Plasma nevirapine levels and 24-week efficacy of a fixed-dose combination of stavudine, lamivudine and nevirapine (GPO-VIR) among Thai HIV-infected patients.
Article
in English
| IMSEAR
| ID: sea-45438
ABSTRACT
BACKGROUND:
A fixed-dose combination of stavudine, lamivudine, and nevirapine (GPO-VIR) is the most affordable antiretroviral therapy (ART) regimen in Thailand. The data of nevirapine (NVP) level and efficacy of this fixed-dose combination is limited. MATERIAL ANDMETHOD:
Patients who were initiated GPO-VIR in 2004 were enrolled NVP levels at 12 weeks were determined. Patients were followed for 24 weeks.RESULTS:
Fifty-nine patients with a mean age of 36.4 years and 54% male were enrolled. Mean body weight was 54.7 kgs. Median baseline CD4 and HIV-RNA were 29 cells/mm3 and 270,000 (5.4 log10) copies/mL, respectively. Mean plasma NVP levels at 12 weeks was 6.4 mg/L. By linear regression, female gender (p = 0.042), and higher weight (p = 0.020) were associated with lower NVP levels. At 24 weeks, 78% achieved undetectable HIV-RNA and median CD4 was 156 cells/mm3.CONCLUSION:
NVP levels and 24-week efficacy of GPO-VIR are favorable. According to the affordable cost, GPO-VIR should be an appropriate initial regimen for naïve HIV-infected patients in resource-limited settings.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Thailand
/
Time Factors
/
Female
/
Humans
/
Male
/
HIV Infections
/
Prospective Studies
/
HIV-1
/
Treatment Outcome
/
Stavudine
Type of study:
Observational study
Country/Region as subject:
Asia
Language:
English
Year:
2007
Type:
Article
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