Details

Autor(en) / Beteiligte

• Negredo, Eugenia
• Cruz, Luís
• Paredes, Roger
• Ruiz, Lidia
• Fumaz, Carmina R.
• Bonjoch, Anna
• Gel, Silvia
• Tuldrà, Albert
• Balagué, Montserrat
• Johnston, Susan
• Arná, Albert
• Jou, Antoni
• Tural, Cristina
• Sirera, Guillem
• Romeu, Joan
• Clotet, Bonaventura

Titel

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

Ist Teil von

• Clinical infectious diseases, 2002-02, Vol.34 (4), p.504-510

Ort / Verlag

Chicago, IL: The University of Chicago Press

Erscheinungsjahr

2002

Quelle

Oxford Journals 2020 Medicine

Beschreibungen/Notizen

• Seventy-seven subjects infected with human immunodeficiency virus were randomized to switch from protease inhibitor (PI) therapy to nevirapine therapy (group A; n = 26) or to efavirenz therapy (group B; n = 25) or to continue PI therapy (group C; n = 26). At month 12, viral suppression had been maintained in 96% of patients in group A, 92% of patients in group B, and 92% of patients in group C. A significant increase in the CD4+ level was observed in all 3 groups. In group A, lipid profiles improved, whereas levels of γ-glutamiltransferase and alanine aminotransferase significantly increased; 1 subject interrupted treatment because of hepatotoxicity. In group B, an increase in γ-glutamiltransferase levels was also observed, and 3 patients interrupted treatment because of central nervous system symptoms. Two patients in group C withdrew therapy. Quality of life significantly improved for groups A and B. In patients receiving effective PI-based therapy, the replacement of the PI with either nevirapine or efavirenz is safe and virologically effective.