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Volume 349:1770-1771 October 30, 2003 Number 18
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Enfuvirtide, an HIV-1 Fusion Inhibitor

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 by Lalezari, J. P.
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 by Lazzarin, A.
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To the Editor: In the T-20 vs. Optimized Regimen Only Study 1 (TORO 1), reported by Lalezari et al. (May 29 issue),1 enfuvirtide, when added to an optimized salvage antiretroviral regimen, increased by 12 percent the proportion of patients who had undetectable plasma human immunodeficiency virus type 1 (HIV-1) RNA levels at week 24. Ninety-five percent adherence to antiretroviral therapy is key for sustained treatment success; adherence, or the lack thereof, is largely driven by toxic effects.2,3,4 Enfuvirtide caused injection-site reactions in 98 percent of the patients, although only 3 percent discontinued therapy as a result. Adherence to enfuvirtide therapy . . . [Full Text of this Article]




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