%0 Journal Article %T Improved Survival of HIV-1-Infected Patients with Progressive Multifocal Leukoencephalopathy Receiving Early 5-Drug Combination Antiretroviral Therapy %A Jacques Gasnault %A Dominique Costagliola %A Houria Hendel-Chavez %A Anne Dulioust %A Sophie Pakianather %A Anne-Aur¨¦lie Mazet %A Marie-Ghislaine de Goer de Herve %A R¨¦mi Lancar %A Anne-Sophie Lascaux %A Lydie Porte %A Jean-Fran£¿ois Delfraissy %A Yassine Taoufik %J PLOS ONE %D 2012 %I Public Library of Science (PLoS) %R 10.1371/journal.pone.0020967 %X Progressive multifocal leukoencephalopathy (PML), a rare devastating demyelinating disease caused by the polyomavirus JC (JCV), occurs in severely immunocompromised patients, most of whom have advanced-stage HIV infection. Despite combination antiretroviral therapy (cART), 50% of patients die within 6 months of PML onset. We conducted a multicenter, open-label pilot trial evaluating the survival benefit of a five-drug cART designed to accelerate HIV replication decay and JCV-specific immune recovery. %U http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0020967