Back HIV/AIDS HIV/AIDS Topics HIV Treatment

Revised U.S. Antiretroviral Therapy Guidelines Call for Earlier Treatment and Promote Raltegravir (Isentress) to a Preferred First-line Option

On December 1, the U.S. Department of Health and Human Services (DHHS) updated its guidelines for antiretroviral therapy (ART) for HIV positive adults and adolescents. In keeping with recent research, the revision calls for earlier treatment. ART is now recommended for people with 350-500 cells/mm3, and half the expert panel favored treatment even for those with more than 500 cells/mm3. For first-line therapy, the integrase inhibitor raltegravir (Isentress) was added to the list of "preferred" options, while lopinavir/ritonavir (Kaletra) was changed to an "alternative" due to side effects.

Read more:

FDA Grants Traditional Approval for Etravirine (Intelence)

On November 24, the U.S. Food And Drug Administration (FDA) granted traditional approval of Tibotec's next-generation non-nucleoside reverse transcriptase inhibitor etravirine (Intelence), based on longer-term data from 2 pivotal trials showing that the drug was safe and effective over 48 weeks in treatment-experienced HIV patients with resistant virus.

Read more:

How Much Ritonavir (Norvir) Is Needed to Boost HIV Protease Inhibitors?

It may be possible to use certain HIV protease inhibitors (PIs) with lower boosting doses of ritonavir, according to an article published in the November 13, 2009 issue of the journal AIDS. A systemic review of prior trials showed that a 50-100 mg dose of ritonavir boosted 3 PIs -- saquinavir, fosamprenavir, and darunavir -- as much as higher doses. In the case of lopinavir/ritonavir, however, raising the ritonavir dose by a small amount enabled reduction of the lopinavir dose, potentially lowering costs.

Read more:

No Significant Association between Nevirapine (Viramune) and Liver Enzyme Elevation Regardless of Pregnancy Status

A new study of more than 2000 women published in the November 27, 2009 issue of AIDS found no significant link between use of the NNRTI nevirapine (Viramune) and liver enzyme elevation. Nevirapine use was not associated with liver toxicity in pregnant or non-pregnant women, but pregnancy itself increased the risk of liver problems in women with HIV.

Read more:

Bold Efforts to Find a Cure for HIV/AIDS and New Prevention Tools Are Urgently Needed, Says NIAID Head

There is an urgent imperative both to scale up use of proven tools of HIV treatment and prevention, and to develop bold new interventions -- from curative therapies to vaccines and other new prevention methods --according to Drs. Anthony Fauci and Greg Folkers of the National Institute of Allergy and Infectious Diseases (NIAID), a division of the National Institutes of Health (NIH).

Read more:

Raltegravir (Isentress), Etravirine (Intelence), and Boosted Darunavir (Prezista) Is Highly Effective for Treatment-experienced Adolescents

An antiretroviral therapy (ART) regimen containing 3 recently approved anti-HIV drugs -- the integrase inhibitor raltegravir (Isentress), the next generation non-nucleoside reverse transcriptase inhibitor (NNRTI) etravirine (Intelence), and the ritonavir-boosted protease inhibitor darunavir (Prezista) -- was well tolerated and produced good viral suppression and CD4 cell gains in heavily treatment-experienced adolescents, according to a study published in the November 13, 2009 issue of AIDS.

Read more:

Three-quarters of HIV Positive Prisoners Decrease Adherence to Antiretroviral Therapy after Release

A large proportion of HIV positive former prisoners take their antiretroviral therapy (ART) irregularly after they are released from incarceration, thereby raising the risk of treatment failure and disease progression, according to a study in the September 22, 2009 issue of the open-access online journal PLoS One.

Read more: