Open Label, Single Centre Study of Babao Relief Capsule as an Adjuvant to HAART in Antiretroviral Naive HIV Patients

Brig Gen Lawson F. Simapuka
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Abstract

HIV continues to be a major global public health issue, having claimed 36.3 million [27.2–47.8 million] lives so far (WHO, 2021). Sub-Sahara Africa remains the far worst affected region, with 20.6 million [16.8 million– 24.4 million] people living with HIV at the end of 2010, compared to 24.4 (22.5-27.3 million) in 2020. Complementary and alternative therapy (CAM) has been used to treat HIV patients by clinicians in conventional health services in combination with highly active antiretroviral therapy (HAART). To determine efficacy of Babao relief capsule when used as an adjuvant to standard HAART in antiretroviral naïve HIV patients. The product is a biological Chinese medicinal preparation, made of herbs. Ingredients include ginseng, beer antler, musk, bezoar, fleeceflower, Chinese angelica, lyceum, pericarpium citri reticulatae, safflower and ophiopogn japonicus. Open Label Phase 1 bridging Clinical trial to study the efficacy of Babao relief capsule when used in combination standard HAART in antiretroviral naïve HIV patients. A total of one hundred and ninety-six (196) adult patients attending the HIV clinic were randomly selected. The interventional group was on Babao relief capsule and HAART while the control group was on HAART only. The study shows general efficacy of the standard HAART drugs. However, the interventional arm showed a significant increase in the CD4 cell count, showing that BRC had booster effects in the efficacy of HAART. Keywords: HIV, Complementary and alternative therapy, Babao relief capsule, standard highly active antiretroviral therapy.
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巴布膏缓解胶囊作为 HAART 的辅助药物用于抗逆转录病毒药物耐受性艾滋病患者的开放标签单中心研究
艾滋病毒仍然是一个重大的全球公共卫生问题,迄今已夺走了 3,630 万[2,720 万至 4,780 万]人的生命(世卫组织,2021 年)。撒哈拉以南非洲仍是受影响最严重的地区,2010 年底有 2,060 万人[1,680 万至 2,440 万]感染艾滋病毒,而 2020 年将达到 2,440 万人(2,250 万至 2,730 万)。传统医疗服务机构的临床医生已将补充和替代疗法(CAM)与高效抗逆转录病毒疗法(HAART)相结合,用于治疗艾滋病患者。本研究旨在确定八宝解毒胶囊作为标准 HAART 的辅助药物用于抗逆转录病毒疗法不成熟的 HIV 患者的疗效。该产品是一种生物中药制剂,由中草药制成。成分包括人参、啤酒鹿茸、麝香、牛黄、羊毛脂、当归、枸杞子、陈皮、红花和麦冬。开放标签 1 期桥接临床试验,研究八宝解毒胶囊与标准 HAART 联合使用对抗逆转录病毒药物未达标的 HIV 患者的疗效。该试验随机选取了一百九十六(196)名在艾滋病诊所就诊的成年患者。干预组服用巴布期缓解胶囊和 HAART,对照组仅服用 HAART。研究显示,标准 HAART 药物具有普遍疗效。然而,干预组的 CD4 细胞计数显著增加,表明巴布期缓解胶囊对 HAART 的疗效有促进作用。关键词艾滋病;补充和替代疗法;巴布期缓解胶囊;标准高活性抗逆转录病毒疗法。
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