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The Body Covers: The 12th International AIDS Conference
Session 286/12204: Combination Abacavir (1592, ABC)/Amprenavir (141W94) Therapy in HIV-1 Infected Antiretroviral Naïve Subjects with CD4+ Cell Counts >400 cells/mL and Viral Load >5000 copies/mL
June 29, 1998 A note from TheBody.com: Since this article was written, the HIV pandemic has changed, as has our understanding of HIV/AIDS and its treatment. As a result, parts of this article may be outdated. Please keep this in mind, and be sure to visit other parts of our site for more recent information! Dr. Bart and colleagues presented preliminary results from this open-label study of abacavir, an experimental nucleoside analog reverse transcriptase inhibitor, and amprenavir, an experimental protease inhibitor, in 40 treatment-naïve patients. Interim Week 24 results from this 72-week study were presented. Twenty-eight patients had reached Week 24 at the time of the analysis. Twenty-five of them, or 89%, had undetectable levels of HIV (<500 copies/mL). Thirty-eight patients had reached Week 8, and all but one of them (97%) had viral load levels below the limit of detection. There are concerns about the side effects of these drugs, especially one known as a 'hypersensitivity reaction' (HR) that has been seen in 3% of patients enrolled on abacavir studies. The symptoms of HR include fever and nausea, malaise, and most significantly, a rash that can be life-threatening. These symptoms can appear within several days to six weeks after starting abacavir, and go away after abacavir is stopped. However, abacavir must never be started again after such a reaction -- one patient on an abacavir study has died after re-starting therapy. A note from TheBody.com: Since this article was written, the HIV pandemic has changed, as has our understanding of HIV/AIDS and its treatment. As a result, parts of this article may be outdated. Please keep this in mind, and be sure to visit other parts of our site for more recent information! Authored by: Pierre-Alexandre Bart, M.D.
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