Period 2 was immediately followed by Period 3, in which check details subjects received 200 mg MK-5172 QD coadministered with 600 mg QD oral doses of RIF for 14 days. Results: Coadminis-tration of MK-5172 with RIF was safe and well-tolerated. A single IV dose of RIF increased the MK-5172 AUC0-24, Cmax, and C24, with geometric mean ratios (GMRs, MK-5172+RIF/MK-5172) [90% confidence intervals (CIs)] of 12.61 [10.83, 14.67], 10.94 [8.92, 13.43], and 1.77 [1.40, 2.24], respectively. A single dose of oral
RIF increased the MK-5172 steady-state AUC0-24, Cmax, and C24 with GMRs (MK-5172+RIF/MK-5172) [90% CIs] of 8.35 [7.38, 9.45], 6.52 [5.16, 8.24], and 1.62 [1.32, 1.98], respectively. Multiple oral doses of RIF did not statistically impact the MK-5172 steady-state AUC0-24 or Cmax with GMRs (MK-5172+RIF/MK-5172) [90% CI] of 0.93 [0.75, 1.17] and 1.16 [0.82, 1.65], respectively, but decreased the MK-5172 C24h with a GMR [90% CI] of selleck 0.15 [0.11, 0.20]. Conclusions: There was a significant increase in MK-5172
PK when MK-5172 is coadministered with a single IV or oral dose of RIF, which may be primarily attributed to inhibition of OATP by RIF. There was no significant effect of oral 600 mg QD RIF on MK-5172 AUC and Cmax, but a significant decrease in C24h, likely due to a net-effect of OATP inhibition and CYP3A4/P-gp induction by multiple oral RIF doses. These results suggest that MK-5172 is an OATP substrate and confirm that MK-5172 is a CYP3A4/P-gp substrate.
Disclosures: Luzelena Caro – Employment: Merck & Co., Inc. Jennifer E. Talaty – Employment: Merck, Sharp, & Dohme Zifang Guo – Employment: Merck & Co., Inc. Kristin Butterfield – Employment: Merck, Sharp & Dohme Thomayant Prueksaritanont – Employment: Merck Sharp & Dohme Corp Scott Rasmussen – Employment: Celerion, Inc Iain P. Fraser – Employment: Merck & Co.; Stock Shareholder: Merck & Co. Wendy W. Yeh – Employment: Merck & Co. Joan R. Butterton – Employment: Merck Sharp & Dohme Corp.; Stock find more Shareholder: Merck Sharp & Dohme Corp. “
“The Korean College of Helicobacter and Upper Gastrointestinal Research first developed guidelines for the diagnosis and treatment of Helicobacter pylori (H. pylori) infection in 1998, and revised guidelines were proposed in 2009 by the same group. Although the revised guidelines were based on a comprehensive review of published articles and the consensus of expert opinions, the revised guidelines were not developed using an evidence-based process. The new guidelines presented in this study include specific changes regarding indication and treatment of H. pylori infection in Korea, and were developed through the adaptation process using an evidence-based approach. After systematic review of the literature, six guidelines were selected using the Appraisal of Guidelines for Research and Evaluation (AGREE) II process. A total of 21 statements were proposed with the grading system and revised using the modified Delphi method.