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 : 000057Efficacy, 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 WitekSource :
- Journal of acquired immune deficiency syndromes : (1999) [ 1525-4135 ] ; 2010.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
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.
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Format Inist (serveur)
NO : | PASCAL 10-0196970 INIST |
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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 |
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:10-0196970Le document en format XML
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<series><title level="j" type="main">Journal of acquired immune deficiency syndromes : (1999)</title>
<title level="j" type="abbreviated">J. acquir. immune defic. syndr. : (1999)</title>
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<imprint><date when="2010">2010</date>
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<seriesStmt><title level="j" type="main">Journal of acquired immune deficiency syndromes : (1999)</title>
<title level="j" type="abbreviated">J. acquir. immune defic. syndr. : (1999)</title>
<idno type="ISSN">1525-4135</idno>
</seriesStmt>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><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>
<term>Treatment</term>
<term>United States</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Homme</term>
<term>Efficacité</term>
<term>Ritonavir</term>
<term>Raltégravir</term>
<term>Traitement</term>
<term>Etats-Unis</term>
<term>Inhibiteur reverse transcriptase</term>
<term>Etravirine</term>
<term>Darunavir</term>
<term>Antiviral</term>
</keywords>
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<front><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<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.</div>
</front>
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<fA14 i1="08"><s1>Synergy Hematology/Oncology</s1>
<s2>Los Angeles, CA</s2>
<s3>USA</s3>
<sZ>8 aut.</sZ>
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<fA14 i1="09"><s1>Tibotec, Inc</s1>
<s2>Titusville, NJ</s2>
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<sZ>9 aut.</sZ>
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<fA14 i1="10"><s1>Tibotec BVBA</s1>
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</fA21>
<fA23 i1="01"><s0>ENG</s0>
</fA23>
<fA43 i1="01"><s1>INIST</s1>
<s2>21576</s2>
<s5>354000181928160080</s5>
</fA43>
<fA44><s0>0000</s0>
<s1>© 2010 INIST-CNRS. All rights reserved.</s1>
</fA44>
<fA45><s0>8 ref.</s0>
</fA45>
<fA47 i1="01" i2="1"><s0>10-0196970</s0>
</fA47>
<fA60><s1>P</s1>
</fA60>
<fA61><s0>A</s0>
</fA61>
<fA64 i1="01" i2="1"><s0>Journal of acquired immune deficiency syndromes : (1999)</s0>
</fA64>
<fA66 i1="01"><s0>USA</s0>
</fA66>
<fC01 i1="01" l="ENG"><s0>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.</s0>
</fC01>
<fC02 i1="01" i2="X"><s0>002A05C10</s0>
</fC02>
<fC02 i1="02" i2="X"><s0>002B05C02J</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE"><s0>Homme</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG"><s0>Human</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA"><s0>Hombre</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE"><s0>Efficacité</s0>
<s5>05</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG"><s0>Efficiency</s0>
<s5>05</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA"><s0>Eficacia</s0>
<s5>05</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE"><s0>Ritonavir</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>06</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG"><s0>Ritonavir</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>06</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Ritonavir</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>06</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Raltégravir</s0>
<s2>FR</s2>
<s5>07</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Raltegravir</s0>
<s2>FR</s2>
<s5>07</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Raltegravir</s0>
<s2>FR</s2>
<s5>07</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Traitement</s0>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Treatment</s0>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Tratamiento</s0>
<s5>08</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Etats-Unis</s0>
<s2>NG</s2>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>United States</s0>
<s2>NG</s2>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Estados Unidos</s0>
<s2>NG</s2>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Inhibiteur reverse transcriptase</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>10</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Reverse transcriptase inhibitor</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>10</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Inhibitor reverse transcriptase</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>10</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Etravirine</s0>
<s2>FR</s2>
<s5>14</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Etravirine</s0>
<s2>FR</s2>
<s5>14</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Etravirina</s0>
<s2>FR</s2>
<s5>14</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Darunavir</s0>
<s2>FR</s2>
<s5>15</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG"><s0>Darunavir</s0>
<s2>FR</s2>
<s5>15</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA"><s0>Darunavir</s0>
<s2>FR</s2>
<s5>15</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE"><s0>Antiviral</s0>
<s5>45</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG"><s0>Antiviral</s0>
<s5>45</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA"><s0>Antiviral</s0>
<s5>45</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Amérique du Nord</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>North America</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>America del norte</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Amérique</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>America</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>America</s0>
<s2>NG</s2>
</fC07>
<fN21><s1>130</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
</pA>
</standard>
<server><NO>PASCAL 10-0196970 INIST</NO>
<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>
<CC>002A05C10; 002B05C02J</CC>
<FD>Homme; Efficacité; Ritonavir; Raltégravir; Traitement; Etats-Unis; Inhibiteur reverse transcriptase; Etravirine; Darunavir; Antiviral</FD>
<FG>Amérique du Nord; Amérique</FG>
<ED>Human; Efficiency; Ritonavir; Raltegravir; Treatment; United States; Reverse transcriptase inhibitor; Etravirine; Darunavir; Antiviral</ED>
<EG>North America; America</EG>
<SD>Hombre; Eficacia; Ritonavir; Raltegravir; Tratamiento; Estados Unidos; Inhibitor reverse transcriptase; Etravirina; Darunavir; Antiviral</SD>
<LO>INIST-21576.354000181928160080</LO>
<ID>10-0196970</ID>
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