Journal: Pharmaceutics
Article Title: A Physiologically-Based Pharmacokinetic Simulation to Evaluate Approaches to Mitigate Efavirenz-Induced Decrease in Levonorgestrel Exposure with a Contraceptive Implant
doi: 10.3390/pharmaceutics16081050
Figure Lengend Snippet: Population ( left plot ) and study-specific ( right plot ) predicted levonorgestrel plasma concentration, based on a MEM, versus observed mean concentration from one two-oral dose study without efavirenz (□) and with efavirenz (■) , two single-oral dose studies without efavirenz (+ and ×) [ , ], one single-IV dose study without efavirenz (∆) , and one implant study without efavirenz (○) and with efavirenz (●) . ‘Population’ predictions ( left plot ) use point estimates of parameters for the model, whereas ‘Study-specific’ predictions ( right plot ) consider inter-study variability (i.e., use post hoc parameters). The inset plots enlarge the lower left quadrant for ease of viewing.
Article Snippet: Methods: Using a physiologically-based pharmacokinetic (PBPK) model for levonorgestrel that we developed within the Simcyp ® program, we evaluated a higher dose of levonorgestrel implant, a lower dose of efavirenz, and the combination of both, as possible methods to mitigate the interaction.
Techniques: Clinical Proteomics, Concentration Assay