McGill AIDS Centre, Lady Davis Institute for Medical Research, Jewish General Hospital, Montréal, Québec, Canada.
Department of Microbiology and Immunology, Faculty of Medicine, McGill University, Montréal, Québec, Canada.
Expert Opin Investig Drugs. 2020 Mar;29(3):273-283. doi: 10.1080/13543784.2020.1724281. Epub 2020 Feb 5.
: HIV infection is manageable through the use of antiretroviral drugs. However, HIV reservoirs that are constituted early during infection are resistant to treatment. HIV persistence under treatment necessitates life-long treatment and is associated with various co-morbidities. Two significant research avenues are explored through the development of either new antiretroviral drugs or interventions aimed at stimulating the immune system to eradicate HIV reservoirs.: This report provides a review of investigational drugs and cell-based interventions against HIV infection that are currently under Phase I or Phase II clinical trials. We report on new antiretroviral drugs, antibodies directed against viral or host targets, reactivating agents, immune modulators and immune checkpoint inhibitors, and cell-based interventions. These new therapies are often tested in combination, including with current antiretroviral drugs.: Islatravir and GS-6207 are promising antiretroviral drugs that are expected to perform well in phase III trials. Whether the host immune system can be activated sufficiently to reduce HIV reservoirs remains unknown. Additional research is needed to identify surrogate markers of success for curative interventions. Given the current safety and efficacy of antiretroviral treatment, risk-benefits should be carefully evaluated before interventions that risk triggering high levels of immune stimulation.
: 通过使用抗逆转录病毒药物,HIV 感染是可以控制的。然而,在感染早期形成的 HIV 储存库对治疗有抵抗力。治疗下的 HIV 持续存在需要终身治疗,并与各种合并症相关。通过开发新的抗逆转录病毒药物或旨在刺激免疫系统清除 HIV 储存库的干预措施,探索了两个重要的研究途径。
: 本报告回顾了目前处于 I 期或 II 期临床试验的针对 HIV 感染的研究性药物和基于细胞的干预措施。我们报告了新的抗逆转录病毒药物、针对病毒或宿主靶标的抗体、激活剂、免疫调节剂和免疫检查点抑制剂,以及基于细胞的干预措施。这些新疗法通常联合测试,包括当前的抗逆转录病毒药物。
: Islatravir 和 GS-6207 是有前途的抗逆转录病毒药物,预计在 III 期试验中表现良好。宿主免疫系统是否能够被充分激活以减少 HIV 储存库仍然未知。需要进一步研究以确定治愈性干预措施的成功替代标志物。鉴于目前抗逆转录病毒治疗的安全性和有效性,在风险较高的免疫刺激干预措施之前,应仔细评估风险效益。