Abstract

Department of Clinical Viro-Immunology, Central Laboratory of the Netherlands Red Cross Blood Transfusion Service, and Laboratory of Experimental and Clinical Immunology, University of Amsterdam, Amsterdam, The Netherlands The natural course of HIV-I infection is highly variable between individuals. Therefore, surrogate markers, alone or in combination, have been exten­sively evaluated for their ability to predict progres­sion to disease. With the increasing opportunities for early intervention with antiviral drugs, there is a growing need for surrogate markers that can be used as inclusion/exclusion criteria and for moni­toring the clinical course during treatment. More­over, early markers that predict long term clinical efficacy of the drug administered are needed to de­cide on continuation or modification of therapy. In addition, the availability of such surrogate markers may limit the study period and number of partici­pants in clinical trials without decreasing statistical power to unreliably low levels. This brief review provides an overview of the most commonly used surrogate markers for monitoring HIV-I infection and discusses the available data on their predictive value in the outcome of antiviral therapy.

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