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Efficacy, Safety, and Tolerability of Etravirine With and Without Darunavir/Ritonavir or Raltegravir in Treatment-Experienced Patients: Analysis of the Etravirine Early Access Program in the United States

Identifieur interne : 000056 ( PascalFrancis/Corpus ); précédent : 000055; suivant : 000057

Efficacy, Safety, and Tolerability of Etravirine With and Without Darunavir/Ritonavir or Raltegravir in Treatment-Experienced Patients: Analysis of the Etravirine Early Access Program in the United States

Auteurs : William Towner ; Jacob Lalezari ; Michael G. Sension ; Michael Wohlfeiler ; Joseph Gathe ; Jonathan S. Appelbaum ; Paul Bellman ; Michael S. Gottlieb ; Robert Ryan ; Steven Nijs ; Annemie Hoogstoel ; Rodica Van Solingen-Ristea ; James Witek

Source :

RBID : Pascal:10-0196970

Descripteurs français

English descriptors

Abstract

Background: Etravirine, a nonnucleoside reverse transcriptase inhibitor, was provided through an international early access program (EAP) prior to regulatory approval. Methods: The Phase III, nonrandomized, open-label EAP investigated etravirine 200 mg twice daily plus a background regimen (BR) in patients who had failed multiple antiretroviral regimens. Efficacy and safety are reported for HIV-infected adults from the United States through week 48, including subgroups receiving etravirine ± darunavir/ritonavir and/or raltegravir. Results: The intent-to-treat population included 2578 patients; 62.4% and 56.7% of patients received darunavir/ritonavir and raltegravir, respectively, in their BR. At week 48, 62.3% of patients achieved viral loads <75 copies per milliliter; responses across subgroups were similar. Median CD4+ count increase from baseline was > 100 cells per cubic millimeter. No unexpected safety concerns emerged; serious AEs and deaths due to AEs, considered possibly related to etravirine, occurred in 2.0% and 0.3% of patients, respectively. Discontinuations due to AEs were low overall (4.4%) and comparable across subgroups. Conclusions: Etravirine combined with a BR, often including other new antiretrovirals, such as darunavir/ritonavir and/or raltegravir, provided an effective treatment option in treatment-experienced patients with HIV-1.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 1525-4135
A03   1    @0 J. acquir. immune defic. syndr. : (1999)
A05       @2 53
A06       @2 5
A08 01  1  ENG  @1 Efficacy, Safety, and Tolerability of Etravirine With and Without Darunavir/Ritonavir or Raltegravir in Treatment-Experienced Patients: Analysis of the Etravirine Early Access Program in the United States
A11 01  1    @1 TOWNER (William)
A11 02  1    @1 LALEZARI (Jacob)
A11 03  1    @1 SENSION (Michael G.)
A11 04  1    @1 WOHLFEILER (Michael)
A11 05  1    @1 GATHE (Joseph)
A11 06  1    @1 APPELBAUM (Jonathan S.)
A11 07  1    @1 BELLMAN (Paul)
A11 08  1    @1 GOTTLIEB (Michael S.)
A11 09  1    @1 RYAN (Robert)
A11 10  1    @1 NIJS (Steven)
A11 11  1    @1 HOOGSTOEL (Annemie)
A11 12  1    @1 VAN SOLINGEN-RISTEA (Rodica)
A11 13  1    @1 WITEK (James)
A14 01      @1 Kaiser Permanente-Infectious Diseases @2 Los Angeles, CA @3 USA @Z 1 aut.
A14 02      @1 Quest Clinical Research @2 San Francisco, CA @3 USA @Z 2 aut.
A14 03      @1 North Broward Hospital District @2 Fort Lauderdale, FL @3 USA @Z 3 aut.
A14 04      @1 Wohlfeiler, Piperato and Associates LLC @2 North Miami Beach, FL @3 USA @Z 4 aut.
A14 05      @1 Therapeutic Concepts @2 Houston, TX @3 USA @Z 5 aut.
