Antiretroviral therapy: Is it the right time for new strategies?

被引:2
作者
Abrescia, N [1 ]
D'Abbraccio, M [1 ]
Busto, A [1 ]
Maddaloni, A [1 ]
Figoni, M [1 ]
De Marco, M [1 ]
机构
[1] AO Cotugno Reg Hosp Infect Dis, Div Infect Dis 4, I-80131 Naples, Italy
关键词
HIV; AIDS; HAART; HIV treatment new strategies;
D O I
10.2174/1570180054771536
中图分类号
R914 [药物化学];
学科分类号
100701 ;
摘要
The current antiretroviral regimens in the long run, can lead to poor adherence to treatment, to emergence of resistant viral strains and different adverse effects limiting benefits of HAART. A variety of novel treatment strategies have been proposed to help the long-term management of HAART. The principal innovative therapeutic strategies under investigation will be discussed: treatment simplification, once daily regimens, structured or response guided treatment interruptions and proactive antiretroviral switching.
引用
收藏
页码:470 / 474
页数:5
相关论文
共 36 条
[21]   Virological and immunological effects of treatment interruptions in HIV-1 infected patients with treatment failure [J].
Miller, V ;
Sabin, C ;
Hertogs, K ;
Bloor, S ;
Martinez-Picado, J ;
D'Aquila, R ;
Larder, B ;
Lutz, T ;
Gute, P ;
Weidmann, E ;
Rabenau, H ;
Phillips, A ;
Staszewski, S .
AIDS, 2000, 14 (18) :2857-2867
[22]   Pharmacokinetics of emtricitabine, didanosine and efavirenz administered once-daily for the treatment of HIV-infected adults (pharmacokinetic substudy of the ANRS 091 trial) [J].
Molina, JM ;
Peytavin, G ;
Perusat, S ;
Lascoux-Combes, C ;
Sereni, D ;
Rozenbaum, W ;
Chene, G .
HIV MEDICINE, 2004, 5 (02) :99-104
[23]   Insights into the reasons for discontinuation of the first highly active antiretroviral therapy (HAART) regimen in a cohort of antiretroviral naive patients [J].
Monforte, AD ;
Lepri, AC ;
Rezza, G ;
Pezzotti, P ;
Antinori, A ;
Phillips, AN ;
Angarano, G ;
Colangeli, V ;
De Luca, A ;
Ippolito, G ;
Caggese, L ;
Soscia, F ;
Filice, G ;
Gritti, F ;
Narciso, P ;
Tirelli, U ;
Moroni, M .
AIDS, 2000, 14 (05) :499-507
[24]   A risk-benefit assessment of HIV protease inhibitors [J].
Moyle, GJ ;
Gazzard, BG .
DRUG SAFETY, 1999, 20 (04) :299-321
[25]  
Moyle Graeme J, 2004, AIDS Read, V14, P380
[26]  
Negredo E, 2004, ANTIVIR THER, V9, P889
[27]   Reversal of atherogenic lipoprotein profile in HIV-1 infected patients with lipodystrophy after replacing protease inhibitors by nevirapine [J].
Negredo, E ;
Ribalta, J ;
Paredes, R ;
Ferré, R ;
Sirera, G ;
Ruiz, L ;
Salazar, J ;
Reiss, P ;
Masana, L ;
Clotet, B .
AIDS, 2002, 16 (10) :1383-1389
[28]   Virological, immunological, and clinical impact of switching from protease inhibitors to nevirapine or to efavirenz in patients with human immunodeficiency virus infection and long-lasting viral suppression [J].
Negredo, E ;
Cruz, L ;
Paredes, R ;
Ruiz, L ;
Fumaz, CR ;
Bonjoch, A ;
Gel, S ;
Tuldrà, A ;
Balagué, M ;
Johnston, S ;
Arnó, A ;
Jou, A ;
Tural, C ;
Sirera, G ;
Romeu, J ;
Clotet, B .
CLINICAL INFECTIOUS DISEASES, 2002, 34 (04) :504-510
[29]   Patterns and correlates of discontinuation of the initial HAART regimen in an urban outpatient cohort [J].
O'Brien, ME ;
Clark, RA ;
Besch, CL ;
Myers, L ;
Kissinger, P .
JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2003, 34 (04) :407-414
[30]   A randomized trial of simplified maintenance therapy with abacavir, lamivudine, and zidovudine in human immunodeficiency virus infection [J].
Opravil, M ;
Hirschel, B ;
Lazzarin, A ;
Furrer, H ;
Chave, JP ;
Yerly, S ;
Bisset, LR ;
Fischer, M ;
Vernazza, P ;
Bernasconi, E ;
Battegay, M ;
Ledergerber, B ;
Günthard, H ;
Howe, C ;
Weber, R ;
Perrin, L .
JOURNAL OF INFECTIOUS DISEASES, 2002, 185 (09) :1251-1260