Medical Advocates

Nelfinavir (Viracept)
 
Journal Citations

General Reports
Formulations
Pharmacokinetics
Viral Dynamics
Diagnostics/Monitoring
Drug/Drug Interactions
Adverse Events
Resistance
Efficacy
Therapeutic Strategies


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General/Miscellaneous Reports
 

 
Nelfinavir impairs glycosylation of herpes simplex virus 1 envelope proteins and blocks virus maturation.
Gantt S, Gachelet E, Carlsson J, et al
Adv Viro
l
. 2015;2015:687162.
Abstract

The HIV Protease Inhibitor Nelfinavir Dowregulates RET Signaling and Induces Apoptosis in Medullary Thyroid Cancer Cells.
Kushchayeva Y, Jensen K, Recupero A, et al
J Clin Endocrinol Metab
. 2014 Jan 31
Abstract

Insights into the broad cellular effects of nelfinavir and the HIV protease inhibitors supporting their role in cancer treatment and prevention.
Gantt S, Casper C, Ambinder RF.
Curr Opin Oncol. 2013 Jul 18.
Abstract

Gene expression modulation and the molecular mechanisms involved in Nelfinavir resistance in Leishmania donovani axenic amastigotes.
Kumar P, Lodge R, Raymond F, et al 
Mol Microbiol
. 2013 Jun 20
Abstract

Indinavir and nelfinavir inhibit proximal insulin receptor signalling and salicylate abrogates inhibition: Potential role of the NFkappa B pathway.
I
smail WI, King JA, Anwar K, Pillay TS.
J Cell Biochem
. 2013 Feb 5.
Abstract

Nelfinavir is effective in inhibiting the multiplication and aspartic peptidase activity of Leishmania species, including strains obtained from HIV-positive patients.
Santos LO, Vitório BS, Branquinha MH,  et al
J Antimicrob Chemother
. 2012 Oct 28.
Abstract

Targeting the off-targets: a computational bioinformatics approach to understanding the polypharmacology of nelfinavir.
Brüning A. Expert Rev Clin Pharmacol. 2011
Sep;
4(5):571-3.
Abstract

Analysis of Nelfinavir-Induced Endoplasmic Reticulum Stress.
Brüning A.
Methods Enzymol
. 2011;491C:127-142.
Abstract

Modulation of endocrine and transport functions in human trophoblasts by saquinavir and nelfinavir.
Beghin D, Forestier F, Noël-Hudson MS,  et al
Eur J Obstet Gynecol Reprod Biol
. 2010 Jun 28.
Abstract

New Prospects for Nelfinavir in Non-HIV-Related Diseases.
Brüning A, Gingelmaier A, Friese K, Mylonas I.
Curr Mol Pharmacol
. 2010 Mar 18
Abstract

HIV protease inhibitors, indinavir or nelfinavir, augment antimalarial
action of artemisinin in vitro.
Mishra LC, Bhattacharya A, Sharma M, Bhasin VK.

Am J Trop Med Hyg
. 2010 Jan;82(1):148-50

Abstract

Effects of obesity induced by high-fat diet on the pharmacokinetics of nelfinavir,
a HIV protease inhibitor, in laboratory rats.
Sugioka N, Haraya K, Fukushima K,  et al
Biopharm Drug Dispos
.
2009 Oct 27.
Abstract

The Viracept (nelfinavir) - ethyl methanesulfonate case. A threshold risk assessment
for human exposure to a genotoxic drug contamination?
Lutz WK.
Toxicol Lett
. 2009 Aug 17.
Abstract

Nelfinavir induces mitochondria protection by ERK1/2-mediated mcl-1 stabilization
that can be overcome by sorafenib.
Brüning A, Burger P, Vogel M, et al  
Invest New Drugs. 2009 Jun 26
Abstract

The Impact of Nelfinavir Exposure on Cancer Development Among a Large Cohort of
HIV-Infected Patients.
Crum-Cianflone NF, Hullsiek KH, Marconi V,  et al  
J Acquir Immune Defic Syndr
. 2009 Apr 29
Abstract

Nelfinavir induces the unfolded protein response in ovarian cancer cells, resulting in
ER vacuolization, cell cycle retardation and apoptosis.
Brüning A, Burger P, Vogel M, et al
Cancer Biol Ther
. 2009 Mar 3;8(3).
Abstract
 

FULL TEXT ARTICLE
Rate limiting steps in hepatic drug clearance: comparison of hepatocellular uptake and
metabolism with microsomal metabolism of saquinavir, nelfinavir and ritonavir.

