Impact of Menstrual Cycle on Antiretroviral Pharmacokinetics in HIV-Infected Women
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Purpose
Data suggests that women taking drugs to treat human immunodeficiency virus (HIV) have higher amounts of drugs in their body compared with men taking the same dose of anti-HIV drugs. The reason for this higher drug exposure has not yet been determined. The primary purpose of this study is to examine whether a pharmacokinetics (factors that determine the amount of drug in the body) of anti-HIV drugs change during different phases of the menstrual cycle in women and ultimately result in higher amounts of drug in the body compared with men. In other words, we plan to examine whether changes in sex hormones throughout the menstrual cycle affect the amount of anti-HIV drugs in HIV infected women. The antiretroviral drugs atazanavir, ritonavir, tenofovir and emtricitabine will be studied.
| Condition | Intervention |
|---|---|
|
HIV Infected |
Drug: Tenofovir, Emtricitabine, Atazanavir, Ritonavir |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Impact of Menstrual Cycle on Antiretroviral Pharmacokinetics in HIV-Infected Women |
- PK parameters [ Time Frame: 28 days ] [ Designated as safety issue: No ]The area under the concentration time curve and minimum concentration for tenofovir, emtricitabine, atazanavir and ritonavir
Biospecimen Retention: Samples Without DNA
5 mL of plasma
| Enrollment: | 0 |
| Study Start Date: | July 2011 |
| Study Completion Date: | April 2013 |
| Primary Completion Date: | April 2013 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
HIV+ Female
HIV infected women between 21-40 years of age, not receiving oral contraceptives.
|
Drug: Tenofovir, Emtricitabine, Atazanavir, Ritonavir
Women will be receiving Tenofovir 300mg, Emtricitabine 200mg, Atazanavir 300mg, Ritonavir 100mg, one dose on 2 separate visits. These medications will not be prescribed from the physician and not provided by the study.
|
Eligibility| Ages Eligible for Study: | 21 Years to 40 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
HIV-infected women will be selected from the primary care office
Inclusion Criteria:
- HIV positive females between 21-40 years of age.
- Subjects must be receiving anti-HIV regimen consisting of tenofovir, emtricitabine, atazanavir, and ritonavir for a minimum of 4 weeks prior to the study.
- Subjects must have regular menstrual cycle (period), define at least 10 cycles a year, occurring approximately every 28 days+/- 4 days and cycle length varying by not more than 7 days.
Exclusion Criteria:
- Subjects can not be breast feeding, pregnant, or taking oral contraceptives (birth control pills) for at least 3 months prior to the study.
- Subjects may not have the intrauterine device (IUD), Mirena, in place to prevent pregnancy.
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Jennifer King, Assistant Professor, University of Alabama at Birmingham |
| ClinicalTrials.gov Identifier: | NCT01394133 History of Changes |
| Other Study ID Numbers: | F10102815, 1K23AI074390-01A2 |
| Study First Received: | July 12, 2011 |
| Last Updated: | April 29, 2013 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Alabama at Birmingham:
|
HIV Infected Women |
Additional relevant MeSH terms:
|
Ritonavir Atazanavir Tenofovir Tenofovir disoproxil Emtricitabine HIV Protease Inhibitors Protease Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |
Pharmacologic Actions Anti-HIV Agents Anti-Retroviral Agents Antiviral Agents Anti-Infective Agents Therapeutic Uses Reverse Transcriptase Inhibitors Nucleic Acid Synthesis Inhibitors |
ClinicalTrials.gov processed this record on May 19, 2013