Virological response with fully active etravirine: pooled results from the DUET-1 and DUET-2 trials

被引:3
作者
Clumeck, N. [1 ]
Cahn, P. [2 ]
Molina, J-M [3 ,4 ]
Mills, A.
Nijs, S. [5 ]
Vingerhoets, J. [5 ]
Witek, J. [6 ]
机构
[1] St Pierre Univ Hosp, Div Infect Dis, B-1000 Brussels, Belgium
[2] Fdn Huesped, Buenos Aires, DF, Argentina
[3] St Louis Hosp, AP HP, Dept Infect Dis, Paris, France
[4] Univ Paris Diderot, Paris, France
[5] Tibotec BVBA, Beerse, Belgium
[6] Tibotec Inc, Titusville, NJ USA
关键词
etravirine; HIV-1; DUET; NNRTI; treatment-experienced; EXPERIENCED HIV-1-INFECTED PATIENTS; PLACEBO-CONTROLLED TRIAL; SOCIETY-USA PANEL; TMC125; ETRAVIRINE; HIV-1; INFECTION; DOUBLE-BLIND; EFFICACY; SAFETY; RECOMMENDATIONS;
D O I
10.1258/ijsa.2010.010139
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The objective of this subanalysis of the Phase III DUET trials was to examine virological response to an etravirine-containing regimen in patients harbouring virus fully sensitive to etravirine. Full etravirine sensitivity was defined as fold change in 50% effective concentration (FC) <= 3 or weighted genotypic score <= 2. At Week 48 in the etravirine group, 74% of patients with etravirine FC <= 3 and 77% with etravirine genotypic score <= 2 had viral load <50 HIV-1 RNA copies/mL, versus 48% and 46%, respectively, in the placebo group (P < 0.0001). Response rates increased with baseline phenotypic sensitivity score, but were consistently higher with etravirine (56-82%) than placebo (2-72%). Similar observations were made in patients harbouring virus with full etravirine and darunavir sensitivity. Our findings support current recommendations to include three active agents in treatment-experienced patients' regimens.
引用
收藏
页码:738 / 740
页数:3
相关论文
共 11 条
[1]   Subgroup and resistance analyses of raltegravir for resistant HIV-1 infection [J].
Cooper, David A. ;
Steigbigel, Roy T. ;
Gatell, Jose M. ;
Rockstroh, Jurgen K. ;
Katlama, Christine ;
Yeni, Patrick ;
Lazzarin, Adriano ;
Clotet, Bonaventura ;
Kumar, Princy N. ;
Eron, Joseph E. ;
Schechter, Mauro ;
Markowitz, Martin ;
Loutfy, Mona R. ;
Lennox, Jeffrey L. ;
Zhao, Jing ;
Chen, Joshua ;
Ryan, Desmond M. ;
Rhodes, Rand R. ;
Killar, John A. ;
Gilde, Lucinda R. ;
Strohmaier, Kim M. ;
Meibohm, Anne R. ;
Miller, Michael D. ;
Hazuda, Daria J. ;
Nessly, Michael L. ;
DiNubile, Mark J. ;
Isaacs, Robin D. ;
Teppler, Hedy ;
Nguyen, Bach-Yen .
NEW ENGLAND JOURNAL OF MEDICINE, 2008, 359 (04) :355-365
[2]  
DEMEYER S, 2008, 6 EUR HIV DRUG RES W
[3]   British HIV Association guidelines for the treatment of HIV-1-infected adults with antiretroviral therapy 2008 [J].
Gazzard, B. G. .
HIV MEDICINE, 2008, 9 (08) :563-608
[4]   Antiretroviral drug resistance testing in adult HIV-1 infection:: 2008 recommendations of an International AIDS Society-USA panel [J].
Hirsch, Martin S. ;
Guenthard, Huldrych F. ;
Schapiro, Jonathan M. ;
Brun-Vezinet, Francoise ;
Clotet, Bonaventura ;
Hammer, Scott M. ;
Johnson, Victoria A. ;
Kuritzkes, Daniel R. ;
Mellors, John W. ;
Pillay, Deenan ;
Yeni, Patrick G. ;
Jacobsen, Donna M. ;
Richman, Douglas D. .
CLINICAL INFECTIOUS DISEASES, 2008, 47 (02) :266-285
[5]   Efficacy and safety of etravirine in treatment-experienced, HIV-1 patients: pooled 48 week analysis of two randomized, controlled trials [J].
Katlama, Christine ;
Haubrich, Richard ;
Lalezari, Jacob ;
Lazzarin, Adriano ;
Madruga, Jose V. ;
Molina, Jean-Michel ;
Schechter, Mauro ;
Peeters, Monika ;
Picchio, Gaston ;
Vingerhoets, Johan ;
Woodfall, Brian ;
De Smedt, Goedele .
AIDS, 2009, 23 (17) :2289-2300
[6]   Efficacy and safety of TMC125 (etravirine) in treatment-experienced HIV-1-infected patients in DUET-2: 24-week results from a randomised, double-blind, placebo-controlled trial [J].
Lazzarin, Adriano ;
Campbell, Thomas ;
Clotet, Bonaventura ;
Johnson, Margaret ;
Katlama, Christine ;
Moll, Arend ;
Towner, William ;
Trortier, Benoit ;
Peeters, Monika ;
Vingerhoets, Johan ;
de Smedt, Goedele ;
Baeten, Benny ;
Beets, Greet ;
Sinha, Rekha ;
Woodfall, Brian .
LANCET, 2007, 370 (9581) :39-48
[7]   Efficacy and safety of TMC125 (etravirine) in treatment-experienced HIV-1-infected patients in DUET-1: 24-week results from a randomised, double-blind, placebo-controlled trial [J].
Madruga, Jose Valdez ;
Cahn, Pedro ;
Grinsztejn, Beatriz ;
Haubrich, Richard ;
Lalezari, Jacob ;
Mills, Anthony ;
Pialoux, Gilles ;
Wilkin, Timothy ;
Peeters, Monika ;
Vingerhoets, Johan ;
de Smedt, Goedele ;
Leopold, Lorant ;
Trefiglio, Roberto ;
Woodfall, Brion .
LANCET, 2007, 370 (9581) :29-38
[8]  
PICCHIO G, 2010, 18 INT AIDS C VIENN
[9]   Antiretroviral Treatment of Adult HIV Infection 2010 Recommendations of the International AIDS Society-USA Panel [J].
Thompson, Melanie A. ;
Aberg, Judith A. ;
Cahn, Pedro ;
Montaner, Julio S. G. ;
Rizzardini, Giuliano ;
Telenti, Amalio ;
Gatell, Jose M. ;
Guenthard, Huldrych F. ;
Hammer, Scott M. ;
Hirsch, Martin S. ;
Jacobsen, Donna M. ;
Reiss, Peter ;
Richman, Douglas D. ;
Volberding, Paul A. ;
Yeni, Patrick ;
Schooley, Robert T. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2010, 304 (03) :321-333
[10]   Resistance profile of etravirine: combined analysis of baseline genotypic and phenotypic data from the randomized, controlled Phase III clinical studies [J].
Vingerhoets, Johan ;
Tambuyzer, Lotke ;
Azijn, Hilde ;
Hoogstoel, Annemie ;
Nijs, Steven ;
Peeters, Monika ;
de Bethune, Marie-Pierre ;
De Smedt, Goedele ;
Woodfall, Brian ;
Picchio, Gaston .
AIDS, 2010, 24 (04) :503-514