-drug interaction (DDI) reduces the exposure of dolutegravir. However, this can be overcome by supplying a supplemental dose of 50 mg dolutegravir 12 hours after the standard daily dose, which is difficult to implement in LMICs.
@article{Griesel2021,
abstract = {Dolutegravir, a second-generation integrase strand transfer inhibitor (InSTI), is replacing efavirenz as first-line antiretroviral therapy (ART) in low middle-income countries (LMICs). Tuberculosis remains the leading cause of HIV-related morbidity and mortality in LMICs. Rifampicin is a key agent in the treatment of tuberculosis but induces genes involved in dolutegravir metabolism and efflux. The resulting drug-drug interaction (DDI) reduces the exposure of dolutegravir. However, this can be overcome by supplying a supplemental dose of 50 mg dolutegravir 12 hours after the standard daily dose, which is difficult to implement in LMICs.},
author = {Griesel, Rulan and Hill, Andrew and Meintjes, Graeme A and Maartens, Gary},
doi = {10.12688/wellcomeopenres.16473.1},
file = {:C$\backslash$:/Users/01462563/AppData/Local/Mendeley Ltd./Mendeley Desktop/Downloaded/Griesel et al. - 2021 - Standard versus double dose dolutegravir in patients with HIV-associated tuberculosis a phase 2 non-comparative.pdf:pdf},
issn = {2398-502X},
journal = {Wellcome Open Research},
keywords = {Dolutegravir,OA,drug-drug interaction,fund{\_}ack,protocol,rifampicin,tuberculosis},
mendeley-tags = {OA,fund{\_}ack,protocol},
month = {jan},
pages = {1},
pmid = {33954265},
publisher = {F1000 Research Limited},
title = {{Standard versus double dose dolutegravir in patients with HIV-associated tuberculosis: a phase 2 non-comparative randomised controlled (RADIANT-TB) trial [version 1; peer review: 2 approved]}},
url = {https://wellcomeopenresearch.org/articles/6-1/v1},
volume = {6},
year = {2021}
}
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