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Combined Effect of CYP2B6 and NAT2 Genotype on Plasma Efavirenz Exposure During Rifampin-based Antituberculosis Therapy in the STRIDE Study

Journal

CLINICAL INFECTIOUS DISEASES
Volume 60, Issue 12, Pages 1860-1863

Publisher

OXFORD UNIV PRESS INC
DOI: 10.1093/cid/civ155

Keywords

HIV/AIDS; tuberculosis; efavirenz; rifampin; pharmacogenetic

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In STRIDE, slow metabolizer CYP2B6 and NAT2 genotypes were each associated with increased plasma efavirenz concentrations during antituberculosis therapy. Concentrations were greater on therapy than off therapy in 58% with CYP2B6 and 93% with NAT2 slow metabolizer genotypes. Individuals with slow metabolizer genotypes in both genes had markedly elevated concentrations.

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