Clinical and Virologic Response to Episodic Acyclovir for Genital Ulcers Among HIV-1 Seronegative, Herpes Simplex Virus Type 2 Seropositive African Women: A Randomized, Placebo-Controlled Trial

被引:7
作者
Baeten, Jared M. [1 ,2 ,3 ]
Reid, Stewart E. [4 ,5 ]
Delany-Moretlwe, Sinead [6 ]
Hughes, James P. [7 ]
Wang, Richard S. [1 ]
Wilcox, Ellen [1 ]
Limbada, Mohammed [5 ]
Akpomiemie, Godspower [6 ]
Corey, Lawrence [2 ,8 ,9 ]
Wald, Anna [2 ,3 ,8 ,9 ]
Celum, Connie [1 ,2 ,3 ]
机构
[1] Univ Washington, Dept Global Hlth, Seattle, WA 98104 USA
[2] Univ Washington, Dept Med, Seattle, WA 98104 USA
[3] Univ Washington, Dept Epidemiol, Seattle, WA 98104 USA
[4] Univ Alabama Birmingham, Dept Med, Birmingham, AL 35294 USA
[5] Ctr Infect Dis Res Zambia, Lusaka, Zambia
[6] Univ Witwatersrand, Sch Clin Med, Wits Inst Reprod Hlth & HIV, Johannesburg, South Africa
[7] Univ Washington, Dept Biostat, Seattle, WA 98104 USA
[8] Univ Washington, Dept Lab Med, Seattle, WA 98104 USA
[9] Fred Hutchinson Canc Res Ctr, Vaccine & Infect Dis Div, Seattle, WA 98104 USA
基金
美国国家卫生研究院;
关键词
ORAL ACYCLOVIR; DOUBLE-BLIND; SUPPRESSION; MEN; VALACYCLOVIR; ACQUISITION; INFECTION; EFFICACY; IMPACT; RNA;
D O I
10.1097/OLQ.0b013e31823b50c6
中图分类号
R51 [传染病];
学科分类号
100201 [内科学];
摘要
In a randomized trial among African women with recurrent genital herpes, episodic acyclovir therapy resulted in modestly greater likelihood of lesion healing (hazard ratio [HR] = 1.48, P = 0.098; mean, 5.1 vs. 6.0 days) and cessation of herpes simplex virus shedding (HR = 1.88, P = 0.008; mean, 3.0 vs. 5.0 days) compared with placebo, similar to results of studies in high-income countries (ClinicalTrials.gov registration NCT00808405).
引用
收藏
页码:21 / 24
页数:4
相关论文
共 16 条
[1]
One-day regimen of valacyclovir for treatment of recurrent genital herpes simplex virus 2 infection [J].
Bavaro, Joseph B. ;
Drolette, Linda ;
Koelle, David M. ;
Almekinder, Jennifer ;
Warren, Terri ;
Tyring, Stephen ;
Wald, Anna .
SEXUALLY TRANSMITTED DISEASES, 2008, 35 (04) :383-386
[2]
TREATMENT OF 1ST EPISODES OF GENITAL HERPES-SIMPLEX VIRUS-INFECTION WITH ORAL ACYCLOVIR - A RANDOMIZED DOUBLE-BLIND CONTROLLED TRIAL IN NORMAL SUBJECTS [J].
BRYSON, YJ ;
DILLON, M ;
LOVETT, M ;
ACUNA, G ;
TAYLOR, S ;
CHERRY, JD ;
JOHNSON, BL ;
WIESMEIER, E ;
GROWDON, W ;
CREAGHKIRK, T ;
KEENEY, R .
NEW ENGLAND JOURNAL OF MEDICINE, 1983, 308 (16) :916-921
[3]
Effect of aciclovir on HIV-1 acquisition in herpes simplex virus 2 seropositive women and men who have sex with men: a randomised, double-blind, placebo-controlled trial [J].
Celum, Connie ;
Wald, Anna ;
Hughes, James ;
Sanchez, Jorge ;
Reid, Stewart ;
Delany-Moretlwe, Sinead ;
Cowan, Frances ;
Casapia, Martin ;
Ortiz, Abner ;
Fuchs, Jonathan ;
Buchbinder, Susan ;
Koblin, Beryl ;
Zwerski, Sheryl ;
Rose, Scott ;
Wang, Jing ;
Corey, Lawrence .
LANCET, 2008, 371 (9630) :2109-2119
[4]
Genital Ulcer Disease Treatment Policies and Access to Acyclovir in Eight Sub-Saharan African Countries [J].
Corbell, Catherine ;
Stergachis, Andy ;
Ndowa, Francis ;
Ndase, Patrick ;
Barnes, Linda ;
Celum, Connie .
SEXUALLY TRANSMITTED DISEASES, 2010, 37 (08) :488-493
[5]
Anonymous, 2006, Morbidity and Mortality Weekly Report, V55, P1
[6]
Herpes simplex virus 2 infection increases HIV acquisition in men and women: systematic review and meta-analysis of longitudinal studies [J].
Freeman, EE ;
Weiss, HA ;
Glynn, JR ;
Cross, PL ;
Whitworth, JA ;
Hayes, RJ .
AIDS, 2006, 20 (01) :73-83
[7]
Clinical and Virologic Efficacy of Herpes Simplex Virus Type 2 Suppression by Acyclovir in a Multicontinent Clinical Trial [J].
Fuchs, Jonathan ;
Celum, Connie ;
Wang, Jing ;
Hughes, James ;
Sanchez, Jorge ;
Cowan, Frances ;
Reid, Stewart ;
Delany-Moretlwe, Sinead ;
Corey, Lawrence ;
Wald, Anna .
JOURNAL OF INFECTIOUS DISEASES, 2010, 201 (08) :1164-1168
[8]
Valacyclovir and acyclovir for suppression of shedding of herpes simplex virus in the genital tract [J].
Gupta, R ;
Wald, A ;
Krantz, E ;
Selke, S ;
Warren, T ;
Vargas-Cortes, M ;
Miller, G ;
Corey, L .
JOURNAL OF INFECTIOUS DISEASES, 2004, 190 (08) :1374-1381
[9]
Quantitative stability of DNA after extended storage of clinical specimens as determined by real-time PCR [J].
Jerome, KR ;
Huang, ML ;
Wald, A ;
Selke, S ;
Corey, L .
JOURNAL OF CLINICAL MICROBIOLOGY, 2002, 40 (07) :2609-2611
[10]
Impact of Acyclovir on Genital and Plasma HIV-1 RNA, Genital Herpes Simplex Virus Type 2 DNA, and Ulcer Healing among HIV-1-Infected African Women with Herpes Ulcers: A Randomized Placebo-Controlled Trial [J].
Mayaud, Philippe ;
LeGoff, Jerome ;
Weiss, Helen A. ;
Gresenguet, Gerard ;
Nzambi, Khonde ;
Bouhlal, Hicham ;
Frost, Eric ;
Pepin, Jacques ;
Malkin, Jean-Elie ;
Hayes, Richard J. ;
Mabey, David C. W. ;
Belec, Laurent .
JOURNAL OF INFECTIOUS DISEASES, 2009, 200 (02) :216-226