Nevirapine versus Ritonavir-Boosted Lopinavir for HIV-Infected Children
New England Journal of Medicine, 06/25/2012
Violari A et al. – Outcomes were superior with ritonavir–boosted lopinavir among young children with no prior exposure to nevirapine. Factors that may have contributed to the suboptimal results with nevirapine include elevated viral load at baseline, selection for nevirapine resistance, background regimen of nucleoside reverse–transcriptase inhibitors, and the standard ramp–up dosing strategy. The results of this trial present policymakers with difficult choices.