Clinical course of classic Kaposi's sarcoma in HIV-negative patients treated with the HIV protease inhibitor indinavir

AIDS. 2009 Feb 20;23(4):534-8. doi: 10.1097/QAD.0b013e3283262a8d.

Abstract

HIV protease inhibitors have been shown to exert antiangiogenic and antitumor actions independently from their antiretroviral effect. Based on these studies, HIV-seronegative patients with classic Kaposi's sarcoma were treated with indinavir and followed for clinical evolution, drug pharmacokinetics and Kaposi's sarcoma biomarkers. A favorable clinical course was associated with high drug plasma levels, reduced production of basic fibroblast growth factor, lower numbers of circulating endothelial cells, and a decrease in antibody titers against human herpesvirus 8.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Antibodies, Viral / blood
  • Antineoplastic Agents / blood
  • Antineoplastic Agents / therapeutic use*
  • Biomarkers, Tumor / blood
  • HIV Protease Inhibitors / blood
  • HIV Protease Inhibitors / therapeutic use*
  • HIV Seronegativity
  • Herpesvirus 8, Human / immunology
  • Humans
  • Indinavir / blood
  • Indinavir / therapeutic use*
  • Middle Aged
  • Sarcoma, Kaposi / blood
  • Sarcoma, Kaposi / drug therapy*
  • Treatment Outcome

Substances

  • Antibodies, Viral
  • Antineoplastic Agents
  • Biomarkers, Tumor
  • HIV Protease Inhibitors
  • Indinavir