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The Effect of Zidovudine on Patient Subgroups
John D. Hamilton, MD;
Pamela M. Hartigan, PhD;
Michael S. Simberkoff, MD
The AIDS Cooperative Studies Group US Department of Veterans Affairs Durham, NC
JAMA. 1992;267(18):2472-2473.
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To the Editor.
—The recent articles by Lagakos et al1 and Easterbrook et al2 provide data on the effects of zidovudine on black and Hispanic human immunodeficiency virus (HIV)-infected patients. Neither study, however, was originally designed to assess these subgroups of patients prospectively. Both articles were prompted by reports from the US Department of Veterans Affairs (VA) Cooperative Study 298—first to the Food and Drug Administration Antiviral Advisory Committee in February 1991 and then in abstract form3—suggesting that minority patients may respond differently to zidovudine than white patients do.
Lagakos et al combined data from two studies by the AIDS [acquired immunodeficiency syndrome] Clinical Trials Group (ACTG), which were designed to evaluate the efficacy of zidovudine vs placebo in symptomatic (ACTG trial 016) and asymptomatic (ACTG trial 019) HIV infection. Subset analyses showed that zidovudine was equally effective in delaying the onset of AIDS in black,
. . . [Full Text PDF of this Article]
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