دورية أكاديمية
Two-drug regimens for HIV treatment.
العنوان: | Two-drug regimens for HIV treatment. |
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المؤلفون: | Gibas KM; Division of Infectious Diseases, Vanderbilt University Medical Center, Vanderbilt University, Nashville, TN, USA., Kelly SG; Division of Infectious Diseases, Vanderbilt University Medical Center, Vanderbilt University, Nashville, TN, USA., Arribas JR; Infectious Diseases Unit, La Paz University Hospital, Hospital La Paz Institute for Health Research, Madrid, Spain; School of Medicine, Universidad Autónoma de Madrid, Madrid, Spain; Centro de Investigación Biomédica en Red de Enfermedades Infecciosas, Madrid, Spain., Cahn P; Fundación Huésped, Buenos Aires, Argentina., Orkin C; Department of Immunobiology, Queen Mary University of London, London, UK., Daar ES; The Lundquist Institute, Harbor University of California, Los Angeles, Torrence, CA, USA., Sax PE; Division of Infectious Diseases, Brigham and Women's Hospital, Boston, MA, USA; Harvard Medical School, Harvard University, Boston, MA, USA., Taiwo BO; Division of Infectious Diseases, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA. Electronic address: b-taiwo@northwestern.edu. |
المصدر: | The lancet. HIV [Lancet HIV] 2022 Dec; Vol. 9 (12), pp. e868-e883. Date of Electronic Publication: 2022 Oct 26. |
نوع المنشور: | Journal Article; Review; Research Support, U.S. Gov't, P.H.S. |
اللغة: | English |
بيانات الدورية: | Publisher: Elsevier B.V Country of Publication: Netherlands NLM ID: 101645355 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2352-3018 (Electronic) Linking ISSN: 23523018 NLM ISO Abbreviation: Lancet HIV Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: [Amsterdam] : Elsevier B.V., [2014]- |
مواضيع طبية MeSH: | Anti-HIV Agents*/adverse effects , HIV Infections*/drug therapy , Hepatitis B, Chronic*/drug therapy , HIV-1*, Humans ; Tenofovir/adverse effects ; Anti-Retroviral Agents/therapeutic use ; Drug Therapy, Combination |
مستخلص: | Combination therapy with three antiretroviral agents has been integral to successful HIV-1 treatment since 1996. Although the efficacy, adverse effects, and toxicities of contemporary three-drug regimens have improved, even the newest therapies have potential adverse effects. The use of two-drug regimens is one way to reduce lifetime exposure to antiretroviral drugs while maintaining the benefits of viral suppression. Multiple large, randomised trials have shown the virological non-inferiority of certain two-drug regimens versus three-drug comparators, including adverse effect differences that reflect known profiles of the antiretroviral drugs in the respective regimens. Two-drug combinations are now recommended in treatment guidelines and include the first long-acting antiretroviral regimen for the treatment of HIV-1. Recommended two-drug regimens differ in their risks for, and factors associated with, virological failure and emergent resistance. The tolerability, safety, metabolic profiles, and drug interactions of two-drug regimens also vary by the constituent drugs. No current two-drug regimen is recommended for people with chronic hepatitis B virus as none include tenofovir. Two-drug regimens have increased options for individualised care. Competing Interests: Declaration of interests SGK has served on advisory boards for Gilead, ViiV, and Theratechnologies. JRA has received advisory fees, speaker fees, and grant support from ViiV, Janssen, Gilead, Merck, Aelix, and Thera. PC has worked on advisory boards at ViiV and Merck and received research and speaker funds from ViiV, CanSino, and Janssen and has received honoraria as a data safety and monitoring board member for Moderna. CO has received payment or honoraria for lectures, presentations, speakers bureaus, manuscript writing, or educational events from Gilead, ViiV, Janssen, GlaxoSmithKline, AstraZeneca, and Merck. ESD has received research support from and is a consultant for Gilead, Merck, GlaxoSmithKline, and ViiV. PES receives research support from Gilead, GlaxoSmithKline, and ViiV. He serves as a scientific advisory board member and consultant for Gilead, GlaxoSmithKline, ViiV, Merck, and Janssen; and has editorial positions with UpToDate, Medscape, New England Journal of Medicine Journal Watch, and Open Forum Infectious Diseases. BOT has served as a consultant and received honoraria from GlaxoSmithKline, ViiV, Gilead, Merck, and Johnson & Johnson. KMG received a training grant from the Agency For Health Care Research and Quality (T32HS026122). (Copyright © 2022 Elsevier Ltd. All rights reserved.) |
التعليقات: | Comment in: Lancet HIV. 2023 Mar;10(3):e150. (PMID: 36773625) Comment in: Lancet HIV. 2023 Mar;10(3):e150-e151. (PMID: 36773626) |
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معلومات مُعتمدة: | L30 AI172003 United States AI NIAID NIH HHS; T32 HS026122 United States HS AHRQ HHS |
المشرفين على المادة: | 0 (Anti-HIV Agents) 99YXE507IL (Tenofovir) 0 (Anti-Retroviral Agents) |
تواريخ الأحداث: | Date Created: 20221029 Date Completed: 20221206 Latest Revision: 20230413 |
رمز التحديث: | 20231215 |
مُعرف محوري في PubMed: | PMC10015554 |
DOI: | 10.1016/S2352-3018(22)00249-1 |
PMID: | 36309038 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2352-3018 |
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DOI: | 10.1016/S2352-3018(22)00249-1 |