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地拉韦啶联合齐多夫定治疗1型人类免疫缺陷病毒感染患者:一项随机、对照III期试验中的疗效评估及病毒耐药性的出现。M/3331/0013B研究组

Delavirdine in combination with zidovudine in treatment of human immunodeficiency virus type 1-infected patients: evaluation of efficacy and emergence of viral resistance in a randomized, comparative phase III trial. The M/3331/0013B Study Group.

作者信息

Joly V, Moroni M, Concia E, Lazzarin A, Hirschel B, Jost J, Chiodo F, Bentwich Z, Love W C, Hawkins D A, Wilkins E G, Gatell A J, Vetter N, Greenwald C, Freimuth W W, de Cian W

机构信息

Department of Internal Medicine, Hôpital Bichat, Paris, France.

出版信息

Antimicrob Agents Chemother. 2000 Nov;44(11):3155-7. doi: 10.1128/AAC.44.11.3155-3157.2000.

DOI:10.1128/AAC.44.11.3155-3157.2000
PMID:11036040
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC101620/
Abstract

We compared the activity of delavirdine (DLV) plus zidovudine (AZT) (n = 300) with that of AZT (n = 297) against human immunodeficiency virus type 1 in a randomized, double-blind, placebo-controlled trial. DLV exerted a transient antiviral effect, and mutations for resistance to DLV were found in more than 90% of subjects at week 12. The K103N mutation, which confers nonnucleoside reverse transcriptase inhibitor cross-resistance, was found in 85% of the patients.

摘要

在一项随机、双盲、安慰剂对照试验中,我们比较了地拉韦啶(DLV)加齐多夫定(AZT)(n = 300)与AZT(n = 297)对1型人类免疫缺陷病毒的活性。DLV发挥了短暂的抗病毒作用,在第12周时,超过90%的受试者中发现了对地拉韦啶耐药的突变。85%的患者中发现了赋予非核苷类逆转录酶抑制剂交叉耐药性的K103N突变。

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本文引用的文献

1
Delavirdine susceptibilities and associated reverse transcriptase mutations in human immunodeficiency virus type 1 isolates from patients in a phase I/II trial of delavirdine monotherapy (ACTG 260).在一项地拉韦定单药治疗的I/II期试验(ACTG 260)中,来自患者的1型人类免疫缺陷病毒分离株的地拉韦定敏感性及相关逆转录酶突变
Antimicrob Agents Chemother. 2000 Mar;44(3):794-7. doi: 10.1128/AAC.44.3.794-797.2000.
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The P236L delavirdine-resistant human immunodeficiency virus type 1 mutant is replication defective and demonstrates alterations in both RNA 5'-end- and DNA 3'-end-directed RNase H activities.P236L地拉韦定耐药的1型人类免疫缺陷病毒突变体复制存在缺陷,并且在RNA 5'端和DNA 3'端导向的核糖核酸酶H活性方面均表现出改变。
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ACTG 260: a randomized, phase I-II, dose-ranging trial of the anti-human immunodeficiency virus activity of delavirdine monotherapy. The AIDS Clinical Trials Group Protocol 260 Team.ACTG 260:一项关于地拉韦定单药治疗抗人类免疫缺陷病毒活性的随机、I-II期、剂量范围试验。艾滋病临床试验组方案260团队。
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