Skip to main content

Cost-effectiveness protocol for treating adult HIV-infected patients with Kaposi sarcoma in resource-limited settings: a phase III, randomized, open-label, non-inferiority study of paclitaxel and pegylated liposomal doxorubicin

March 2, 2026
November 2025 BACKGROUND This paper presents the rationale and plan for a cost-effectiveness analysis conducted alongside an open-label, prospective, randomized, two-arm, multicenter, non-inferiority study by the Consortium for Advancing the Prevention and Management of Cancer in People with HIV (AMC) in sub-Saharan Africa. The study compares two commonly used chemotherapy...

Mortality and Associated Risk Factors Among People Living With HIV With Kaposi Sarcoma: A5263/AMC066 and A5264/AMC067

March 2, 2026
November 2024 BACKGROUND AIDS-related Kaposi sarcoma (AIDS-KS) remains a leading cause of morbidity and mortality among people living with HIV in Africa. Mortality among people with AIDS-KS on antiretroviral therapy remains high compared with people on antiretroviral therapy who do not have AIDS-KS. SETTING People living with HIV with Kaposi...

Diagnosis and Management of Kaposi Sarcoma-Associated Herpesvirus Inflammatory Cytokine Syndrome in Resource-Constrained Settings: A Case Report and an Adapted Case Definition

March 6, 2025
December 2024 Kaposi sarcoma-associated herpes virus (KSHV), also known as human herpes virus 8 (HHV-8), is the primary etiologic cause of Kaposi sarcoma (KS) and KSHV Inflammatory Cytokine Syndrome (KICS). Patients with KICS demonstrate symptoms of systemic inflammation, high KSHV viral load, elevation of inflammatory markers, and increased mortality. Management...

Tumor-Associated Edema in Children with Kaposi Sarcoma: 14 Years’ Experience at Kamuzu Central Hospital, Lilongwe, Malawi.

March 6, 2025
November 2024 Background/Objectives: Kaposi sarcoma (KS) is a common lymphatic endothelial cancer among children with and without HIV in central and eastern Africa. Despite its clinical heterogeneity, its various clinical phenotypes are often grouped together in staging and treatment algorithms. Patients with KS tumor-associated edema, referring to hard, non-pitting lesions...

Letters to the Editor Low Rates of Side Effects in Paclitaxel Chemotherapy for Kaposi Sarcoma and Feasibility of Treatment in Outpatient ART Clinic Settings in Malawi.

March 6, 2025
May 2024 Kaposi sarcoma (KS), caused by human herpes virus 8,1 is the most common cancer in HIV-infected individuals. Immunosuppression is an important risk factor of KS development and before antiretroviral therapy (ART) treatment became widely available in a large proportion of people living with HIV developed KS.2 In 2020,...

Addressing the Intersectional Stigma of Kaposi Sarcoma and HIV: A Call to Action

March 6, 2025
February 2024 Epidemic Kaposi sarcoma (KS), also called AIDS-related KS, is one of the most commonly diagnosed cancers in people living with HIV (PLWH). In Malawi, KS is the leading cancer overall, accounting for 34% of all malignancies recorded in the national registry.1 Although the incidence of KS has substantially...

Pediatric HIV+ Kaposi sarcoma exhibits clinical, virological, and molecular features different from the adult disease

January 24, 2025
November 2023 BACKGROUND Kaposi sarcoma (KS) is among the most common childhood cancers in Eastern and Central Africa. Pediatric KS has a distinctive clinical presentation compared with adult KS, which includes a tendency for primary lymph node involvement, a considerable proportion of patients lacking cutaneous lesions, and a potential for...

Case Report: Multicentric Castleman Disease as a Manifestation of Immune Reconstitution Inflammatory Syndrome in Malawi

October 11, 2023
December 2022 INTRODUCTION Multicentric Castleman disease (MCD) is a lymphoproliferative disorder characterized by systemic inflammation, lymphadenopathy, and cytopenias. MCD caused by Kaposi sarcoma herpesvirus (MCD-KSHV) frequently arises in the context of HIV. It can be associated with immune reconstitution inflammatory syndrome (IRIS), but MCD-IRIS is rarely reported in sub-Saharan Africa...

Excellent Clinical Outcomes for Adults with HIV-Associated Kaposi Sarcoma

May 20, 2015
May 2015 – HIV-associated Kaposi Sarcoma is the most common cancer in Malawi. This retrospective cohort study found that providing standard-of-care chemotherapy regimens from the developed world was both effective and feasible.