A14 06      @1 Community Research Initiative of New England @2 Boston, MA @3 USA @Z 6 aut.
A14 07      @1 Office of Paul Bellman, MD @2 New York, NY @3 USA @Z 7 aut.
A14 08      @1 Synergy Hematology/Oncology @2 Los Angeles, CA @3 USA @Z 8 aut.
A14 09      @1 Tibotec, Inc @2 Titusville, NJ @3 USA @Z 9 aut.
A14 10      @1 Tibotec BVBA @2 Mechelen @3 BEL @Z 10 aut. @Z 11 aut. @Z 12 aut.
A14 11      @1 Tibotec Therapeutics @2 Titusville, NJ @3 USA @Z 13 aut.
A20       @1 614-618
A21       @1 2010
A23 01      @0 ENG
A43 01      @1 INIST @2 21576 @5 354000181928160080
A44       @0 0000 @1 © 2010 INIST-CNRS. All rights reserved.
A45       @0 8 ref.
A47 01  1    @0 10-0196970
A60       @1 P
A61       @0 A
A64 01  1    @0 Journal of acquired immune deficiency syndromes : (1999)
A66 01      @0 USA
C01 01    ENG  @0 Background: Etravirine, a nonnucleoside reverse transcriptase inhibitor, was provided through an international early access program (EAP) prior to regulatory approval. Methods: The Phase III, nonrandomized, open-label EAP investigated etravirine 200 mg twice daily plus a background regimen (BR) in patients who had failed multiple antiretroviral regimens. Efficacy and safety are reported for HIV-infected adults from the United States through week 48, including subgroups receiving etravirine ± darunavir/ritonavir and/or raltegravir. Results: The intent-to-treat population included 2578 patients; 62.4% and 56.7% of patients received darunavir/ritonavir and raltegravir, respectively, in their BR. At week 48, 62.3% of patients achieved viral loads <75 copies per milliliter; responses across subgroups were similar. Median CD4+ count increase from baseline was > 100 cells per cubic millimeter. No unexpected safety concerns emerged; serious AEs and deaths due to AEs, considered possibly related to etravirine, occurred in 2.0% and 0.3% of patients, respectively. Discontinuations due to AEs were low overall (4.4%) and comparable across subgroups. Conclusions: Etravirine combined with a BR, often including other new antiretrovirals, such as darunavir/ritonavir and/or raltegravir, provided an effective treatment option in treatment-experienced patients with HIV-1.
C02 01  X    @0 002A05C10
C02 02  X    @0 002B05C02J
C03 01  X  FRE  @0 Homme @5 01
C03 01  X  ENG  @0 Human @5 01
C03 01  X  SPA  @0 Hombre @5 01
C03 02  X  FRE  @0 Efficacité @5 05
C03 02  X  ENG  @0 Efficiency @5 05
C03 02  X  SPA  @0 Eficacia @5 05
C03 03  X  FRE  @0 Ritonavir @2 NK @2 FR @5 06
C03 03  X  ENG  @0 Ritonavir @2 NK @2 FR @5 06
C03 03  X  SPA  @0 Ritonavir @2 NK @2 FR @5 06
C03 04  X  FRE  @0 Raltégravir @2 FR @5 07
C03 04  X  ENG  @0 Raltegravir @2 FR @5 07
C03 04  X  SPA  @0 Raltegravir @2 FR @5 07
C03 05  X  FRE  @0 Traitement @5 08
C03 05  X  ENG  @0 Treatment @5 08
C03 05  X  SPA  @0 Tratamiento @5 08
C03 06  X  FRE  @0 Etats-Unis @2 NG @5 09
C03 06  X  ENG  @0 United States @2 NG @5 09
C03 06  X  SPA  @0 Estados Unidos @2 NG @5 09
C03 07  X  FRE  @0 Inhibiteur reverse transcriptase @2 NK @2 FR @5 10
C03 07  X  ENG  @0 Reverse transcriptase inhibitor @2 NK @2 FR @5 10
C03 07  X  SPA  @0 Inhibitor reverse transcriptase @2 NK @2 FR @5 10
C03 08  X  FRE  @0 Etravirine @2 FR @5 14
C03 08  X  ENG  @0 Etravirine @2 FR @5 14
C03 08  X  SPA  @0 Etravirina @2 FR @5 14
C03 09  X  FRE  @0 Darunavir @2 FR @5 15
C03 09  X  ENG  @0 Darunavir @2 FR @5 15
C03 09  X  SPA  @0 Darunavir @2 FR @5 15
C03 10  X  FRE  @0 Antiviral @5 45
C03 10  X  ENG  @0 Antiviral @5 45
C03 10  X  SPA  @0 Antiviral @5 45
C07 01  X  FRE  @0 Amérique du Nord @2 NG
C07 01  X  ENG  @0 North America @2 NG
