Combination of long-acting HIV fusion inhibitor albuvirtide and LPV/r showed potent efficacy in HIV-1 patients

AIDS Res Ther. 2016 Feb 10:13:8. doi: 10.1186/s12981-016-0091-1. eCollection 2016.

Abstract

Background: Long acting antiretroviral drugs represent a promising approach for chronic treatment of HIV infection. Here, we study the efficacy and safety of albuvirtide (ABT), an HIV-1 fusion inhibitor with a half life of 11-12 days in human.

Methods: ABT was evaluated in a 7-week, open-label and randomized trial, combining with LPV/r. Twenty HIV-1-infected adults were assigned to two dose groups, receiving ABT (160 or 320 mg) given weekly and LPV/r given twice daily.

Results: At week 7, the decline of HIV-1 RNA from baseline was 1.9 (1.3-2.3) log10 and 2.2 (1.6-2.7) log10 copies/ml, and suppression of HIV-1 RNA to below 50 copies/ml was achieved in 11.1 % (1/9) and 55.6 % (5/9) patients, for the 160 and 320 mg dose group respectively.

Conclusion: A clear dose-efficacy correlation of ABT was demonstrated. ABT combining with LPV/r is a promising two-drug regimen to be tested in larger patient population.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Drug Interactions
  • Drug Therapy, Combination
  • Female
  • HIV Fusion Inhibitors / administration & dosage
  • HIV Fusion Inhibitors / adverse effects
  • HIV Fusion Inhibitors / therapeutic use*
  • HIV Infections / drug therapy*
  • HIV Protease Inhibitors / administration & dosage
  • HIV Protease Inhibitors / therapeutic use*
  • HIV-1 / drug effects*
  • Humans
  • Lopinavir / administration & dosage
  • Lopinavir / therapeutic use*
  • Male
  • Maleimides / administration & dosage
  • Maleimides / adverse effects
  • Maleimides / therapeutic use*
  • Middle Aged
  • Peptides / administration & dosage
  • Peptides / adverse effects
  • Peptides / therapeutic use*
  • Ritonavir / administration & dosage
  • Ritonavir / therapeutic use*
  • Treatment Outcome
  • Young Adult

Substances

  • HIV Fusion Inhibitors
  • HIV Protease Inhibitors
  • Maleimides
  • Peptides
  • Lopinavir
  • albuvirtide
  • Ritonavir