PMID- 22544446 OWN - NLM STAT- MEDLINE DCOM- 20140204 LR - 20120814 IS - 1545-1097 (Print) IS - 1545-1097 (Linking) VI - 11 IP - 4 DP - 2012 Jul-Aug TI - Diarrhea associated with lopinavir/ritonavir-based therapy: results of a meta-analysis of 1469 HIV-1-infected participants. PG - 252-9 LID - 10.1177/1545109712442984 [doi] AB - BACKGROUND: Antiretroviral therapy is associated with adverse events (AEs). The most frequently reported AE associated with lopinavir/ritonavir (LPV/r) containing regimens is diarrhea. The objective of this meta-analysis is to describe the incidence, prevalence, and duration of diarrhea in individuals taking LPV/r. METHODS: This is a meta-analysis of Abbott-conducted clinical trials. Inclusion criteria included prospective randomized clinical trials with the LPV/r tablet formulation and had AE data (moderate/severe diarrhea) available through 48 weeks of treatment. RESULTS: Three trials (total 1469 participants) met the inclusion criteria. In all, 11.2% of participants reported moderate/severe diarrhea by week 8, with median time to resolution of 7.4 weeks. The overall 48-week incidence of moderate/severe diarrhea was 15.5%. The discontinuation rate due to moderate/severe diarrhea was 1.3%. CONCLUSIONS: Moderate/severe diarrhea occurred in less than 1 in 6 participants taking LPV/r, typically started in the first 8 weeks of treatment and infrequently resulted in premature discontinuation. FAU - Wegzyn, Colleen M AU - Wegzyn CM AD - 1Abbott, Abbott Park, IL, USA. FAU - Fredrick, Linda M AU - Fredrick LM FAU - Stubbs, Roxann O AU - Stubbs RO FAU - Woodward, William C AU - Woodward WC FAU - Norton, Michael AU - Norton M LA - eng PT - Journal Article PT - Meta-Analysis DEP - 20120427 PL - United States TA - J Int Assoc Physicians AIDS Care (Chic) JT - Journal of the International Association of Physicians in AIDS Care (Chicago, Ill. : 2002) JID - 101185740 RN - 0 (Anti-HIV Agents) RN - 0 (Antidiarrheals) RN - 0 (Drug Combinations) RN - 2494G1JF75 (Lopinavir) RN - O3J8G9O825 (Ritonavir) SB - IM MH - Anti-HIV Agents/*adverse effects MH - Antidiarrheals/therapeutic use MH - Diarrhea/*chemically induced/drug therapy/*epidemiology MH - Drug Combinations MH - Drug Therapy, Combination MH - HIV Infections/*drug therapy/virology MH - *HIV-1 MH - Humans MH - Incidence MH - Lopinavir/*adverse effects MH - Prevalence MH - Risk Factors MH - Ritonavir/*adverse effects EDAT- 2012/05/01 06:00 MHDA- 2014/02/05 06:00 CRDT- 2012/05/01 06:00 PHST- 2012/05/01 06:00 [entrez] PHST- 2012/05/01 06:00 [pubmed] PHST- 2014/02/05 06:00 [medline] AID - 1545109712442984 [pii] AID - 10.1177/1545109712442984 [doi] PST - ppublish SO - J Int Assoc Physicians AIDS Care (Chic). 2012 Jul-Aug;11(4):252-9. doi: 10.1177/1545109712442984. Epub 2012 Apr 27.