C07 01  X  SPA  @0 America del norte @2 NG
C07 02  X  FRE  @0 Amérique @2 NG
C07 02  X  ENG  @0 America @2 NG
C07 02  X  SPA  @0 America @2 NG
N21       @1 130
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 10-0196970 INIST
ET : Efficacy, Safety, and Tolerability of Etravirine With and Without Darunavir/Ritonavir or Raltegravir in Treatment-Experienced Patients: Analysis of the Etravirine Early Access Program in the United States
AU : TOWNER (William); LALEZARI (Jacob); SENSION (Michael G.); WOHLFEILER (Michael); GATHE (Joseph); APPELBAUM (Jonathan S.); BELLMAN (Paul); GOTTLIEB (Michael S.); RYAN (Robert); NIJS (Steven); HOOGSTOEL (Annemie); VAN SOLINGEN-RISTEA (Rodica); WITEK (James)
AF : Kaiser Permanente-Infectious Diseases/Los Angeles, CA/Etats-Unis (1 aut.); Quest Clinical Research/San Francisco, CA/Etats-Unis (2 aut.); North Broward Hospital District/Fort Lauderdale, FL/Etats-Unis (3 aut.); Wohlfeiler, Piperato and Associates LLC/North Miami Beach, FL/Etats-Unis (4 aut.); Therapeutic Concepts/Houston, TX/Etats-Unis (5 aut.); Community Research Initiative of New England/Boston, MA/Etats-Unis (6 aut.); Office of Paul Bellman, MD/New York, NY/Etats-Unis (7 aut.); Synergy Hematology/Oncology/Los Angeles, CA/Etats-Unis (8 aut.); Tibotec, Inc/Titusville, NJ/Etats-Unis (9 aut.); Tibotec BVBA/Mechelen/Belgique (10 aut., 11 aut., 12 aut.); Tibotec Therapeutics/Titusville, NJ/Etats-Unis (13 aut.)
DT : Publication en série; Niveau analytique
SO : Journal of acquired immune deficiency syndromes : (1999); ISSN 1525-4135; Etats-Unis; Da. 2010; Vol. 53; No. 5; Pp. 614-618; Bibl. 8 ref.
LA : Anglais
EA : Background: Etravirine, a nonnucleoside reverse transcriptase inhibitor, was provided through an international early access program (EAP) prior to regulatory approval. Methods: The Phase III, nonrandomized, open-label EAP investigated etravirine 200 mg twice daily plus a background regimen (BR) in patients who had failed multiple antiretroviral regimens. Efficacy and safety are reported for HIV-infected adults from the United States through week 48, including subgroups receiving etravirine ± darunavir/ritonavir and/or raltegravir. Results: The intent-to-treat population included 2578 patients; 62.4% and 56.7% of patients received darunavir/ritonavir and raltegravir, respectively, in their BR. At week 48, 62.3% of patients achieved viral loads <75 copies per milliliter; responses across subgroups were similar. Median CD4+ count increase from baseline was > 100 cells per cubic millimeter. No unexpected safety concerns emerged; serious AEs and deaths due to AEs, considered possibly related to etravirine, occurred in 2.0% and 0.3% of patients, respectively. Discontinuations due to AEs were low overall (4.4%) and comparable across subgroups. Conclusions: Etravirine combined with a BR, often including other new antiretrovirals, such as darunavir/ritonavir and/or raltegravir, provided an effective treatment option in treatment-experienced patients with HIV-1.
CC : 002A05C10; 002B05C02J
FD : Homme; Efficacité; Ritonavir; Raltégravir; Traitement; Etats-Unis; Inhibiteur reverse transcriptase; Etravirine; Darunavir; Antiviral
FG : Amérique du Nord; Amérique
ED : Human; Efficiency; Ritonavir; Raltegravir; Treatment; United States; Reverse transcriptase inhibitor; Etravirine; Darunavir; Antiviral
EG : North America; America
SD : Hombre; Eficacia; Ritonavir; Raltegravir; Tratamiento; Estados Unidos; Inhibitor reverse transcriptase; Etravirina; Darunavir; Antiviral
LO : INIST-21576.354000181928160080
ID : 10-0196970

