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      Anti-retroviral drugs: current state and development in the next decade

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          Abstract

          The pace of discovery of new antiretroviral (ARV) drugs has slowed, although the efficacy and safety of once-daily fixed dose combinations have been extensively investigated. Several traditional ARV drugs remain in phase III clinical trials. This review summarizes current information on ARV drugs in phase III clinical trials and focuses on the development of ARV drugs in the next decade.

          Graphical abstract

          This review summarizes current information on antiretroviral (ARV) drugs in phase III clinical trials and focuses on the development of ARV drugs in the next decade.

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          Most cited references30

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          Frequent detection and isolation of cytopathic retroviruses (HTLV-III) from patients with AIDS and at risk for AIDS.

          Peripheral blood lymphocytes from patients with the acquired immunodeficiency syndrome (AIDS) or with signs or symptoms that frequently precede AIDS (pre-AIDS) were grown in vitro with added T-cell growth factor and assayed for the expression and release of human T-lymphotropic retroviruses (HTLV). Retroviruses belonging to the HTLV family and collectively designated HTLV-III were isolated from a total of 48 subjects including 18 of 21 patients wih pre-AIDS, three of four clinically normal mothers of juveniles with AIDS, 26 of 72 adult and juvenile patients with AIDS, and from one of 22 normal male homosexual subjects. No HTLV-III was detected in or isolated from 115 normal heterosexual subjects. The number of HTLV-III isolates reported here underestimates the true prevalence of the virus since many specimens were received in unsatisfactory condition. Other data show that serum samples from a high proportion of AIDS patients contain antibodies to HTLV-III. That these new isolates are members of the HTLV family but differ from the previous isolates known as HTLV-I and HTLV-II is indicated by their morphological, biological, and immunological characteristics. These results and those reported elsewhere in this issue suggest that HTLV-III may be the primary cause of AIDS.
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            Pneumocystis pneumonia--Los Angeles.

            (1981)
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              Kaposi's sarcoma and Pneumocystis pneumonia among homosexual men--New York City and California.

              (1981)
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                Author and article information

                Contributors
                Journal
                Acta Pharm Sin B
                Acta Pharm Sin B
                Acta Pharmaceutica Sinica. B
                Elsevier
                2211-3835
                2211-3843
                07 March 2018
                March 2018
                07 March 2018
                : 8
                : 2
                : 131-136
                Affiliations
                [0005]Division of Infectious Diseases, Department of Medicine, School of Medicine, University of California, San Diego, CA 92093, USA
                Article
                S2211-3835(18)30078-9
                10.1016/j.apsb.2018.01.012
                5925449
                29719774
                a191418b-4a6c-4ed2-8615-be8dfa32957c
                © 2018 Chinese Pharmaceutical Association and Institute of Materia Medica, Chinese Academy of Medical Sciences. Production and hosting by Elsevier B.V.

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 2 December 2017
                : 12 January 2018
                : 21 January 2018
                Categories
                Review Article

                antiretroviral drugs,long-acting formulations,attachment inhibitors,maturation inhibitors,nanomedicine

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