Meta AnalysisID 4022

蛋白酶抑制剂降低HIV相关神经认知障碍风险的研究

CRD42020157255

How does protease inhibitors impact on risk of HIV associated neurocognitive disorders compared to others antirretroviral drugs?

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Record Fields

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Meta Analysis Id
4022
Evidence Id
12580
Core Evidence Id
12580
Source Meta Analysis Id
3980
Herb2 Meta Analysis Id
HBMA003980
Crd Id
CRD42020157255
Title
Protease inhibitors to reduce the risk of HIV-associated neurocognitive disorder
Review Question
How does protease inhibitors impact on risk of HIV associated neurocognitive disorders compared to others antirretroviral drugs?
Study Type Included
All comparisons in randomized and no randomized controlled clinical trials and observational cohort studies.
Condition Being Studied
HIV-associated neurocognitive disorder
Participant
Patients are older than 13 years, of both sexes, who are in highly effective antiretroviral treatment and achieve undetectable viral load, without infections of the central nervous system due to opportunistic germs, without neurocognitive alterations prior to infection by human immunodeficiency virus.
Animal
Human Disease Modelled
Intervention
Treatment with protease inhibitors: lopinavir / ritonavir 200/50 mg 2 tab every 12 hours; atazanavir 300 mg daily with or without ritonavir 100 mg daily; darunavir 600 mg vo every 12 hours or 800 mg vo once a day with ritonavir 100 mg vo day all alone or in triple therapy with nucleoside analogue reverse transcriptase inhibitors.
Comparator Control
Treatment with non-nucleoside reverse transcriptase inhibitors: Efavirenz 600 mg daily or nevirapine 200 mg daily every 12 hours Treatment with integrase inhibitors: raltegravir 400 mg every 12 hours, dolutegravir 50 mg daily, elvitegravir 150 mg daily.
Main Outcome
Neurocognitive disorder associated with HIV in its mild, moderate or severe forms. Measured with batteries from neuropsychological studies and / or nuclear magnetic imaging Measures of effect At least 24 weeks of follow up. OR, HR, or RR
Outcome Measure
Additional Outcome
Virological suppression: undetectable viral load. (PCR) Adverse effects: gastrointestinal, psychiatric disorders. Mortality Immunological reconstitution: increase in the CD4 count of 50 or more cells in relation to the baseline measurement. Cytometry Virological failure: viral load detectable in more than two measurements despite adherence to ART. Viral load is measured by polymerase chain reaction. Cardiovascular risk. Calculation using Framingham scale application. Measures of effect At least 24 weeks of follow up. OR, HR, or RR
Study Method
Intervention, Meta-analysis, Prognostic, Systematic review
Keyword
Humans
Contact
Hernan Dario Vergara Samur [email protected]
Organisational Affiliation
NONE NONE
Funding Source
Other Selection Criteria
Final Publication
Same Topic Review
Not other versions of this systematic review we were found
Published Protocol
Review Type
Language
English, Spanish
Country
Colombia
Review Stage
Review Ongoing
First Submission Date
2020-02-10
Registration Date
2020-04-28
Anticipated Start Date
2019-11-04
Anticipated Completion Date
2020-03-18
Title Cn
蛋白酶抑制剂降低HIV相关神经认知障碍风险的研究
Title En
Protease inhibitors to reduce the risk of HIV-associated neurocognitive disorder
Bilingual Status
complete