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Previous reports from the SMART study demonstrated that interrupting antiretroviral therapy (ART) at CD4 counts >350 cells/mm3 substantially increases the risk for HIV progression and for non-AIDS complications (ACC Nov 29 2006). Now, as described at the 4th IAS Conference on HIV Pathogenesis, Treatment and Prevention, investigators have conducted a variety of substudies in SMART to further evaluate the consequences of both delayed treatment initiation and treatment interruption.
Although the vast majority of SMART participants were receiving antiretrovirals at study enrollment, a small number of patients (approximately 500) were treatment naive or had not received ART in the 6 months prior to enrollment…