TABLE 21

CI values of two-drug combinations against HIV-1 IIIa replication in MT4 cells CI < 1, = 1, and > 1 indicate synergism, additive effect, and antagonism, respectively, as described by Chou and Talalay (1984).

Drug Combinationsa CI Values at: Weighted Average CI Valuesb Assigned Symbolc
EC50 EC75 EC90 EC95
AZT + DDC 1.469 1.321 1.189 1.107 1.211 – –
AZT + DDI 0.992 0.956 0.925 0.907 0.931 ±
AZT + D4T 1.772 1.622 1.485 1.399 1.567 – – –
AZT + IFN 0.897 0.920 0.954 0.982 0.953 ±
AZT + NEV 0.455 0.451 0.446 0.444 0.447 + + +
AZT + ABT-538 0.580 0.603 0.628 0.647 0.626 + + +
DDI + DDC 1.377 1.421 1.466 1.498 1.461 – – –
DDI + D4T 1.606 1.551 1.499 1.464 1.506 – – –
DDI + NEV 0.770 0.685 0.611 0.566 0.624 + + +
DDI + IFN 0.619 0.711 0.819 0.905 0.812 + +
DDI + ABT-538 0.619 0.602 0.594 0.593 0.598 + + +
DDC + D4T 1.152 1.049 0.956 0.899 0.971 ±
DDC + NEV 1.064 0.946 0.842 0.778 0.859 +
DDC + ABT-538 0.952 0.890 0.833 0.798 0.842 + +
DDC + IFN 0.890 0.842 0.808 0.791 0.816 + +
D4T + NEV 1.189 1.075 0.973 0.909 0.989 ±
D4T + IFN 0.940 0.850 0.774 0.730 0.782 + +
D4T + ABT-538 1.263 1.225 1.188 1.163 1.193
IFN + NEV 0.575 0.563 0.555 0.553 0.558 + + +
IFN + ABT-538 0.921 0.778 0.673 0.617 0.696 + + +
NEV + ABT-538 0.876 0.807 0.744 0.705 0.754 + +
  • a The combination ratios are designed to approximate the IC50 ratios in which the seven drugs and their corresponding constituent components have the combination ratio of AZT/DDI/DDC/IFN/D4T/NEV/ABT-538 = 1:1600:50:16:10:40:4

  • b Because the high degrees of effects are more important to the chemotherapy than the low degrees of effects, the weighted CI value was designed as CIwt = [CI50 + 2CI75 + 3CI90 + 4CI95]/10

  • c Degrees of synergism (+ signs) or antagonism (– signs) are based on the ranges of CI values as described in Table 4