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Favipiravir pharmacokinetics in Thai adults with mild COVID‐19: A sub‐study of interpatient variability and ethnic differences in exposure

Prasanchaimontri et al., Pharmacology Research & Perspectives, doi:10.1002/prp2.1233
Nov 2024  
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Pharmacokinetic study of 8 Thai adults with mild COVID-19 showing higher favipiravir plasma concentrations compared to studies in other populations, suggesting regional/ethnic differences in pharmacokinetics. 7 of 8 adults achieved plasma concentrations above the EC90 in vitro target. Authors hypothesize that higher favipiravir doses may be needed in some populations to achieve therapeutic efficacy, and that suboptimal dosing may explain the failure of some clinical trials to demonstrate efficacy.
Potential risks include the creation of dangerous variants, and mutagenicity, carcinogenicity, teratogenicity, and embryotoxicity1-5.
Prasanchaimontri et al., 7 Nov 2024, Thailand, peer-reviewed, 11 authors. Contact: kulkanya.cho@mahidol.ac.th.
This PaperFavipiravirAll
Favipiravir pharmacokinetics in Thai adults with mild COVID‐19: A sub‐study of interpatient variability and ethnic differences in exposure
Ing‐orn Prasanchaimontri, Weerawat Manosuthi, Henry Pertinez, Andrew Owen, Suvimol Niyomnaitham, Rujipas Sirijatuphat, Lantharita Charoenpong, Tim R Cressey, Katherine Copeland, Phongpan Mokmued, Kulkanya Chokephaibulkit
Pharmacology Research & Perspectives, doi:10.1002/prp2.1233
This sub-study sought to characterize the pharmacokinetics (PK) of favipiravir (FPV) within Thai adults and quantitatively assess differences in exposure to those previously reported in other populations as a basis to understand putative differences in efficacy between studies conducted in different regions. It was nested within a prospective trial of adults with symptomatic COVID-19 infection without pneumonia receiving 1800 mg FPV twice-daily on day 1 and 800 mg twice-daily thereafter. Individual PK profiles were fitted with a one-compartment disposition model (firstorder absorption). Eight adults (seven female) with a median age of 39 years and BMI of 27.9 kg/m 2 were included. Seven adults achieved plasma concentrations above the EC 90 in vitro target (25 mg/L), with minimum-maximum concentrations decreasing with repeat dosing. The mean FPV apparent clearance observed in this study was
S U PP O RTI N G I N FO R M ATI O N Additional supporting information can be found online in the Supporting Information section at the end of this article.
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Please send us corrections, updates, or comments. c19early involves the extraction of 100,000+ datapoints from thousands of papers. Community updates help ensure high accuracy. Treatments and other interventions are complementary. All practical, effective, and safe means should be used based on risk/benefit analysis. No treatment or intervention is 100% available and effective for all current and future variants. We do not provide medical advice. Before taking any medication, consult a qualified physician who can provide personalized advice and details of risks and benefits based on your medical history and situation. FLCCC and WCH provide treatment protocols.
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