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Medical Forum / Diseases and Disorders / AIDS / April 2007

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Concerns over new 'HIV drug'

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HIV Positive - 21 Apr 2007 14:33 GMT
<http://www.montereyherald.com/health/ci_5720666>:

"Health officials repeated safety concerns about an experimental group
of HIV drugs Friday, days before government advisers will recommend
whether the first drug from the class merits approval.

[...]

Pfizer believes there is a clear unmet need for new drugs to fight HIV
in patients for whom other, older drugs no longer work. Celsentri is
unlike any other HIV medicines now on the market in that it targets
the cells of patients and not the virus itself.

[...]

The FDA and Pfizer both said that studies showed adding Celsentri to a
traditional HIV treatment regimen was more effective in dropping the
virus below detectable levels in patients.

But the FDA continues to be concerned about potential safety issues
with the entire class of drugs, called CCR5 receptor antagonists.
Those issues include the possibility the drugs could increase the
likelihood of infection, lymphoma or liver damage in HIV patients.

They've also been linked to heart rhythm changes in laboratory
animals.

Most worrisome is that the drugs could accelerate a shift from one
variant of HIV to a second, which is most often seen in the sickest
AIDS patients. Patients on Celsentri likely would have to be tested
regularly to monitor whether the drug is driving such a shift.

[...]

Since 1987, the FDA has approved 29 drugs, including combination
medicines, in four different classes to fight HIV. CCR5 receptor
antagonists would represent a new, fifth class."
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nappy-headed ho - 26 Apr 2007 17:02 GMT
HIV Positive wrote...
> But the FDA continues to be concerned about potential safety issues
> with the entire class of drugs, called CCR5 receptor antagonists.
> Those issues include the possibility the drugs could increase the
> likelihood of infection, lymphoma or liver damage in HIV patients.

But why should they care?  If only HIV drugs cause more organ damage,
to off the zombie before he can do too much harm.

> Most worrisome is that the drugs could accelerate a shift from one
> variant of HIV to a second, which is most often seen in the sickest
> AIDS patients. Patients on Celsentri likely would have to be tested
> regularly to monitor whether the drug is driving such a shift.

Ah, an HIV medication that mutates the virus!  I already predicted such
a possibility - that the combination of the most sophisticated virus
with the antiviral drugs with the countless common viruses in the
general environment could lead to explosion of free genetic fragments
that could recombine to form new strains or entirely new species or
families of viruses, and ones that are immune to all existing drugs.

Try to imagine what happens in a typical gay bathhouse (e.g. FlexxSpa
in West Hollywood).  Imagine dozens of HIV-infected men, each one
suffering from a unique combination of low-grade viral and bacterial
infections, and each being treated with a unique combination of
antimicrobial drugs.  Then take the semen from all those men and mix
thoroughly inside the rectum of another man, add the natural surface
microbes from the various foreign objects inserted in the same rectum,
and toss in a few trans-species viruses like hantavirus and SARS from
the rodents and civets used to plug the guy's sphincter.  The genetic
free-for-all will combine in quadrillions of different ways, creating
an entirely new frankenvirus that has all the survival advantages of
the viruses it evolved from, and it will destroy the human race (if
not most existing life forms).
 
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