Abstract |
Twenty patients were enrolled in a phase I clinical trial of atevirdine, a nonnucleoside reverse transcriptase inhibitor (NNRTI), given in combination with zidovudine for treatment of human immunodeficiency virus type 1 (HIV-1) infection. Fifteen patients had received no previous antiretroviral therapy. HIV-1 isolates obtained at 6-week intervals were tested for sensitivity to atevirdine and zidovudine. Two patients developed a rash within 2 weeks of enrollment, and 1 of these developed concomitant fever and hepatitis. No hematopoietic, neurologic, or pancreatic toxicities were observed. Atevirdine had considerable initial interpatient pharmacokinetic variability. Forty-seven percent of patients treated with atevirdine plus zidovudine had increased CD4 lymphocyte counts, and HIV isolates from 62% of patients remained sensitive to atevirdine after 24 weeks of therapy. Atevirdine plus zidovudine was well-tolerated. Additional studies should be done to determine the role of atevirdine in the therapy for HIV infection.
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Authors | R C Reichman, G D Morse, L M Demeter, L Resnick, Y Bassiakos, M Fischl, M Para, W Powderly, J Leedom, C Greisberger |
Journal | The Journal of infectious diseases
(J Infect Dis)
Vol. 171
Issue 2
Pg. 297-304
(Feb 1995)
ISSN: 0022-1899 [Print] United States |
PMID | 7531207
(Publication Type: Clinical Trial, Clinical Trial, Phase I, Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
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Chemical References |
- Antiviral Agents
- Piperazines
- Reverse Transcriptase Inhibitors
- Zidovudine
- HIV Reverse Transcriptase
- atevirdine
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Topics |
- Adult
- Antiviral Agents
(therapeutic use)
- CD4 Lymphocyte Count
- Drug Therapy, Combination
- HIV Infections
(drug therapy)
- HIV Reverse Transcriptase
- HIV-1
(drug effects)
- Humans
- Microbial Sensitivity Tests
- Middle Aged
- Piperazines
(adverse effects, pharmacokinetics, pharmacology, therapeutic use)
- Reverse Transcriptase Inhibitors
- Safety
- Time Factors
- Zidovudine
(therapeutic use)
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