A Short-Term Clinical Evaluation of L-697,661, a Non-Nucleoside Inhibitor of HIV-1 Reverse Transcriptase

Autor: Emilio A. Emini, Jeffrey Douglas, Richard J. Whitley, George M. Shaw, John C. Kappes, Ferdinand E. Massari, William I. Lapidus, Michael S. Saag, Kevin W. Anderson, Oscar L. Laskin, Carol Hildebrand, V W Byrnes, William A. Schleif
Rok vydání: 1993
Předmět:
Zdroj: New England Journal of Medicine. 329:1065-1072
ISSN: 1533-4406
0028-4793
Popis: Background The non-nucleoside reverse transcriptase inhibitors are novel antiretroviral agents with selective activity in vitro against human immunodeficiency virus type 1 (HIV-1). They act through direct inhibition of reverse transcriptase and are not incorporated into DNA. Methods We evaluated a pyridinone non-nucleoside reverse transcriptase inhibitor, L-697,661, in separate six-week double-blind trials in patients with HIV-1 infection whose CD4 counts ranged from 200 to 500 cells per cubic millimeter (68 patients) or less than 200 cells per cubic millimeter (67 patients). Eligible patients were randomly assigned to receive L-697,661 orally in one of three doses (25 mg twice a day, 100 mg three times a day, or 500 mg twice a day) or zidovudine (100 mg five times a day). Clinical and laboratory assessments were performed weekly. Viral isolates were obtained from a subgroup of patients before and after treatment and were evaluated for in vitro sensitivity to L-697,661. Results Both L-697,661 and zidovudi...
Databáze: OpenAIRE