Table 1.
ARV concentrations in maternal plasma and breast milka
ARV | Median maternal plasma concentration during third trimester of pregnancy, μg/ml | Median maternal plasma concentration at 1 month postpartum, μg/ml | Median maternal breast milk concentration at 1 month postpartum, μg/ml | Median maternal breast milk to plasma ratio at 1 month postpartumb |
---|---|---|---|---|
LPVc | Capsule: 6.18 | Capsule: 7.12 | 0.06 | 0.007 |
Tablet: 4.85 | Tablet: 10.75 | |||
Total: 5.51 | Total: 8.29 | |||
ABCd | – | 0.067 | 0.057 | 0.85 |
NVP | – | 6.71e | 1.83e | 0.27 |
3TC | – | 0.19e | 0.14e | 0.74 |
ZDV | – | – | 0.007e | – |
Half-maximal inhibitory concentration (IC50) for lopinavir (LPV)=0.0019 μg/ml, IC50 for abacavir (ABC)=0.07 μg/ml, IC50 for nevirapine (NVP)=0.024 μg/ml, IC50 for lamivudine (3TC)=0.55 μg/ml, IC50 for zidovudine (ZDV)=0.005 μg/ml [10,15].
Median of individual breast milk to plasma ratios for each participant.
Results exclude women with peak below detectable limit (two antepartum plasma samples, eight postpartum milk samples).
Results exclude women with peak below detectable limit (six plasma samples, five milk samples).
Results exclude women with detectable peaks sampled outside of a 10–18 h range from last dose (four breast milk 3TC, one plasma 3TC; one breast milk NVP, one plasma NVP; two breast milk ZDV). ARV, antiretroviral.