First HAART in HIV-infected patients with high viral load: value of HIV RNA levels at 12 weeks to predict virologic outcome.

作者: David Townsend , Jesús Troya , Ivana Maida , Leticia Pérez-Saleme , Giovanni Satta

DOI: 10.1177/1545109709343966

关键词: VirologyViral loadIn patientVIROLOGIC FAILUREHuman immunodeficiency virus (HIV)Hiv infected patientsProportional hazards modelInternal medicineMedicineViral reboundOdds ratio

摘要: The aim of this study is to identify the role incomplete suppression during first months highly active antiretroviral treatment (HAART) predict virologic failure in patients with high levels HIV replication. In a retrospective, longitudinal, and multicenter study, response HAART was assessed treatment-naive adults RNA >100 000 copies/mL, factors predicting were analyzed through regression analyses. A total 118 included. Virologic occurred more often >500 copies/mL at week 12 (Cox regression: Exp (B) 3.22; P = .02). predicted (odds ratio [OR] 9.33; .002] but not viral rebound. Major resistant mutations present 11 14 patients. predicts replication baseline. Most carried resistance time fai...

参考文章(10)
Cristina Mussini, Christian Manzardo, Margaret Johnson, Antonella d'Arminio Monforte, Caterina Uberti-Foppa, Andrea Antinori, M John Gill, Laura Sighinolfi, Vanni Borghi, Adriano Lazzarin, José M Miró, Caroline Sabin, Late Presenter Investigators, Patients presenting with AIDS in the HAART era: a collaborative cohort analysis. AIDS. ,vol. 22, pp. 2461- 2469 ,(2008) , 10.1097/QAD.0B013E328314B5F1
Brian Conway, The role of adherence to antiretroviral therapy in the management of HIV infection. Journal of Acquired Immune Deficiency Syndromes. ,vol. 45, ,(2007) , 10.1097/QAI.0B013E3180600766
Viviane D Lima, Richard Harrigan, Melanie Murray, David M Moore, Evan Wood, Robert S Hogg, Julio SG Montaner, Differential impact of adherence on long-term treatment response among naive HIV-infected individuals. AIDS. ,vol. 22, pp. 2371- 2380 ,(2008) , 10.1097/QAD.0B013E328315CDD3
Evan Wood, Robert S. Hogg, Benita Yip, Romina Quercia, P. Richard Harrigan, Michael V. O’Shaughnessy, Julio S. G. Montaner, Higher Baseline Levels of Plasma Human Immunodeficiency Virus Type 1 RNA Are Associated with Increased Mortality after Initiation of Triple-Drug Antiretroviral Therapy The Journal of Infectious Diseases. ,vol. 188, pp. 1421- 1425 ,(2003) , 10.1086/379201
Karin J. Metzner, Stefano G. Giulieri, Stefanie A. Knoepfel, Pia Rauch, Philippe Burgisser, Sabine Yerly, Huldrych F. Günthard, Matthias Cavassini, Minority Quasispecies of Drug-Resistant HIV-1 That Lead to Early Therapy Failure in Treatment-Naive and -Adherent Patients Clinical Infectious Diseases. ,vol. 48, pp. 239- 247 ,(2009) , 10.1086/595703
Karin J Metzner, Kristina Allers, Pia Rauch, Thomas Harrer, Rapid selection of drug-resistant HIV-1 during the first months of suppressive ART in treatment-naive patients. AIDS. ,vol. 21, pp. 703- 711 ,(2007) , 10.1097/QAD.0B013E3280121AC6
Sharon A. Riddler, Richard Haubrich, A. Gregory DiRienzo, Lynne Peeples, William G. Powderly, Karin L. Klingman, Kevin W. Garren, Tania George, James F. Rooney, Barbara Brizz, Umesh G. Lalloo, Robert L. Murphy, Susan Swindells, Diane Havlir, John W. Mellors, Class-Sparing Regimens for Initial Treatment of HIV-1 Infection The New England Journal of Medicine. ,vol. 358, pp. 2095- 2106 ,(2008) , 10.1056/NEJMOA074609
Ravindra Gupta Ravindra Gupta, A Hill, AW Sawyer, D Pillay, Emergence of Drug Resistance in HIV Type 1-Infected Patients after Receipt of First-Line Highly Active Antiretroviral Therapy: A Systematic Review of Clinical Trials Clinical Infectious Diseases. ,vol. 47, pp. 712- 722 ,(2008) , 10.1086/590943
Viktor Von Wyl, Sabine Yerly, Jürg Böni, Philippe Bürgisser, Thomas Klimkait, Manuel Battegay, Hansjakob Furrer, Amalio Telenti, Bernard Hirschel, Pietro L Vernazza, Enos Bernasconi, Martin Rickenbach, Luc Perrin, Bruno Ledergerber, Huldrych F Günthard, Swiss HIV Cohort Study, Emergence of HIV-1 Drug Resistance in Previously Untreated Patients Initiating Combination Antiretroviral Treatment: A Comparison of Different Regimen Types JAMA Internal Medicine. ,vol. 167, pp. 1782- 1790 ,(2007) , 10.1001/ARCHINTE.167.16.1782
Tim R. Cressey, Prattana Leenasirimakul, Gonzague Jourdain, Yardpiroon Tawon, Pra-ornsuda Sukrakanchana, Marc Lallemant, Minimizing resistance consequences after virologic failure on initial combination therapy: a systematic overview. Journal of Acquired Immune Deficiency Syndromes. ,vol. 41, pp. 323- 331 ,(2006) , 10.1097/01.QAI.0000197070.69859.F3