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WASHINGTON, Jan. 18 (Xinhuanet) -- An international team of AIDS researchers
has found a more efficient cocktail therapy for treating HIV infection, said a
report to be published Thursday on the New England Journal of Medicine.
As an initial treatment, the once-daily combination of antiretroviral tenofovir
DF (Viread), emtricitabine (Emtriva), and efavirenz (Sustiva), works
better than another widely used three-drug regimen in suppressing levels of the
virus, the researchers reported.
The therapy was compared to the combination of zidovudine, lamivudine (AZT and
3TC, or Combivir), and efavirenz. One-year use of the therapy has also led to
less side effects such as anemia, fatigue and nausea in patients, said the
researchers.
The regimen became even simpler in 2004, when tenofovir and emtricitabine,
approved by the U.S. Food and Drug Administration (FDA) in 2001 and 2003
respectively, could be available in a single pill, called Truvada, lead author
Joel Gallant, associate director of the AIDS Service at the Johns Hopkins
University School of Medicine, reported.
Zidovudine, the first antiretroviral drug, approved in 1987, and
lamivudine, approved in 1995, were in 1998 combined into a single pill called
Combivir that should be taken twice a day.
A study expected to continue for another two years has already linked
lipoatrophy, or fat loss, with the use of zidovudine-lamivudine in patients,
said Gallant. Lipoatrophy is a known complication of some HIV medications that
can lead to disfiguring changes in body shape.
Further fat loss in the study subjects would highlight the need for a shift to
the tenofovir-emtricitabine regimen, Gallant noted. However, those patients
with no problems on the zidovudine-lamivudine therapy may not have to change, he
added. Enditem |