Fosamprenavir or atazanavir once daily boosted with ritonavir 100 mg, plus tenofovir/emtricitabine, for the initial treatment of HIV infection: 48-week results of ALERT
2008

Comparing Two HIV Treatments: Fosamprenavir vs Atazanavir

Sample size: 106 publication Evidence: moderate

Author Information

Author(s): Kimberly Y. Smith, Winkler G. Weinberg, Edwin DeJesus, Margaret A. Fischl, Qiming Liao, Lisa L. Ross, Gary E. Pakes, Keith A. Pappa, C. Tracey Lancaster

Primary Institution: Rush University Medical Center

Hypothesis

Is there a difference in efficacy and safety between once-daily fosamprenavir and atazanavir, both boosted with ritonavir, in treating HIV?

Conclusion

Both treatments provided similar results in controlling HIV and improving immune response, but fewer patients on fosamprenavir experienced serious side effects.

Supporting Evidence

  • Both treatment regimens achieved similar virologic suppression.
  • Fewer patients on fosamprenavir experienced treatment-related grade 2–4 adverse events.
  • The study population was diverse in terms of gender, race, and ethnicity.

Takeaway

The study looked at two medicines for HIV and found they worked about the same, but one had fewer bad side effects.

Methodology

This was a randomized, open-label, multicenter study comparing two treatment regimens over 48 weeks.

Potential Biases

Potential bias due to the open-label design.

Limitations

The study had a small sample size and was conducted on a pilot basis.

Participant Demographics

The study included 106 antiretroviral-naïve HIV-infected patients, predominantly male (84%), with a median age of 40 years.

Statistical Information

Statistical Significance

p>0.05

Digital Object Identifier (DOI)

10.1186/1742-6405-5-5

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