*Weill Cornell Medical College, New York, NY; †University Hospital of Cologne, Cologne, Germany; ‡Pfizer, Inc, Groton, CT; §David Geffen School of Medicine at UCLA, Los Angeles, CA; ‖Chelsea and Westminster Hospital, London, United Kingdom; ¶ViiV Healthcare, Research Triangle Park, NC; #Pfizer, Inc, New York, NY; and **Bristol-Myers Squibb, Wallingford, CT. 1Deceased.
J Acquir Immune Defic Syndr. 2014 Jan 1;65(1):78-81. doi: 10.1097/QAI.0b013e3182a7a97a.
Maraviroc is unique among approved antiretroviral drugs in targeting the host-cell chemokine coreceptor type-5 receptor. With its novel mechanism of action, we sought to describe the 5-year safety profile of maraviroc.
Two large phase 3 studies of maraviroc enrolled HIV-infected treatment-experienced patients and followed them up for 5 or more years. Survival and selected clinical end points were identified and assessed.
A total of 938 enrolled patients received maraviroc-containing regimens. Rates of death and selected clinical events (eg, hepatic failure, malignancy, and myocardial infarction) were low during follow-up.
Maraviroc was generally safe in treatment-experienced participants for >5 years.
马拉维若在已批准的抗逆转录病毒药物中是唯一靶向宿主细胞趋化因子核心受体 5 型受体的药物。由于其新颖的作用机制,我们试图描述马拉维若的 5 年安全性概况。
两项大型马拉维若的 3 期研究招募了已接受治疗的 HIV 感染经验丰富的患者,并对他们进行了 5 年以上的随访。确定并评估了生存率和选定的临床终点。
共有 938 名入组患者接受了含有马拉维若的治疗方案。在随访期间,死亡率和选定的临床事件(如肝衰竭、恶性肿瘤和心肌梗死)发生率较低。
马拉维若在治疗经验丰富的患者中 >5 年的使用总体上是安全的。