Do
not do as I did
Please
read the article written by Enid
Vazquez in the latest Positively
Aware, one of the main free HIV
magazines distributed around the
U.S.
Tales
of Salvage
Three men tell their
story in a new era of HIV treatment
by Enid Vázquez,
photos by Russell McGonagle
My
comments are in the last part in
the section called "Don't do
as I did"
I want to make
sure that people who are applying
for TMC 125 expanded access are
very careful when assuming that
this medication will be represent
an "active" agent.
No genotype test for EAP drugs is
available, so we are in danger of
assuming that a new drug is an active
drug (this assumption may not be
true when starting drugs in existing
classes). An active drug is
one that is shown in your resistance
test (genotype or phenotype) to
have a good chance to work in controlling
your virus. If you are to
start a new combo with MK 518 integrase
inhibitor, a drug that is showing
more promise than most for patients
with multidrug resistance, make
sure that you start it with Fuzeon
(if you are Fuzeon naive) and/or
Maraviroc (if you have a R5 tropic
virus) unless you can be 100 % certain
that TMC 125 will work on your virus.
With all the hype surrounding
TMC 114, I made the terrible assumption
about the activity of TMC 114 (Darunavir,
Prezista) when I got that drug via
EAP to start it with MK 518 as part
of Merck's phase III study.
Read more in the link below.
Around
30 % of people who have extensive
Kaletra and protease resistance
may have pre-existing resistance
to Aptivus (Tipranavir) and/or Prezista
(Darunavir). No one is talking
about this and there are a few conference
posters on the subject but not discussed
by anyone. Do not fall prey
of the hype that is built around
new medications, unless they are
in a new class that you have never
taken before and that show great
response. This is the best
chance for many of us to attain
undetectable virus and hopefully
keep it that way for a long time,
if you do it right the first time.
Tales
of Salvage
Three men tell their
story in a new era of HIV treatment
by Enid Vázquez
photos by Russell McGonagle