Vicriviroc plus optimized background therapy for treatment-experienced subjects with CCR5 HIV-1 infection: Final results of two randomized phase III trials

Vicriviroc plus optimized background therapy for treatment-experienced subjects with CCR5 HIV-1 infection: Final results of two randomized phase III trials
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DOI:
10.1016/j.jinf.2012.05.008
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发表时间:
2012-10-01
影响因子:
28.2
通讯作者:
Zeinecker, Jennifer
Zeinecker, Jennifer
中科院分区:
医学1区
文献类型:
--
作者:
Caseiro, Marcos M.;Nelson, Mark;Zeinecker, Jennifer

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背景:Vicriviroc是一种新型HIV CCR5拮抗剂,在有治疗经验的受试者的II期试验中显示出显著的疗效和良好的耐受性,支持在III期研究中进一步评估。方法:在对两种抗逆转录病毒药物耐药的ccr5阳性hiv感染者中进行了两项相同的双盲安慰剂(PBO)对照试验。受试者随机接受vicriviroc 30 mg QD (N = 571)或PBO (N = 286)和开放标签优化背景治疗(OBT),其中含有>= 2种完全有效的抗逆转录病毒药物。主要终点是在OBT中使用3种有效药物的受试者百分比。受试者的百分比
Background: Vicriviroc, a novel HIV CCR5 antagonist, demonstrated significant efficacy and favorable tolerability in phase II trials in treatment-experienced subjects, supporting further evaluation in phase III studies.Methods: Two identical double-blind, placebo (PBO)-controlled trials in CCR5-tropic HIV-infected subjects with documented resistance to two antiretroviral classes were conducted. Subjects were randomized to vicriviroc 30 mg QD (N = 571) or PBO (N = 286) with open-label optimized background therapy (OBT) containing >= 2 fully active antiretroviral drugs. The primary endpoint was percentage of subjects with = 3 active drugs in the OBT. The percentage of subjects with