Long-term safety and effectiveness of lopinavir/ritonavir in antiretroviral-experienced HIV-1-infected children.

AIM: To evaluate the long-term safety and effectiveness of lopinavir/ritonavir (LPV/r) in a population-based cohort of HIV-1-infected children. METHODS: All children enrolled in the Swiss Mother and Child HIV Cohort Study, treated with LPV/r-based combination antiretroviral treatment (cART) between...

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Main Authors: Rudin, C, Wolbers, M, Nadal, D, Rickenbach, M, Bucher, H
Format: Journal article
Language:English
Published: 2010
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author Rudin, C
Wolbers, M
Nadal, D
Rickenbach, M
Bucher, H
author_facet Rudin, C
Wolbers, M
Nadal, D
Rickenbach, M
Bucher, H
author_sort Rudin, C
collection OXFORD
description AIM: To evaluate the long-term safety and effectiveness of lopinavir/ritonavir (LPV/r) in a population-based cohort of HIV-1-infected children. METHODS: All children enrolled in the Swiss Mother and Child HIV Cohort Study, treated with LPV/r-based combination antiretroviral treatment (cART) between November 2000 and October 2008, were included. RESULTS: 88 children (25 (28%) protease inhibitor (PI)-naive, 16 (18%) ART-naive) were analysed (251 patient-years on LPV/r). After 48 weeks on LPV/r, 70 children had a median (interquartile range (IQR)) decrease in HIV-1 viral load of 4.25 log (5.45-3.17; PI-naive, n=17) and 2.53 (3.68-1.38; PI-experienced, n=53). Median (IQR) increase in CD4 count was 429 (203-593; PI-naive) and 177 (21-331; PI-experienced) cells/microl. These effects remained stable throughout 192 weeks for 25 children. Treatment was stopped for viral rebound in seven and suspected toxicity in 12 children. CONCLUSION: Long-term treatment with LPV/r-based cART is safe and effective in HIV-1-infected children.
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spelling oxford-uuid:0eb8202f-9688-418e-8492-ef5af8788c312022-03-26T09:47:26ZLong-term safety and effectiveness of lopinavir/ritonavir in antiretroviral-experienced HIV-1-infected children.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:0eb8202f-9688-418e-8492-ef5af8788c31EnglishSymplectic Elements at Oxford2010Rudin, CWolbers, MNadal, DRickenbach, MBucher, H AIM: To evaluate the long-term safety and effectiveness of lopinavir/ritonavir (LPV/r) in a population-based cohort of HIV-1-infected children. METHODS: All children enrolled in the Swiss Mother and Child HIV Cohort Study, treated with LPV/r-based combination antiretroviral treatment (cART) between November 2000 and October 2008, were included. RESULTS: 88 children (25 (28%) protease inhibitor (PI)-naive, 16 (18%) ART-naive) were analysed (251 patient-years on LPV/r). After 48 weeks on LPV/r, 70 children had a median (interquartile range (IQR)) decrease in HIV-1 viral load of 4.25 log (5.45-3.17; PI-naive, n=17) and 2.53 (3.68-1.38; PI-experienced, n=53). Median (IQR) increase in CD4 count was 429 (203-593; PI-naive) and 177 (21-331; PI-experienced) cells/microl. These effects remained stable throughout 192 weeks for 25 children. Treatment was stopped for viral rebound in seven and suspected toxicity in 12 children. CONCLUSION: Long-term treatment with LPV/r-based cART is safe and effective in HIV-1-infected children.
spellingShingle Rudin, C
Wolbers, M
Nadal, D
Rickenbach, M
Bucher, H
Long-term safety and effectiveness of lopinavir/ritonavir in antiretroviral-experienced HIV-1-infected children.
title Long-term safety and effectiveness of lopinavir/ritonavir in antiretroviral-experienced HIV-1-infected children.
title_full Long-term safety and effectiveness of lopinavir/ritonavir in antiretroviral-experienced HIV-1-infected children.
title_fullStr Long-term safety and effectiveness of lopinavir/ritonavir in antiretroviral-experienced HIV-1-infected children.
title_full_unstemmed Long-term safety and effectiveness of lopinavir/ritonavir in antiretroviral-experienced HIV-1-infected children.
title_short Long-term safety and effectiveness of lopinavir/ritonavir in antiretroviral-experienced HIV-1-infected children.
title_sort long term safety and effectiveness of lopinavir ritonavir in antiretroviral experienced hiv 1 infected children
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AT nadald longtermsafetyandeffectivenessoflopinavirritonavirinantiretroviralexperiencedhiv1infectedchildren
AT rickenbachm longtermsafetyandeffectivenessoflopinavirritonavirinantiretroviralexperiencedhiv1infectedchildren
AT bucherh longtermsafetyandeffectivenessoflopinavirritonavirinantiretroviralexperiencedhiv1infectedchildren