Viral failure in HIV-infected patients with long-lasting viral suppression who discontinued enfuvirtide

被引:5
作者
Bonjoch, Anna [1 ]
Negredo, Eugenia
Puig, Jordi
Erkizia, Itziar
Puig, Teresa
Cabrera, Cecilia
Ruiz, Lidia
Clotet, Bonaventura
机构
[1] Autonomous Univ Barcelona, Lluita SIDA Fdn, AIDS Care Unit, Hosp Univ Germans Trias & Pujol, Badalona, Spain
[2] Hosp Univ Germans Trias & Pujol, Irsi Caixa Fdn, Badalona, Spain
关键词
D O I
10.1097/01.aids.0000244212.15951.2b
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The aim of this pilot study was to assess whether enfuvirtide can be discontinued in patients on long-term viral suppression. Eight patients with multidrug-resistant virus were randomly assigned to stop and 10 subjects to continue enfuvirtide. At week 48, viral rebound occurred in five (62.5%) and in no patients, respectively, (P = 0.007). The CD4 cell decrease in failure patients was 5% (P = ns). These results suggest that enfuvirtide should be maintained until new active drugs became available.
引用
收藏
页码:1896 / 1898
页数:3
相关论文
共 6 条
[1]   Clinical management of treatment-experienced, HIV-infected patients with the fusion inhibitor enfuvirtide: consensus recommendations [J].
Clotet, B ;
Raffi, F ;
Cooper, D ;
Delfraissy, JF ;
Lazzarin, A ;
Moyle, G ;
Rockstroh, J ;
Soriano, V ;
Schapiro, J .
AIDS, 2004, 18 (08) :1137-1146
[2]   Interruption of treatment with individual therapeutic drug classes in adults with multidrug-resistant HIV-1 infection [J].
Deeks, SG ;
Hoh, R ;
Neilands, TB ;
Liegler, T ;
Aweeka, F ;
Petropoulos, CJ ;
Grant, RM ;
Martin, JN .
JOURNAL OF INFECTIOUS DISEASES, 2005, 192 (09) :1537-1544
[3]  
HATANO H, 2006, 13 C RETR OPP INF DE
[4]   Enfuvirtide, an HIV-1 fusion inhibitor, for drug-resistant HIV infection in North and South America [J].
Lalezari, JP ;
Henry, K ;
O'Hearn, M ;
Montaner, JSG ;
Piliero, PJ ;
Trottier, B ;
Walmsley, S ;
Cohen, C ;
Kuritzkes, DR ;
Eron, JJ ;
Chung, J ;
DeMasi, R ;
Donatacci, L ;
Drobnes, C ;
Delehanty, J ;
Salgo, M ;
Farthing, C ;
Graham, E ;
Packard, M ;
Ngo, L ;
Lederman, M ;
Buam, J ;
Pollard, R ;
Rauf, S ;
Silkowski, W ;
Thompson, M ;
Rucker, A ;
Harris, M ;
Larsen, G ;
Preseon, S ;
Cunningham, D ;
Guimaraes, D ;
Bertasso, A ;
Kinchelow, T ;
Myers, R ;
Phoenix, BCBP ;
Skolnik, PR ;
Adams, B ;
Leite, OHM ;
Oliveira, M ;
Lefebvre, E ;
Gomez, B ;
Foy, KB ;
Lampiris, H ;
Charles, S ;
Dobkin, J ;
Crawford, M ;
Slom, T ;
Murphy, R ;
Mikaitis, T .
NEW ENGLAND JOURNAL OF MEDICINE, 2003, 348 (22) :2175-2185
[5]   Efficacy of enfuvirtide in patients infected with drug-resistant HIV-1 in Europe and Australia [J].
Lazzarin, A ;
Clotet, B ;
Cooper, D ;
Reynes, J ;
Arasteh, K ;
Nelson, M ;
Katlama, C ;
Stellbrink, H ;
Delfraissy, J ;
Lange, J ;
Huson, L ;
DeMasi, R ;
Wat, C ;
Delehanty, J ;
Drobnes, C ;
Salgo, M .
NEW ENGLAND JOURNAL OF MEDICINE, 2003, 348 (22) :2186-2195
[6]   Elevated CD38 antigen expression on CD8(+) T cells is a stronger marker for the risk of chronic HIV disease progression to AIDS and death in the multicenter AIDS cohort study than CD4(+) cell count, soluble immune activation markers, or combinations of HLA-DR and CD38 expression [J].
Liu, ZY ;
Cumberland, WG ;
Hultin, LE ;
Prince, HE ;
Detels, R ;
Giorgi, JV .
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES AND HUMAN RETROVIROLOGY, 1997, 16 (02) :83-92