Viral failure in HIV-infected patients with long-lasting viral suppression who discontinued enfuvirtide

AIDS. 2006 Sep 11;20(14):1896-8. doi: 10.1097/01.aids.0000244212.15951.2b.

Abstract

The aim of this pilot study was to assess whether enfuvirtide can be discontinued in patients on long-term viral suppression. Eight patients with multidrug-resistant virus were randomly assigned to stop and 10 subjects to continue enfuvirtide. At week 48, viral rebound occurred in five (62.5%) and in no patients, respectively, (P = 0.007). The CD4 cell decrease in failure patients was 5% (P = ns). These results suggest that enfuvirtide should be maintained until new active drugs became available.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • ADP-ribosyl Cyclase 1 / analysis
  • CD4 Lymphocyte Count
  • CD8-Positive T-Lymphocytes / immunology
  • Drug Resistance, Viral / immunology
  • Enfuvirtide
  • HIV / immunology
  • HIV Envelope Protein gp41 / immunology
  • HIV Envelope Protein gp41 / therapeutic use*
  • HIV Fusion Inhibitors / immunology
  • HIV Fusion Inhibitors / therapeutic use*
  • HIV Infections / drug therapy*
  • HIV Infections / immunology
  • HIV Infections / virology
  • Humans
  • Mutation
  • Peptide Fragments / immunology
  • Peptide Fragments / therapeutic use*
  • Pilot Projects
  • Prospective Studies

Substances

  • HIV Envelope Protein gp41
  • HIV Fusion Inhibitors
  • Peptide Fragments
  • Enfuvirtide
  • ADP-ribosyl Cyclase 1