Efficacy and safety of switching suppressed patients with elevated triglycerides from lopinavir/ritonavir or fosamprenavir/ritonavir to atazanavir/ritonavir or darunavir/ritonavir based therapy: The LARD study

Autor: Homayoon Khanlou, Robert Corales, Frank Rhame, Daniel J. Skiest, Thanes Vanig, Karam Mounzer, Nicholaos C. Bellos, Edwin DeJesus, Calvin J. Cohen, Hannah Olivet, Andrew E. Petroll, Marc Tribble, Jane Garb
Rok vydání: 2012
Předmět:
Zdroj: HIV & AIDS Review. 11:77-83
ISSN: 1730-1270
DOI: 10.1016/j.hivar.2012.10.001
Popis: Objectives To determine if switching virologically suppressed patients on a regimen containing lopinavir/r (LPV/r) or fosamprenavir (FPV/r) to darunavir/r (DRV/r) or atazanavir/r (ATV/r) results in improved TGs while maintaining virological suppression. Methods Eligibility criteria were undetectable HIV RNA ≥12 weeks, no PI resistance, receiving LPV/r ( n = 46) or FPV/r ( n = 3) plus nucleosides, and fasting TGs >200 mg/dl. Patients were randomized to either QD ATV/r or DRV/r (maintaining the same nucleosides). Primary endpoint was change in TGs from baseline to week 24. Results 66 were screened, 51 enrolled and two withdrew consent after randomization. 24 patients received ATV/r; 25 received DRV/r. Baseline mean CD4 cell count was 569; HIV RNA was p Conclusions Patients with high TGs who switched from LPV/r or FPV/r to DRV/r or ATV/r had improved TGs, while maintaining virological suppression and high adherence and QOL.
Databáze: OpenAIRE