Table 1.
Study | Time to ART from diagnosis |
Duration of ART |
Outcome, as compared to untreated |
---|---|---|---|
Kinloch-De Loes (1995) [34] Placebo-controlled RCT | 25 days | 24 weeks | Less opportunistic infections during treatment |
AZT monotherapy | |||
Niu (1995) [35] Placebo-controlled RCT AZT monotherapy | 18 days | 24 weeks | Improved CD4+ T cell counts at 1 year after treatment interruption (TI) but no difference in viral load (VL) or clinical events |
Hogan, SETPOINT (2011) [36••] RCT | Within 6 months | 36 weeks | Delayed time to CD4+ T cell counts ≤ 350 cells/mm3 after TI |
3-drug ART | |||
Streeck (2006) [39] Observational prospective | 25 days | 24 weeks | Improved HIV-specific CD8+ T cell responses, no improved VL for 6 months after TI |
3-drug ART | |||
Hecht (2006) [40] Observational prospective | 14 days | 12 weeks | Decreased VL, improved CD4+ T cell count for 72 weeks after TI |
3-drug ART | |||
Fidler (2007) [41] Retrospective | “During primary infection” | 12 weeks | Slower CD4+ T-cell decline after TI |
3-drug ART | |||
Von Wyl (2011) [42] Observational prospective | 16 weeks | 18 months | Decreased VL for 1 y but not 3 y after TI |
3-drug ART | |||
Grijsen (2011) [37] Randomized 3-arm | “During primary infection” | 24 or 60 weeks | Decreased VL and decreased time to start ART 36 wk after TI |
3-drug ART | |||
Fidler, SPARTAC (2011) [41] RCT | Within 6 months | 12 or 48 weeks | Delayed time to CD4 T-cell count < 350 cells/mm3 after TI |
3-drug ART | |||
Hoen, QUEST (2007) [43] Observational prospective | “During primary infection” | 48 weeks | During treatment, improved CD4+ T-cell counts, decreased markers of immune activation (CD38 + CD8+ T cells), and decreased proviral DNA |
4-drug ART |