Reisinger E C, Kern P, Ernst M, Bock P, Flad H D, Dietrich M
Clinical Department, Bernhard Nocht Institute for Tropical Medicine, Hamburg, West Germany.
Lancet. 1990 Mar 24;335(8691):679-82. doi: 10.1016/0140-6736(90)90802-c.
60 patients with HIV-1 infection in Walter Reed stages 2-4 were randomised to treatment with intravenous or oral dithiocarb (diethyldithiocarbamate, DTC) or placebo for 24 weeks in a paired double-blind design. 55 patients were evaluable at the end of the study: no patient who had received DTC but 6 placebo patients had AIDS, a significant difference. Significantly delayed disease progression was observed in the intravenous DTC group compared with its matching placebo. The benefit in the oral DTC group was not statistically significant. During an 18-month follow-up 3 deaths occurred in the original placebo groups, whereas no patient who had initially received DTC died. A significant delay in progression to AIDS was observed in the DTC groups.
60例处于沃尔特·里德2 - 4期的HIV - 1感染患者采用配对双盲设计,随机接受静脉或口服二硫代碳(二乙基二硫代氨基甲酸盐,DTC)或安慰剂治疗24周。研究结束时55例患者可进行评估:接受DTC治疗的患者中无一人患艾滋病,而6例接受安慰剂治疗的患者患了艾滋病,差异显著。与匹配的安慰剂组相比,静脉注射DTC组的疾病进展明显延迟。口服DTC组的获益无统计学意义。在18个月的随访期内,原安慰剂组有3例患者死亡,而最初接受DTC治疗的患者无一人死亡。DTC组在进展至艾滋病方面有显著延迟。