LALEZARI JP, HENRY K, O'HEARN M, LEFEBVRE E, MONANER J, PILIERO P, WALMSLEY S, CHUNG J, FANG L, DELEHANTY J, SALGO M; The TORO 1 Study Group; Interscience Conference on Antimicrobial Agents and Chemotherapy (42nd : 2002 : San Diego, Calif.).
Abstr Intersci Conf Antimicrob Agents Chemother Intersci Conf Antimicrob Agents Chemother. 2002 Sep 27-30; 42: abstract no. H-1074.
Quest Clinical Research, San Francisco, CA
BACKGROUND: TORO 1 (T-20 vs Optimized Regimen Only) is a Phase III study of enfuvirtide, the first Fusion Inhibitor which targets HIV gp41, inhibiting viral fusion to host cells. METHODS: Patients with >/= 6 months prior experience with 3 classes of ARVs, and HIV-1 RNA >/= 5,000 copies/mL selected an OB regimen of 3-5 ARVs based on prior history and BL genotypic (GT) and phenotypic (PT) viral resistance. Patients were randomized 2:1 to enfuvirtide (90 mg SC BID) + OB or OB alone. RESULTS: The primary 24 week analysis contained 491 patients. Median BL HIV-1 RNA was 5.2 log 10 copies/mL, and CD4 count 80 cells/mm3. 54% of patients had CD4 counts <100 cells/mm3 and 61% of patients had HIV RNA >100,000 copies/mL. 69% of BL viral isolates from patients had PT sensitivity to = 2 ARVs, and 68% of viral isolates had HIV GT sensitivity to = 2 ARVs. Least squared means of change from BL in viral load (ITT, Last Observation Carried Forward) was -1.697 log 10 copies/mL for T-20 + OB, and -0.763 log 10 copies/mL for OB alone, a delta of 0.934 log 10 copies/mL (p<0.0001). Further analyses according to BL demographics, ARV experience, and HIV resistance indicated that treatment with T-20 provided consistently better HIV RNA suppression. Aside from injection site reactions, which required discontinuation in < 3% of patients, safety was comparable between treatment groups. CONCLUSIONS: Enfuvirtide added to OB provided additional viral suppression compared to OB alone in highly ARV experienced patients as well as among a variety of sub-groups based on BL characteristics.
Publication Types:
Keywords:
- AIDS Vaccines
- Acquired Immunodeficiency Syndrome
- CD4 Lymphocyte Count
- Clinical Protocols
- Drug Therapy, Combination
- HIV Envelope Protein gp41
- HIV Infections
- HIV Seropositivity
- Humans
- Peptide Fragments
- Viral Load
- drug therapy
- enfuvirtide
- immunology
- therapy
Other ID:
UI: 102267147
From Meeting Abstracts