TABLE 3.
PK parameter | Mean ± SD for group: |
% mean change | P value | |
---|---|---|---|---|
Control | Voriconazoleb | |||
Plasma AUC metabolic ratio (AUC of EFV/AUC of metabolite) | ||||
8-OHEFV | ||||
0–12 h | 4.6 ± 3.1 | 12.0 ± 6.3 | 189 | <0.001 |
0–24 h | 4.4 ± 3.1 | 10.7 ± 5.6 | 171 | <0.001 |
0–48 h | 4.1 ± 3.3 | 9.1 ± 5.1 | 146 | <0.001 |
7-OHEFV | ||||
0–12 h | 156 ± 206 | 133 ± 126 | 18 | 0.09 |
0–24 h | 137 ± 209 | 109 ± 101 | 17 | 0.09 |
0–48 h | 126 ± 209 | 93 ± 83 | 16 | 0.09 |
Di-OHEFV | ||||
0–12 h | 12.7 ± 10.2 | 56.2 ± 39.9 | 383 | <0.001 |
0–24 h | 11.9 ± 10.7 | 48.5 ± 35.7 | 343 | <0.001 |
0–48 h | 11.5 ± 12.6 | 40.2 ± 31.5 | 291 | <0.001 |
0- to 48-h molar ratio (Ae of metabolite/Ae of EFV)a | ||||
8-OHEFV/EFV | 684 ± 386 | 304 ± 158 | −49.1 | <0.001 |
7-OHEFV/EFV | 169 ± 119 | 110 ± 62 | −21.4 | <0.001 |
Di-OHEFV/EFV | 516 ± 285 | 164 ± 90 | −62.1 | <0.001 |
Di-OHEFV/8-OHEFV | 0.8 ± 0.2 | 0.6 ± 0.5 | −29.5 | <0.001 |
8- + di-OHEFV/EFV | 1,200 ± 655 | 468 ± 240 | −55.3 | <0.001 |
Ratios are large because EFV excreted unchanged was relatively small.
Note that the effect of voriconazole on plasma MRs was larger than that on urine MRs.