INSERM, ISPED, Centre INSERM U897-Epidemiologie-Biostatistique, F-33000 Bordeaux, France.
J Acquir Immune Defic Syndr. 2012 Apr 15;59(5):489-93. doi: 10.1097/QAI.0b013e31824bb720.
Among 103 patients with multidrug-resistant HIV who initiated raltegravir, etravirine, and darunavir/ritonavir-containing regimen in the ANRS 139 TRIO trial, 100 participated in extended follow-up and continued study treatment until week 96. Among them, 87 (87%) received an optimized background therapy including either nucleoside reverse transcriptase inhibitors or enfuvirtide, they were 78 (78%) at week 96. At week 96, 88% achieved durable virologic response (<50 copies/mL). CD4 response was maintained (median change of +150 cells/mm(3)). No major toxicity was reported. This triple drug combination showed sustained efficacy and thus should be strongly considered for patients with multiclass-resistant virus.
在 ANRS 139 TRIO 试验中,103 例对多种药物耐药的 HIV 患者开始使用拉替拉韦、依曲韦林和达芦那韦/利托那韦的复方制剂治疗,其中 100 例参加了扩展随访并继续接受研究治疗直至第 96 周。在这 100 例患者中,87 例(87%)接受了优化的背景治疗,包括核苷类逆转录酶抑制剂或恩夫韦肽,其中 78 例(78%)在第 96 周时接受了治疗。在第 96 周时,88%的患者达到了持久的病毒学应答(<50 拷贝/ml)。CD4 反应得到维持(中位数变化为+150 个细胞/mm3)。未报告重大毒性。这种三联药物组合显示出持续的疗效,因此应强烈考虑将其用于多药耐药病毒的患者。