The CASTLE study: atazanavir/r versus lopinavir/r in antiretroviral-naive patients

Author: Chetchotisakd, Ploenchan

Source: Expert Review of Anti-Infective Therapy, Volume 7, Number 7, September 2009 , pp. 801-805(5)

Publisher: Expert Reviews

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Abstract:

With the introduction of combination antiretroviral therapy (cART), there have been dramatic reductions in mortality and morbidity of HIV-1-infected patients. Protease inhibitor-based regimens remain a cornerstone of cART owing to their potency and high genetic barrier to resistance. The comparison of atazanavir/ritonavir in naive subjects in combination with tenofovir-emtricitabine versus lopinavir/ritonavir in combination with tenofovir-emtricitabine to assess safety and efficacy (CASTLE) study is a noninferiority trial in which the efficacy, safety and tolerability of atazanavir-ritonavir and lopinavir-ritonavir were compared in antiretroviral therapy-naive patients. The aim of this paper is to review the CASTLE study and the role of atazanavir-ritonavir as an initial treatment in HIV-1-infected patients.

Keywords: antiretroviral therapy-naive patients; atazanavir-ritonavir; lopinavir-ritonavir

Document Type: Research article

DOI: http://dx.doi.org/10.1586/eri.09.66

Affiliations: 1: Professor of Medicine Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand., Email: ploencha@kku.ac.th

Publication date: 2009-09-01

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