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HIV 感染患者继续使用两药或换用三药基于整合酶抑制剂的方案时的残留病毒血症。

Residual viremia in HIV-infected patients who continue a two-drug or switch to a three-drug integrase strand transfer inhibitor based regimen.

机构信息

Infectious Diseases, IRCCS San Raffaele Scientific Institute.

Vita-Salute San Raffaele University, Milan, Italy.

出版信息

AIDS. 2021 Jul 15;35(9):1513-1516. doi: 10.1097/QAD.0000000000002908.

Abstract

In this randomized, single-centre, open-label, 96-week, superiority, controlled trial of 50 HIV-infected patients with HIV-RNA less than 50 copies/ml on a two-drug regimen based on dolutegravir as well as one reverse transcriptase inhibitor (RTI), switching to a single-tablet regimen of cobicistat, elvitregravir, emtricitabine along with tenofovir alafenamide did not appear to mitigate the burden of residual viremia, both at week 48 and at week 96. The immunological changes observed during follow-up and the safety of the two regimens were similar.

摘要

在这项针对 50 名 HIV 感染患者的随机、单中心、开放标签、96 周、优效性、对照试验中,这些患者的 HIV-RNA 载量在基于多替拉韦的两药方案以及一种逆转录酶抑制剂(RTI)的治疗下低于 50 拷贝/ml,随后换用考比司他、艾维雷韦、恩曲他滨和替诺福韦艾拉酚胺的单片复方制剂,并未显示在第 48 周和第 96 周减轻残余病毒血症负担。在随访期间观察到的免疫变化以及两种方案的安全性相似。

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