Literature DB >> 22544446

Diarrhea associated with lopinavir/ritonavir-based therapy: results of a meta-analysis of 1469 HIV-1-infected participants.

Colleen M Wegzyn1, Linda M Fredrick, Roxann O Stubbs, William C Woodward, Michael Norton.   

Abstract

BACKGROUND: Antiretroviral therapy is associated with adverse events (AEs). The most frequently reported AE associated with lopinavir/ritonavir (LPV/r) containing regimens is diarrhea. The objective of this meta-analysis is to describe the incidence, prevalence, and duration of diarrhea in individuals taking LPV/r.
METHODS: This is a meta-analysis of Abbott-conducted clinical trials. Inclusion criteria included prospective randomized clinical trials with the LPV/r tablet formulation and had AE data (moderate/severe diarrhea) available through 48 weeks of treatment.
RESULTS: Three trials (total 1469 participants) met the inclusion criteria. In all, 11.2% of participants reported moderate/severe diarrhea by week 8, with median time to resolution of 7.4 weeks. The overall 48-week incidence of moderate/severe diarrhea was 15.5%. The discontinuation rate due to moderate/severe diarrhea was 1.3%.
CONCLUSIONS: Moderate/severe diarrhea occurred in less than 1 in 6 participants taking LPV/r, typically started in the first 8 weeks of treatment and infrequently resulted in premature discontinuation.

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Year:  2012        PMID: 22544446     DOI: 10.1177/1545109712442984

Source DB:  PubMed          Journal:  J Int Assoc Physicians AIDS Care (Chic)        ISSN: 1545-1097


  3 in total

1.  Global impact of antiretroviral therapy-associated diarrhea.

Authors:  Rajesh Gupta; Roxana M Ordonez; Serena Koenig
Journal:  AIDS Patient Care STDS       Date:  2012-10-18       Impact factor: 5.078

2.  Maternal weight loss during exclusive breastfeeding is associated with reduced weight and length gain in daughters of HIV-infected Malawian women.

Authors:  Elizabeth M Widen; Margaret E Bentley; Dumbani Kayira; Charles S Chasela; Denise J Jamieson; Martin Tembo; Alice Soko; Athena P Kourtis; Valerie L Flax; Sascha R Ellington; Charles M van der Horst; Linda S Adair
Journal:  J Nutr       Date:  2013-05-22       Impact factor: 4.798

3.  Patient-Reported Outcomes After a Switch to a Single-Tablet Regimen of Rilpivirine, Emtricitabine, and Tenofovir DF in HIV-1-Positive, Virologically Suppressed Individuals: Additional Findings From a Randomized, Open-Label, 48-Week Trial.

Authors:  Jason Brunetta; Santiago Moreno Guillén; Andrea Antinori; Patrick Yeni; Barbara Wade; Margaret Johnson; Peter Shalit; Ramin Ebrahimi; Bethsheba Johnson; Ivan Walker; Shampa De-Oertel
Journal:  Patient       Date:  2015-06       Impact factor: 3.883

  3 in total

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