The pharmacogenetics of OATP1B1 variants and their impact on the pharmacokinetics and efficacy of elbasvir/grazoprevir

Autor: Rebecca L. Blanchard, Devan V. Mehrotra, Robin Mogg, Luzelena Caro, Peter M. Shaw, Michael N. Robertson, Kristina Maiuri, Patricia A. Hoover, Christen Wudarski, Zifang Guo, Ying-Hong Wang, Peggy Hwang
Rok vydání: 2019
Předmět:
Zdroj: Pharmacogenomics. 20:631-641
ISSN: 1744-8042
1462-2416
DOI: 10.2217/pgs-2019-0022
Popis: Aim: To evaluate the effect of SLCO1B1 genetic variants on grazoprevir pharmacokinetics and efficacy. Methods: A retrospective analysis of 1578 hepatitis C virus-infected participants from ten Phase II/III clinical trials. Results: Relative to noncarriers of the risk allele, geometric mean ratios (95% CI) of grazoprevir area under curve (AUC)0–24 were: rs4149056 (risk allele C), one copy, 1.13 (1.06–1.21), two copies, 1.43 (1.16–1.77); and rs11045819 (risk allele A), one copy, 0.93 (0.87–1.00); two copies, 0.78 (0.61–1.00). The rs2306283 variant was not associated with grazoprevir exposure. None of the SLCO1B1 variants were associated with sustained virologic response. Conclusion: Genetic variants in SLCO1B1 were associated with modest changes in grazoprevir pharmacokinetics, but not with meaningful differences in efficacy.
Databáze: OpenAIRE