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简短交流:多替拉韦/拉米夫定双药治疗方案在抗逆转录病毒治疗后中国 HIV 感染者中的疗效和安全性。

Brief communication: efficacy and safety of the dolutegravir/lamivudine dual therapy in antiretroviral treatment-experienced Chinese people living with HIV.

机构信息

Department of Infection and Immunity, Shanghai Public Health Clinical Center, Fudan University, 2901 Caolang Road, Jinshan District, Shanghai, 201508, China.

出版信息

AIDS Res Ther. 2024 Nov 27;21(1):86. doi: 10.1186/s12981-024-00680-x.

Abstract

This study aimed to evaluate the efficacy and safety of dolutegravir plus lamivudine (DTG/3TC) in antiretroviral treatment (ART)-experienced people living with HIV (PLWH). A total of 303 PLWH in Shanghai, China, who switched from triple ART to DTG/3TC between January 2019 and June 2022, with a minimum ART duration of 6 months, were retrospectively enrolled. More than 95% of PLWH maintained viral suppression with no significant changes in CD4 counts 12 months after switching. Patients transitioning from non-tenofovir (TDF)-based regimens demonstrated more pronounced improvements in lipid profiles, while those previously on TDF-based regimens showed greater enhancements in bone metabolism.

摘要

本研究旨在评估在接受过抗逆转录病毒治疗(ART)的 HIV 感染者(PLWH)中,多替拉韦加拉米夫定(DTG/3TC)的疗效和安全性。2019 年 1 月至 2022 年 6 月期间,中国上海共有 303 名 PLWH 从三药 ART 转换为 DTG/3TC,ART 持续时间至少 6 个月。回顾性纳入这些患者。转换后 12 个月,超过 95%的 PLWH 保持病毒抑制,CD4 计数无明显变化。从非替诺福韦(TDF)为基础的方案转换的患者血脂谱改善更为显著,而之前使用 TDF 为基础方案的患者骨代谢改善更为明显。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76fb/11603892/6a8c57a08355/12981_2024_680_Fig1_HTML.jpg

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