Pillars of long-term antiretroviral therapy success

Background: Meeting the challenge of antiretroviral therapy (ART) whose efficacy can last a lifetime requires continuous updating of the virological, pharmacological, and quality of life outcomes to be pursued and a continuous review of literature data on the efficacy and tolerability of new drugs a...

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Main Authors: Lucia Taramasso (Author), Massimo Andreoni (Author), Andrea Antinori (Author), Alessandra Bandera (Author), Paolo Bonfanti (Author), Stefano Bonora (Author), Marco Borderi (Author), Antonella Castagna (Author), Anna Maria Cattelan (Author), Benedetto Maurizio Celesia (Author), Stefania Cicalini (Author), Antonella Cingolani (Author), Andrea Cossarizza (Author), Antonella D'Arminio Monforte (Author), Gabriella D'Ettorre (Author), Antonio Di Biagio (Author), Simona Di Giambenedetto (Author), Giovanni Di Perri (Author), Vincenzo Esposito (Author), Emanuele Focà (Author), Cristina Gervasoni (Author), Andrea Gori (Author), Nicola Gianotti (Author), Giovanni Guaraldi (Author), Roberto Gulminetti (Author), Sergio Lo Caputo (Author), Giordano Madeddu (Author), Paolo Maggi (Author), Giorgio Marandola (Author), Giulia Carla Marchetti (Author), Claudio Maria Mastroianni (Author), Cristina Mussini (Author), Carlo Federico Perno (Author), Giuliano Rizzardini (Author), Stefano Rusconi (Author), Maria Santoro (Author), Loredana Sarmati (Author), Maurizio Zazzi (Author), Franco Maggiolo (Author)
Format: Book
Published: Elsevier, 2023-10-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Lucia Taramasso  |e author 
700 1 0 |a Massimo Andreoni  |e author 
700 1 0 |a Andrea Antinori  |e author 
700 1 0 |a Alessandra Bandera  |e author 
700 1 0 |a Paolo Bonfanti  |e author 
700 1 0 |a Stefano Bonora  |e author 
700 1 0 |a Marco Borderi  |e author 
700 1 0 |a Antonella Castagna  |e author 
700 1 0 |a Anna Maria Cattelan  |e author 
700 1 0 |a Benedetto Maurizio Celesia  |e author 
700 1 0 |a Stefania Cicalini  |e author 
700 1 0 |a Antonella Cingolani  |e author 
700 1 0 |a Andrea Cossarizza  |e author 
700 1 0 |a Antonella D'Arminio Monforte  |e author 
700 1 0 |a Gabriella D'Ettorre  |e author 
700 1 0 |a Antonio Di Biagio  |e author 
700 1 0 |a Simona Di Giambenedetto  |e author 
700 1 0 |a Giovanni Di Perri  |e author 
700 1 0 |a Vincenzo Esposito  |e author 
700 1 0 |a Emanuele Focà  |e author 
700 1 0 |a Cristina Gervasoni  |e author 
700 1 0 |a Andrea Gori  |e author 
700 1 0 |a Nicola Gianotti  |e author 
700 1 0 |a Giovanni Guaraldi  |e author 
700 1 0 |a Roberto Gulminetti  |e author 
700 1 0 |a Sergio Lo Caputo  |e author 
700 1 0 |a Giordano Madeddu  |e author 
700 1 0 |a Paolo Maggi  |e author 
700 1 0 |a Giorgio Marandola  |e author 
700 1 0 |a Giulia Carla Marchetti  |e author 
700 1 0 |a Claudio Maria Mastroianni  |e author 
700 1 0 |a Cristina Mussini  |e author 
700 1 0 |a Carlo Federico Perno  |e author 
700 1 0 |a Giuliano Rizzardini  |e author 
700 1 0 |a Stefano Rusconi  |e author 
700 1 0 |a Maria Santoro  |e author 
700 1 0 |a Loredana Sarmati  |e author 
700 1 0 |a Maurizio Zazzi  |e author 
700 1 0 |a Franco Maggiolo  |e author 
245 0 0 |a Pillars of long-term antiretroviral therapy success 
260 |b Elsevier,   |c 2023-10-01T00:00:00Z. 
500 |a 1096-1186 
500 |a 10.1016/j.phrs.2023.106898 
520 |a Background: Meeting the challenge of antiretroviral therapy (ART) whose efficacy can last a lifetime requires continuous updating of the virological, pharmacological, and quality of life outcomes to be pursued and a continuous review of literature data on the efficacy and tolerability of new drugs and therapeutic strategies. Methods: With the aim of identifying open questions and answers about the current controversies in modern ART, we adapted the Design Thinking methodology to the needs of the design phase of a scientific article, involving a team of experts in HIV care. Results: Five main pillars of treatment success were discussed: sustained virologic suppression over time; immunological recovery; pharmacological attributes; long-term tolerability and safety of ART; and people's satisfaction and quality of life. The definition of the outcomes to be achieved in each thematic area and the tools to achieve them were reviewed and discussed. Conclusions: Long-term treatment success should be intended as a combination of HIV-RNA suppression, immune recovery, and high quality of life. To achieve this, the regimen should be well-tolerated, with high potency, genetic barrier, and forgiveness, and should be tailored by a person-centered perspective, based on individual needs, preferences, and therapeutic history. 
546 |a EN 
690 |a Antiretroviral therapy 
690 |a Virologic suppression 
690 |a Immunological recovery 
690 |a Pharmacological attributes 
690 |a Safety 
690 |a Quality of life 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
655 7 |a article  |2 local 
786 0 |n Pharmacological Research, Vol 196, Iss , Pp 106898- (2023) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S1043661823002542 
787 0 |n https://doaj.org/toc/1096-1186 
856 4 1 |u https://doaj.org/article/58e5cab26dd141baa29847630698de3b  |z Connect to this object online.