Pharmacokinetics of Nirmatrelvir and Ritonavir in COVID-19 Patients with End-Stage Renal Disease on Intermittent Hemodialysis
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Pharmacokinetics of Nirmatrelvir and Ritonavir in COVID-19 Patients with End-Stage Renal Disease on Intermittent Hemodialysis. / Lingscheid, Tilman; Kinzig, Martina; Krüger, Anne; Müller, Nils; Bölke, Georg; Tober-Lau, Pinkus; Münn, Friederike; Kriedemann, Helene; Witzenrath, Martin; Sander, Leif E; Sörgel, Fritz; Kurth, Florian.
In: ANTIMICROB AGENTS CH, Vol. 66, No. 11, e0122922, 15.11.2022.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Pharmacokinetics of Nirmatrelvir and Ritonavir in COVID-19 Patients with End-Stage Renal Disease on Intermittent Hemodialysis
AU - Lingscheid, Tilman
AU - Kinzig, Martina
AU - Krüger, Anne
AU - Müller, Nils
AU - Bölke, Georg
AU - Tober-Lau, Pinkus
AU - Münn, Friederike
AU - Kriedemann, Helene
AU - Witzenrath, Martin
AU - Sander, Leif E
AU - Sörgel, Fritz
AU - Kurth, Florian
PY - 2022/11/15
Y1 - 2022/11/15
N2 - Nirmatrelvir/ritonavir is an effective antiviral therapy against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Use is not recommended in patients with end-stage renal disease (ESDR) due to a lack of data. We investigated the pharmacokinetics of nirmatrelvir/ritonavir (150 mg/100 mg twice a day) in four patients with ESRD undergoing hemodialysis. Nirmatrelvir peak concentrations ranged from 4,563 to 7,898 ng/mL and declined after hemodialysis. Concentrations were up to 4-fold higher but still within the range known from patients without ESRD, without accumulation of nirmatrelvir after the end of treatment.
AB - Nirmatrelvir/ritonavir is an effective antiviral therapy against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Use is not recommended in patients with end-stage renal disease (ESDR) due to a lack of data. We investigated the pharmacokinetics of nirmatrelvir/ritonavir (150 mg/100 mg twice a day) in four patients with ESRD undergoing hemodialysis. Nirmatrelvir peak concentrations ranged from 4,563 to 7,898 ng/mL and declined after hemodialysis. Concentrations were up to 4-fold higher but still within the range known from patients without ESRD, without accumulation of nirmatrelvir after the end of treatment.
KW - Humans
KW - Ritonavir/therapeutic use
KW - SARS-CoV-2
KW - Kidney Failure, Chronic/drug therapy
KW - Renal Dialysis
KW - Antiviral Agents/therapeutic use
KW - COVID-19 Drug Treatment
U2 - 10.1128/aac.01229-22
DO - 10.1128/aac.01229-22
M3 - SCORING: Journal article
C2 - 36286542
VL - 66
JO - ANTIMICROB AGENTS CH
JF - ANTIMICROB AGENTS CH
SN - 0066-4804
IS - 11
M1 - e0122922
ER -