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Clinical, immunological, and virological outcomes in HIV patients on raltegravir-based salvage therapy

OBJECTIVES: The objective of the study is to assess the clinical, immunological, and virological outcomes in treatment-experienced HIV patients on raltegravir (RAL)-based salvage therapy. METHODS: This was a retrospective, observational study of patients with suspected second-line antiretroviral the...

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Autores principales: Deshwal, Rajesh, Arora, Sumit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6532488/
https://www.ncbi.nlm.nih.gov/pubmed/31143859
http://dx.doi.org/10.4103/ijstd.IJSTD_23_18
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author Deshwal, Rajesh
Arora, Sumit
author_facet Deshwal, Rajesh
Arora, Sumit
author_sort Deshwal, Rajesh
collection PubMed
description OBJECTIVES: The objective of the study is to assess the clinical, immunological, and virological outcomes in treatment-experienced HIV patients on raltegravir (RAL)-based salvage therapy. METHODS: This was a retrospective, observational study of patients with suspected second-line antiretroviral therapy failure who were followed up for at least 6 months, from January 2013 to January 2017, after switching to salvage regimen. A total of 20 patients who fulfilled the inclusion criteria and who had RAL-based salvage therapy were assessed for clinical, immunological and virological response. The data were picked up from the electronic database of the center and analyzed. RESULTS: Age, sex, date of initial diagnosis, date, and type of first line and second line regimens were documented, CD(4) count, and plasma viral load at the time of initiation and after 3 and 6 months were recorded. Undetectable viral load was documented in all patients at 6 months. No noticeable adverse effects were noted. CONCLUSION: This study clearly shows that RAL containing regimens have a high degree of effectiveness in treatment-experienced patients and show effective and durable suppression of viral load with low adverse effect rates and reliable long-term safety.
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spelling pubmed-65324882019-05-29 Clinical, immunological, and virological outcomes in HIV patients on raltegravir-based salvage therapy Deshwal, Rajesh Arora, Sumit Indian J Sex Transm Dis AIDS Original Article OBJECTIVES: The objective of the study is to assess the clinical, immunological, and virological outcomes in treatment-experienced HIV patients on raltegravir (RAL)-based salvage therapy. METHODS: This was a retrospective, observational study of patients with suspected second-line antiretroviral therapy failure who were followed up for at least 6 months, from January 2013 to January 2017, after switching to salvage regimen. A total of 20 patients who fulfilled the inclusion criteria and who had RAL-based salvage therapy were assessed for clinical, immunological and virological response. The data were picked up from the electronic database of the center and analyzed. RESULTS: Age, sex, date of initial diagnosis, date, and type of first line and second line regimens were documented, CD(4) count, and plasma viral load at the time of initiation and after 3 and 6 months were recorded. Undetectable viral load was documented in all patients at 6 months. No noticeable adverse effects were noted. CONCLUSION: This study clearly shows that RAL containing regimens have a high degree of effectiveness in treatment-experienced patients and show effective and durable suppression of viral load with low adverse effect rates and reliable long-term safety. Medknow Publications & Media Pvt Ltd 2019 /pmc/articles/PMC6532488/ /pubmed/31143859 http://dx.doi.org/10.4103/ijstd.IJSTD_23_18 Text en Copyright: © 2019 Indian Journal of Sexually Transmitted Diseases and AIDS http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Deshwal, Rajesh
Arora, Sumit
Clinical, immunological, and virological outcomes in HIV patients on raltegravir-based salvage therapy
title Clinical, immunological, and virological outcomes in HIV patients on raltegravir-based salvage therapy
title_full Clinical, immunological, and virological outcomes in HIV patients on raltegravir-based salvage therapy
title_fullStr Clinical, immunological, and virological outcomes in HIV patients on raltegravir-based salvage therapy
title_full_unstemmed Clinical, immunological, and virological outcomes in HIV patients on raltegravir-based salvage therapy
title_short Clinical, immunological, and virological outcomes in HIV patients on raltegravir-based salvage therapy
title_sort clinical, immunological, and virological outcomes in hiv patients on raltegravir-based salvage therapy
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6532488/
https://www.ncbi.nlm.nih.gov/pubmed/31143859
http://dx.doi.org/10.4103/ijstd.IJSTD_23_18
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