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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.

DOI:10.1097/QAD.0000000000002908
PMID:33831909
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。

相似文献

1
Residual viremia in HIV-infected patients who continue a two-drug or switch to a three-drug integrase strand transfer inhibitor based regimen.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。
AIDS. 2021 Jul 15;35(9):1513-1516. doi: 10.1097/QAD.0000000000002908.
2
Evaluation of HIV-DNA and residual viremia levels through week 96 in HIV-infected individuals who continue a two-drug or switch to a three-drug integrase strand transfer inhibitor-based regimen.评价感染 HIV 个体在第 96 周时继续使用两药方案或换用基于三药整合酶抑制剂方案时的 HIV-DNA 和残余病毒载量水平。
Int J Antimicrob Agents. 2023 May;61(5):106771. doi: 10.1016/j.ijantimicag.2023.106771. Epub 2023 Mar 3.
3
Efficacy and safety of switching from boosted protease inhibitors plus emtricitabine and tenofovir disoproxil fumarate regimens to single-tablet darunavir, cobicistat, emtricitabine, and tenofovir alafenamide at 48 weeks in adults with virologically suppressed HIV-1 (EMERALD): a phase 3, randomised, non-inferiority trial.在病毒学抑制的 HIV-1 成人患者中,48 周时从增效蛋白酶抑制剂联合恩曲他滨和替诺福韦酯转换为达芦那韦/考比司他/恩曲他滨/替诺福韦艾拉酚胺单片复方制剂的疗效和安全性(EMERALD):一项 3 期、随机、非劣效性试验。
Lancet HIV. 2018 Jan;5(1):e23-e34. doi: 10.1016/S2352-3018(17)30179-0. Epub 2017 Oct 6.
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Safety, efficacy, and pharmacokinetics of a single-tablet regimen containing elvitegravir, cobicistat, emtricitabine, and tenofovir alafenamide in treatment-naive, HIV-infected adolescents: a single-arm, open-label trial.在初治的 HIV 感染青少年中,含有艾维雷韦、考比司他、恩曲他滨和替诺福韦艾拉酚胺的单片复方制剂的安全性、疗效和药代动力学:一项单臂、开放标签试验。
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A phase IV randomised, open-label pilot study to evaluate switching from protease-inhibitor based regimen to Bictegravir/Emtricitabine/Tenofovir Alafenamide single tablet regimen in Integrase inhibitor-naïve, virologically suppressed HIV-1 infected adults harbouring drug resistance mutations (PIBIK study): study protocol for a randomised trial.一项四期、随机、开放性、先导研究,旨在评估在整合酶抑制剂初治、病毒学抑制的 HIV-1 感染成人中,从基于蛋白酶抑制剂的方案转换为比克替拉韦/恩曲他滨/替诺福韦艾拉酚胺单片复方制剂的方案,这些患者存在耐药突变(PIBIK 研究):一项随机试验的研究方案。
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Durability of switch regimens based on rilpivirine or on integrase inhibitors, both in association with tenofovir and emtricitabine, in HIV-infected, virologically suppressed patients.基于利匹韦林或整合酶抑制剂的转换治疗方案与替诺福韦和恩曲他滨联合使用时,在病毒学得到抑制的HIV感染患者中的疗效持久性。
BMC Infect Dis. 2017 Nov 16;17(1):723. doi: 10.1186/s12879-017-2831-9.
7
Switching to fixed-dose bictegravir, emtricitabine, and tenofovir alafenamide from dolutegravir plus abacavir and lamivudine in virologically suppressed adults with HIV-1: 48 week results of a randomised, double-blind, multicentre, active-controlled, phase 3, non-inferiority trial.从多替拉韦加阿巴卡韦和拉米夫定转换为固定剂量比克替拉韦、恩曲他滨和替诺福韦艾拉酚胺治疗病毒学抑制的 HIV-1 成人患者:一项随机、双盲、多中心、活性对照、3 期、非劣效性临床试验的 48 周结果。
Lancet HIV. 2018 Jul;5(7):e357-e365. doi: 10.1016/S2352-3018(18)30092-4. Epub 2018 Jun 18.
8
Week 96 efficacy and safety results of the phase 3, randomized EMERALD trial to evaluate switching from boosted-protease inhibitors plus emtricitabine/tenofovir disoproxil fumarate regimens to the once daily, single-tablet regimen of darunavir/cobicistat/emtricitabine/tenofovir alafenamide (D/C/F/TAF) in treatment-experienced, virologically-suppressed adults living with HIV-1.第 96 周疗效和安全性结果:评估从强化蛋白酶抑制剂加恩曲他滨/替诺福韦二吡呋酯方案转换为达芦那韦/考比司他/恩曲他滨/替诺福韦艾拉酚胺(D/C/F/TAF)每日一次单片方案在治疗经验丰富、病毒学抑制的 HIV-1 成人中的疗效和安全性。
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Simplification to coformulated elvitegravir, cobicistat, emtricitabine, and tenofovir versus continuation of ritonavir-boosted protease inhibitor with emtricitabine and tenofovir in adults with virologically suppressed HIV (STRATEGY-PI): 48 week results of a randomised, open-label, phase 3b, non-inferiority trial.在病毒学抑制的 HIV 成人患者中,与继续使用利托那韦增效蛋白酶抑制剂联合恩曲他滨和替诺福韦相比,简化的艾维雷韦/考比司他/恩曲他滨/替诺福韦与恩曲他滨和替诺福韦的联合方案(STRATEGY-PI):一项随机、开放标签、3b 期、非劣效性试验的 48 周结果。
Lancet Infect Dis. 2014 Jul;14(7):581-9. doi: 10.1016/S1473-3099(14)70782-0. Epub 2014 Jun 5.
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Switching to the single-tablet regimen of elvitegravir, cobicistat, emtricitabine, and tenofovir DF from non-nucleoside reverse transcriptase inhibitor plus coformulated emtricitabine and tenofovir DF regimens: Week 96 results of STRATEGY-NNRTI.从非核苷类逆转录酶抑制剂加复方恩曲他滨和替诺福韦酯方案转换为elvitegravir、考比司他、恩曲他滨和替诺福韦酯的单片复方制剂方案:STRATEGY-NNRTI研究96周结果
HIV Clin Trials. 2017 Jul;18(4):141-148. doi: 10.1080/15284336.2017.1338844. Epub 2017 Jul 9.

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