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Failure of combination abacavir + tenofovir + lamivudine (3TC).


In late July 2003 GlaxoSmithKline warned physicians that a three-drug combination of lamivudine lamivudine /la·miv·u·dine/ (lah-miv´u-den) a nucleoside analogue that inhibits reverse transcriptase, used as an antiviral agent in the treatment of chronic hepatitis B and, in combination with zidovudine, the treatment of HIV infection and AIDS.

la·miv·u·dine 
 (Epivir[R]), abacavir abacavir /abac·a·vir/ (ah-bak´ah-vir) a nonnucleoside reverse transcriptase inhibitor used as the sulfate salt as an antiretroviral antiretroviral /an·ti·ret·ro·vi·ral/ (-ret´ro-vi?ral) effective against retroviruses, or an agent with this quality.

an·ti·ret·ro·vi·ral (n
 in the treatment of human immunodeficiency virus infection.
 (Ziagen[R]) and tenofovir tenofovir /te·no·fo·vir/ (te-no´fo-vir?) an antiretroviral agent that inhibits reverse transcriptase; used as t. disoproxil fumarate in the treatment of HIV-1 (human immunodeficiency virus-1) infection. (Viread[TM]) had failed to control HIV effectively in about half the treatment-naive patients in a clinical trial. The cause of the reduced response to this particular regimen
1. A regulated system, as of diet, therapy, or exercise, intended to promote health or achieve another beneficial effect.
2. A course of intense physical training.
 is not known, but it may involve mutations causing cross-resistance cross-resistance /cross-re·sis·tance/ (kros-re-zis´tans) multidrug resistance. to the drugs; Glaxo is also checking for chemical interactions inside the cell. The problem is not due to any one of the drugs; rather, for some reason this particular combination turned out not to work well.

The company advised:

"Abacavir and lamivudine in combination with tenofovir should not be used as a triple antiretroviral therapy when considering a new treatment regimen for naive or pre-treated patients;

"Any patient currently controlled on therapy with this combination should be closely monitored and considered for modification of therapy; and

"Any usage of this triple combination with other antiretroviral agents should be closely monitored for signs of treatment failure."
COPYRIGHT 2003 John S. James
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2003, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Article Details
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Publication:AIDS Treatment News
Article Type:Brief Article
Geographic Code:4EUSW
Date:Jul 25, 2003
Words:164
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