The interaction between nirmatrelvir/ritonavir and sirolimus: a case report of a kidney recipient with renal insufficiency and COVID-19.

IF 1.4 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Journal of International Medical Research Pub Date : 2025-01-01 DOI:10.1177/03000605241307845
Yinhua Gong, Dan Shen, Jinfang Shi, Ye Jiang, Jie Gao
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Abstract

Nirmatrelvir/ritonavir is a novel drug combination authorized by the US Food and Drug Administration for the treatment of coronavirus disease 2019 (COVID-19). This report describes the case of a patient with a prior history of kidney transplantation who received nirmatrelvir/ritonavir. In this case, sirolimus use was successfully stopped before nirmatrelvir/ritonavir treatment, and the nirmatrelvir/ritonavir trough concentration was determined. During nirmatrelvir/ritonavir treatment, the sirolimus trough concentration remained stable. This case highlights the risk associated with the concomitant administration of sirolimus and nirmatrelvir/ritonavir. Providers should therefore be cautious when prescribing nirmatrelvir/ritonavir to kidney transplant recipients currently receiving sirolimus, with caution exercised based on creatinine clearance.

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尼马特利韦/利托那韦与西罗莫司的相互作用:一例肾功能不全合并COVID-19的肾受体报告
Nirmatrelvir/ritonavir是美国食品和药物管理局批准用于治疗2019冠状病毒病(COVID-19)的新型药物组合。本报告描述了一例有肾移植史的患者接受了尼马特韦/利托那韦治疗。本例患者在尼马特利韦/利托那韦治疗前成功停用西罗莫司,并测定了尼马特利韦/利托那韦谷浓度。在尼马特利韦/利托那韦治疗期间,西罗莫司谷浓度保持稳定。该病例强调了与西罗莫司和尼马特韦/利托那韦同时使用相关的风险。因此,在给正在接受西罗莫司治疗的肾移植受者开nirmatrelvir/ritonavir处方时,提供者应谨慎,并根据肌酐清除率进行谨慎操作。
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来源期刊
CiteScore
3.20
自引率
0.00%
发文量
555
审稿时长
1 months
期刊介绍: _Journal of International Medical Research_ is a leading international journal for rapid publication of original medical, pre-clinical and clinical research, reviews, preliminary and pilot studies on a page charge basis. As a service to authors, every article accepted by peer review will be given a full technical edit to make papers as accessible and readable to the international medical community as rapidly as possible. Once the technical edit queries have been answered to the satisfaction of the journal, the paper will be published and made available freely to everyone under a creative commons licence. Symposium proceedings, summaries of presentations or collections of medical, pre-clinical or clinical data on a specific topic are welcome for publication as supplements. Print ISSN: 0300-0605
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