Preliminary Results from the SCOLTA Project on the Safety of Lopinavir/Ritonavir: An Italian Approach to Post-marketing Monitoring

The SCOLTA project (Surveillance Cohort Long-term Toxicity Antiretrovirals) is a system for online surveying of adverse reactions to recently commercialized antiretroviral drugs and a "sentinel" for unexpected and late adverse reactions arising during any antiretroviral treatment (available at: http://www.cisai.info).

To date, 25 Italian departments of infectious diseases have participated at the project. The New Drugs Project is a prospective, multicenter, observational pharmaco-vigilance study involving 1 cohort of patients for each new drug.

All patients who were consecutively started on lopinavir (LPV), tenofovir (TDF), peginterferon (IFN), atazanavir (ATZ), enfuvirtide (T-20), and tipranavir (TPV) were enrolled.

All grade III or IV adverse events (according to the AIDS Clinical Trials Group definitions) are reported on the web site. The Unexpected Events Project identifies unexpected adverse reactions during treatment and reports them.

This paper presents the preliminary findings for the New Drugs Project.

Results

·  Between October 1, 2002, and March 30, 2004, 1184 patients were enrolled.

·  The lopinavir/ritonavir (LPV/r) cohort comprises 703 patients, the TDF cohort 585, IFN 35, ATZ 95, T-20 10, and TPV 8.

· So far 100 grades III and IV adverse events have been reported, 73 in the LPV/r group.

· In this cohort the rate of adverse events per 100 person-years was 14.2 on the basis of all patients treated, 9.8 for treatment-naive patients, and 15 for treatment-experienced patients.

The authors conclude, “These findings, though preliminary, show that this data collection method gives timely real-life information from which to assess the impact of short- and long-term toxicity of new antiretroviral drugs.”

From the Department of Infectious Diseases, Luigi Sacco Hospital, Milan, Italy; Department of Infectious Diseases, Careggi Hospital, Florence, Italy; Department of Infectious Diseases, Sant'Anna Hospital, Ferrara, Italy; Department of Infectious Diseases, Pescara Hospital, Pescara, Italy; Department of Infectious Diseases, Viterbo General Hospital, Viterbo, Italy; Department of Infectious Diseases, Legnano General Hospital, Milan, Italy; and Department of Infectious Diseases, Busto Arsizio Hospital, Busto Arsizio, Italy.

07/01/05

Reference
P Bonfanti and others (Italian coordinators for the study of allergies in HIV infection). An Italian Approach to Postmarketing Monitoring: Preliminary Results From the SCOLTA (Surveillance Cohort Long-Term Toxicity Antiretrovirals) Project on the Safety of Lopinavir/Ritonavir. Journal of Acquired Immune Deficiency Syndromes 39(3):317-320. July 1, 2005.


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M King and others. Abstract 798. 2nd IAS Conference, Paris. 2003.

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07/28/03

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07/16/03

Kaletra (lopinavir/ritonavir) Is Most-prescribed Protease Inhibitor in US and Europe for Treatment of HIV - 06/25/03

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Kaletra Is Highly Effective in Children - 03/17/03

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Cross-Resistance Mutation Patterns Differ for Agenerase (Amprenavir) and Kaletra (Lopinavir) - 10/28/02

Abbott Announces Kaletra (Lopinavir/Ritonavir) Is Most Prescribed PI in the US - 10/04/02

Abbott PI Kaletra Shows No Resistance in 4-Year Study - 09/30/02

Salvage Treatment with Kaletra (Lopinavir/Ritonavir) Is Effective in Many HIV patients Failing All Available HIV Drugs - 09/09/02

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Kaletra Exhibits Sustained Virologic Response in Antiretroviral-Naïve Patients: 3-Year Data
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Lopinavir/Ritonavir Outperforms Nelfinavir as Initial Treatment for HIV Infection - 06/28/02

Agenerase Mutations May Significantly Impact Kaletra Resistance - 04/26/02

Increased Doses of Both Agenerase and Kaletra Are Required if Dosed Concomitantly - 04/08/02

Kaletra (lopinavir/ritonavir) May Be Effective in Protease Inhibitor-Experienced HIV Patients - 03/13/02

Abstracts Presented at ICAAC on the Protease Inhibitor Kaletra (Lopinavir/Ritonavir) - 12/22/01

Kaletra (Lopinavir/Ritonavir) Therapy in Single Protease Inhibitor Experienced Patients: 144 Week Follow Up
11/21/01

Kaletra in Antiretroviral Naïve HIV Positive Patients: 3-Year Follow Up
11/21/01

Kaletra Effective in Naïve Patients After Three Years of Treatment
11/05/01

Kaletra: Durable at 144 Weeks of Follow Up

7/27/01

Early Failure of a Kaletra Regimen is Unlikely to be Related to Protease Mutations
7/23/01

Kaletra Superior to Nelfinavir in Antiretroviral-Naïve Patients
7/11/01

Most Patients Failing Initial HIV Protease Inhibitor Therapy May Respond to Kaletra
7/04/01

Some Mutations Have Higher Predictive Value Regarding Kaletra Resistance

6/29/01

French Study Confirms Kaletra Genotypic Breakpoints
6/25/01


FDA Posts New Safety-Related Drug Labeling Changes for Kaletra
4/30/01

Update on HIV Drug Resistance from the 8th Conference on Retroviruses and Opportunistic Infections: Part I
2/14/01


48-Week Report on Multiple Protease Inhibitor-Experienced Patients Treated with Kaletra Plus Sustiva
2/08/01


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12/20/00


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10/24/00


Recent Reports Reaffirm the Effectiveness and Tolerability of New PI Kaletra Plus Sustiva and Kaletra Plus Zerit and Epivir
10/02/00


FDA Grants Accelerated Approval to New HIV Protease Inhibitor Kaletra

9/18/00

Kaletra plus Sustiva and 2 NRTI Drugs in HIV Patients with Multiple Prior PI Drugs: 24-Week Results
8/25/00

Kaletra plus Viramune and 2 NRTI Drugs for HIV after "Failing" One Prior PI Drug: 72-Week Results
8/25/00

 

 

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Genotype Resistance Testing
Glucose MetabolismInsulin Resistance
Growth Failure
Growth Hormone
Guidelines
Gynecomastia
HAART / Mega-HAART
Hairy leukoplakia
Hepatotoxicity (Liver Toxicity)
Hispanic Ethnicity
Histoplasmosis
HIV Antibody
HIV Eradication
HIV Prevalence
HIV Proviral DNA Testing
HIV p24 Antigen
HIV-related Adverse Events
HIV Replication
HIV RNA and HIV bDNA Testing
HIV Therapeutics