Table 2.
Studies of switch towards more lipid-friendly antiretroviral regimens and variations in total and fractionated cholesterol and triglyceride blood levels.
| Author | Year | Study drug | Switched drug | Design | Patients (n) | F-up (wks) | ∆ TC (mmol/L) | ∆HDL (mmol/L) | ∆LDL (mmol/L) | ∆ TG (mmol/L) |
|---|---|---|---|---|---|---|---|---|---|---|
| Negredo [34] | 2002 | Nevirapine Efavirenz | PIs | Randomized | 77 | 48 |
P < .05 only Nev. |
NA | NA |
P < .05 only Nev. |
| Petit [35] | 2004 | Nevirapine | PIs | Observational | 55 | 24 | NA | +0,2 (P = .01) |
NA | −0,36 (P = .02) |
| Ward [36] | 2006 | Nevirapine | Efavirenz | Retrospective | 40 | 106 | −0,18 (P < .05) |
+0,05 (P < .05) |
−0,25 (P < .05) |
−0,70 (P < .05) |
| Parienti [37] | 2007 | Nevirapine | Efavirenz | Randomized | 36 | 52 | NA | P < .04 | NA | NA |
| Gonzalez-Tome [38] | 2008 | Nevirapine | PIs | Pediatric, case-series | 7 | 52 | −0,7 (P = .09) |
+0,5 (P = .03) |
stable | NA |
| Katlama [39] | 2003 | Abacavir | PIs | Randomized | 209 | 48 | P < .001 | NA | NA | P = .006 |
| Keiser [40] | 2005 | Abacavir | PIs | Randomized | 104 | 28 | −0,82 (P < .001) |
NA | −0,49 (P = .02) |
−1,1 (P = .02) |
| Soriano [41] | 2005 | Atazanavira | PIs | Randomized | 189 | 48 | −0,4 (P < .001) |
NA | NA | −0,9 (P < .001) |
| Gatell [42] | 2007 | Atazanavir/r | PIs | Randomized | 419 | 48 | P < .001 | P < .001 | NA | P < .001 |
| Mallolas [44] | 2009 | Atazanavir/r | PIs | Randomized | 248 | 48 | −0,4 (P < .001) |
NA | NA | −0,5 (P < .001) |
| Llibre [43] | 2006 | TDF | Stavudine | Retrospective | 352 | 48 | −0,4 (P < .001) |
NA | −0,2 (P < .001) |
−0,4 (P < .001) |
| Schewe [44] | 2006 | TDF | Stavudine | Retrospective | 66 | 130 | −0,98 (P = .002) |
NA | NA | NA |
| Madruga [45] | 2007 | TDF | Stavudine | Randomized | 85 | 144 | −0,6 (P < .0001) |
NA | NA | −0,9 (P < .0001) |
| Valantin [46] | 2010 | TDF/FTC | NRTIs | Randomized | 91 | 12 | NA | NA | −0,4 (P = .03) |
−0,4 (P = .03) |
| Eron [41] | 2010 | Raltegravir | Lopinavir/r | Randomized | 707 | 12 | −12,6% (P < .0001) |
NA | −15% (P < .0001) |
−42,2% (P < .0001) |
a49 patients switched to unboosted atazanavir, 53 to atazanavir/r.