Safety and efficacy of elvitegravir, dolutegravir, and raltegravir in a real-world cohort of treatment-naïve and -experienced patients.

Author: BrehmThomas Theo, DegenOlaf, FranzMarleen, HertlingSandra, HüfnerAnja, KreuelsBenno, SchmiedelStefan, Schulze Zur WieschJulian

Paper Details 
Original Abstract of the Article :
The aim of this retrospective cohort study was to compare safety, efficacy and rates and reasons of discontinuation of the 3 currently approved integrase strand transfer inhibitors (INSTIs) elvitegravir (EVG), dolutegravir (DTG), and raltegravir (RAL) in HIV-infected treatment-naïve and -experienced...See full text at original site
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引用元:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6708907/

データ提供:米国国立医学図書館(NLM)

Integrase Strand Transfer Inhibitors: Evaluating Efficacy and Safety in HIV Treatment

Integrase strand transfer inhibitors (INSTIs) are a cornerstone of HIV treatment. This study compares the safety, efficacy, and discontinuation rates of three commonly used INSTIs: elvitegravir (EVG), dolutegravir (DTG), and raltegravir (RAL). The authors analyze a real-world cohort of HIV-infected patients, both treatment-naïve and -experienced, receiving INSTI-based combined antiretroviral therapy (cART) regimens. The study aimed to assess the comparative performance of these three INSTIs in a real-world setting. The results demonstrate high efficacy with comparable virological suppression rates for all three INSTIs, while highlighting potential neuropsychiatric side effects associated with DTG.

Navigating the HIV Treatment Landscape: Choosing the Right Path

The study offers valuable insights into the real-world efficacy and safety of INSTIs in managing HIV infection. The findings suggest that all three INSTIs, EVG, DTG, and RAL, are effective in suppressing viral load, providing patients with a high likelihood of achieving long-term viral control. The research also highlights the importance of individualizing treatment decisions, considering potential side effects and patient preferences. This is crucial in navigating the complex landscape of HIV treatment and finding the most effective and tolerable path for each individual.

A Desert of Possibilities: Exploring the Landscape of HIV Treatment

The study highlights the ongoing quest to optimize HIV treatment strategies. The emergence of INSTIs has revolutionized the management of HIV infection, offering effective and well-tolerated treatment options. However, ongoing research is essential to further understand the nuances of different INSTIs, their potential side effects, and their long-term impact. This research serves as a reminder that the desert of HIV treatment is constantly evolving, demanding ongoing exploration and innovation to find the most effective solutions for patients.

Dr. Camel's Conclusion

The study provides valuable insights into the real-world performance of INSTIs in managing HIV infection. It highlights the efficacy of EVG, DTG, and RAL in suppressing viral load, while emphasizing the importance of individualized treatment decisions based on potential side effects and patient preferences. The research underscores the dynamic nature of HIV treatment and the need for continued innovation to find the most effective and well-tolerated solutions for patients navigating this challenging condition.

Date :
  1. Date Completed 2019-08-20
  2. Date Revised 2022-10-05
Further Info :

Pubmed ID

31393378

DOI: Digital Object Identifier

PMC6708907

Related Literature

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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