Table 2. Protease Mutation Patterns at Baseline and Response to Saquinavir–Ritonavir Combination Therapy*.
Major Protease Mutations at Baseline† | Patients | Median Additional Baseline Mutations (Range) | Median Baseline CD4 Count | CD4 Count at 12 Weeks: Median Change from Baseline | Median Baseline Plasma HIV RNA Level | Follow-up Plasma HIV RNA Level during Saquinavir–Ritonavir Therapy | ||||
---|---|---|---|---|---|---|---|---|---|---|
Protease | Reverse Transcriptase | Change from Baseline at 4 Weeks | Change from Baseline at 12 Weeks | <500 copies/mL | <50 copies/mL | |||||
×109 cells/L | n (%) | |||||||||
None | 11 | 5 (1–7) | 10 (0–17) | 240 | 60 | 4.7 | −1.8 | −2.4 | 9 (82) | 6 (55) |
D30N | 7 | 4 (3–9) | 11 (9–14) | 500 | 55 | 3.6 | −2.0 | −1.8 | 7 (100) | 3 (43) |
At codon 46, 82, or 84 | 3 | 11 (8–11) | 10 (9–11) | 200 | 50 | 4.6 | −1.7 | −1.8 | 2 (67) | 1 (33) |
L90M | 6 | 6 (4–7) | 10 (8–19) | 345 | 5 | 4.6 | −1.5 | −1.2 | 2 (33) | 0 |
Any two mutations | 10 | 7 (0–10) | 12 (4–16) | 140 | 40 | 5.0 | −0.9 | −0.5 | 2 (20) | 0 |
Three or more mutations | 17 | 7 (2–10) | 14 (7–24) | 170 | 0 | 5.0 | −0.2 | 0.0 | 0 | 0 |
Response defined as <500 or <50 copies/mL by 12 weeks.
Based on “major” protease mutations, defined as those at codons 30, 46, 48, 54, 82, 84, and 90 (see Methods section).