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No increased risk of kaposi sarcoma relapse in patients with controlled HIV‐1 infection after switching protease inhibitor‐based antiretroviral therapy

HIV Medicine Oct 25, 2021

Lajaunie R, Cuzin L, Palich R, et al. - Researchers examined if among patients living with HIV (PLHIV) with history of Kaposi Sarcoma (KS) and controlled HIV replication, the risk of KS relapse increases in correlation with switching from a protease inhibitors (PI)-based regimen to a PI-free one.

  • The prospectively collected Dat’AIDS database was retrospectively analyzed to obtain data of patients who both had a past KS history and a HIV-1 viral load below 200 copies/mL while being PI-treated.

  • There were 216 patients with past KS events and a history of HIV-1 infection efficiently treated by a PI-based regimen.

  • Of these, 148 patients (68.5%) switched to a PI-sparing regimen in a later course of treatment.

  • KS relapses were reported in 3.2% of the individuals in this cohort of PLHIV.

  • Switching of a PI-containing ART regimen to a PI-free regimen did not link with increased frequency of the relapses.

  • Overall, there appeared no specific effect of PI on KS.

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