Parker A, Houston JB.
Drug Metab Dispos
. 2008 Apr 21
Paper

 
HIV-1 Protease Inhibitors Nelfinavir and Atazanavir Induce Malignant Glioma Death
by Triggering Endoplasmic Reticulum Stress.
Pyrko P, Kardosh A, Wang W, et al 

Cancer Res.
2007 Nov 15;67(22):10920-10928

Abstract
 
Nelfinavir monotherapy increases naive T-cell numbers in HIV-negative healthy young adults.
Vlahakis SR, Tangalos EG, McClees MD, et al 
Front Biosci. 2008 Jan 1;13:1605-9.
Abstract
 
Nelfinavir, A Lead HIV Protease Inhibitor, Is a Broad-Spectrum, Anticancer Agent that Induces
Endoplasmic Reticulum Stress, Autophagy, and Apoptosis In vitro and In vivo.

Gills JJ, Lopiccolo J, Tsurutani J, et al
Clin Cancer Res. 2007 Sep 1;13(17):5183-94
Abstract
 
The HIV protease inhibitor nelfinavir downregulates Akt phosphorylation by inhibiting
proteasomal activity and inducing the unfolded protein response.

Gupta AK, Li B, Cerniglia GJ, Ahmed MS, et al
Neoplasia. 2007 Apr;9(4):271-8.
Abstract
 
HIV Protease Inhibitor Nelfinavir Inhibits Growth of Human Melanoma Cells by Induction of
Cell Cycle Arrest.

Jiang W, Mikochik PJ, Ra JH, et al  
Cancer Res. 2007 Feb 1;67(3):1221-7
Abstract
 
Nelfinavir induces liposarcoma apoptosis and cell cycle arrest by upregulating sterol regulatory
element binding protein-1.
Chow WA, Guo S, Valdes-Albini F.   

Anticancer Drugs.
2006 Sep;17(8):891-903.
Abstract
 
A review of nelfinavir for the treatment of HIV infection.
Olmo M, Podzamczer D.

Expert Opin Drug Metab Toxicol. 2006 Apr;2(2):285-300.
Abstract

Pharmacogenetics of Long-Term Responses to Antiretroviral Regimens Containing Efavirenz
and/or Nelfinavir: An Adult AIDS Clinical Trials Group Study.
Haas DW, Smeaton LM, Shafer RW,
 Infect Dis.
2005 Dec 1;192(11):1931-42.

Abstract


Formulations
           

 
Assessment of the bioequivalence of two nelfinavir tablet formulations under fed and fasted
conditions in healthy subjects.

Kaeser B, Charoin JE, Gerber M, et al  
 
Int J Clin Pharmacol Ther. 2005 Mar;43(3):154-62.
Abstract

Comparison of gastrointestinal tolerability and patient preference for treatment with the
625 mg and 250 mg nelfinavir tablet formulations.
Johnson M, Nieto-Cisneros L, Horban A, et al 
HIV Med. 2005 Mar;6(2):107-13.
Abstract


Pharmacokinetics  
           

 
Pharmacokinetic study and comparative bioavailability of two nelfinavir tablet formulations in
Iranian healthy volunteers after a low-dose administration.

Derakhsh K, Eh, Sohrabi A. 
Int J Clin Pharmacol Ther. 2009 Jul;47(7):491-8.
Abstract

Pharmacokinetics of nelfinavir in subjects with hepatic impairment.
Damle B, Hewlett D Jr, Hsyu PH, et al

J Clin Pharmacol.
2006 Nov;46(11):1241-9.
Abstract
 

Pharmacokinetics of nelfinavir in HIV-1-infected pregnant and nonpregnant women.
Villani P, Floridia M, Pirillo MF, et al 

Br J Clin Pharmacol.
2006 Sep;62(3):309-15
Abstract
 
Population pharmacokinetic analysis for nelfinavir and its metabolite M8 in virologically controlled
HIV-infected patients on HAART.
Panhard X, Goujard C, Legrand M, et al

Br J Clin Pharmacol.
2005 Oct;60(4):390-403.
Abstract
 
The long-term pharmacokinetics and safety of adding low-dose ritonavir to a nelfinavir 1250 mg
twice-daily regimen in HIV-infected patien
t
ts.Justesen US, Hansen IM, Andersen AB, et al
HIV Med. 2005 Sep;6(5):334-40
Abstract
 
