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Abacavir versus Zidovudine Combined with Lamivudine and Efavirenz, for the Treatment of Antiretroviral‐Naive HIV‐Infected Adults

DeJesus, Edwin, Herrera, Gisela, Teofilo, Eugenio, Gerstoft, Jan, Buendia, Carlos Beltran, Brand, J. David, Brothers, Cynthia H., Hernandez, Jaime, Castillo, Steve A., Bonny, Tab, Lanier, E. Randall, Scott, Trevor R., CNA30024 Study Team·2004·Clinical Infectious Diseases

Abstract

Background. Zidovudine, lamivudine, and efavirenz comprise a highly effective and well-tolerated triple regimen for antiretroviral-naive patients. Evaluating other unique nucleoside reverse-transcriptase inhibitor (NRTI) combinations for long-term viral suppression is desirable. Methods. This multicenter, randomized, double-blind noninferiority clinical trial compared the efficacy and safety of abacavir with that of zidovudine plus lamivudine and efavirenz in 649 antiretroviral-naive HIV-infected patients. The primary objective was a comparison of proportions of patients achieving plasma HIV-1 RNA levels ⩽50 copies/mL through week 48 of the study. Results. At study week 48, 70% of patients in the abacavir group, compared with 69% in the zidovudine group, maintained confirmed plasma HIV-1 RNA levels of ⩽50 copies/mL (in the intent-to-treat exposed population). Virologic failure was infrequent (6% in the abacavir group and 4% in the zidovudine group). There was a significant CD4+ cell response (209 cells/mm3 in the abacavir group and 155 cells/mm3 in the zidovudine group). Safety profiles were as expected. Conclusion. Abacavir provided an effective and durable antiretroviral response that was noninferior to zidovudine, when combined with lamivudine and efavirenz.

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Metadata

Authors
DeJesus, E., Herrera, G., Teofilo, E., Gerstoft, J., Buendia, C. B., Brand, J. D., Brothers, C. H., Hernandez, J., Castillo, S. A., Bonny, T., Lanier, E. R., Scott, T. R., & CNA30024 Study Team
Venue
Clinical Infectious Diseases
Published
2004-10
Volume
39
Issue
7
Pages
1038-1046
ISSN
  • 1058-4838 (ISSN-L)
  • 1537-6591
OpenAlex
W2052332986
Cited by
226
References
0
FWCI
11.86
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Abacavir versus Zidovudine Combined with Lamivudine and Efavirenz, for the Treatment of Antiretroviral‐Naive HIV‐Infected Adults. https://app.cochat.ai/papers/10.1086/424009
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DeJesus, E., Herrera, G., Teofilo, E., Gerstoft, J., Buendia, C. B., Brand, J. D., Brothers, C. H., Hernandez, J., Castillo, S. A., Bonny, T., Lanier, E. R., Scott, T. R., & CNA30024 Study Team. (2004). Abacavir versus Zidovudine Combined with Lamivudine and Efavirenz, for the Treatment of Antiretroviral‐Naive HIV‐Infected Adults. Clinical Infectious Diseases. https://doi.org/10.1086/424009

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