An official website of the United States government
The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before
sharing sensitive information, make sure you’re on a federal
government site.
The site is secure.
The https:// ensures that you are connecting to the
official website and that any information you provide is encrypted
and transmitted securely.
Legend: ART-naïve (i.e, persons not previously using…
Figure 1. The design of the START trial
Legend: ART-naïve (i.e, persons not previously using antiretroviral therapy [ART]) HIV-positive persons with normal immune function (i.e., a CD4 cell count above 500 cells/μL) are randomly allocated to start ART immediately or until the CD4 count has further decreased to levels below which the person starts to become at risk of contracting opportunistic diseases (i.e., AIDS) if left untreated; if AIDS develops when the CD4 count is still above 350 cells/μL then ART should also be initiated.
Emery S, Neuhaus JA, Phillips AN, et al. Major clinical outcomes in antiretroviral therapy (ART)-naive participants and in those not receiving ART at baseline in the SMART study. J Infect Dis. 2008;197:1133–1144.
-
PubMed
Severe P, Juste MA, Ambroise A, et al. Early versus standard antiretroviral therapy for HIV-infected adults in Haiti. N Engl J Med. 2010;363:257–265.
-
PMC
-
PubMed
Grinsztejn B, Hosseinipour MC, Ribaudo HJ, et al. Effects of early versus delayed initiation of antiretroviral treatment on clinical outcomes of HIV-1 infection: results from the phase 3 HPTN 052 randomised controlled trial. Lancet Infect Dis. 2014;14:281–290.
-
PMC
-
PubMed
Kitahata MM, Gange SJ, Abraham AG, et al. Effect of early versus deferred antiretroviral therapy for HIV on survival. N Engl J Med. 2009;360:1815–1826.
-
PMC
-
PubMed
Sterne JA, May M, Costagliola D, et al. Timing of initiation of antiretroviral therapy in AIDS-free HIV-1-infected patients: a collaborative analysis of 18 HIV cohort studies. Lancet. 2009;373:1352–1363.
-
PMC
-
PubMed