Average Adherence to Boosted Protease Inhibitor Therapy, rather than the Pattern of Missed Doses, as a Predictor of HIV RNA Replication

被引:68
作者
Parienti, Jean-Jacques [1 ,2 ,3 ,4 ]
Ragland, Kathleen [8 ]
Lucht, Frederic [5 ]
de la Blanchardiere, Arnaud [2 ]
Dargere, Sylvie [2 ]
Yazdanpanah, Yazdan [6 ]
Dutheil, Jean-Jacques [1 ]
Perre, Philippe [7 ]
Verdon, Renaud [2 ]
Bangsberg, David R. [9 ]
机构
[1] Cote de Nacre Univ Hosp, Dept Clin Res & Biostat, Caen, France
[2] Cote de Nacre Univ Hosp, Dept Infect Dis, Caen, France
[3] Univ Paris 06, Unite Mixte Rech Sante 707, Paris, France
[4] INSERM, U707, Paris, France
[5] Univ Hosp, Dept Infect Dis, St Etienne, France
[6] Univ Hosp, Dept Infect Dis, Tourcoing, France
[7] Gen Hosp, Dept Infect Dis, La Roche Sur Yon, France
[8] Univ Calif San Francisco, San Francisco Gen Hosp, Div Infect Dis, Epidemiol & Prevent Intervent Ctr, San Francisco, CA USA
[9] Harvard Univ, Massachusetts Gen Hosp, Sch Med, Ctr Global Hlth,Harvard Initiat Global Hlth, Boston, MA USA
关键词
PATIENTS RECEIVING LOPINAVIR/RITONAVIR; COMBINATION ANTIRETROVIRAL THERAPY; LESS-THAN; 95-PERCENT; POSITIVE INDIVIDUALS; VIROLOGICAL FAILURE; VIRAL SUPPRESSION; DRUG-RESISTANCE; INTERRUPTIONS; OUTCOMES; REGIMEN;
D O I
10.1086/651419
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Consecutive missed doses may differentially impact the efficacy of antiretroviral therapy associated with the use of a nonnucleoside reverse-transcriptase inhibitor (NNRTI) and a ritonavir-boosted protease inhibitor (PI). In a cohort of 72 subjects receiving a boosted PI, average adherence to dosage was a better predictor of human immunodeficiency virus (HIV) replication than was the duration or frequency of treatment interruption. In contrast with an NNRTI, consecutive missed doses of a boosted PI did not emerge as a major risk factor for HIV replication.
引用
收藏
页码:1192 / 1197
页数:6
相关论文
共 24 条
[1]   Antiretroviral therapy adherence and viral suppression in HIV-infected drug users: Comparison of self-report and electronic monitoring [J].
Arnsten, JH ;
Demas, PA ;
Farzadegan, H ;
Grant, RW ;
Gourevitch, MN ;
Chang, CJ ;
Buono, D ;
Eckholdt, H ;
Howard, AA ;
Schoenbaum, EE .
CLINICAL INFECTIOUS DISEASES, 2001, 33 (08) :1417-1423
[2]   Adherence-resistance relationships to combination HIV antiretroviral therapy [J].
Bangsberg D.R. ;
Kroetz D.L. ;
Deeks S.G. .
Current HIV/AIDS Reports, 2007, 4 (2) :65-72
[3]   Less than 95% adherence to nonnucleoside reverse-transcriptase inhibitor therapy can lead to viral suppression [J].
Bangsberg, David R. .
CLINICAL INFECTIOUS DISEASES, 2006, 43 (07) :939-941
[4]   Adherence-resistance relationships for protease and non-nucleoside reverse transcriptase inhibitors explained by virological fitness [J].
Bangsberg, DR ;
Acosta, EP ;
Gupta, R ;
Guzman, D ;
Riley, ED ;
Harrigan, PR ;
Parkin, N ;
Deeks, SG .
AIDS, 2006, 20 (02) :223-231
[5]   Paradoxes of adherence and drug resistance to HIV antiretroviral therapy [J].
Bangsberg, DR ;
Moss, AR ;
Deeks, SG .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2004, 53 (05) :696-699
[6]   Non-adherence to highly active antiretroviral therapy predicts progression to AIDS [J].
Bangsberg, DR ;
Perry, S ;
Charlebois, ED ;
Clark, RA ;
Roberston, M ;
Zolopa, AR ;
Moss, A .
AIDS, 2001, 15 (09) :1181-1183
[7]   Pharmacy refill adherence compared with CD4 count changes for monitoring HIV-infected adults on antiretroviral therapy [J].
Bisson, Gregory P. ;
Gross, Robert ;
Bellamy, Scarlett ;
Chittams, Jesse ;
Hislop, Michael ;
Regensberg, Leon ;
Frank, Ian ;
Maartens, Gary ;
Nachega, Jean B. .
PLOS MEDICINE, 2008, 5 (05) :777-789
[8]   Implementation of the Medicare Part D Prescription Drug Benefit is Associated with Antiretroviral Therapy Interruptions [J].
Das-Douglas, Moupali ;
Riley, Elise D. ;
Ragland, Kathleen ;
Guzman, David ;
Clark, Richard ;
Kushel, Margot B. ;
Bangsberg, David R. .
AIDS AND BEHAVIOR, 2009, 13 (01) :1-9
[9]   Viral resuppression and detection of drug resistance following interruption of a suppressive non-nucleoside reverse transcriptase inhibitor-based regimen [J].
Fox, Zoe ;
Phillips, Andrew ;
Cohen, Cal ;
Neuhaus, Jacquie ;
Baxter, John ;
Emery, Sean ;
Hirschel, Bernard ;
Hullsiek, Kathy Huppler ;
Stephan, Christoph ;
Lundgren, Jens .
AIDS, 2008, 22 (17) :2279-2289
[10]   Differential adherence to combination antiretroviral therapy is associated with virological failure with resistance [J].
Gardner, Edward A. ;
Sharma, Shweta ;
Peng, Grace ;
Hullsiek, Katherine Huppler ;
Burman, William J. ;
MacArthur, Rodger D. ;
Chesney, Margaret ;
Telzak, Edward E. ;
Friedland, Gerald ;
Mannheimer, Sharon B. .
AIDS, 2008, 22 (01) :75-82