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JAC Advance Access originally published online on June 30, 2005
Journal of Antimicrobial Chemotherapy 2005 56(2):273-276; doi:10.1093/jac/dki209
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© The Author 2005. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions@oupjournals.org

Leading article

Safety and antiviral activity of lopinavir/ritonavir-based therapy in human immunodeficiency virus type 1 (HIV-1) infection

Susan S. Kaplan1 and Charles B. Hicks1,2,*

1 Department of Internal Medicine, Duke University Medical Center, Durham, NC 27710, USA; 2 Division of Infectious Diseases, Duke University Medical Center, Durham, NC 27710, USA


* Corresponding author. Tel: +1-919-684-6863; Fax: +1-919-681-7494; E-mail: charles.hicks{at}duke.edu

Protease inhibitor-based antiretroviral therapy has been shown to decrease the morbidity and mortality associated with human immunodeficiency virus type 1 (HIV-1) infection. However, many of the available agents in this class suffer shortcomings, including poor tolerability, difficult dosing regimens, and variable drug concentrations which may lead to generation of viral resistance. Lopinavir/ritonavir (Kaletra) has been designed specifically to address some of these shortcomings. Excellent therapeutic efficacy has been documented for lopinavir/ritonavir in multiple clinical trials in both antiretroviral-naive and -experienced patients. Development of resistance is a rare event in persons initiating therapy with lopinavir/ritonavir as their first protease inhibitor. The main side effects associated with lopinavir/ritonavir are gastrointestinal disturbances and elevations of serum lipids. Current antiretroviral therapy guidelines list lopinavir/ritonavir as the consensus first-line protease inhibitor recommended in the initial therapeutic regimen in persons infected with HIV-1.

Keywords: antiretroviral therapy , protease inhibitors , acquired immune deficiency syndrome , AIDS


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