Document 2856 DOCN M94A2856 TI Triple combination therapy of Foscarnet. DT 9412 AU Convey P; Scolaro M; Brucker R SO Int Conf AIDS. 1994 Aug 7-12;10(1):209 (abstract no. PB0267). Unique Identifier : AIDSLINE ICA10/94369719 AB OBJECTIVE: To evaluate the efficacy of Foscarnet, a non-nucleoside HIV-1 reverse transcriptase inhibitor, given in combination with 2 nucleoside HIV reverse transcriptase inhibitors on immunological and virological markers. METHOD. Foscarnet was given intravenously (90 mg/kg every 12 hours as an induction for 30 days, followed by a maintenance dose of 90 mg/kg every 24 hours for 40-70 days), in combination with the nucleoside HIV-1 reverse transcriptase inhibitors zidovudine (300-600 mg/daily), and either dideoxyinosine (400-600 mg/daily based on kilogram weight) or dideoxycytidine (0.75-2.25 mg/daily) to 18 HIV-1 positive male patients with mean CD4 cell count (45 +/- 20), who had been given nucleoside HIV-1 inhibitors for 8-16 weeks prior to combination therapy. RESULTS: Patients with p24 antigenemia (14/18) showed a transient decline (30% to 85%) in serum p24 concentration after the start of combination therapy with a gradual return to baseline levels before the end of the therapy regimen. Significant changes in CD4, CD8, B, NK cell, and B-2 microglobulin levels were not observed during the course or after combination therapy. Hematologic and renal toxicities were observed. These were transient and resolved by dosage adjustment. CONCLUSION: Foscarnet in combination with AZT and DDI or DDC resulted in significant, though transient, reduction of p24 antigenemia. DE Bone Marrow Diseases/CHEMICALLY INDUCED Comparative Study Foscarnet/ADMINISTRATION & DOSAGE/ADVERSE EFFECTS/*THERAPEUTIC USE Human HIV Core Protein p24/BLOOD HIV-1/*DRUG EFFECTS Kidney Diseases/CHEMICALLY INDUCED Reverse Transcriptase/*ANTAGONISTS & INHIB Treatment Outcome Viremia/DRUG THERAPY Zalcitabine/ADMINISTRATION & DOSAGE/ADVERSE EFFECTS/*THERAPEUTIC USE Zidovudine/ADMINISTRATION & DOSAGE/ADVERSE EFFECTS/*THERAPEUTIC USE CLINICAL TRIAL MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).