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Downloaded from http://journals.lww.com/jaids by BhDMf5ePHKbH4TTImqenVA5KvPVPZ0P5BEgU+IUTEfzO/GUWifn2IfwcEVVH9SSn on 06/12/2020 CLINICAL SCIENCE Minimizing Resistance Consequences After Virologic Failure on Initial Combination Therapy A Systematic Overview John A. Bartlett, MD,* Jeffrey J. Buda, BA,† Birgitta von Scheele, MSc Pharm, MS,‡ Josephine A. Mauskopf, PhD,† E. Anne Davis, PharmD, MS,§ Robert Elston, PhD,|| Martin S. King, PhD,¶ and E. Randall Lanier, PhD,§ reatment of HIV with combination antiretroviral therapy Objective: To identify optimal first-line therapies based on the rate T (ART) has resulted in a greatly extended life expec- of virologic success (VS) and the preservation of future treatment tancy for persons infected with HIV. After the introduction options in antiretroviral therapy (ART)-naive subjects. of combination ART, AIDS incidence and AIDS-related Design: Systematic overview of genotypic resistance mutations deaths decreased dramatically in the United States and from clinical trials of combination ART. 1,2 Europe. For many persons infected with HIV and on active Methods: Various sources were searched for studies in ART-naive ART, HIV has become a chronic condition rather than a subjects providing virologic response rates and genotypes from fatal disease. subjects with virologic failure. The International AIDS Society-USA Currently, there are many options for initial combi- genotypic resistance guidelines were used to
JAIDS Journal of Acquired Immune Deficiency Syndromes – Wolters Kluwer Health
Published: Mar 1, 2006
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