Getting Smarter — The Toxicity of Undertreated HIV Infection.

The author comments on the Strategies for Management of Antiretroviral Therapy (SMART) trial that was carried out to determine whether withholding therapy for long periods would result in human immunodeficiency viruses (HIV)-associated complications. According to the author, the results of the SMART study underscore the benefit of using adequately powered randomized trials to evaluate new treatment strategies in clinical medicine.