Ensuring Effective Drug Levels

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Ensuring Effective Drug Levels

PK Principles 450-Glycoprotein

Pharmacokinetic – Surrogate Relationship

Pharmacokinetic Profile of a Single PI Administered Twice Daily

Inhibitory Quotient (= Concentration/IC50)

In-vitro IC50 and IC95

Effect of Adding Ritonavir to Indinavir

Steady-state Indinavir Plasma Concentrations

First Pass Metabolism

Inhibition of First Pass Metabolism

Pharmacoenhancement

ABT-378

ABT-378 Plasma Concentrations in Patients Following 400/100 mg bd Regimen

Protein-binding Corrected IC95 Determinations for PIs

Cmin/IC95 for PIs

Cmin/IC95 Ratios for Currently Available PIs (IC95 Values Determined in the Presence of 50% Human Serum)

ABT-378 Pharmacokinetic Profiles

Inhibitory Quotient (Cmin / ?) for Amprenavir

Protease Inhibitors – bd Regimens

ABT-378/r Interactions with NNRTIs and PIs

Treatment Failure

Role of Transporters

Issues to Clarify

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