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https://www.arca.fiocruz.br/handle/icict/31129
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2028-08-30
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- INI - Artigos de Periódicos [3488]
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SAFETY AND EFFICACY OF DARUNAVIR (TMC114) WITH LOW-DOSE RITONAVIR IN TREATMENT-EXPERIENCED PATIENTS: 24-WEEK RESULTS OF POWER 3
Author
Affilliation
University of Paris. Hôpitaux de Paris. Assistance Publique. Department of Infectious Diseases. Paris, France / Hôpital Saint-Louis. Paris, France.
Community Research Initiative of New England. Boston, MA, USA.
Hôpital Pitié-Salpêtrière. Paris, France.
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas. Rio de Janeiro, RJ, Brasil.
PAM Heliópolis. São Paulo, SP, Brasil.
Universidade Estadual de Campinas. Hospital de Clínicas. Campinas, SP, Brasil.
Tibotec BVBA. Mechelen, Belgium.
Tibotec BVBA. Mechelen, Belgium.
Tibotec BVBA. Mechelen, Belgium.
Tibotec Inc. Yardley, PA, USA.
Tibotec Inc. Yardley, PA, USA.
Community Research Initiative of New England. Boston, MA, USA.
Hôpital Pitié-Salpêtrière. Paris, France.
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas. Rio de Janeiro, RJ, Brasil.
PAM Heliópolis. São Paulo, SP, Brasil.
Universidade Estadual de Campinas. Hospital de Clínicas. Campinas, SP, Brasil.
Tibotec BVBA. Mechelen, Belgium.
Tibotec BVBA. Mechelen, Belgium.
Tibotec BVBA. Mechelen, Belgium.
Tibotec Inc. Yardley, PA, USA.
Tibotec Inc. Yardley, PA, USA.
Abstract
Objective: In POWER 1 and POWER 2, Darunavir (TMC114) with low-dose Ritonavir (Darunavir/r) demonstrated greater efficacy versus control protease inhibitors (PIs). To examine the efficacy and safety of the selected Darunavir/r dose further, additional patients were analyzed. Methods: Treatment-experienced HIV-1–infected patients received Darunavir/r at a dose of 600/100 mg twice daily plus an optimized background regimen. The primary intent-to-treat analysis was the proportion of patients with an HIV-1 RNA reduction $1 log10 at week 24. Results: Three hundred twenty-seven patients were treated; the baseline mean HIV-1 RNA was 4.6 log10 copies/mL, and the median CD4 count was 115 cells/mm3 (median primary PI mutations = 3, PI
resistance-associated mutations = 9). Two hundred forty-six patients reached week 24 by the cutoff date and were included in the efficacy analysis: 65% and 40% achieved HIV-1 RNA reductions of $1 log10 and, 50 copies/mL, respectively, at week 24. The mean CD4 count increase was 80 cells/mm3. The most common adverse events (AEs) were diarrhea (14%), nasopharyngitis (11%), and nausea (10%). Nine (3%) patients discontinued treatment because of AEs or HIV-1–related events. Six treatment-unrelated deaths (2%) were reported. Conclusions: These results corroborate POWER 1 and POWER 2. In this larger set of treatment-experienced patients, Darunavir/r at a dose of 600/100 mg twice daily provided substantial virologic and immunologic responses and was generally safe and well tolerated.
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