Lancet HIV:dolutegravir+rilpivirine治疗HIV感染长期疗效显著

2019-07-14 MedSci MedSci原创

研究认为,dolutegravir+rilpivirine疗法表现出持久的HIV抑制效果

SWORD-1以及SWORD-2研究显示,48周Dolutegravir+Rilpivirine 2D治疗HIV感染的效果不劣于标准的3D或4D疗法。近日研究人员公布了Dolutegravir+Rilpivirine 2D疗法100周的疗效及安全性数据。

成年,在标准3D或4D治疗后HIV-1RNA拷贝数低于50 的患者,随机接受50 mg dolutegravir+25 mg rilpivirine,每日一次或继续标准治疗。研究的主要终点为100周疗效。

513名患者接受2D治疗,511人接受标准ART疗法(477人中途进入2D组)。100周时,513名2D组以及477名换药组中分别有456人(89%)以及444人(93%)HIV-1 RNA拷贝数低于50。2D组20%以及换药组12%的患者出现不良事件,最常见的为头痛和恶心。

研究认为,dolutegravir+rilpivirine疗法表现出持久的HIV抑制效果。

原始出处:


本文系梅斯医学(MedSci)原创编译整理,转载需授权!

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (5)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1982494, encodeId=0fd6198249463, content=<a href='/topic/show?id=fee36180e0' target=_blank style='color:#2F92EE;'>#Dolutegravir#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6180, encryptionId=fee36180e0, topicName=Dolutegravir)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6105386, createdName=宋威, createdTime=Fri Oct 04 05:41:00 CST 2019, time=2019-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1830154, encodeId=40f3183015402, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Sun Nov 10 08:41:00 CST 2019, time=2019-11-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1480693, encodeId=8a5c14806935e, content=<a href='/topic/show?id=82fd154e9ad' target=_blank style='color:#2F92EE;'>#rilpivirine#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=15479, encryptionId=82fd154e9ad, topicName=rilpivirine)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d75d7662960, createdName=夏天与十三菇凉, createdTime=Tue Jul 16 01:41:00 CST 2019, time=2019-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1553498, encodeId=1d461553498db, content=<a href='/topic/show?id=3b409e02804' target=_blank style='color:#2F92EE;'>#长期疗效#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=97028, encryptionId=3b409e02804, topicName=长期疗效)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fe2a14383573, createdName=gjsgj, createdTime=Tue Jul 16 01:41:00 CST 2019, time=2019-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1032225, encodeId=7dc41032225f1, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Sun Jul 14 13:41:00 CST 2019, time=2019-07-14, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=1982494, encodeId=0fd6198249463, content=<a href='/topic/show?id=fee36180e0' target=_blank style='color:#2F92EE;'>#Dolutegravir#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6180, encryptionId=fee36180e0, topicName=Dolutegravir)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6105386, createdName=宋威, createdTime=Fri Oct 04 05:41:00 CST 2019, time=2019-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1830154, encodeId=40f3183015402, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Sun Nov 10 08:41:00 CST 2019, time=2019-11-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1480693, encodeId=8a5c14806935e, content=<a href='/topic/show?id=82fd154e9ad' target=_blank style='color:#2F92EE;'>#rilpivirine#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=15479, encryptionId=82fd154e9ad, topicName=rilpivirine)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d75d7662960, createdName=夏天与十三菇凉, createdTime=Tue Jul 16 01:41:00 CST 2019, time=2019-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1553498, encodeId=1d461553498db, content=<a href='/topic/show?id=3b409e02804' target=_blank style='color:#2F92EE;'>#长期疗效#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=97028, encryptionId=3b409e02804, topicName=长期疗效)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fe2a14383573, createdName=gjsgj, createdTime=Tue Jul 16 01:41:00 CST 2019, time=2019-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1032225, encodeId=7dc41032225f1, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Sun Jul 14 13:41:00 CST 2019, time=2019-07-14, status=1, ipAttribution=)]
    2019-11-10 howi
  3. [GetPortalCommentsPageByObjectIdResponse(id=1982494, encodeId=0fd6198249463, content=<a href='/topic/show?id=fee36180e0' target=_blank style='color:#2F92EE;'>#Dolutegravir#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6180, encryptionId=fee36180e0, topicName=Dolutegravir)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6105386, createdName=宋威, createdTime=Fri Oct 04 05:41:00 CST 2019, time=2019-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1830154, encodeId=40f3183015402, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Sun Nov 10 08:41:00 CST 2019, time=2019-11-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1480693, encodeId=8a5c14806935e, content=<a href='/topic/show?id=82fd154e9ad' target=_blank style='color:#2F92EE;'>#rilpivirine#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=15479, encryptionId=82fd154e9ad, topicName=rilpivirine)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d75d7662960, createdName=夏天与十三菇凉, createdTime=Tue Jul 16 01:41:00 CST 2019, time=2019-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1553498, encodeId=1d461553498db, content=<a href='/topic/show?id=3b409e02804' target=_blank style='color:#2F92EE;'>#长期疗效#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=97028, encryptionId=3b409e02804, topicName=长期疗效)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fe2a14383573, createdName=gjsgj, createdTime=Tue Jul 16 01:41:00 CST 2019, time=2019-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1032225, encodeId=7dc41032225f1, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Sun Jul 14 13:41:00 CST 2019, time=2019-07-14, status=1, ipAttribution=)]
  4. [GetPortalCommentsPageByObjectIdResponse(id=1982494, encodeId=0fd6198249463, content=<a href='/topic/show?id=fee36180e0' target=_blank style='color:#2F92EE;'>#Dolutegravir#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6180, encryptionId=fee36180e0, topicName=Dolutegravir)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6105386, createdName=宋威, createdTime=Fri Oct 04 05:41:00 CST 2019, time=2019-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1830154, encodeId=40f3183015402, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Sun Nov 10 08:41:00 CST 2019, time=2019-11-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1480693, encodeId=8a5c14806935e, content=<a href='/topic/show?id=82fd154e9ad' target=_blank style='color:#2F92EE;'>#rilpivirine#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=15479, encryptionId=82fd154e9ad, topicName=rilpivirine)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d75d7662960, createdName=夏天与十三菇凉, createdTime=Tue Jul 16 01:41:00 CST 2019, time=2019-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1553498, encodeId=1d461553498db, content=<a href='/topic/show?id=3b409e02804' target=_blank style='color:#2F92EE;'>#长期疗效#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=97028, encryptionId=3b409e02804, topicName=长期疗效)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fe2a14383573, createdName=gjsgj, createdTime=Tue Jul 16 01:41:00 CST 2019, time=2019-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1032225, encodeId=7dc41032225f1, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Sun Jul 14 13:41:00 CST 2019, time=2019-07-14, status=1, ipAttribution=)]
  5. [GetPortalCommentsPageByObjectIdResponse(id=1982494, encodeId=0fd6198249463, content=<a href='/topic/show?id=fee36180e0' target=_blank style='color:#2F92EE;'>#Dolutegravir#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6180, encryptionId=fee36180e0, topicName=Dolutegravir)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6105386, createdName=宋威, createdTime=Fri Oct 04 05:41:00 CST 2019, time=2019-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1830154, encodeId=40f3183015402, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Sun Nov 10 08:41:00 CST 2019, time=2019-11-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1480693, encodeId=8a5c14806935e, content=<a href='/topic/show?id=82fd154e9ad' target=_blank style='color:#2F92EE;'>#rilpivirine#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=15479, encryptionId=82fd154e9ad, topicName=rilpivirine)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d75d7662960, createdName=夏天与十三菇凉, createdTime=Tue Jul 16 01:41:00 CST 2019, time=2019-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1553498, encodeId=1d461553498db, content=<a href='/topic/show?id=3b409e02804' target=_blank style='color:#2F92EE;'>#长期疗效#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=97028, encryptionId=3b409e02804, topicName=长期疗效)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fe2a14383573, createdName=gjsgj, createdTime=Tue Jul 16 01:41:00 CST 2019, time=2019-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1032225, encodeId=7dc41032225f1, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Sun Jul 14 13:41:00 CST 2019, time=2019-07-14, status=1, ipAttribution=)]
    2019-07-14 内科新手

