Conference Highlights: New Studies on New (and Not Quite as New) HIV Meds (October 27, 2008)
From Lexiva to Reyataz and from Prezista to Isentress, several clinical trials were presented at ICAAC/IDSA 2008 that showed promising results for our more recently approved HIV medications. Eric Daar, M.D., gives us the lowdown on these studies and how they may change the HIV treatment landscape.
In The 48th Annual ICAAC/IDSA 46th Annual Meeting, from The Body
Diabetes Risk Appears Lower for HIV-Positive Patients Than Negative Patients (October 27, 2008)
A large, ongoing study of U.S. military veterans also suggests that the usual risk factors for diabetes, not HIV itself, are the main drivers of diabetes in HIV-positive people. (An interview with Adeel A. Butt, M.D.)
In The 48th Annual ICAAC/IDSA 46th Annual Meeting, from The Body PRO
HAART Use Improves Hepatitis B Vaccine Response, Even at High CD4 Counts (October 27, 2008)
HIV-positive patients are approximately twice as likely to respond to hepatitis B vaccination if they are receiving antiretroviral therapy, regardless of their CD4+ cell count at the time of vaccination, according to a study by researchers with the U.S. military. (An interview with Michael Landrum, M.D.)
In The 48th Annual ICAAC/IDSA 46th Annual Meeting, from The Body PRO
Hospitalization Risk Similar Between HAART Responders and Nonresponders for 90 Days After Starting Therapy (October 27, 2008)
The benefits of HAART initiation -- at least in terms of preventing or ameliorating illnesses that require hospitalization -- may not manifest themselves for up to three months, according to a sizeable study by Johns Hopkins University researchers. Women were more likely to be hospitalized than men, and choice of HAART regimen appeared to have no impact. (An interview with Stephen Berry, M.D.)
In The 48th Annual ICAAC/IDSA 46th Annual Meeting, from The Body PRO
Patients on Tenofovir/Emtricitabine May Face Higher Bone Risk From Vitamin D Insufficiency (October 27, 2008)
A small study finds that, although vitamin D insufficiency is quite common among HIV-positive people, it may be a particular risk for patients receiving tenofovir/emtricitabine: These patients appear especially likely to have elevated parathyroid hormone levels, which has been associated with bone problems. (An interview with Kate Childs, M.D.)
In The 48th Annual ICAAC/IDSA 46th Annual Meeting, from The Body PRO
96-Week ARTEMIS Data Indicate Darunavir Is Superior to Lopinavir in Naive Patients (October 26, 2008)
Following 48-week data that proved darunavir's non-inferiority to lopinavir, these new, even more encouraging 96-week data appear likely to solidify the drug's role in first-line therapy. (An interview with Tony Mills, M.D.)
In The 48th Annual ICAAC/IDSA 46th Annual Meeting, from The Body PRO
Crafting First-Line Regimens: So Easy a General Practitioner Could Do It? (October 26, 2008)
We may have more antiretrovirals to choose from than ever before, but selecting an initial HAART regimen today is often a choice between just two regimens, a new study indicates. The findings suggest it may be realistic for primary care physicians and general practitioners to shoulder more of the HIV care burden. (An interview with James McKinnell, M.D.)
In The 48th Annual ICAAC/IDSA 46th Annual Meeting, from The Body PRO
Starting HAART: Should 500 Become the New 350? (October 26, 2008)
Mari Kitahata, M.D., and Daniel Kuritzkes, M.D., discuss a 5,926-patient trial that found a 74% higher mortality risk among those who deferred HAART until their CD4 dropped below 350 rather than initiating when their CD4 was between 351 and 500. Dr. Kuritzkes also touches on new developments in HIV drug resistance.
In The 48th Annual ICAAC/IDSA 46th Annual Meeting, from The Body PRO
Switch to Tenofovir/Emtricitabine From Abacavir/Lamivudine Appears to Halt Lipoatrophy: Gilead 934 Rollover (October 26, 2008)
In a prospective rollover study from the landmark Gilead 934 trial, patients who switched NRTI combinations ceased losing fat, maintained virologic suppression and exhibited no significant change in creatinine clearance or glomerular filtration rate. (An interview with Edwin DeJesus, M.D.)
In The 48th Annual ICAAC/IDSA 46th Annual Meeting, from The Body PRO
Trend Toward Fewer AIDS-Defining Conditions Among Patients Receiving Raltegravir vs. Placebo (October 26, 2008)
A new examination of 48-week BENCHMRK data found a nearly twofold reduction in AIDS-defining events among patients on raltegravir, but the findings failed to reach statistical significance. Intriguingly, greater resistance did not appear to be a predictor of AIDS-defining events. (An interview with Joseph Eron Jr., M.D.)
In The 48th Annual ICAAC/IDSA 46th Annual Meeting, from The Body PRO
CD4-Based ADAP Waiting Lists Can Save More Lives Than First-Come, First-Served Lists, Study Suggests (October 25, 2008)
ADAP waiting lists that determine enrollment priority based on a patient's CD4 count can ensure lower mortality rates than ADAP waiting lists that determine priority on a first-come, first-served basis, according to calculations by a team of Massachusetts researchers. (An interview with Benjamin Linas, M.D.)
In The 48th Annual ICAAC/IDSA 46th Annual Meeting, from The Body PRO
Ethnicity Does Matter When It Comes to Quality of HIV Care in United States, Survey Finds (October 25, 2008)
African-American and Hispanic-American female patients often feel that their culture or ethnicity impacts their HIV care -- so much so, in fact, that many end up switching HIV care providers because of communication problems, according to a nationwide survey. (An interview with Sally Hodder, M.D.)
In The 48th Annual ICAAC/IDSA 46th Annual Meeting, from The Body PRO
HIV-Positive U.S. Women More Likely to Abort Pregnancy Than HIV-Negative Women (October 25, 2008)
Abortions were more common among pregnant, HIV-infected women receiving care at a major Mid-Atlantic clinic, despite findings that there was no greater risk of stillbirth and a lower risk of miscarriage. (An interview with Susan Matcha, M.D.)
In The 48th Annual ICAAC/IDSA 46th Annual Meeting, from The Body PRO
Many Black, HIV-Positive Women in Mississippi Are Lost to Care After Giving Birth (October 25, 2008)
The U.S. health care system has succeeded wonderfully at preventing mother-to-child HIV transmission. But is it failing to provide low-income, HIV-infected women with the care they need after they have given birth? (An interview with Aadia Rana, M.D.)
In The 48th Annual ICAAC/IDSA 46th Annual Meeting, from The Body PRO
The Hidden Costs of Prior Authorization: Wasted Time and Medication Delays (October 25, 2008) Insurers may save money by requiring prior authorization for medication access, but when it comes to HIV care, health care providers (and, as a result, their patients) are the ones who suffer, according to real-world observations of an Alabama HIV Clinic. (An interview with James Willig, M.D.)
In The 48th Annual ICAAC/IDSA 46th Annual Meeting, from The Body PRO