Drug | Mol. Wt. | Dose | Cmax | fu | Cmax,u | Igut | Reference |
---|---|---|---|---|---|---|---|
g/mol | mg | µM | µM | µM | |||
Dolutegravir | 441.36 | 50 | 8.32a | 0.01 | 0.08a | 453.14 | Tivicay, Prescribing Information, 2018 |
Cabotegravir | 427.33 | 30 | 14.88 | 0.01 | 0.15 | 280.81 | Ford et al., 2019 |
Bictegravir | 449.38 | 50 | 13.69 | 0.01 | 0.14 | 445.06 | Biktarvy, Prescribing Information, 2018 |
Raltegravir | 482.51 | 400 | 4.50 | 0.17 | 0.76 | 3315.99 | Isentress (raltegravir) Prescribing Information, 2019 |
Raltegravir | 482.51 | 1200 | 22.56 | 0.17 | 3.84 | 9947.98 | http://wwwcroiconferenceorg/sessions/multiple-dose-study-raltegravir-ral-formulations |
Elvitegravir | 447.88 | 85 | 2.68b | 0.02 | 0.05b | 759.13 | Viteka Prescribing Information, 2015 |
Elvitegravir | 447.88 | 150 | 3.35b | 0.02 | 0.07b | 1339.64 | Viteka Prescribing Information, 2015 |
Methotrexate | 454.44 | 10 | 0.57 | 0.5 | 0.28 | 88.02 | Jylamvo (methotrexate) Prescribing Information, 2017 |
Methotrexate (i.v.) | 454.44 | 15 | 3.80 | 0.5 | 1.90 | N/A | Seideman et al., 1993 |
Pemetrexed (i.v.) | 597.49 | 500 mg/m2 | 189.12 | 0.19 | 35.93 | N/A | Kavathiya et al., 2017 |
Cmax,u, unbound Cmax (i.e., Cmax * fu); fu, plasma fraction unbound; Igut, theoretical gut concentration (oral dose/250 ml) or highest soluble aqueous concentration; oral administration in all cases, unless noted); N/A, not applicable (i.v. administration).
↵a Most commonly used 50-mg daily regimen; 50 mg twice daily; Cmax = 9.4 μM and Cmax,u = 0.09 μM (ViiV Healthcare, 2018), twice-daily dosing does not impact extrapolation values or results in Fig. 6.
↵b Not cobicistat boosted, 150-mg dose cobicistat-boosted Cmax = 3.8 μM and Cmax,u = 0.08 μM (2019); cobicistat boosting does not impact extrapolation values or results in Fig. 6.