Evidence map›Paper›PMID 28152047›Full record

ArticlePloS one2017

Effectiveness and tolerance of single tablet versus once daily multiple tablet regimens as first-line antiretroviral therapy - Results from a large french multicenter cohort study.

Laurent Cotte, Tristan Ferry, Pascal Pugliese, Marc-Antoine Valantin, Clotilde Allavena, André Cabié, Isabelle Poizot-Martin, David Rey, Claudine Duvivier, Antoine Cheret and 4 more

Open access · goldAbstract readComparative StudyMulticenter Study
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 51 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 11 institutions in 2 countries.

Laurent CotteDepartment of Infectious Diseases, Croix-Rousse Hospital, Hospices Civils de Lyon, Lyon, France.
Tristan FerryDepartment of Infectious Diseases, Croix-Rousse Hospital, Hospices Civils de Lyon, Lyon, France.
Pascal PuglieseDepartment of Infectious Diseases, Centre Hospitalier Universitaire de Nice, Hôpital l'Archet, Nice, France.
Marc-Antoine ValantinDepartment of Infectious Diseases, Assistance Publique - Hôpitaux de Paris, Pitié-Salpêtrière Hospital, Paris, France.
Clotilde AllavenaDepartment of Infectious Diseases, Hôtel Dieu, Nantes, France.
André CabiéDepartment of Infectious Diseases, CHU de Martinique, Fort-de-France, France.
Isabelle Poizot-MartinImmuno-hematology clinic, Assistance Publique - Hôpitaux de Marseille, Hôpital Sainte-Marguerite, Marseille, France.
David ReyHIV Infection Care Centre, Hôpitaux Universitaires, Strasbourg, France.
Claudine DuvivierDepartment of Infectious Diseases, Centre d'Infectiologie Necker-Pasteur, IHU Imagine, Assistance Publique - Hôpitaux de Paris, Hôpital Necker-Enfants Malades, Paris, France.
Antoine CheretUniversité Paris Descartes, Sorbonne Paris Cité, EA7327, Paris, France.
Pierre DellamonicaDepartment of Infectious Diseases, Centre Hospitalier Universitaire de Nice, Hôpital l'Archet, Nice, France.
Pierre PradatINSERM U1052, Lyon, France.
Jean-Jacques ParientiDepartment of Infectious Diseases, Côte de Nacre University Hospital, Caen, France.
Dat’AIDS study group
Centre de Recherche en Cancérologie de Lyon · FRInserm · FRAix-Marseille Université · FRCentre Hospitalier Universitaire de Nice · FRDélégation Paris 5 · FRHôpital l'Archet · FRHôpital Necker-Enfants Malades · FRHôpitaux Universitaires de Strasbourg · FRHospices Civils de Lyon · FRHôtel-Dieu de Paris · FRUniversité de Caen Normandie · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPill burden during antiretroviral treatment (ART) is associated with worse adherence and impaired virological suppression. We compared the effectiveness, tolerance, and persistence on treatment of single tablet regimens (STRs) with non-STR once-daily regimens in patients receiving first-line ART.

methodsRetrospective analysis of naïve HIV-1 infected patients prospectively enrolled in the French Dat'AIDS cohort and initiating first-line ART with STRs or once-daily non-STRs from 2004 to 2013. The primary outcome was time to treatment discontinuation defined by any change in the treatment regimen. STR and non-STR groups were compared controlling for baseline risk factors by inverse probability weighted treatment Cox analysis (IPWT) and propensity-score matching (PSM).

resultsOverall, 3212 patients (STR 499, non-STR 2713) were included. Median time to treatment discontinuation was shorter in non-STR patients than in STR patients, both in the IPWT (HR = 0.61, p<0.0001) and the PSM cohort (HR = 0.55, p<0.0001). This difference disappeared when censoring ART modification for simplification, both in the IPWT (HR = 0.97, p = 0.65) and the PSM cohort (HR = 0.91, p = 0.33). A lower rate of virological failure was observed with STRs than with non-STRs in both cohorts (HR = 0.23; p = 0.002 and HR = 0.22, p = 0.003, respectively). A lower rate of treatment modification for adverse event was observed with non-STRs in the IPWT cohort (HR = 1.46, p<0.0001), but not in the PSM cohort (HR = 1.22, p = 0.11).

conclusionFirst-line therapy with STRs was associated with a longer time to treatment discontinuation than with non-STRs. However, when ART modification for simplification was not considered as a failure, STRs and non-STRs were similar.

Indexed as

AdultAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveDrug Administration ScheduleFemaleFranceHIV-1HIV InfectionsHumansMaleRetrospective StudiesAnti-HIV Agents

Identifiers

PMID28152047
PMCPMC5289500
OpenAlexW2584986959

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.