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HIV/AIDS Editors' Choice: Top Stories of 2013

Letter to Readers |
December 30, 2013

HIV/AIDS Editors' Choice: Top Stories of 2013

  1. Paul E. Sax, MD

A perspective on the most important research in the field from the past year

  1. Paul E. Sax, MD

This has been an exciting year for us, with organizational changes that are reflected in our new title: NEJM Journal Watch AIDS Clinical Care. We remain devoted to providing clinicians with the information they need to give their patients the best care — and, as part of NEJM Group, we are now poised to do that better than ever.

The biggest change in HIV treatment over the past year has been the continued emergence of integrase inhibitor–based regimens as top options for first-line therapy. This trend began with raltegravir in the late 2000s, accelerated when co-formulated tenofovir/FTC/elvitegravir/cobicistat was approved in 2012, and now has been further strengthened by the recent approval of dolutegravir. In response to accumulating research and clinical data on tenofovir/FTC/elvitegravir/cobicistat and impressive results in the phase III dolutegravir studies, the Department of Health and Human Services Panel on Antiretroviral Guidelines for Adults and Adolescents recently issued an interim update to its “What to Start” section, which now includes both elvitegravir/cobicistat- and dolutegravir-based regimens as “preferred” options. On the prevention front, yet another candidate vaccine failed to demonstrate protective efficacy; better news emerged from a modeling analysis of HPTN 052 data, showing that early treatment of the HIV-infected partners in serodiscordant couples would at the very least be cost-effective, and may even be cost-saving. And finally, a long-awaited update to the occupational postexposure prophylaxis guidelines was released, offering clinicians a much more contemporary range of options for preventive therapy.

Our HIV/AIDS top stories of 2013 are:

Dolutegravir

Updated Recommendations on INSTI-Based Regimens for ART-Naive Patients

Occupational Postexposure Prophylaxis Guidelines, Updated

Antiretroviral PrEP for Injection-Drug Users?

Comparative Trial of Maraviroc vs. Tenofovir/FTC Halted

Early Treatment of Serodiscordant Couples Is Cost-Effective

Disappointing Results from Another HIV Vaccine Efficacy Trial

Presenting CD4-Cell Count Is Rising, but Slowly

Validating WHO-Recommended Second-Line ART

ART-Free Remission in an HIV-Infected Infant with Very Early Treatment

  • Disclosures for Paul E. Sax, MD at time of publication Consultant / Advisory board Bristol-Myers Squibb; Gilead; GlaxoSmithKline; Janssen; Merck Grant / research support NIH; Bristol-Myers Squibb; Gilead; GlaxoSmithKline; Merck Editorial boards Medscape; UpToDate Leadership positions in professional societies Mass ID Society (Vice President)

Reader Comments (2)

HELMUT ALBRECHT Physician, Infectious Disease

It was good seeing you at CROI, Paul. I think these are great choices and you did a great job putting them into perspective. Personally (and on the global scale) I thought the revision (and massive expansion of scope) of the WHO guidelines was a real game changer and was therefore high on my top 10 list.
BTW, I never got my prize for the winning article but that was probably just an oversight.

Josef Hartono Physician, Other, Gatot Soebroto, The Central Army Hospital

Iy is very useful for me

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