Antiretroviral therapy regimens containing the HIV protease inhibitor saquinavir


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Resumo

The paper gives the results of Russian and international clinical trials of antiretroviral therapy (ART) regimens including the HIV protease inhibitor (PI) ritonavir-enhanced saquinavir (SQV/r). The efficacy and safety of SQV/r 1000/100 mg twice daily have been clearly demonstrated by the results of both randomized trials (Gemini) and by the data obtained in real clinical practice (Rainbow), including those in special patient groups (pregnant women, patients with chronic viral hepatitides). Examination of the pharmacokinetics of SQV/r has indicated that the daily dose of the drug should not be changed in women in the third trimester and in patients with obvious liver fibrosis. The ART regimens containing SQV/r are noted to have a positive impact on lipid metabolic parameters, which can recommend the change of the current effective ART regimen, by replacing the used PI by SQV/r mainly in patients with high (third-to-fourth-degree toxicity) levels of triglycerides and total cholesterol.

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Sobre autores

Aleksey Kravchenko

Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Welfare

Email: kravtchenko@hivrussia.net
Moscow

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