HIV Unit, Internal Medicine Service, Hospital Universitario La Paz-IdiPAZ, Madrid, Spain.
Edificio de Investigación IdiPAZ, Despacho 3.3, Hospital La Paz, IdiPAZ, Castellana 261, 28046, Madrid, Spain.
Curr HIV/AIDS Rep. 2018 Feb;15(1):11-19. doi: 10.1007/s11904-018-0371-6.
Simplification of antiretroviral therapy is a strategy aiming to reduce pill burden, drug interactions, and toxicity. This review focuses on the most recent and important studies evaluating a reduction on the number of drugs for HIV treatment, both in naive and virologically suppressed patients.
Interesting studies have been performed in the past years testing dual therapy and monotherapy, with variable rates of virological control. Novel therapeutics like immunotherapy or long-acting antiretrovirals can also be considered for simplification. Reducing the number of drugs for HIV treatment can be an option for selected patients. Current available evidence favors dual therapy over monotherapy. Future research should seek to identify the best candidates for simplification.
抗逆转录病毒治疗的简化是一种旨在减少药物负担、药物相互作用和毒性的策略。本综述重点关注了最近最重要的研究,评估了减少治疗 HIV 的药物数量,包括初治和病毒学抑制的患者。
过去几年进行了有趣的研究,测试了双重治疗和单药治疗,病毒学控制的比例不同。免疫疗法或长效抗逆转录病毒等新型疗法也可考虑用于简化。减少治疗 HIV 的药物数量可能是某些患者的选择。现有证据支持双重治疗优于单药治疗。未来的研究应寻求确定最适合简化的患者。