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Incidence of cancer and overall risk of mortality in individuals treated with raltegravir-based and non-raltegravir-based combination antiretroviral therapy regimens

A. Cozzi-Lepri, R. Zangerle, L. Machala, K. Zilmer, M. Ristola, C. Pradier, O. Kirk, H. Sambatakou, G. Fätkenheuer, I. Yust, P. Schmid, M. Gottfredsson, I. Khromova, D. Jilich, R. Flisiak, J. Smidt, B. Rozentale, R. Radoi, MH. Losso, JD....

. 2018 ; 19 (2) : 102-117. [pub] 20171006

Jazyk angličtina Země Anglie, Velká Británie

Typ dokumentu časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc19013066
E-zdroje Online Plný text

NLK Free Medical Journals od 1999 do Před 2 roky
Medline Complete (EBSCOhost) od 1999-10-01 do Před 1 rokem
Wiley Free Content od 1999 do Před 2 roky

OBJECTIVES: There are currently few data on the long-term risk of cancer and death in individuals taking raltegravir (RAL). The aim of this analysis was to evaluate whether there is evidence for an association. METHODS: The EuroSIDA cohort was divided into three groups: those starting RAL-based combination antiretroviral therapy (cART) on or after 21 December 2007 (RAL); a historical cohort (HIST) of individuals adding a new antiretroviral (ARV) drug (not RAL) to their cART between 1 January 2005 and 20 December 2007, and a concurrent cohort (CONC) of individuals adding a new ARV drug (not RAL) to their cART on or after 21 December 2007. Baseline characteristics were compared using logistic regression. The incidences of newly diagnosed malignancies and death were compared using Poisson regression. RESULTS: The RAL cohort included 1470 individuals [with 4058 person-years of follow-up (PYFU)] compared with 3787 (4472 PYFU) and 4467 (10 691 PYFU) in the HIST and CONC cohorts, respectively. The prevalence of non-AIDS-related malignancies prior to baseline tended to be higher in the RAL cohort vs. the HIST cohort [adjusted odds ratio (aOR) 1.31; 95% confidence interval (CI) 0.95-1.80] and vs. the CONC cohort (aOR 1.89; 95% CI 1.37-2.61). In intention-to-treat (ITT) analysis (events: RAL, 50; HIST, 45; CONC, 127), the incidence of all new malignancies was 1.11 (95% CI 0.84-1.46) per 100 PYFU in the RAL cohort vs. 1.20 (95% CI 0.90-1.61) and 0.83 (95% CI 0.70-0.99) in the HIST and CONC cohorts, respectively. After adjustment, there was no evidence for a difference in the risk of malignancies [adjusted rate ratio (RR) 0.73; 95% CI 0.47-1.14 for RALvs. HIST; RR 0.95; 95% CI 0.65-1.39 for RALvs. CONC] or mortality (adjusted RR 0.87; 95% CI 0.53-1.43 for RALvs. HIST; RR 1.14; 95% CI 0.76-1.72 for RALvs. CONC). CONCLUSIONS: We found no evidence for an oncogenic risk or poorer survival associated with using RAL compared with control groups.

Centre for Clinical Research Modelling and Epidemiology Research Department of Infection and Population Health Institute for Global Health University College London Medical School Royal Free Campus London UK

Centre for HIV AIDS and infectious diseases Kaliningrad Russian Federation

Department of Infectious and Tropical Diseases 1st Faculty of Medicine Charles University and Na Bulovce Hospital Prague Czech Republic

Department of Infectious and Tropical Diseases 3rd Faculty of Medicine Charles University and Na Bulovce Hospital Prague Czech Republic

Department of Infectious Diseases and Hepatology Medical University of Bialystok Bialystok Poland

Department of Internal Medicine 1 University Hospital of Cologne Cologne Germany German Center for Infection Research Partner Site Bonn Cologne Cologne Germany

Dr Victor Babes Hospital Bucureşti Romania

Faculty of Medicine School of Health Sciences University of Iceland Reykjavik Iceland and Landspitali University Hospital Reykjavík Iceland

Helsinki University Hospital Helsinki Finland

Hospital J M Ramos Mejia Buenos Aires Argentina

Ichilov Hospital Tel Aviv Yafo Israel

Ida Viru Central Hospital Kohtla Jarve

Infectology Center of Latvia Riga Latvia

Ippokration General Hospital Athens Greece

Kantonsspital St Gallen St Gallen Switzerland

L'Archet 1 Hospital University of Nice Sophia Antipolis Nice France

Medical University Innsbruck Innsbruck Austria

Rigshospitalet University of Copenhagen Copenhagen Denmark

West Tallinn Central Hospital Tallinn Estonia

Citace poskytuje Crossref.org

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