Cobicistat Compared With Ritonavir as a Pharmacoenhancer for Atazanavir in Combination With Emtricitabine/Tenofovir Disoproxil Fumarate: Week 144 Results

被引:23
|
作者
Gallant, Joel E. [1 ]
Koenig, Ellen [2 ]
Andrade-Villanueva, Jaime F. [3 ]
Chetchotisakd, Ploenchan [4 ]
DeJesus, Edwin [5 ]
Antunes, Francisco [6 ]
Arasteh, Keikawus [7 ]
Rizzardini, Giuliano [8 ]
Fehr, Jan [9 ]
Liu, Hui C. [10 ]
Abram, Michael E. [10 ]
Cao, Huyen [10 ]
Szwarcberg, Javier [10 ]
机构
[1] Southwest CARE Ctr, Santa Fe, NM USA
[2] Inst Dominicano Estudios Virolog, Santo Domingo, Dominican Rep
[3] Hosp Civil Guadalajara, HIV Unit, Guadalajara, Jalisco, Mexico
[4] Khonkaen Univ, Dept Med, Khon Kaen, Thailand
[5] Orlando Immunol Ctr, Orlando, FL USA
[6] Fac Med Lisbon, Inst Saude Ambiental, Lisbon, Portugal
[7] Vivantes Auguste Viktoria Klinikum, EPIMED, Berlin, Germany
[8] Luigi Sacco Hosp, Dept Infect Dis, Milan, Italy
[9] Univ Zurich, Univ Zurich Hosp, Div Infect Dis & Hosp Epidemiol, Zurich, Switzerland
[10] Gilead Sci Inc, Foster City, CA 94404 USA
关键词
Cobicistat; pharmacoenhancer; HIV; Antiretroviral; clinical trial; INITIAL TREATMENT; TREATMENT-NAIVE; DOUBLE-BLIND; LOPINAVIR/RITONAVIR; PHARMACOKINETICS; INFECTION; GS-9350; REGIMEN;
D O I
10.1097/QAI.0000000000000598
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Background:Cobicistat (COBI) is a pharmacoenhancer with no antiretroviral activity.Methods:International, randomized double-blind active-controlled trial to evaluate the efficacy and safety of COBI vs ritonavir (RTV) as a pharmacoenhancer of atazanavir in combination with emtricitabine/tenofovir disoproxil fumarate in HIV treatment-naive patients followed through week 144.Results:At Week 144, virologic suppression was achieved in 72% (COBI) and 74% (RTV) of patients. Adverse events leading to study drug discontinuation occurred in 11% of patients in each group. Median changes in serum creatinine (mg/dL) were +0.13 (COBI) and +0.07 (RTV) and were unchanged from week 48.Conclusions:Once-daily COBI is a safe and effective pharmacoenhancer of the protease inhibitor atazanavir.
引用
收藏
页码:338 / 340
页数:3
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