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Sökning: WFRF:(Pozniak Anton) > (2014) > Ritonavir-boosted d...

  • Raffi, FrançoisUniversity of Nantes (författare)

Ritonavir-boosted darunavir combined with raltegravir or tenofovir-emtricitabine in antiretroviral-naive adults infected with HIV-1 : 96 week results from the NEAT001/ANRS143 randomised non-inferiority trial

  • Artikel/kapitelEngelska2014

Förlag, utgivningsår, omfång ...

  • 2014
  • 10 s.

Nummerbeteckningar

  • LIBRIS-ID:oai:lup.lub.lu.se:b5cc5f2a-c64d-43f3-91ec-8267746aa636
  • https://lup.lub.lu.se/record/b5cc5f2a-c64d-43f3-91ec-8267746aa636URI
  • https://doi.org/10.1016/S0140-6736(14)61170-3DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:130162442URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:art swepub-publicationtype
  • Ämneskategori:ref swepub-contenttype

Anmärkningar

  • BACKGROUND: Standard first-line antiretroviral therapy for HIV-1 infection includes two nucleoside or nucleotide reverse transcriptase inhibitors (NtRTIs), but these drugs have limitations. We assessed the 96 week efficacy and safety of an NtRTI-sparing regimen.METHODS: Between August, 2010, and September, 2011, we enrolled treatment-naive adults into this randomised, open-label, non-inferiority trial in treatment-naive adults in 15 European countries. The composite primary outcome was change to randomised treatment before week 32 because of insufficient virological response, no virological response by week 32, HIV-1 RNA concentration 50 copies per mL or higher at any time after week 32; death from any cause; any new or recurrent AIDS event; or any serious non-AIDS event. Patients were randomised in a 1:1 ratio to receive oral treatment with 400 mg raltegravir twice daily plus 800 mg darunavir and 100 mg ritonavir once daily (NtRTI-sparing regimen) or tenofovir-emtricitabine in a 245 mg and 200 mg fixed-dose combination once daily, plus 800 mg darunavir and 100 mg ritonavir once daily (standard regimen). This trial was registered with ClinicalTrials.gov, number NCT01066962.FINDINGS: Of 805 patients enrolled, 401 received the NtRTI-sparing regimen and 404 the standard regimen, with median follow-up of 123 weeks (IQR 112-133). Treatment failure was seen in 77 (19%) in the NtRTI-sparing group and 61 (15%) in the standard group. Kaplan-Meier estimated proportions of treatment failure by week 96 were 17·8% and 13·8%, respectively (difference 4·0%, 95% CI -0·8 to 8·8). The frequency of serious or treatment-modifying adverse events were similar (10·2 vs 8·3 per 100 person-years and 3·9 vs 4·2 per 100 person-years, respectively).INTERPRETATION: Our NtRTI-sparing regimen was non-inferior to standard treatment and represents a treatment option for patients with CD4 cell counts higher than 200 cells per μL.FUNDING: European Union Sixth Framework Programme, Inserm-ANRS, Gilead Sciences, Janssen Pharmaceuticals, Merck Laboratories.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Babiker, Abdel G.University College London (författare)
  • Richert, LauraUniversity of Bordeaux (författare)
  • Molina, Jean-MichelParis Diderot University,Saint-Louis Hospital, Paris (författare)
  • George, Elizabeth C.University College London (författare)
  • Antinori, AndreaLazzaro Spallanzani National Institute for Infectious Diseases (författare)
  • Arribas, Jose RUniversity Hospital La Paz (författare)
  • Grarup, JesperUniversity of Copenhagen,Copenhagen University Hospital (författare)
  • Hudson, FleurUniversity College London (författare)
  • Schwimmer, ChristineUniversity of Bordeaux (författare)
  • Saillard, JulietteANRS - France Recherche Nord & Sud Sida-HIV Hépatites virales (författare)
  • Wallet, CédrickUniversity of Bordeaux (författare)
  • Jansson, Per O.University of Copenhagen (författare)
  • Allavena, ClotildeUniversity of Nantes (författare)
  • Van Leeuwen, RemkoAcademic Medical Center of University of Amsterdam (AMC),Amsterdam Institute for Global Health and Development (författare)
  • Delfraissy, Jean-FrançoisBicêtre Hospital (författare)
  • Vella, StefanoItalian National Institute of Health (ISS) (författare)
  • Chêne, GenevièveUniversity of Bordeaux (författare)
  • Pozniak, AntonChelsea and Westminster Hospital (författare)
  • Odermarsky, MichalLund University,Lunds universitet,Pediatrik, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Paediatrics (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine(Swepub:lu)mi1050od (författare)
  • University of NantesUniversity College London (creator_code:org_t)
  • NEAT001/ANRS143 Study Group

Sammanhörande titlar

  • Ingår i:The Lancet384:9958, s. 51-19421474-547X

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