与其他基于杜洛特格拉维尔的双重组合相比,多拉维林与杜洛特格拉维尔双重治疗方案的持久性
Roberto Rossotti1, Federico D'Amico1, Nicholas Brian Bana1,2
1Department of Infectious Diseases, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
HIV medicine
|January 24, 2024
概括
多卢特格拉维尔 (DTG) 加多拉维林 (DOR) 为艾滋病毒治疗提供了高耐用性,尽管与其他基于DTG的两种药物方案 (2DRs) 相比,中断风险更高. 这种治疗方案是复杂的艾滋病毒病例的可行选择.
科学领域:
- 传染性疾病 传染性疾病
- 病毒学 病毒学
- 药理学 药理学是指药理学的学科.
背景情况:
- 基于多卢特格拉维尔 (DTG) 的两种药物方案 (2DRs) 是对拉米武丁 (3TC) 或力皮维林 (RPV) 不合格的个体的选择.
- 多拉维林 (DOR) 的可用性扩大了基于DTG的2DR选项.
研究的目的:
- 为了比较DTG + DOR与DTG/3TC和DTG/RPV的耐用性.
- 评估病毒学失败率和随着时间的推移维护病毒负载抑制.
主要方法:
- 开始基于DTG的2DR患者 (2018-2022) 的回顾性,单心分析.
- 使用了描述性统计,非参数测试,卡普兰-梅尔曲线和考克斯回归模型.
- 治疗中断,病毒学失败和维护病毒载量的比较.
主要成果:
- 包括710名患者:499名 (DTG/3TC),140名 (DTG/RPV),71名 (DTG+DOR) 患者.
- 与其他2DRs相比,DTG + DOR组的治疗中断率更高 (96周后为9.8%).
- 对于DTG + DOR,病毒学失败率较高,但病毒载荷抑制在各组中相似.
结论:
- DTG + DOR在长期随访期间在艾滋病毒治疗中表现出高耐久性.
- 虽然耐用性很高,但低于其他基于DTG的2DR.
- DTG + DOR是治疗难以治疗的艾滋病毒治疗经验丰富的个体的潜在有效选择.
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