Babiker Zahir Osman Eltahir, Douthwaite Sam Thomas, Collier Lucy Elizabeth, Pennell Ashley, Uriel Alison J, Wilkins Edmund
Monsall Unit, North Manchester General Hospital, Manchester, UK.
J Int Assoc Provid AIDS Care. 2013 Jan-Feb;12(1):12-4. doi: 10.1177/1545109712462454. Epub 2012 Oct 16.
The use of maraviroc in our unit was reviewed with regard to efficacy and safety and also reviewed with regard to how our experience reflects the data presented in clinical trials.
We utilized the pharmacy dispensary system to identify any patient dispensed maraviroc and conducted a case note review.
We identified 27 patients who have been prescribed maraviroc as part of their antiretroviral treatment. In all, 81% were men and 81% were white British. There were 26 treatment-experienced patients and 1 treatment-naive patient. At the time of switching to maraviroc, 17 patients had detectable HIV viral loads and 10 had HIV RNA levels <40 copies/mL. At completion, 6 undetectable patients maintained undetectability and 10 viremically detectable patients achieved viral suppression. Maraviroc was discontinued in 18.5% of patients and the only adverse drug reaction reported was a rash.
The experience of using maraviroc by our study participants shows similarity in terms of efficacy and safety to the MERIT and MOTIVATE clinical trials.
对我院使用马拉维若的疗效和安全性进行回顾,并就我们的经验如何反映临床试验中所呈现的数据进行回顾。
我们利用药房配药系统识别所有使用马拉维若的患者,并进行病例记录回顾。
我们识别出27例接受马拉维若治疗的抗逆转录病毒治疗患者。其中,81%为男性,81%为英国白人。有26例经治患者和1例初治患者。在换用马拉维若时,17例患者的HIV病毒载量可检测到,10例患者的HIV RNA水平<40拷贝/毫升。治疗结束时,6例病毒载量不可检测的患者维持不可检测状态,10例病毒血症可检测的患者实现了病毒抑制。18.5%的患者停用了马拉维若,报告的唯一药物不良反应为皮疹。
我们的研究参与者使用马拉维若的经验在疗效和安全性方面与MERIT和MOTIVATE临床试验相似。