Table 2.
Response, HIV Control, CD4 Dynamics, TS Prognosis, and History of Therapy for KS
| Response | No. of Patients | Time on HAART* at Baseline for Each Patient (months) | Baseline HIV Viral Load (copies/mL) |
CD4 Change (cells/μL) |
TS† Poor Prognosis (No. of patients) | Previous Cytotoxic Chemotherapy for KS (No. of Patients) | ||
|---|---|---|---|---|---|---|---|---|
| Median | Range | Median | Range | |||||
| HIV well controlled on study‡ | ||||||||
| CR | 3 | 8, 11, 12 | < 50 | < 50-145§ | 198 | 85–270 | 3 | 2‖ |
| PR | 2 | 6, 50 | < 50 | < 50-< 50 | 187 | 21–352 | 2 | 2‖ |
| SD | 6 | 3, 3, 21, 26, 45, 90 | < 50 | < 50-< 50 | 96 | −51–243 | 4 | 4 |
| PD | 1 | 6 | < 50 | 149 | 1 | 1 | ||
| HIV not consistently controlled on study¶ | ||||||||
| SD | 3 | 12, 15, 51 | < 50 | < 50-180,000 | −35 | −2–−237 | 3 | 3 |
| PD | 1 | 9 | 180 | 37 | 1 | 0 | ||
Abbreviations: CR, complete response; HAART, highly active antiretroviral therapy; KS, Kaposi's sarcoma; PD, progressive disease; PR, partial response; SD, stable disease; TS, staging based on tumor and systemic illness.
Months on the specific HAART regimen used at time of the screening visit.
Revised AIDS KS prognostic criteria, excludes CD4 as prognostic factor.41
HIV is considered well controlled if viral load is < 200 copies/mL while on study (median, < 50 copies/mL; range, < 50 to 102 copies/mL).
Patient with HIV viral load of 145 copies/mL had been adherent to HAART for 12 months and had an HIV viral load < 50 copies/mL 2 months prior. Low-level HIV viremia at the baseline visit was attributed to use of a different polymerase chain reaction assay.42
Four of five responding patients had been previously treated with cytotoxic chemotherapy. All four patients had received prior liposomal doxorubicin (median cumulative dose, 260 mg/m2; range, 120 to 600 mg/m2). In addition, one patient received prior bleomycin and vincristine, and two patients had prior radiation therapy.
Median HIV viral load when measured at off-study visit was 110,000 copies/mL (range, 16,400 to 182,000 copies/mL).