Table 1.
Randomized switch-threshold | |||||||
---|---|---|---|---|---|---|---|
Low (n=134) | Higher (n=129) | Total (n=263) | |||||
Age (years), median (IQR) [range] | 6.1 | 6.9 | 6.5 | ||||
(2.5–13.1) | (3.1–12.5) | (2.8–12.9) | |||||
[0.3–17.8] | [0.1–17.5] | [0.1–17.8] | |||||
HIV-1 RNA (c/ml), median (IQR) | 99646 | 119356 | 107813 | ||||
(35488–446704) | (28732–434369) | (31251–446704) | |||||
Baseline resistance test availablea | 121 | 100% | 118 | 100% | 239 | 100% | |
Any major mutations | 7 | 6% | 3 | 3% | 10 | 4% | |
1 or 2 mutations | 7 | 2 | 9 | ||||
≥3 mutations | 0 | 1 | 1 | ||||
NNRTI K103N | 1 | 1 | 2 | ||||
NNRTI V108I | 1 | 0 | 1 | ||||
NNRTI Y181C | 2 | 1 | 3 | ||||
NNRTI Y188L | 1 | 0 | 1 | ||||
PI Q58E | 1 | 0 | 1 | ||||
NNRTI K101P Y181C | 1 | 0 | 1 | ||||
NRTI D67N K219Q, NNRTI K103N | 0 | 1 | 1 | ||||
HIV-1 subtype availableb | 128 | 100% | 121 | 100% | 249 | 100% | |
HIV-1 subtype | B | 52 | 41% | 49 | 41% | 101 | 41% |
C | 13 | 10% | 12 | 10% | 25 | 10% | |
F | 25 | 20% | 23 | 19% | 48 | 19% | |
A/CRF_AG/D/G | 25 | 20% | 27 | 22% | 52 | 21% | |
unclassified | 13 | 10% | 10 | 8% | 23 | 9% | |
ART use prior to randomization for reduction of MTCTc | 22 | 100% | 17 | 100% | 39 | 100% | |
In utero (to the mother) | 4 | 18% | 6 | 35% | 10 | 26% | |
1 day | ZDV+NVP | 0 | 1 | 1 | |||
1–24 weeks | ZDV+3TC+NVP | 2 | 2 | 4 | |||
1–2 weeks | ZDV+3TC+NFV | 1 | 1 | 2 | |||
7–28 weeks | ZDV | 1 | 2 | 3 | |||
Delivery/Post partum (to the infant) | 22 | 100% | 16 | 94% | 38 | 97% | |
single-dose | NVP, 1–4 weeks ZDV+3TC | 0 | 2 | 2 | |||
single-dose | NVP, 3–6 weeks ZDV | 2 | 1 | 3 | |||
1–12 weeks | ZDV | 19 | 12 | 31 | |||
5–6 weeks | ZDV, 3–6 weeks 3TC | 1 | 1 | 2 | |||
First-line NNRTI ART | 67 | 100% | 65 | 100% | 132 | 100% | |
EFV with | 43 | 64% | 39 | 60% | 82 | 62% | |
ABC+3TC | 15 | 10 | 25 | ||||
ZDV+3TC | 17 | 18 | 35 | ||||
d4T+3TC | 6 | 3 | 9 | ||||
other NRTIsd | 5 | 8 | 13 | ||||
NVP with | 24 | 36% | 26 | 40% | 50 | 38% | |
ABC+3TC | 3 | 6 | 9 | ||||
ZDV+3TC | 15 | 11 | 26 | ||||
d4T+3TC | 3 | 8 | 11 | ||||
other NRTIse | 3 | 1 | 4 | ||||
First-line PI ART | 67 | 100% | 64 | 100% | 131 | 100% | |
LPV/r with | 29 | 43% | 36 | 56% | 65 | 50% | |
ABC+3TC | 10 | 12 | 22 | ||||
ZDV+3TC | 10 | 20 | 30 | ||||
d4T+3TC | 6 | 4 | 10 | ||||
other NRTIsf | 3 | 0 | 3 | ||||
NFV with | 37 | 55% | 27 | 42% | 64 | 49% | |
ABC+3TC | 3 | 3 | 6 | ||||
ZDV+3TC | 12 | 9 | 21 | ||||
d4T+3TC | 13 | 10 | 23 | ||||
other NRTIsg | 9 | 5 | 14 | ||||
Other protease inhibitor | 1 | 1% | 1 | 2% | 2 | 2% | |
ZDV+3TC+high-dose ritonavir | 0 | 1 | 1 | ||||
ddI+3TC+fosamprenavir/ritonavir | 1 | 0 | 1 |
Includes 1 test where only the protease gene was sequenced.
Available from 239 baseline resistance tests and 10 resistance tests during follow-up.
For 3/5 children who received single-dose NVP, the mother also received NVP in utero.
10 ZDV+ddI, 2 3TC+ddI, 1 ddI+FTC
1 ZDV+ddI, 1 ZDV+ABC, 2 ddI+d4T
1 ZDV+ddI, 2 ZDV+ABC
13 ZDV+ddI, 1 ddI+d4T
Children are displayed in 2 groups defined by their randomized switch threshold (low=1000c/ml, higher=30000c/ml). IAS = International AIDS Society-USA, MTCT = mother-to-child transmission, ART= antiretroviral therapy, PI = protease inhibitor, NNRTI = non-nucleoside reverse transcriptase inhibitor, NRTI = nucleoside reverse transcriptase inhibitor, ZDV = zidovudine, NVP = nevirapine, 3TC = lamivudine, EFV = efavirenz, ABC = abacavir, d4T = stavudine, LPV/r = lopinavir/ritonavir, NFV = nelfinavir, ddI = didanosine, FTC = emtricitabine