New Strategies of ARV: the Road to Simplification

被引:17
作者
de Miguel Buckley, Rosa [1 ]
Montejano, Rocio [1 ]
Stella-Ascariz, Natalia [1 ]
Arribas, Jose R. [1 ,2 ]
机构
[1] Hosp Univ La Paz IdiPAZ, HIV Unit, Internal Med Serv, Madrid, Spain
[2] Hosp La Paz, IdiPAZ, Edificio Invest IdiPAZ,Despacho 3-3, Madrid 28046, Spain
关键词
HIV; Simplification; Antiretroviral therapy; Dual therapy; Monotherapy; Nucleoside sparing; REVERSE-TRANSCRIPTASE INHIBITORS; ANTIRETROVIRAL-NAIVE ADULTS; ATAZANAVIR/RITONAVIR PLUS LAMIVUDINE; HIV-INFECTED PATIENTS; ONCE-DAILY MARAVIROC; NON-INFERIORITY; OPEN-LABEL; TENOFOVIR-EMTRICITABINE; RITONAVIR PLUS; TRIPLE THERAPY;
D O I
10.1007/s11904-018-0371-6
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Purpose of Review Simplification of antiretroviral therapy is a strategy aiming to reduce pill burden, drug interactions, and toxicity. This review focuses on the most recent and important studies evaluating a reduction on the number of drugs for HIV treatment, both in naive and virologically suppressed patients. Recent Findings Interesting studies have been performed in the past years testing dual therapy and monotherapy, with variable rates of virological control. Novel therapeutics like immunotherapy or long-acting antiretrovirals can also be considered for simplification. Summary Reducing the number of drugs for HIV treatment can be an option for selected patients. Current available evidence favors dual therapy over monotherapy. Future research should seek to identify the best candidates for simplification.
引用
收藏
页码:11 / 19
页数:9
相关论文
共 62 条
  • [1] Efficacy and safety of contemporary dual-drug antiretroviral regimens as first-line treatment or as a simplification strategy: a systematic review and meta-analysis
    Achhra, Amit C.
    Mwasakifwa, Gwamaka
    Amin, Janaki
    Boyd, Mark A.
    [J]. LANCET HIV, 2016, 3 (08): : E351 - E360
  • [2] [Anonymous], C RETR OPP INF CROI
  • [3] [Anonymous], 9 INT AIDS SOC IAS C
  • [4] [Anonymous], C RETR OPP INF SEATT
  • [5] [Anonymous], C RETR OPP INF SEATT
  • [6] [Anonymous], 15 EACS
  • [7] [Anonymous], C RETR OPP INF FEBR
  • [8] [Anonymous], EFF SAF TOL STUD COM
  • [9] [Anonymous], C RETR OPP INF SEATT
  • [10] [Anonymous], CROI 2017