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Nelfinavir

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Summary

  • ▴ Nelfinavir is a protease inhibitor which shows good inhibitory activity against HIV-1. The pattern of HIV-1 resistance to nelfinavir is different from that seen with other protease inhibitors.

  • ▴ In healthy male volunteers, administration of single 400 and 800mg doses of nelfinavir with food resulted in area under the plasma concentration-time curve values that were 27 to 50% higher than those achieved in fasted volunteers who received the same doses of the drug.

  • ▴ Reductions in plasma HIV RNA to below detectable levels (detection limit 500 copies/ml) were achieved in some patients (number not reported) after 28 days’ treatment with nelfinavir 500, 600 or 750mg twice daily, or 500, 750 or 1000mg 3 times daily.

  • ▴ Combination therapy with nelfinavir and stavudine produced greater reductions in plasma HIV RNA levels than stavudine monotherapy in patients who had not previously received stavudine treatment; mean increases in CD4+ cell counts were also greater in the combination treatment group than in monotherapy recipients.

  • ▴ Plasma HIV RNA decreased to below detectable levels in 11 of 12 patients with early onset HIV infection who received a triple regimen of nelfinavir, zidovudine and lamivudine for 16 weeks.

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Correspondence to Caroline M. Perry.

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Perry, C.M., Benfield, P. Nelfinavir. Drugs 54, 81–87 (1997). https://doi.org/10.2165/00003495-199754010-00007

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