{"id":5014,"date":"2014-03-10T12:29:15","date_gmt":"2014-03-10T16:29:15","guid":{"rendered":"http:\/\/blogs.nejm.org\/?p=5014"},"modified":"2014-03-10T12:29:15","modified_gmt":"2014-03-10T16:29:15","slug":"croi-is-over-and-a-baby-once-again-takes-center-stage","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/croi-is-over-and-a-baby-once-again-takes-center-stage\/2014\/03\/10\/","title":{"rendered":"CROI Is Over &#8212; and a Baby Once Again Takes Center Stage"},"content":{"rendered":"<p>One of our fellows asked me this AM when I was posting a RRR (Really Rapid Review\u2122) of CROI 2014, and my response was to clear my throat, make some vague excuses, and curse the respiratory viruses that seem as perpetual as the cold weather this year.<\/p>\n<p>It&#8217;s in the works, promise &#8212; but in the meantime, did you see the <em>New York Times<\/em> Editorial Page yesterday? Under the title, &#8220;Great Hope for Babies With H.I.V.&#8221;, the editorial cites the case reported at CROI last week of a second baby possibly &#8220;cured&#8221; of HIV after starting ART soon after birth.<\/p>\n<p>Why do I use the word <em>possibly<\/em> and put the word &#8220;cured&#8221; in quotes? From the <a href=\"http:\/\/www.nytimes.com\/2014\/03\/09\/opinion\/sunday\/great-hope-for-babies-with-hiv.html?action=click&amp;module=Search&amp;region=searchResults%230&amp;version=&amp;url=http%3A%2F%2Fquery.nytimes.com%2Fsearch%2Fsitesearch%2F%3Faction%3Dclick%26region%3DMasthead%26pgtype%3DSectionFront%26module%3DSearchSubmit%26contentCollection%3Dopinion%26t%3Dqry459%23%2FHIV%2F7days%2F&amp;_r=0\" target=\"_blank\"><em>Times<\/em><\/a>:<\/p>\n<p style=\"padding-left: 30px\">The baby, now 9 months old, has no signs of virus in her blood that can be detected by the most highly sophisticated tests. <strong>She cannot be considered \u201ccured\u201d or even \u201cin remission\u201d because she is still taking the drugs.<\/strong><\/p>\n<p>Yes, that bolding is mine.<\/p>\n<p>Isn&#8217;t it incredible how much attention this case has received, despite that oh-so-important fact?<\/p>\n<p>Prediction: \u00a0One day we will be treating all babies born to HIV-infected mothers who are not receiving ART with combination therapy, at least initially.<\/p>\n<p>But until we have more than a few of these anecdotes &#8212; especially those that have stopped treatment and not experienced viral rebound &#8212; let&#8217;s calm down already.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>One of our fellows asked me this AM when I was posting a RRR (Really Rapid Review\u2122) of CROI 2014, and my response was to clear my throat, make some vague excuses, and curse the respiratory viruses that seem as perpetual as the cold weather this year. It&#8217;s in the works, promise &#8212; but in [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,8,10],"tags":[244,423,427],"class_list":["post-5014","post","type-post","status-publish","format-standard","hentry","category-health-care","category-patient-care","category-research","tag-croi","tag-hiv","tag-hiv-cure"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/5014","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/comments?post=5014"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/5014\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/media?parent=5014"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/categories?post=5014"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/tags?post=5014"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}