Links to Exploration step

Pascal:10-0196970

Le document en format XML

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<name sortKey="Ryan, Robert" sort="Ryan, Robert" uniqKey="Ryan R" first="Robert" last="Ryan">Robert Ryan</name>
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<name sortKey="Nijs, Steven" sort="Nijs, Steven" uniqKey="Nijs S" first="Steven" last="Nijs">Steven Nijs</name>
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<s1>Tibotec BVBA</s1>
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<author>
<name sortKey="Hoogstoel, Annemie" sort="Hoogstoel, Annemie" uniqKey="Hoogstoel A" first="Annemie" last="Hoogstoel">Annemie Hoogstoel</name>
<affiliation>
<inist:fA14 i1="10">
<s1>Tibotec BVBA</s1>
<s2>Mechelen</s2>
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<author>
<name sortKey="Van Solingen Ristea, Rodica" sort="Van Solingen Ristea, Rodica" uniqKey="Van Solingen Ristea R" first="Rodica" last="Van Solingen-Ristea">Rodica Van Solingen-Ristea</name>
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<name sortKey="Witek, James" sort="Witek, James" uniqKey="Witek J" first="James" last="Witek">James Witek</name>
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<title level="j" type="main">Journal of acquired immune deficiency syndromes : (1999)</title>
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<title level="j" type="main">Journal of acquired immune deficiency syndromes : (1999)</title>
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<term>Antiviral</term>
<term>Darunavir</term>
<term>Efficiency</term>
<term>Etravirine</term>
<term>Human</term>
<term>Raltegravir</term>
<term>Reverse transcriptase inhibitor</term>
<term>Ritonavir</term>
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<div type="abstract" xml:lang="en">Background: Etravirine, a nonnucleoside reverse transcriptase inhibitor, was provided through an international early access program (EAP) prior to regulatory approval. Methods: The Phase III, nonrandomized, open-label EAP investigated etravirine 200 mg twice daily plus a background regimen (BR) in patients who had failed multiple antiretroviral regimens. Efficacy and safety are reported for HIV-infected adults from the United States through week 48, including subgroups receiving etravirine ± darunavir/ritonavir and/or raltegravir. Results: The intent-to-treat population included 2578 patients; 62.4% and 56.7% of patients received darunavir/ritonavir and raltegravir, respectively, in their BR. At week 48, 62.3% of patients achieved viral loads <75 copies per milliliter; responses across subgroups were similar. Median CD4
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count increase from baseline was > 100 cells per cubic millimeter. No unexpected safety concerns emerged; serious AEs and deaths due to AEs, considered possibly related to etravirine, occurred in 2.0% and 0.3% of patients, respectively. Discontinuations due to AEs were low overall (4.4%) and comparable across subgroups. Conclusions: Etravirine combined with a BR, often including other new antiretrovirals, such as darunavir/ritonavir and/or raltegravir, provided an effective treatment option in treatment-experienced patients with HIV-1.</div>
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<ET>Efficacy, Safety, and Tolerability of Etravirine With and Without Darunavir/Ritonavir or Raltegravir in Treatment-Experienced Patients: Analysis of the Etravirine Early Access Program in the United States</ET>
<AU>TOWNER (William); LALEZARI (Jacob); SENSION (Michael G.); WOHLFEILER (Michael); GATHE (Joseph); APPELBAUM (Jonathan S.); BELLMAN (Paul); GOTTLIEB (Michael S.); RYAN (Robert); NIJS (Steven); HOOGSTOEL (Annemie); VAN SOLINGEN-RISTEA (Rodica); WITEK (James)</AU>
<AF>Kaiser Permanente-Infectious Diseases/Los Angeles, CA/Etats-Unis (1 aut.); Quest Clinical Research/San Francisco, CA/Etats-Unis (2 aut.); North Broward Hospital District/Fort Lauderdale, FL/Etats-Unis (3 aut.); Wohlfeiler, Piperato and Associates LLC/North Miami Beach, FL/Etats-Unis (4 aut.); Therapeutic Concepts/Houston, TX/Etats-Unis (5 aut.); Community Research Initiative of New England/Boston, MA/Etats-Unis (6 aut.); Office of Paul Bellman, MD/New York, NY/Etats-Unis (7 aut.); Synergy Hematology/Oncology/Los Angeles, CA/Etats-Unis (8 aut.); Tibotec, Inc/Titusville, NJ/Etats-Unis (9 aut.); Tibotec BVBA/Mechelen/Belgique (10 aut., 11 aut., 12 aut.); Tibotec Therapeutics/Titusville, NJ/Etats-Unis (13 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Journal of acquired immune deficiency syndromes : (1999); ISSN 1525-4135; Etats-Unis; Da. 2010; Vol. 53; No. 5; Pp. 614-618; Bibl. 8 ref.</SO>
<LA>Anglais</LA>
<EA>Background: Etravirine, a nonnucleoside reverse transcriptase inhibitor, was provided through an international early access program (EAP) prior to regulatory approval. Methods: The Phase III, nonrandomized, open-label EAP investigated etravirine 200 mg twice daily plus a background regimen (BR) in patients who had failed multiple antiretroviral regimens. Efficacy and safety are reported for HIV-infected adults from the United States through week 48, including subgroups receiving etravirine ± darunavir/ritonavir and/or raltegravir. Results: The intent-to-treat population included 2578 patients; 62.4% and 56.7% of patients received darunavir/ritonavir and raltegravir, respectively, in their BR. At week 48, 62.3% of patients achieved viral loads <75 copies per milliliter; responses across subgroups were similar. Median CD4
<sup>+</sup>
count increase from baseline was > 100 cells per cubic millimeter. No unexpected safety concerns emerged; serious AEs and deaths due to AEs, considered possibly related to etravirine, occurred in 2.0% and 0.3% of patients, respectively. Discontinuations due to AEs were low overall (4.4%) and comparable across subgroups. Conclusions: Etravirine combined with a BR, often including other new antiretrovirals, such as darunavir/ritonavir and/or raltegravir, provided an effective treatment option in treatment-experienced patients with HIV-1.</EA>
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<ED>Human; Efficiency; Ritonavir; Raltegravir; Treatment; United States; Reverse transcriptase inhibitor; Etravirine; Darunavir; Antiviral</ED>
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