Premium
Long‐term clinical experience with darunavir (2007–2015) in a large cohort of HIV‐infected patients in Spain
Author(s) -
Pernas Berta,
Grandal Marta,
Tabernilla Andrés,
Cid Purificación,
Pértega Sonia,
CastroIglesias Ángeles,
Mena Álvaro,
Margusino Luis,
Pedreira José D.,
Poveda Eva
Publication year - 2016
Publication title -
journal of medical virology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.782
H-Index - 121
eISSN - 1096-9071
pISSN - 0146-6615
DOI - 10.1002/jmv.24585
Subject(s) - darunavir , discontinuation , tolerability , medicine , ritonavir , adverse effect , cohort , gastroenterology , human immunodeficiency virus (hiv) , viral load , virology , antiretroviral therapy
The clinical experience with the protease inhibitor darunavir/ritonavir (DRV/r) was retrospectively evaluated in a cohort of 173 HIV+ patients who initiated antiretroviral treatment including DRV/r (period 2007–2015). The 43.2% had a CD4 nadir ≤100 cells/mm 3 , 64.1% were treatment‐experienced, and 36.5% had failed to >3 lines of antiretroviral therapy. Nonetheless, the rate of virological suppression (HIV‐RNA <50 copies/ml) in naïve patients was 63%, 66.7%, and 63.6% at 48, 96, and 144 weeks, respectively. The rate of virological suppression in treatment‐experienced patients was 62.7%, 78.7%, and 79.1% at 48, 96, and 144 weeks, respectively. No differences were observed according to the immunovirological status neither dosage of DRV/r. Most of them (82.6%) maintained DRV/r treatment. Causes for DRV/r discontinuation were mainly gastrointestinal and cutaneous adverse events (10.5%), switch to simplification treatment strategies (3.5%) and virological failure (1.7%). These findings demonstrate the prolonged efficacy and tolerability of DRV/r even in multi‐treated HIV+ patients with an unfavorable immunovirological status. J. Med. Virol. 88:2125–2131, 2016 . © 2016 Wiley Periodicals, Inc.