Pharmacokinetics of nelfinavir and efavirenz in antiretroviral-naive, human immunodeficiency
virus-infected subjects when administered alone or in combination with nucleoside analog
reverse transcriptase inhibitors.
Smith PF, Robbins GK, Shafer RW, et al
Antimicrob Agents Chemother. 2005 Aug;49(8):3558-61.
Abstract
 
Role of P-Glycoprotein in Distribution of Nelfinavir across the Blood-Mammary Tissue
Barrier and Blood-Brain Barrier.
Edwards JE, Alcorn J, Savolainen J,et al

J.Antimicrob Agents Chemother.
2005 Apr;49(4):1626-
Abstract
 
Nelfinavir Induces Necrosis of 3T3F44-2A Adipocytes by Oxidative Stress.
Vincent S, Tourniaire F, El Yazidi CM, et al

 2004 Dec 15;37(5):1556-1562.
Abstract
 
Effect of efavirenz treatment on the pharmacokinetics of nelfinavir boosted by
ritonavir in healthy volunteers.
la Porte CJ, de Graaff-Teulen MJ, et al 

Br J Clin Pharmacol.
2004 Dec;58(6):632-640.
Abstract
 
Conversion of the HIV protease inhibitor nelfinavir to a bioactive metabolite by
humanliver CYP2C19.
Hirani VN, Raucy JL, Lasker JM. 
Drug Metab Dispos. 2004 Sep 24
Abstract

Ritonavir-Enhanced Pharmacokinetics of Nelfinavir/M8 During Rifampin Use.
Bergshoeff AS, Wolfs TF, Geelen SP, Burger DM.
Ann Pharmacother 2003 Apr;37(4):521-525
Abstract

Pharmacokinetics, food intake requirements and tolerability of once-daily combinations
of nelfinavir and low-dose ritonavir in healthy volunteers.
Aarnoutse RE, Droste JA, Van Oosterhout JJ, et al
Br J Clin Pharmacol 2003 Feb;55(2):115-125
Abstract

Population Pharmacokinetics and Pharmacodynamics of Efavirenz, Nelfinavir,
and Indinavir: Adult AIDS Clinical Trial Group Study 398.
Pfister M, Labbe L, Hammer SM, et al.
Antimicrob Agents Chemother 2003 Jan;47(1):130-137

Abstract

Model-based Analysis of the Pharmacokinetic Interactions Between Ritonavir,
Nelfinavir, and Saquinavir after Simultaneous and Staggered
Oral Administration.

Lu JF, Blaschke TF, Flexner C, et al

Drug Metab Dispos 2002 Dec;30(12):1455-61
Abstract
 
The effects of cannabinoids on the pharmacokinetics of indinavir and nelfinavir.
Kosel BW, Aweeka FT,Benowitz NL, et al.
AIDS
2002 Mar 8;16(4):543-50

Abstract
 
Pharmacokinetic Interactions between Nelfinavir and 3-Hydroxy-3-Methylglutaryl
Coenzyme A Reductase Inhibitors Atorvastatin and Simvastatin.
Hsyu PH, Schultz-Smith MD, Lillibridge JH, et al.
Antimicrob Agents Chemother
2001 Dec;45(12):3445-50

Abstract
 
Nelfinavir suspension obtained from nelfinavir tablets has equivalent pharmacokinetic
profile.
Regazzi MB, Seminari E, Villani P , et al 
J Chemother 2001 Oct;13(5):569-74

Abstract
 
FULL-TEXT ARTICLE
A population pharmacokinetic analysis of nelfinavir mesylate in human
immunodeficiency virus-infected patients enrolled in a phase III clinical trial.
J
ackson KA, Rosenbaum SE, Kerr BM, et al..
Antimicrob Agents Chemother
2000 Jul;44(7):1832-1837
Paper

 

Viral Dynamics
 

 
Baseline HIV-1 RNA Level and CD4 Cell Count Predict Time to Loss of Virologic
Response to Nelfinavir, but Not Lopinavir/Ritonavir, in Antiretroviral Therapy-Naive
Patients.
King MS, Bernstein BM, Walmsley SL, et al 

