We evaluated the efficacy and safety of a two-drug regimen including dolutegravir (DTG) and unboosted atazanavir (uATV) in 151 HIV-1 infected patients with HIV-RNA of more than 50 copies/ml. During a median follow-up of 62 (42-97) weeks, two virological failures (1%) and 13 treatment discontinuations (9%) occurred; the 48-week probability of virological failure was 0.8% (95% confidence interval 0.2-5.6%). Switch to DTG + uATV may represent a boosting and transcriptase reverse inhibitors sparing otion in individuals with long exposure to antiretroviral therapy and risk of cardiovascular disease.

Switch to dolutegravir and unboosted atazanavir in HIV-1 infected patients with undetectable viral load and long exposure to antiretroviral therapy / Castagna, A.; Rusconi, S.; Gulminetti, R.; Bonora, S.; Mazzola, G.; Quiros-Roldan, M. E.; De Socio, G. V.; Ladisa, N.; Carosella, S.; Cattelan, A.; Di Giambenedetto, S.; Mena, M.; Poli, A.; Galli, L.; Riva, A.. - In: AIDS. - ISSN 0269-9370. - 33:7(2019), pp. 1256-1260. [10.1097/QAD.0000000000002188]

Switch to dolutegravir and unboosted atazanavir in HIV-1 infected patients with undetectable viral load and long exposure to antiretroviral therapy

Castagna A.;
2019-01-01

Abstract

We evaluated the efficacy and safety of a two-drug regimen including dolutegravir (DTG) and unboosted atazanavir (uATV) in 151 HIV-1 infected patients with HIV-RNA of more than 50 copies/ml. During a median follow-up of 62 (42-97) weeks, two virological failures (1%) and 13 treatment discontinuations (9%) occurred; the 48-week probability of virological failure was 0.8% (95% confidence interval 0.2-5.6%). Switch to DTG + uATV may represent a boosting and transcriptase reverse inhibitors sparing otion in individuals with long exposure to antiretroviral therapy and risk of cardiovascular disease.
2019
Antiretroviral Therapy, Highly Active
Atazanavir Sulfate
CD4 Lymphocyte Count
Drug Therapy, Combination
Female
HIV Infections
HIV Integrase Inhibitors
HIV-1
Heterocyclic Compounds, 3-Ring
Humans
Kaplan-Meier Estimate
Male
Middle Aged
Oxazines
Piperazines
Pyridones
RNA, Viral
Treatment Outcome
Viral Load
Drug Substitution
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11768/107493
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