Evidence map›Paper›PMID 28632758›Full record

Observational studyPloS one2017

Safety and tolerability of Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Disoproxil fumarate in a real life setting: Data from surveillance cohort long-term toxicity antiretrovirals/antivirals (SCOLTA) project.

Nicola Squillace, Elena Ricci, Tiziana Quirino, Andrea Gori, Alessandra Bandera, Laura Carenzi, Giuseppe Vittorio De Socio, Giancarlo Orofino, Canio Martinelli, Giordano Madeddu and 11 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Review
  7. Antiretroviral therapy and liver disorders in the OPERATherapeutic advances in drug safety · 2020
    Article
  8. Observational
  9. Article
  10. Review
  11. Unusual Signs and Symptoms in HIV-Positive Patients Coinfected withOpen access Macedonian journal of medical sciences · 2018
    Article
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

21 authors.

Nicola SquillaceInfectious Diseases Clinic, Azienda Socio Sanitaria Territoriale di MONZA, San Gerardo Hospital-University of Milano-Bicocca, Monza, Italy.ORCID http://orcid.org/0000-0002-7608-6045
Elena RicciDepartment of Infectious Diseases, Azienda Socio Sanitaria Territoriale Fatebenefratelli Sacco, Milano, Italy.
Tiziana QuirinoUnit of Infectious Diseases, Azienda Socio Sanitaria Territoriale della Valle Olona-Busto Arsizio (VA), Italy.
Andrea GoriInfectious Diseases Clinic, Azienda Socio Sanitaria Territoriale di MONZA, San Gerardo Hospital-University of Milano-Bicocca, Monza, Italy.
Alessandra BanderaInfectious Diseases Clinic, Azienda Socio Sanitaria Territoriale di MONZA, San Gerardo Hospital-University of Milano-Bicocca, Monza, Italy.
Laura CarenziDepartment of Infectious Diseases, Azienda Socio Sanitaria Territoriale Fatebenefratelli Sacco, Milano, Italy.
Giuseppe Vittorio De SocioUnit of Infectious Diseases, Santa Maria Hospital, Perugia, Italy.
Giancarlo OrofinoUnit of Infectious Diseases, Amedeo di Savoia Hospital, Torino, Italy.
Canio MartinelliUnit of Infectious Diseases, Careggi Hospital, Firenze, Italy.
Giordano MadedduDepartment of Clinical and Experimental Medicine, University of Sassari, Sassari, Italy.
Stefano RusconiInfectious Diseases, Department of Biomedical and Clinical Science Luigi Sacco, University of Milan, Milan, Italy.
Paolo MaggiInfectious Disease Clinic, University of Bari, Italy.
Benedetto Maurizio CelesiaUnit of Infectious Diseases, Garibaldi Hospital, Catania, Italy.
Laura CordierDepartment of Infectious Diseases, Azienda Socio Sanitaria Territoriale Fatebenefratelli Sacco, Milano, Italy.
Francesca VichiUnit of Infectious Diseases, Santa Maria Annunziata Hospital, Firenze, Italy.
Leonardo CalzaDepartment of Infectious Diseases, S.Orsola Malpighi Hospital, Bologna, Italy.
Katia FalascaClinic of Infectious Diseases, Department of Medicine and Science of Aging, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy.
Antonio Di BiagioInfectious Diseases, San Martino Hospital Genoa, University of Genoa, Genoa, Italy.
Giovanni Francesco PellicanòInfectious Diseases, G. Martino Hospital -University of Messina, Messina, Italy.
Paolo BonfantiUnit of Infectious Diseases, A. Manzoni Hospital, Lecco, Italy.
CISAI Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe study aim was to evaluate the impact on Liver and Kidney toxicity of the single tablet regimen Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Disoproxil Fumarate (EVG/COBI/FTC/TDF) on Antiretroviral Therapy (ART) experienced or naïve patients.

methodsPatients initiating EVG/COBI/FTC/TDF were enrolled in the SCOLTA project, a multicenter observational study reporting grade 3-4 Adverse Events in subjects beginning new antiretroviral drug regimens. In this analysis, patients were evaluated at T0 (baseline), T1 (six months) and at T2 (twelve months).

resultsA total of 329 patients were enrolled, and 280 (85.1%) of these had at least one follow-up visit. Median observation time was 11 months (IQR 7.0-15.5). Two hundred and two patients (72.1%) were ART experienced and 78 (27.9%) ART naive. Prevalence of HCV-co-infection was 21.4%. At T1, we observed a significant decline in estimated glomerular filtration rate (eGFR), both in experienced and naive patients (mean change from T0-7.5 ± 12.8 ml/min, -15.5 ± 17.8 ml/min, respectively, p = 0.0005), which was confirmed at T2 (mean change from T0-8.2 ± 15.8 ml/min, -17.6 ± 19.4 ml/min, respectively, p = 0.001). Regarding aspartate aminotransferase (AST) and alanine transaminase (ALT) grade 1-2 modifications, no significant differences were observed between experienced and naïve subjects, but an increased prevalence of abnormal liver function test was observed in patients with chronic HCV infection (p<0.001).

conclusionsA significant decline in eGFR was observed in patients initiating EVG/COBI/FTC/TDF in the first 6 months, with no significant worsening occurring at 12 months vs. 6 months of therapy. Patients with chronic HCV infection were at higher risk to develop abnormal liver tests.

Indexed as

AdultAnti-HIV AgentsCobicistatDrug CombinationsEmtricitabineFemaleHIV-1HIV InfectionsHumansMaleMaximum Tolerated DoseMiddle AgedQuinolonesSafetyTenofovirAnti-HIV AgentsCobicistatDrug CombinationselvitegravirEmtricitabineQuinolonesTenofovir

Identifiers

PMID28632758
PMCPMC5478131

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Registered trials

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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.