J Infect Dis
. 2004 Jul 15;190(2):280-
Abstract

FULL-TEXT PDF ARTICLE
Differences in the detection of three HIV-1 protease inhibitors in  non-blood
compartments:clinical correlations.
Lafeuillade A, Solas C, Halfon P, et al.
HIV Clin Trials 2002 Jan-Feb;3(1):27-35
PDF Paper


Diagnostics/Monitoring
           

 
Nelfinavir+M8 Plasma Levels Determined with an ELISA Test in HIV Infected Patients with or without
HCV and/or HBV Coinfection: The VIRAKINETICS II Study.
Uglietti A, Ravasi G, Meroni V, Narciso P, et al 
Curr HIV Res. 2009 May;7(3):293-301
Abstract

Drug/Drug Interactions
 

 
Complex Drug Interactions of HIV Protease Inhibitors 2: In Vivo Induction and In Vitro to In Vivo Correlation of
Induction of Cytochrome P450 1A2, 2B6 and 2C9 by Ritonavir or Nelfinavir.
Kirby BJ, Collier AC, Kharasch ED,  et al
Drug Metab Dispos
. 2011 Sep 19
Abstract

Complex Drug Interactions of HIV Protease Inhibitors 1: Inactivation, Induction and Inhibition
of Cytochrome P450 3A by Ritonavir or Nelfinavir.
Kirby BJ, Collier AC, Kharasch ED,  et al
Drug Metab Dispos
. 2011 Mar 15
Abstract

The effect of rifampin and nelfinavir on the metabolism of methadone and buprenorphine in
primary cultures of human hepatocytes.
Moody DE, Fang WB, Lin SN, et al
Drug Metab Dispos
. 2009 Sep 22
Abstract

Clinical evaluation of the nelfinavir-rifabutin interaction in patients with tuberculosis and
human immunodeficiency virus infection.

Benator DA, Weiner MH, Burman WJ, et al

Pharmacotherapy.
2007 Jun;27(6):793-800.
Abstract
 

Clinical and pharmacokinetic interactions between methadone and nelfinavir (Nemesia study).
Marco A, Deig E, Cadafalch J, et al
Med Clin (Barc). 2006 Jun 10;127(2):47-50
Abstract

Carbamazepine Toxicity Induced by Lopinavir/Ritonavir and Nelfinavir (June).
Bates DE, Herman RJ. 

Ann Pharmacother.
2006 May 23;
Abstract
 

Pharmacokinetic interaction between nelfinavir and pravastatin in HIV-seronegative
 volunteers:ACTG Study A5108.
Aberg JA, Rosenkranz SL, Fichtenbaum CJ,et al 
AIDS. 2006 Mar 21;20(5):725-729.
Abstract
 
Lack of pharmacokinetic drug interaction between tenofovir disoproxil fumarate and
nelfinavir mesylate.
Boffito M, Pozniak A, Kearney BP, et al 

Antimicrob Agents Chemother.
2005 Oct;49(10):4386-9.
Abstract

Sildenafil does not alter nelfinavir pharmacokinetics.
Bratt G, Stahle L.

Ther Drug Monit 2003 Apr;25(2):240-2
Abstract


Pharmacokinetics, food intake requirements and tolerability of once-daily
combinations of nelfinavir and low-dose ritonavir in healthy volunteers.
Aarnoutse RE, Droste JA, Van Oosterhout JJ, et al
Br J Clin Pharmacol 2003 Feb;55(2):115-125
Abstract

Simvastatin-nelfinavir interaction implicated in rhabdomyolysis and death.
Hare CB, Vu MP, Grunfeld C, Lampiris HW.
 
Clin Infect Dis 2002 Nov 15;35(10):e111-2
Abstract
 
Pharmacokinetic Interactions between Nelfinavir and 3-Hydroxy-3-thylglutaryl
Coenzyme A Reductase Inhibitors Atorvastatin and Simvastatin.
Hsyu PH, Schultz-Smith MD, Lillibridge JH, et al.
Antimicrob Agents Chemother
2001 Dec;45(12):3445-50

Abstract

 

Adverse Events
 

 
Is nelfinavir exposure associated with cancer incidence in HIV-positive individuals?
Boettiger DC, Sabin CA, Grulich A, et al  
AIDS. 2016 Feb 5.
Abstract

Nelfinavir suppresses insulin signaling and nitric oxide production by human aortic endothelial cells: protective effects of thiazolidinediones.
Mondal D, Liu K, Hamblin M, Lasky JA, Agrawal KC.
Ochsner J
. 2013 Spring;13(1):76-90.
Abstract

