Detrimental clinical interaction between ritonavir-boosted protease inhibitors and vinblastine in HIV-infected patients with Hodgkin's lymphoma

作者:Cingolani Antonella*; Torti Lorenza; Pinnetti Carmela; Donati Katleen de Gaetano; Murri Rita; Tacconelli Evelina; Larocca Luigi Maria; Teofili Luciana
来源:AIDS, 2010, 24(15): 2408-2412.
DOI:10.1097/QAD.0b013e32833db989

摘要

In order to analyze the clinical relevance of the pharmacokinetic interactions between vinblastine and antiretrovirals described in literature, we evaluated all HIV-infected patients with Hodgkin's lymphoma treated with vinblastine-containing regimens and combination antiretroviral therapy, in a single clinical center. The use of protease inhibitors was independently associated with WHO grade III-IV neutropenia. Moreover, an inverse correlation between dosage of ritonavir and mean nadir neutrophil count was found. The concomitant administration of vinblastine-containing chemotherapy regimens with protease inhibitors can lead to higher levels of neutropenia than those of different classes of drugs such as nonnucleoside reverse transcriptase inhibitors or integrase inhibitors.

  • 出版日期2010-9-24