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AIDS Patient Care and STDs
Structured Intermittent Therapy with Seven-Day Cycles of HAART for Chronic HIV Infection: A Pilot Study in São Paulo, Brazil

To cite this article:
Jorge Casseb, Alberto José Da Silva Duarte. AIDS Patient Care and STDs. July 2005, 19(7): 425-428. doi:10.1089/apc.2005.19.425.

Published in Volume: 19 Issue 7: July 29, 2005

Full Text: • PDF for printing (46 KB) • PDF w/ links (53.6 KB)


Jorge Casseb, M.D.
Laboratory of Allergy and Clinical and Experimental Immunology, Institute of Infectious Diseases "Emilio Ribas," São Paulo, Brazil.
Alberto José Da Silva Duarte, M.D.
Laboratory of Allergy and Clinical and Experimental Immunology, Institute of Infectious Diseases "Emilio Ribas," São Paulo, Brazil.

In the last 6 years, an impressive impact of the highly active antiretroviral therapy (HAART) on survival and morbidity in HIV-1–infected individuals has been attained. However, their prolonged use may induce metabolic adverse effects such as lipodistrophy, hypertension, diabetes mellitus, osteopenia and hyperlipidemia. Recently, new strategies such as short-cycle structured intermittent therapy (SIT; 7 days without therapy followed by 7 days with HAART) have been suggested. We tested this strategy in seven (four women and three men; mean of age 39 of years) HIV-positive individuals, all of whom had CD4+ T cell counts greater than 500 cells/mm3 and undetectable plasma viral load for at least 2 years. Our results indicated no opportunistic diseases or CD4 cell count decrease over a mean follow-up of 26 months. No plasma viral replication was detected in five of seven cases. There was a decrease in triglyceride levels to normal range (not statistically significant), but no modification of cholesterol levels. Thus, we recommend a larger clinical trial to determine if SIT is cost effective in developing countries.

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Short-Cycle Therapy in Adolescents after Continuous Therapy with Established Viral Suppression: The Impact on Viral Load Suppression
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AIDS Research and Human Retroviruses. Jun 2009, Vol. 25, No. 6: 555-561
Abstract | Full Text PDF | Reprints & Permissions
Short-Cycle Therapy in Adolescents after Continuous Therapy with Established Viral Suppression: The Impact on Viral Load Suppression
Bret J. Rudy, John Sleasman, Bill Kapogiannis, Craig M. Wilson, James Bethel, Leslie Serchuck, Sushma Ahmad, Coleen K. Cunningham
AIDS Research and Human Retroviruses. Jun 2009, Vol. 25, No. 6: 555-561
Abstract | Full Text PDF | Reprints & Permissions
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