Safety and efficacy of the HIV-1 attachment inhibitor prodrug fostemsavir in antiretroviral-experienced subjects: week 48 analysis of AI438011, a Phase IIb, randomized controlled trial.
Identifieur interne : 000E23 ( PubMed/Corpus ); précédent : 000E22; suivant : 000E24Safety and efficacy of the HIV-1 attachment inhibitor prodrug fostemsavir in antiretroviral-experienced subjects: week 48 analysis of AI438011, a Phase IIb, randomized controlled trial.
Auteurs : Melanie Thompson ; Jacob P. Lalezari ; Richard Kaplan ; Yvett Pinedo ; Otto A Sussmann Pena ; Pedro Cahn ; David A. Stock ; Samit R. Joshi ; George J. Hanna ; Max LatailladeSource :
- Antiviral therapy [ 2040-2058 ] ; 2017.
Abstract
Fostemsavir is a prodrug of temsavir, an attachment inhibitor that binds directly to HIV-1 gp120, blocking initial viral attachment and entry into host CD4(+) T-cells. Efficacy, safety and dose-response data of fostemsavir in treatment-experienced, HIV-1-infected subjects, through week 48, are reported.
DOI: 10.3851/IMP3112
PubMed: 27922453
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pubmed:27922453Le document en format XML
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<author><name sortKey="Pinedo, Yvett" sort="Pinedo, Yvett" uniqKey="Pinedo Y" first="Yvett" last="Pinedo">Yvett Pinedo</name>
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<series><title level="j">Antiviral therapy</title>
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<front><div type="abstract" xml:lang="en">Fostemsavir is a prodrug of temsavir, an attachment inhibitor that binds directly to HIV-1 gp120, blocking initial viral attachment and entry into host CD4(+) T-cells. Efficacy, safety and dose-response data of fostemsavir in treatment-experienced, HIV-1-infected subjects, through week 48, are reported.</div>
</front>
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<DateCreated><Year>2016</Year>
<Month>12</Month>
<Day>06</Day>
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<DateRevised><Year>2017</Year>
<Month>06</Month>
<Day>27</Day>
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<JournalIssue CitedMedium="Internet"><Volume>22</Volume>
<Issue>3</Issue>
<PubDate><Year>2017</Year>
</PubDate>
</JournalIssue>
<Title>Antiviral therapy</Title>
<ISOAbbreviation>Antivir. Ther. (Lond.)</ISOAbbreviation>
</Journal>
<ArticleTitle>Safety and efficacy of the HIV-1 attachment inhibitor prodrug fostemsavir in antiretroviral-experienced subjects: week 48 analysis of AI438011, a Phase IIb, randomized controlled trial.</ArticleTitle>
<Pagination><MedlinePgn>215-223</MedlinePgn>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Fostemsavir is a prodrug of temsavir, an attachment inhibitor that binds directly to HIV-1 gp120, blocking initial viral attachment and entry into host CD4(+) T-cells. Efficacy, safety and dose-response data of fostemsavir in treatment-experienced, HIV-1-infected subjects, through week 48, are reported.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">AI438011 is an ongoing Phase IIb, randomized, active-controlled trial (NCT01384734). Subjects were randomized 1:1:1:1:1 into five arms: fostemsavir (400 mg twice daily, 800 mg twice daily, 600 mg once daily or 1,200 mg once daily) and a reference arm (ritonavir-boosted atazanavir [ATV/r] 300/100 mg once daily), each with a backbone of raltegravir 400 mg twice daily plus tenofovir disoproxil fumarate 300 mg once daily.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In total, 251 subjects were treated. Through week 48, the proportion of fostemsavir subjects with HIV-1 RNA <50 copies/ml was 61-82% and 77-95% (modified intent-to-treat [mITT] and observed analysis, respectively); 71% and 88% for ATV/r subjects (mITT and observed). Observed virological response rates were 74-100% versus 96% (fostemsavir versus ATV/r) in subjects with baseline viral load <100,000 copies/ml and 60-91% versus 71% when baseline viral load was ≥100,000 copies/ml. Across fostemsavir arms, median CD4(+) T-cell count increases from baseline were 145-186 cells/µl and 142 cells/µl for the ATV/r arm. Fostemsavir doses were generally well tolerated and no fostemsavir-related adverse events led to discontinuation.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Through week 48, fostemsavir continued to be well tolerated and showed similar efficacy to ATV/r. These results support the ongoing Phase III trial in heavily treatment-experienced adults with limited therapeutic options (≤2 classes of active antiretrovirals remaining). ClinicalTrials.gov identifier: NCT01384734.</AbstractText>
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<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Thompson</LastName>
<ForeName>Melanie</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>AIDS Research Consortium of Atlanta, Atlanta, GA, USA.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Lalezari</LastName>
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<Author ValidYN="Y"><CollectiveName>AI438011 study team</CollectiveName>
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