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Journal of the International Association of Physicians in AIDS Care (JIAPAC)
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Raltegravir With Unboosted Atazanavir 300 mg Twice Daily in Antiretroviral Treatment-Experienced Participants

Shaili Gupta, MD

Division of Infectious Diseases, Yale University School of Medicine, New Haven, Connecticut, shailigupta{at}gmail.com, UT Southwestern Medical Center, Dallas, Texas

Max Lataillade, DO

From the Division of Infectious Diseases, Yale University School of Medicine, New Haven, Connecticut

Steven Farber, PA-C, JD

VA CT Healthcare System, West Haven, Connecticut

Michael J. Kozal, MD

From the Division of Infectious Diseases, Yale University School of Medicine, New Haven, Connecticut, VA CT Healthcare System, West Haven, Connecticut

Raltegravir (RAL) is an HIV integrase inhibitor characterized by potent antiretroviral activity, few adverse effects, and lack of cross-resistance to other antiretroviral (ARV) agents. RAL is emerging as a component of effective alternative ARV therapy for those who experience therapeutic failure or intolerance to reverse transcriptase inhibitors (NRTI and NNRTI) and ritonavir (RTV)-boosted protease inhibitor (PI) containing regimens. The combination of RAL with atazanavir (ATV) without a concomitant NRTI-based backbone or the inclusion of RTV may provide an alternative strategy for those unable to tolerate these latter ARV agents. In this report the authors present a case series of treatment-experienced patients managed with RAL + ATV given without a boosting dose of RTV. All patients tolerated this regimen over a course of 25 to 82 weeks, and had good virologic and immunologic outcome with a decrease in HIV RNA levels to <50 copies/mL and a mean CD4 count increase of 234 cells/mm3.

Key Words: raltegravir • unboosted atazanavir • HIV • treatment experienced • antiretroviral resistance

This version was published on March 1, 2009

Journal of the International Association of Physicians in AIDS Care (JIAPAC), Vol. 8, No. 2, 87-92 (2009)
DOI: 10.1177/1545109709332471


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