Post-treatment and spontaneous HIV control

<p><strong>Purpose of review</strong> The aim of the current review is to explore the evidence around virological remission in ART-treated and untreated individuals living with HIV. With increasing evidence and interest in post-treatment control within the HIV-cure field, it is now...

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Main Authors: Martin, G, Frater, J
Formato: Journal article
Idioma:English
Publicado: Wolters Kluwer Health 2018
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author Martin, G
Frater, J
author_facet Martin, G
Frater, J
author_sort Martin, G
collection OXFORD
description <p><strong>Purpose of review</strong> The aim of the current review is to explore the evidence around virological remission in ART-treated and untreated individuals living with HIV. With increasing evidence and interest in post-treatment control within the HIV-cure field, it is now increasingly important to agree on definitions to allow different ‘controller’ phenotypes to be clearly distinguished and mechanisms compared.</p> <p><strong>Recent findings</strong> This review explores recent data on potential predictors and mechanisms driving spontaneous and post-treatment control. We explore data on the role of the reservoir as a determinant of control and the challenges associated with its study, including the safety of treatment interruption. We explore options around deriving a consensus on how to define different forms of control and the longer term utility of achieving remission.</p> <p><strong>Summary</strong> Post-treatment control and remission following treatment interruption are becoming increasingly common measures of intervention efficacy in cure trials. As well as a need to show treatment interruption protocols are well tolerated and acceptable, for these measures to be robust and comparable between studies, clear and consensual definitions need to be agreed.</p>
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spelling oxford-uuid:7e61d65e-1cd2-4bb5-be69-2a7331094a002022-03-26T21:09:45ZPost-treatment and spontaneous HIV controlJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:7e61d65e-1cd2-4bb5-be69-2a7331094a00EnglishSymplectic Elements at OxfordWolters Kluwer Health2018Martin, GFrater, J<p><strong>Purpose of review</strong> The aim of the current review is to explore the evidence around virological remission in ART-treated and untreated individuals living with HIV. With increasing evidence and interest in post-treatment control within the HIV-cure field, it is now increasingly important to agree on definitions to allow different ‘controller’ phenotypes to be clearly distinguished and mechanisms compared.</p> <p><strong>Recent findings</strong> This review explores recent data on potential predictors and mechanisms driving spontaneous and post-treatment control. We explore data on the role of the reservoir as a determinant of control and the challenges associated with its study, including the safety of treatment interruption. We explore options around deriving a consensus on how to define different forms of control and the longer term utility of achieving remission.</p> <p><strong>Summary</strong> Post-treatment control and remission following treatment interruption are becoming increasingly common measures of intervention efficacy in cure trials. As well as a need to show treatment interruption protocols are well tolerated and acceptable, for these measures to be robust and comparable between studies, clear and consensual definitions need to be agreed.</p>
spellingShingle Martin, G
Frater, J
Post-treatment and spontaneous HIV control
title Post-treatment and spontaneous HIV control
title_full Post-treatment and spontaneous HIV control
title_fullStr Post-treatment and spontaneous HIV control
title_full_unstemmed Post-treatment and spontaneous HIV control
title_short Post-treatment and spontaneous HIV control
title_sort post treatment and spontaneous hiv control
work_keys_str_mv AT marting posttreatmentandspontaneoushivcontrol
AT fraterj posttreatmentandspontaneoushivcontrol