Abstract

This study will address the hypothesis that 3tc is uniquely effective in combination with zdv due to the interaction of zdv and 3tc resistance mutations. The antiviral activity of 3tc/zdv will be compared with that of 3rc/ddi and 3tc/4dt combinations, as well as with dii and d4t monotherapy in previously untreated subjects with cd4 count 200-600 cells/mm3. The relative antiviral activity of these regimens will be assessed by suppression of plasma HIV-1 RNA levels. Uncultured cells and plasma will be stored for assessment of rt genotype. Culture supernatants will also be saved as a source of virus stocks, and cells will be frozen at end of culture as dry pellets for possible future genotypic analysis. It is anticipated that 3tc resistance will emerge quickly, based on the results of previous studies. This study will enable us to examine the potential importance of cross-resistance between dd1 and 3tc conferred by the m184v mutation by comparing the activity of the 3tc/ddi combination with ddi monotherapy. In addition, interactions of 3 tc resistance with d4t will be studied by comparing the activity of 3tc/d4t with d4t monotherapy. The d4t monotherapy arms, since there are as yet no data available comparing zdv and d4t in previously untreated patients. The current study will examine the safety of these combinations. In addition, a pharmacologic substudy will be conducted to study possible pharmacokinetics interactions of the combinations.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Center for Research Resources (NCRR)
Type
General Clinical Research Centers Program (M01)
Project #
3M01RR000051-37
Application #
6275372
Study Section
Project Start
1997-12-01
Project End
1998-11-30
Budget Start
1997-10-01
Budget End
1998-09-30
Support Year
37
Fiscal Year
1998
Total Cost
Indirect Cost

  Institution

Name
University of Colorado Denver
Department
Type
DUNS #
065391526
City
Aurora
State
CO
Country
United States
Zip Code
80045

  Publications

Millstein, Richard J; Pyle, Laura L; Bergman, Bryan C et al. (2018) Sex-specific differences in insulin resistance in type 1 diabetes: The CACTI cohort. J Diabetes Complications 32:418-423
Martin, Maureen P; Naranbhai, Vivek; Shea, Patrick R et al. (2018) Killer cell immunoglobulin-like receptor 3DL1 variation modifies HLA-B*57 protection against HIV-1. J Clin Invest 128:1903-1912
Nowak, Kristen L; You, Zhiying; Gitomer, Berenice et al. (2018) Overweight and Obesity Are Predictors of Progression in Early Autosomal Dominant Polycystic Kidney Disease. J Am Soc Nephrol 29:571-578
Haas, David W; Bradford, Yuki; Verma, Anurag et al. (2018) Brain neurotransmitter transporter/receptor genomics and efavirenz central nervous system adverse events. Pharmacogenet Genomics 28:179-187
Venuto, Charles S; Lim, Jihoon; Messing, Susan et al. (2018) Inflammation investigated as a source of pharmacokinetic variability of atazanavir in AIDS Clinical Trials Group protocol A5224s. Antivir Ther 23:345-351
Li, Binglan; Verma, Shefali S; Veturi, Yogasudha C et al. (2018) Evaluation of PrediXcan for prioritizing GWAS associations and predicting gene expression. Pac Symp Biocomput 23:448-459
Hayden, Kathleen M; Baker, Laura D; Bray, George et al. (2018) Long-term impact of intensive lifestyle intervention on cognitive function assessed with the National Institutes of Health Toolbox: The Look AHEAD study. Alzheimers Dement (Amst) 10:41-48
Shah, V N; Sippl, R; Joshee, P et al. (2018) Trabecular bone quality is lower in adults with type 1 diabetes and is negatively associated with insulin resistance. Osteoporos Int 29:733-739
Jensen, Thomas; Bjornstad, Petter; Johnson, Richard J et al. (2018) Copeptin and Estimated Insulin Sensitivity in Adults With and Without Type 1 Diabetes: The CACTI Study. Can J Diabetes :
Dad, Taimur; Abebe, Kaleab Z; Bae, K Ty et al. (2018) Longitudinal Assessment of Left Ventricular Mass in Autosomal Dominant Polycystic Kidney Disease. Kidney Int Rep 3:619-624

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