A randomized controlled trial of the clinical utility of genotypic resistance testing in patients with limited prior exposure to antiretroviral drugs

• Published in: HIV clinical trials Vol. 6; no. 4; p. 183
• Format: Journal Article
• Language: English
• Published: England 01.07.2005
• Subjects: Anti-Retroviral Agents - therapeutic use; Antiretroviral Therapy, Highly Active; Drug Resistance, Multiple, Viral - genetics; Genotype; HIV Infections - drug therapy; HIV Infections - virology; HIV-1 - genetics; Humans; Microbial Sensitivity Tests - methods; Treatment Failure; United Kingdom
• ISSN: 1528-4336
• DOI: 10.1310/07CW-HAJN-T92N-476X

To assess the clinical utility of genotypic resistance testing among HIV-1-infected patients with limited prior exposure to antiretroviral drugs. Patients experiencing virological failure were randomly allocated to either centralized genotypic resistance testing or to no testing and were followed for a minimum of 1 year. 55 patients were recruited from 14 centers in the United Kingdom. There were no demonstrable differences between the groups in terms of virological or immunological response. For patients allocated to resistance testing, there was an increased tendency to recycle previously used drugs. The study did not demonstrate a benefit of genotypic resistance testing in this population, although statistical power was low. However, testing did alter prescribing behavior, and clinical effects may become manifest in the longer term.