PMID- 18279104 OWN - NLM STAT- MEDLINE DCOM- 20080414 LR - 20130527 IS - 1079-9907 (Print) IS - 1079-9907 (Linking) VI - 28 IP - 2 DP - 2008 Feb TI - Safety, tolerability, pharmacokinetics, and efficacy of an interleukin-2 agonist among HIV-infected patients receiving highly active antiretroviral therapy. PG - 89-100 LID - 10.1089/jir.2007.0064 [doi] AB - We sought to determine the safety, maximum tolerated dose, optimal dose, and preliminary dose efficacy of intermittent subcutaneously (s.c.) administered BAY 50-4798 among patients with HIV infection receiving highly active antiretroviral therapy (HAART) compared with patients receiving HAART alone. A phase I/II randomized, double-blind, dose-escalation study was conducted of the safety, tolerability, pharmacokinetics, and efficacy of s.c. BAY 50-4798 administered to HIV-infected patients already receiving stable HAART. There were no unexpected safety findings in a population of HIV-infected patients receiving HAART plus SC BAY 50-4798 as adjunctive therapy. BAY 50-4798 exhibited nearly dose-proportional pharmacokinetics, and accumulation was minimal during multiple-dose treatment. Limited efficacy data indicated that treatment with BAY 50-4798 caused at least a transient increase in CD4(+) T cell counts in some recipients, particularly at the early time points. In general, this effect appeared to increase with increasing dose. Bay 50-4798 was generally well tolerated across the dose range tested, but a lack of potent, sustained immunologic activity suggests that further optimization of dose and schedule will be necessary. FAU - Davey, Richard T AU - Davey RT AD - National Institutes of Health, National Institute of Allergy and Infectious Disease, Bethesda, MD 20892, USA. rdavey@niaid.nih.gov FAU - Pertel, Peter E AU - Pertel PE FAU - Benson, Alice AU - Benson A FAU - Cassell, Delanie J AU - Cassell DJ FAU - Gazzard, Brian G AU - Gazzard BG FAU - Holodniy, Mark AU - Holodniy M FAU - Lalezari, Jacob P AU - Lalezari JP FAU - Levy, Yves AU - Levy Y FAU - Mitsuyasu, Ronald T AU - Mitsuyasu RT FAU - Palella, Frank J AU - Palella FJ FAU - Pollard, Richard B AU - Pollard RB FAU - Rajagopalan, Prabhu AU - Rajagopalan P FAU - Saag, Michael S AU - Saag MS FAU - Salata, Robert A AU - Salata RA FAU - Sha, Beverly E AU - Sha BE FAU - Choudhri, Shurjeel AU - Choudhri S LA - eng PT - Clinical Trial, Phase I PT - Clinical Trial, Phase II PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PL - United States TA - J Interferon Cytokine Res JT - Journal of interferon & cytokine research : the official journal of the International Society for Interferon and Cytokine Research JID - 9507088 RN - 0 (Anti-HIV Agents) RN - 0 (Cytokines) RN - 0 (Interleukin-2) RN - 0 (Recombinant Proteins) RN - M89N0Q7EQR (aldesleukin) SB - IM MH - Adult MH - Anti-HIV Agents/*administration & dosage/adverse effects/pharmacokinetics MH - *Antiretroviral Therapy, Highly Active MH - Cytokines/metabolism MH - Double-Blind Method MH - Female MH - HIV Infections/*drug therapy/immunology/metabolism MH - Humans MH - Injections, Subcutaneous MH - Interleukin-2/administration & dosage/adverse effects/agonists/*analogs & derivatives/pharmacokinetics MH - Lymphocyte Count MH - Male MH - Maximum Tolerated Dose MH - Middle Aged MH - Recombinant Proteins/administration & dosage/adverse effects/pharmacokinetics EDAT- 2008/02/19 09:00 MHDA- 2008/04/15 09:00 CRDT- 2008/02/19 09:00 PHST- 2008/02/19 09:00 [pubmed] PHST- 2008/04/15 09:00 [medline] PHST- 2008/02/19 09:00 [entrez] AID - 10.1089/jir.2007.0064 [doi] PST - ppublish SO - J Interferon Cytokine Res. 2008 Feb;28(2):89-100. doi: 10.1089/jir.2007.0064.