EMS in Viracept--the course of events in 2007 and 2008 from the non-clinical safety point of view.
Müller L, Singer T.
Toxicol Lett
. 2009 Nov 12;190(3):243-7
Abstract

Post-receptoral adipocyte insulin resistance induced by nelfinavir is caused by insensitivity of PKB/Akt
to phosphatidylinositol-3,4,5-trisphosphate.
Kachko I, Maissel A, Mazor L, et al.
Endocrinology
. 2009 Jan 29.
Abstract
 

Long-Term Body Fat Outcomes in Antiretroviral-Naive Participants Randomized to Nelfinavir
or Efavirenz or Both Plus Dual Nucleosides: Dual X-Ray Absorptiometry Results From A5005s,
a Substudy of Adult Clinical Trials Group 384.

Dubé MP, Komarow L, Mulligan K, et al
J Acquir Immune Defic Syndr. 2007 Jun 21;
Abstract
 
Incidence of and risk factors for severe hepatotoxicity of nelfinavir-containing regimens
among HIV-infected patients with chronic hepatitis C.
Mira JA, Macias J, Giron-Gonzalez JA, et al
J Antimicrob Chemother. 2006 May 23;
Abstract
 
Glucose metabolism, lipid, and body fat changes in antiretroviral-naive subjects
randomized to nelfinavir or efavirenz plus dual nucleosides.
Dube MP, Parker RA, Tebas P, et al 
AIDS
. 2005 Nov 4;19(16):1807-1818.
Abstract
 
Liver injury and changes in hepatitis C Virus (HCV) RNA load associated with
protease inhibitor-based antiretroviral therapy for treatment-naive HCV-HIV-coinfected
patients: lopinavir-ritonavir versus nelfinavir.
Sherman KE, Shire NJ, Cernohous P, et al  Clin Infect Dis. 2005 Oct 15;41(8):1186-95.
Abstract
 
Differences in rates of diarrhea in patients with human immunodeficiency virus
receiving lopinavir-ritonavir or nelfinavir.
Guest JL, Ruffin C, Tschampa JM, et al 
Pharmacotherapy. 2004 Jun;24(6):727-35.
Abstract
 
Nelfinavir-induced insulin resistance is associated with impaired plasma membrane
recruitment
of the PI 3-kinase effectors Akt/PKB and PKC-zeta.
Ben-Romano R, Rudich A, Tirosh A, et al 
Diabetologia. 2004 May 28
Abstract

The use of calcium carbonate in nelfinavir-associated diarrhoea in HIV-1-infected
patients.

Jensen-Fangel S, Justesen US, Black FT, et a
l
HIV Med 2003 Jan;4(1):48-52
Abstract

High concentrations of nelfinavir as an independent risk factor for lipodystrophy in
human immunodeficiency virus-infected patients.

Treluyer JM, Morini JP, Dimet J, et al.
 
Antimicrob Agents Chemother 2002 Dec;46(12):4009-12
Abstract

FULL-TEXT ARTICLE                
Suppression of preadipocyte differentiation and promotion of  adipocyte death  by HIV
protease inhibitors.
Dowell P, Flexner C, Kwiterovich PO, Lane MD. 
J Biol Chem 2000 Dec 29;275(52):41325-32
Paper 

 

Resistance
 

 
FULL TEXT ARTICLE
New Insights into the In Silico Prediction of HIV Protease Resistance to Nelfinavir.
Antunes DA, Rigo MM, Sinigaglia M,  et al
PLoS One
. 2014 Jan 31;9(1):e87520.
Paper


The impact of the nelfinavir resistance-conferring mutation D30N on the susceptibility of HIV-1
subtype B to other protease inhibitors.
Santos AF, Soares MA.
Mem Inst Oswaldo Cruz. 2011 Mar;106(2):177-81.
Abstract

Co-evolution of nelfinavir-resistant HIV-1 protease and the p1-p6 substrate.
Kolli M, Lastere S, Schiffer CA. 
Virology. 2006 Jan 19;
Abstract
 

FULL-TEXT ARTICLE
HIV-1 genotypes related to failure of nelfinavir as the first protease inhibitor treatment.
Tupinambas U, Aleixo A, Greco D.
Braz J Infect Dis. 2005 Aug;9(4):324-9.
Paper
 
