Faculty Opinions recommendation of Relationship between weight, efavirenz exposure, and virologic suppression in HIV-infected patients on rifampin-based tuberculosis treatment in the AIDS Clinical Trials Group A5221 STRIDE Study.

Author(s):  
J Michael Kilby
2019 ◽  
Vol 221 (9) ◽  
pp. 1407-1415 ◽  
Author(s):  
Rajesh T Gandhi ◽  
Karen T Tashima ◽  
Laura M Smeaton ◽  
Vincent Vu ◽  
Justin Ritz ◽  
...  

Abstract Background Short-term (48-week) results of the OPTIONS trial showed that nucleoside reverse transcriptase inhibitors (NRTIs) can be safely omitted from salvage therapy as long as the regimen has a cumulative activity of >2 active antiretroviral medications. The long-term durability of this approach and outcomes in persons who have more-extensive HIV-1 drug resistance are uncertain. Methods Participants with virologic failure and anticipated antiretroviral susceptibility received an optimized regimen and were randomized to omit or add NRTIs. A separate group with more resistance (cumulative activity ≤2 active agents) received an optimized regimen including NRTIs. Results At week 96, among 360 participants randomized to omit or add NRTIs, 70% and 65% had HIV-1 RNA <200 copies/mL, respectively. Virologic failure was uncommon after week 48. Younger age and starting fewer new antiretroviral medications were associated with higher odds of virologic failure. In the highly resistant group, 53% had HIV-1 RNA <200 copies/mL at week 96. Conclusions HIV-1 salvage therapy can safely omit NRTIs without compromising efficacy or durability of response as long as the new regimen has a cumulative activity of >2 active drugs. Younger people and those receiving fewer new antiretrovirals require careful monitoring. Even among individuals with more-extensive resistance, most achieve virologic suppression. Clinical Trials Registration NCT00537394.


Author(s):  
Jonathan M. Kagan ◽  
Scott R. Rosas ◽  
Rona L. Siskind ◽  
Russell D. Campbell ◽  
Daniel Gondwe ◽  
...  

2000 ◽  
Vol 6 (5) ◽  
pp. 415-422 ◽  
Author(s):  
Andrew Sparber ◽  
Jacqueline C. Wootton ◽  
Larry Bauer ◽  
Gregory Curt ◽  
David Eisenberg ◽  
...  

2010 ◽  
Vol 14 (6) ◽  
pp. 1313-1319 ◽  
Author(s):  
Sohini Sengupta ◽  
Bernard Lo ◽  
Ronald P. Strauss ◽  
Joseph Eron ◽  
Allen L. Gifford

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