Efficacy of short-term monotherapy with maraviroc, a new CCR5 antagonist, in patients infected with HIV-1

Authors:
  • APAnton L Pozniak
    Anton L Pozniak
  • MJMargaret A Johnson
    Margaret A Johnson
  • APAndreas Plettenberg
    Andreas Plettenberg
  • SSSchlomo Staszewski
    Schlomo Staszewski
  • AHAndy I M Hoepelman
    Andy I M Hoepelman
  • MSMichael S Saag
    Michael S Saag
  • FGFrank D Goebel
    Frank D Goebel
  • JRJürgen K Rockstroh
    Jürgen K Rockstroh
  • BDBruce J Dezube
    Bruce J Dezube
  • TJTim M Jenkins
    Tim M Jenkins
  • CMChristine Medhurst
    Christine Medhurst

Abstract
We assessed the efficacy and safety of 10-d monotherapy with the orally administered CCR5 antagonist maraviroc in 63 HIV-1-positive individuals prescreened for the absence of CXCR4-using virus. Maximum reduction in viral load occurred at a median of 10-15 d, with a mean reduction of >or=1.6 log(10) copies/ml at all twice daily doses >or=100 mg. These results provide proof of concept that CCR5 antagonism is a viable antiretroviral therapeutic approach.

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