Diverse pattern of protease inhibitor resistance mutations in HIV-1 infected patients failing nelfinavir.
Svedhem V, Lindkvist A, Bergroth T, et al  

J Med Virol.
2005 Jun 23;76(4):447-451
Abstract
 
Relationship between Adherence and the Development of Resistance in Antiretroviral-
Naive, HIV-1-Infected Patients Receiving Lopinavir/Ritonavir or Nelfinavir.
King MS, Brun SC, Kempf DJ.
Infect Dis. 2005 Jun 15;191(12):2046-52.
Abstract
 
HIV-1 genotype resistance pattern and evolution in patients failing nelfinavir-containing
regimens.
Quiros-Roldan E, Moretti F, et al 

J Clin Lab Anal.
2005 Jan 11;19(1):26-29
Abstract
 

Primary nelfinavir (NFV)-associated resistance mutations during a follow-up period of
108 weeks in protease inhibitor naive patients treated with NFV-containing regimens in
an HIV clinic cohort.

Tsuchiya K, Matsuoka-Aizawa S, Yasuoka A, 

J
Clin Virol. 2003 Aug;27(3):252-262.
Abstract

Drug resistance mutations and outcome of second-line treatment in patients with
first-line protease inhibitor failure on nelfinavir-containing
HAART.

Roge BT, Katzenstein TL, Nielsen HL, Gerstoft J.

HIV Med 2003 Jan;4(1):38-47

Abstract

Drug resistance mutations and outcome of second-line treatment in patients with
first-line protease inhibitor failure on nelfinavir-containing HAART.

Roge BT, Katzenstein TL, Nielsen HL, Gerstoft J.

HIV Med 2003 Jan;4(1):38-47
Abstract

Resistance mutations in HIV-infected patients experiencing early failure with nelfinavir-
containing triple combinations.
Nunez M, Mendoza C, Valer L, et al.
Med Sci Monit 2002 Sep;8(9):CR620-3
Abstract

Plasma drug levels, genotypic resistance, and virological response to  a nelfinavir plus s
aquinavir-containing regimen.

Casado JL, Moreno S, Hertogs K, et al.
AIDS 2002 Jan 4;16(1):47-52
Abstract

 

Efficacy
 

HIV
 
 
Comparison of the effectiveness of initial combined antiretroviral therapy with nelfinavir or
efavirenz at a university-based outpatient service in Brazil.

Vanni T, Morejón KM, Santana RC, et al 
Braz J Med Biol Res. 2007 Jul;40(7):963-9.
Abstract
 
Efficacy of nelfinavir-based treatment in the central nervous system of HIV-1 infected patients.
Karlstrom O, Stahle L, Perrin L, et al 
Scand J Infect Dis. 2006 May;38(5):371-374
Abstract
 
Efficacy, Tolerability and Pharmacokinetics of Two Nelfinavir-Based Regimens in Human
Immunodeficiency Virus-Infected Children and Adolescents: Pediatric AIDS Clinical Trials
Group Protocol 403.
King JR, Nachman S, Yogev R, et al 
Pediatr Infect Dis J. 2005 Oct;24(10):880-885.
Abstract
 
Efficacy, Tolerability and Pharmacokinetics of Two Nelfinavir-Based Regimens in
Human Immunodeficiency Virus-Infected Children and Adolescents: Pediatric AIDS
Clinical Trials Group Protocol 403.
King JR, Nachman S, Yogev R, et al 
Pediatr Infect Dis J. 2005 Oct;24(10):880-885.
Abstract
 
Therapeutic drug monitoring of nelfinavir and indinavir in treatment-naive HIV-1-
infected individuals.

Burger D, Hugen P, Reiss P, et al.
AIDS. 2003 May 23;17(8):1157-1165.
Abstract

Coadministration of Indinavir and Nelfinavir in Human Immunodeficiency Virus Type 1-
Infected Adults: Safety, Pharmacokinetics, and Antiretroviral Activity.

Riddler SA, Havlir D, Squires KE, et al.
A
ntimicrob Agents Chemother 2002 Dec;46(12):3877-3882
Abstract

Modulation of Human Immunodeficiency Virus (HIV)-Specific Immune Response by
Using Efavirenz, Nelfinavir, and Stavudine in a Rescue T herapy Regimen for
HIV-Infected, Drug-Experienced Patients.
Trabattoni D, Lo Caputo S, Biasin M, et al.
Clin Diagn Lab Immunol 2002 Sep;9(5):1114-8
Abstract
 
Nelfinavir plasma levels under twice-daily and three-times-daily regimens: high
interpatient and low intrapatient variability.
Marzolini C, Buclin T, Decosterd LA, et al
Ther Drug Monit  
2001 Aug;23(4):394-398
Abstract
 
Stable or increasing bone mineral density in HIV-infected patients treated with
nelfinavir or indinavir.

