Pharmacologic Boosting of Atazanavir in Maintenance HIV-1 Therapy The COREYA Propensity-Score Adjusted Study 英文参考文献.docVIP
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Pharmacologic Boosting of Atazanavir in Maintenance HIV-1 Therapy The COREYA Propensity-Score Adjusted Study 英文参考文献
PharmacologicBoostingofAtazanavirinMaintenance
HIV-1Therapy:TheCOREYAPropensity-ScoreAdjusted
Study
LaurentHocqueloux1,PhilippeChoisy2,Gwenae¨lLeMoal3,Franc?oiseBorsa-Lebas4,DavidPlainchamp3,
EricLegac5,ThierryPrazuck1,XavierdelaTribonnie`re2,YazdanYazdanpanah2¤,Jean-JacquesParienti6*
1ServicedesMaladiesInfectieusesetTropicales,CentreHospitalierRe′gional,Orle′ans,France,2ServiceUniversitairedesMaladiesInfectieusesetduVoyageur,Ho?pital
Gustave-Dron,Tourcoing,France,3ServicedesMaladiesInfectieuses,Ho?pitaldelaMile′trie, Poitiers,France,4ServicedesMaladiesInfectieuses,Ho?pitalCharlesNicolle,
Rouen,France,5LaboratoiredeBiologie,CentreHospitalierRe′gional,Orle′ans,France,6Unite′ BiostatistiqueetRechercheClinique,CHUCo?tedeNacre,Caen,France
Abstract
Background: Among HIV-1 infected patients who achieved virologic suppression, the use of atazanavir without
pharmacologic boosting is debated. We evaluated the efficacy and tolerance of maintenance therapy with unboosted
atazanavirinclinicalpractice.
Methods and Results: This multicenter retrospective cohort study evaluated the efficacy of switching HIV-1-infected
patients controlled on triple therapy to unboosted (ATV0, n=98) versus ritonavir-boosted atazanavir (ATV/r, n=254) +2
nucleos(t)idereversetranscriptaseinhibitors.Theprimaryendpointwastimetovirologicfailure(VF,.200copies/mL).ATV
groups were compared controlling for potential confounding bias by inverse probability weighted Cox analysis and
propensity-score matching. Overall and adjusted VF rates were similar for both strategies. Both strategies improved
dyslipidemiaandcreatininemia,withlessjaundiceintheATV0group.
Conclusion: In previously well-suppressed patients, within an observational cohort setting, ATV0–based triple-therapy
appearedaseffectiveasATV/r-basedtriple-therapytomaintainvirologicsuppression,evenifco-administeredwithTDF,
butwasbettertolerated.
Citation:HocquelouxL,ChoisyP,LeMoalG,Borsa-LebasF,PlainchampD,etal.(2012)PharmacologicBoostingofAta
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