Pharmacokinetics of Temsavir, the Active Moiety of the HIV-1 Attachment Inhibitor Prodrug, Fostemsavir, Coadministered with Cobicistat, Etravirine, Darunavir/Cobicistat, or Darunavir/Ritonavir with or without Etravirine in Healthy Participants

Author:

Moore Katy1ORCID,Thakkar Nilay2ORCID,Magee Mindy2,Sevinsky Heather3,Vakkalagadda Blisse3,Lubin Susan3,Llamoso Cyril4,Ackerman Peter4

Affiliation:

1. ViiV Healthcare, Research Triangle Park, North Carolina, USA

2. GlaxoSmithKline, Upper Providence, Pennsylvania, USA

3. Bristol-Myers Squibb, Hopewell, New Jersey, USA

4. ViiV Healthcare, Branford, Connecticut, USA

Abstract

Fostemsavir is a prodrug of temsavir, a first-in-class attachment inhibitor that binds directly to HIV-1 gp120, preventing initial viral attachment and entry into host CD4 + T cells with demonstrated efficacy in phase 2 and 3. Temsavir is a P-glycoprotein and breast cancer resistance protein (BCRP) substrate; its metabolism is mediated by esterase and CYP3A4 enzymes.

Funder

ViiV Healthcare

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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