Post-treatment and spontaneous HIV control : Current Opinion in HIV and AIDS

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PROGRESS IN ACHIEVING LONG-TERM HIV REMISSION: Edited by Jean-Daniel Lelièvre and Timothy J. Henrich

Post-treatment and spontaneous HIV control

Martin, Genevieve E.a; Frater, Johna,b

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Current Opinion in HIV and AIDS 13(5):p 402-407, September 2018. | DOI: 10.1097/COH.0000000000000488


Purpose of review 

The aim of the current review is to explore the evidence around virological remission in ART-treated and untreated individuals living with HIV. With increasing evidence and interest in post-treatment control within the HIV-cure field, it is now increasingly important to agree on definitions to allow different ‘controller’ phenotypes to be clearly distinguished and mechanisms compared.

Recent findings 

This review explores recent data on potential predictors and mechanisms driving spontaneous and post-treatment control. We explore data on the role of the reservoir as a determinant of control and the challenges associated with its study, including the safety of treatment interruption. We explore options around deriving a consensus on how to define different forms of control and the longer term utility of achieving remission.


Post-treatment control and remission following treatment interruption are becoming increasingly common measures of intervention efficacy in cure trials. As well as a need to show treatment interruption protocols are well tolerated and acceptable, for these measures to be robust and comparable between studies, clear and consensual definitions need to be agreed.

Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.

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