    谢谢梅斯提供这么好的信息,学到很多

    0

相关资讯

案例:HIV检测“一阴一阳”原因为何?

案例经过 患者李某,男,45岁,在家修缮房屋不慎跌落,导致双下肢活动受限8天入院。入院据X片显示,患者李某左右下肢多处骨折。骨科对症消炎、镇痛治疗,计划本周全麻行钢板螺钉固定术。检验医学网

NEJM:播散性球孢子菌病-病例报道

该患者开始抗真菌治疗,给予脂质体两性霉素B和氟康唑的组合2周,然后进行氟康唑单一疗法。HIV基因型检测显示患者对服用的一种药物具有抗药性,并且调整了抗逆转录病毒治疗方案。

Nature子刊:基因编辑婴儿死亡风险更高!NEJM中国研究2连发!

除此之外,BMJ还说辣条等过度加工食品会增加心血管风险!快来看看吧!

贺建奎之后,第二名科学家宣布计划制造更多基因编辑婴儿

据《Nature》报道,日前俄罗斯分子生物学家Denis Rebrikov宣布,他将进行基因编辑婴儿试验,如果获得批准的话,年底之前就开始这项计划。如果计划得以实施,他将成为全球公开的第二名进行这一试验的人。

HIV检测“一阴一阳”原因为何?

主要是医生和我们该怎么和患者解释这一结果呢?到底是感染还是没感染呢?与感染科沟通后,建议患者半月后复检。

BMJ:四联抗HIV疗法的疗效不优于三联疗法

研究认为,四联抗逆转录病毒治疗的效果不优于三联疗法,建议采用三联方案作为现行HIV感染的一线治疗手段