PMID- 31784745 OWN - NLM STAT- MEDLINE DCOM- 20210204 LR - 20211204 IS - 1537-6613 (Electronic) IS - 0022-1899 (Linking) VI - 221 IP - 9 DP - 2020 Apr 7 TI - Total and Unbound Bictegravir Concentrations and Viral Suppression in Cerebrospinal Fluid of Human Immunodeficiency Virus-Infected Patients (Spanish HIV/AIDS Research Network, PreEC/RIS 56). PG - 1425-1428 LID - 10.1093/infdis/jiz624 [doi] AB - We determined total and unbound concentrations of bictegravir (BIC) in cerebrospinal fluid (CSF) in 15 asymptomatic, virologically suppressed patients. The median plasma and CSF total BIC concentrations were 1837.1 ng/mL (interquartile range [IQR], 1237.2-2586.7) and 6.9 (IQR, 4.8-10.9), respectively. Median unbound BIC concentration was 2.48 ng/mL (IQR, 1.6-3.7). Total and unbound BIC CSF concentrations were above the half-maximal effective concentration value in all patients, and all subjects had human immunodeficiency virus viral suppression in plasma and CSF. Bictegravir may contribute to inhibit viral replication in this compartment. CI - (c) The Author(s) 2019. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com. FAU - Tiraboschi, Juan AU - Tiraboschi J AD - HIV and STI Unit, Infectious Disease Service, Hospital Universitari de Bellvitge-IDIBELL, Universitat de Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain. FAU - Imaz, Arkaitz AU - Imaz A AD - HIV and STI Unit, Infectious Disease Service, Hospital Universitari de Bellvitge-IDIBELL, Universitat de Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain. FAU - Khoo, Saye AU - Khoo S AD - Microbiology Service, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain. AD - University of Liverpool, Liverpool, United Kingdom. FAU - Niubo, Jordi AU - Niubo J AD - Microbiology Service, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain. FAU - Prieto, Paula AU - Prieto P AD - HIV and STI Unit, Infectious Disease Service, Hospital Universitari de Bellvitge-IDIBELL, Universitat de Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain. FAU - Saumoy, Maria AU - Saumoy M AD - HIV and STI Unit, Infectious Disease Service, Hospital Universitari de Bellvitge-IDIBELL, Universitat de Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain. FAU - Penchala, Sujan Dilly AU - Penchala SD AD - Microbiology Service, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain. FAU - Garcia, Benito AU - Garcia B AD - HIV and STI Unit, Infectious Disease Service, Hospital Universitari de Bellvitge-IDIBELL, Universitat de Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain. FAU - Padilla, Cristina AU - Padilla C AD - HIV and STI Unit, Infectious Disease Service, Hospital Universitari de Bellvitge-IDIBELL, Universitat de Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain. FAU - Videla, Sebastian AU - Videla S AD - Pharmacology Service, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain. FAU - Podzamczer, Daniel AU - Podzamczer D AD - HIV and STI Unit, Infectious Disease Service, Hospital Universitari de Bellvitge-IDIBELL, Universitat de Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Infect Dis JT - The Journal of infectious diseases JID - 0413675 RN - 0 (Amides) RN - 0 (HIV Integrase Inhibitors) RN - 0 (Heterocyclic Compounds, 3-Ring) RN - 0 (Heterocyclic Compounds, 4 or More Rings) RN - 0 (Piperazines) RN - 0 (Pyridones) RN - 8GB79LOJ07 (bictegravir) SB - IM MH - Adult MH - Amides MH - Cross-Sectional Studies MH - Female MH - HIV Infections/*drug therapy MH - HIV Integrase Inhibitors/cerebrospinal fluid/*pharmacokinetics/therapeutic use MH - HIV-1/drug effects/physiology MH - Heterocyclic Compounds, 3-Ring MH - Heterocyclic Compounds, 4 or More Rings/cerebrospinal fluid/*pharmacokinetics/therapeutic use MH - Humans MH - Male MH - Middle Aged MH - Pilot Projects MH - Piperazines MH - Pyridones MH - Virus Replication/drug effects MH - Young Adult OTO - NOTNLM OT - CNS OT - bictegravir OT - concentrations OT - unbound EDAT- 2019/12/01 06:00 MHDA- 2021/02/05 06:00 CRDT- 2019/12/01 06:00 PHST- 2019/08/13 00:00 [received] PHST- 2019/11/21 00:00 [accepted] PHST- 2019/12/01 06:00 [pubmed] PHST- 2021/02/05 06:00 [medline] PHST- 2019/12/01 06:00 [entrez] AID - 5648079 [pii] AID - 10.1093/infdis/jiz624 [doi] PST - ppublish SO - J Infect Dis. 2020 Apr 7;221(9):1425-1428. doi: 10.1093/infdis/jiz624.