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Impact of combination antiretroviral therapy on cerebrospinal fluid HIV RNA and neurocognitive performance a b c d Christina M. Marra , Yu Zhao , David B. Clifford , Scott Letendre , b e f g Scott Evans , Katherine Henry , Ronald J. Ellis , Benigno Rodriguez , h i j Robert W. Coombs , Giovanni Schifitto , Justin C. McArthur , Kevin Robertson , for the AIDS Clinical Trials Group 736 Study Team Objective: To determine whether antiretroviral regimens with good central nervous system (CNS) penetration control HIV in cerebrospinal fluid (CSF) and improve cogni- tion. Design: Multisite longitudinal observational study. Setting: Research clinics. Study participants: One hundred and one individuals with advanced HIV beginning or changing a new potent antiretroviral regimen were enrolled in the study. Data for 79 participants were analyzed. Participants underwent structured history and neuro- logical examination, venipuncture, lumbar puncture, and neuropsychological tests at entry, 24, and 52 weeks. Intervention: Antiretroviral regimens were categorized as CNS penetration effective- ness (CPE) rank of at least 2 or less than 2. Generalized estimating equations were used to examine associations over the course of the study. Main outcome measures: Concentration of HIV RNA in CSF and blood
AIDS – Wolters Kluwer Health
Published: Jul 1, 2009
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