Immunovirological outcomes in 70 HIV-1-infected patients who switched to lopinavir/ritonavir after failing at least one protease inhibitor-containing regimen: a retrospective cohort study

被引:7
作者
Bongiovanni, M [1 ]
Bini, T [1 ]
Tordato, F [1 ]
Cicconi, P [1 ]
Melzi, S [1 ]
Repetto, D [1 ]
Sollima, S [1 ]
Rusconi, S [1 ]
Monforte, AD [1 ]
机构
[1] Univ Milan, Luigi Sacco Hosp, Inst Infect & Trop Dis, I-20157 Milan, Italy
关键词
D O I
10.1093/jac/dkg045
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
The immunovirological outcome of lopinavir/ritonavir was evaluated in 70 antiretroviral-experienced HIV patients; at baseline, median CD4+ cell count was 218 cells/mm(3) and median plasma viraemia 4.58 log(10) copies/mL. After 12 months, we observed an increase in CD4+ cell count to 322 cells/mm(3) (P = 0.0001) and a decrease in plasma viraemia to 2.35 log(10) copies/mL (P = 0.0001). Four patients discontinued lopinavir/ritonavir during observation. Among metabolic parameters, only triglyceride concentrations increased during treatment (P = 0.02). Twenty-six patients had a genotypic resistance test at baseline; four had greater than or equal to6 mutations known to reduce susceptibility to lopinavir/ritonavir. Undetectable plasma viraemia was obtained only in patients with less than or equal to5 mutations (61.9%).
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页码:171 / 174
页数:4
相关论文
共 6 条
[1]   Safety and antiviral activity at 48 weeks of lopinavir/ritonavir plus nevirapine and 2 nucleoside reverse-transcriptase inhibitors in human immunodeficiency virus type 1-infected protease inhibitor-experienced patients [J].
Benson, CA ;
Deeks, SG ;
Brun, SC ;
Gulick, RM ;
Eron, JJ ;
Kessler, HA ;
Murphy, RL ;
Hicks, C ;
King, M ;
Wheeler, D ;
Feinberg, J ;
Stryker, R ;
Sax, PE ;
Riddler, S ;
Thompson, M ;
Real, K ;
Hsu, A ;
Kempf, D ;
Japour, AJ ;
Sun, E .
JOURNAL OF INFECTIOUS DISEASES, 2002, 185 (05) :599-607
[2]  
HICKS C, 2001, 8 EUR C CLIN ASP TRE
[3]  
ISACSON J, 2002, 9 C RETR OPP INF SEA
[4]  
RUIZ L, 2002, 9 C RETR OPP INF SEA
[5]   ABT-378, a highly potent inhibitor of the human immunodeficiency virus protease [J].
Sham, HL ;
Kempf, DJ ;
Molla, A ;
Marsh, KC ;
Kumar, GN ;
Chen, CM ;
Kati, W ;
Stewart, K ;
Lal, R ;
Hsu, A ;
Betebenner, D ;
Korneyeva, M ;
Vasavanonda, S ;
McDonald, E ;
Saldivar, A ;
Wideburg, N ;
Chen, XQ ;
Niu, P ;
Park, C ;
Jayanti, V ;
Grabowski, B ;
Granneman, GR ;
Sun, E ;
Japour, AJ ;
Leonard, JM ;
Plattner, JJ ;
Norbeck, DW .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1998, 42 (12) :3218-3224
[6]   Accumulation of lopinavir resistance-associated mutations over 3 years follow-up of patients on highly active antiretroviral therapy: implication in salvage therapy [J].
Tsuchiya, K ;
Matsuoka, S ;
Hachiya, A ;
Yasuoka, A ;
Tachikawa, N ;
Kikuchi, Y ;
Genka, I ;
Teruya, K ;
Kimura, S ;
Oka, S .
AIDS, 2001, 15 (09) :1183-1184