Available clinical markers of treatment outcome integrated in mathematical models to guide therapy in HIV infection

J Antimicrob Chemother. 2004 Feb;53(2):140-3. doi: 10.1093/jac/dkh024. Epub 2003 Dec 19.

Abstract

Because treatment failure in many HIV-infected persons may be due to multiple causes, including resistance to antiretroviral agents, it is important to better tailor drug therapy to individual patients. This improvement requires the prediction of treatment outcome from baseline immunological or virological factors, and from results of resistance tests. Here, we review briefly the available clinical factors that have an impact on therapy outcome, and discuss the role of a predictive modelling approach integrating these factors proposed in a previous work. Mathematical and statistical models could become essential tools to address questions that are difficult to study clinically and experimentally, thereby guiding decisions in the choice of individualized drug regimens.

Publication types

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

MeSH terms

  • Anti-HIV Agents / therapeutic use*
  • Biomarkers
  • CD4 Lymphocyte Count
  • CD8-Positive T-Lymphocytes
  • Drug Resistance, Viral
  • HIV Infections / drug therapy*
  • Humans
  • Models, Statistical
  • Predictive Value of Tests
  • Treatment Outcome

Substances

  • Anti-HIV Agents
  • Biomarkers