N
olan D, Upton R, McKinnon E, et al.
AIDS 2001 Jul 6;15(10):1275-1280
Abstract
 
The effect of nevirapine in combination with nelfinavir in heavily pretreated
HIV-1-infected patients: a  prospective, open-label, controlled, randomized study.
Jensen-Fangel S, Thomsen HF, Larsen L, Black FT, Obel N
J  Acquir Immune Defic Syndr
2001 Jun 1;27(2):124-129

Abstract
 
Short-term measures of relative efficacy predict longer-term reductions in human
immunodeficiency virus type 1 RNA levels following nelfinavir monotherapy.
Mittler J,  Essunger P, Yuen GJ, et al.
Antimicrob Agents Chemother 2001 May;45(5):1438-1443
Abstract
 

    HIV Treatment Strategies
 


 
A comparison of the effects of nevirapine and nelfinavir on metabolism and body
habitus in antiretroviral-naive human immunodeficiency virus-infected patients: a
randomized controlled study.
Fisac C, Virgili N, Ferrer E, et al 
J Clin Endocrinol Metab.
2003 Nov;88(11):5186-92
Abstract

     HIV Treatment Failure
 

  Treatment failure of nelfinavir-containing triple therapy can largely be explained by low
nelfinavir plasma concentrations.
Burger DM, Hugen PW, Aarnoutse RE, et al.

Ther Drug Monit 2003 Feb;25(1):73-80
Abstract
 

HIV/HCV

 
Safety, efficacy, and tolerability of nelfinavir-containing antiretroviral therapy for patients
coinfected with HIV and hepatitis C undergoing methadone maintenance.
Brown LS Jr, Kritz S, Chu M, Madray C.
 
J Subst Abuse Treat. 2006 Jun;30(4):331-5.

Abstract

Clinical Pharmacokinetics of Nelfinavir and Its Metabolite M8 in Human
Immunodeficiency Virus (HIV)-Positive and HIV-Hepatitis C Virus-Coinfected
Subjects.
Regazzi M, Maserati R, Villani P, et al
Antimicrob Agents Chemother. 2005 Feb;49(2):643-9.
Abstract
 

Carcinoma
 
  Everything Old Is New Again: Using Nelfinavir to Radiosensitize Rectal Cancer.
Meyn RE, Krishnan S, Skinner HD.
Clin Cancer Res
. 2016 Feb 26. pii: clincanres.0024.2016
Abstract

FULL-TEXT ARTICLE
A phase I trial of the HIV protease inhibitor nelfinavir in adults with solid tumors.
Blumenthal GM, Gills JJ, Ballas M, et al
Oncotarget
. 2014 Sep 30;5(18):8161-72.
Paper

Efficacy of nelfinavir as monotherapy in refractory adenoid cystic carcinoma: Results of a Phase II clinical trial.
Hoover AC, Milhem MM, Anderson CM, et al
Head Neck. 2014 Mar 5
Abstract


Therapeutic Strategies
           

 
A Phase I Trial of the HIV Protease Inhibitor Nelfinavir with Concurrent Chemoradiotherapy for
Unresectable Stage IIIA/IIIB Non-small Cell Lung Cancer: A Report of Toxicities and Clinical Response.
Rengan R, Mick R, Pryma D,  et al 
J Thorac Oncol. 2012 Apr;7(4):709-715
Abstract

FULL-TEXT ARTICLE
Nelfinavir, an HIV-1 Protease Inhibitor, Induces Oxidative Stress-Mediated,
Caspase-Independent Apoptosis in Leishmania Amastigotes.

Kumar P, Lodge R, Trudel N,  et al
PLoS Negl Trop Dis
. 2010 Mar 30;4(3):e642.
Paper

HIV protease inhibitor nelfinavir inhibits replication of SARS-associated coronavirus.
Yamamoto N, Yang R, Yoshinaka Y, et al 
Biochem Biophys Res Commun. 2004 Jun 4;318(3):719-25
Abstract


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