Determining the Relative Efficacy of Highly Active Antiretroviral Therapy (original) (raw)

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1Aaron Diamond AIDS Research Center, The Rockefeller University, New York, New York;

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1Aaron Diamond AIDS Research Center, The Rockefeller University, New York, New York;

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2Theoretical Division, Los Alamos National Laboratory, Los Alamos, New Mexico;

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1Aaron Diamond AIDS Research Center, The Rockefeller University, New York, New York;

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1Aaron Diamond AIDS Research Center, The Rockefeller University, New York, New York;

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3Gilead Sciences, Foster City, California;

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4Bristol-Myers Squibb, Wallingford, Connecticut;

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5Abbott Laboratories, Abbott Park, Illinois

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5Abbott Laboratories, Abbott Park, Illinois

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2Theoretical Division, Los Alamos National Laboratory, Los Alamos, New Mexico;

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Received:

08 October 2002

Revision received:

04 November 2002

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Michael Louie, Christine Hogan, Michele Di Mascio, Arlene Hurley, Viviana Simon, James Rooney, Nancy Ruiz, Scott Brun, Eugene Sun, Alan S Perelson, David D Ho, Martin Markowitz, Determining the Relative Efficacy of Highly Active Antiretroviral Therapy, The Journal of Infectious Diseases, Volume 187, Issue 6, 15 March 2003, Pages 896–900, https://doi.org/10.1086/368164
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Abstract

Despite the clinical benefits of combination antiviral therapy, whether maximal antiviral potency has been achieved with current drug combinations remains unclear. We studied the first phase of decay of human immunodeficiency virus type 1 (HIV-1) RNA in plasma, one early indicator of antiviral activity, after the administration of a novel combination of lopinavir/ritonavir, efavirenz, tenofovir disoproxil fumarate, and lamivudine and compared it with that observed in matched cohorts treated with alternative combination regimens. On the basis of these comparisons, we conclude that the relative potency of highly active antiretroviral therapy may be augmented by as much as 25%–30%. However, it is important to emphasize that further study is warranted to explore whether these early measurements of relative efficacy provide long-term virologic and clinical benefits. Nevertheless, we believe that optimal treatment regimens for HIV-1 have yet to be identified and that continued research to achieve this goal is warranted

© 2003 by the Infectious Diseases Society of America

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