Evidence map›Paper›PMID 29529910›Full record

ArticleJournal of the International Association of Providers of AIDS Care

Safety and Efficacy of Dolutegravir Plus Rilpivirine in Treatment-Experienced HIV-Infected Patients: The DORIVIR Study.

Rosario Palacios, M Mayorga, C M González-Domenech, C Hidalgo-Tenorio, C Gálvez, L Muñoz-Medina, J de la Torre, A Lozano, M Castaño, M Omar and 1 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of the International Association of Providers of AIDS Care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04002323 (Real Life Study of Dolutegravir Plus Lamivudine in HIV-1-Infected Treatment-Naive Patients), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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.

NCT04002323 completednot on this map

Real Life Study of Dolutegravir Plus Lamivudine in HIV-1-Infected Treatment-Naive Patients

Typeobservational_patient_registrySponsorUniversity Hospital Virgen de las NievesRan2019 to 2022Enrolled88ConditionsHIV-1-infectionArmsDolutegravir 50mg Tab, Lamivudine 300 mg
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. A systematic review of the genetic mechanisms of dolutegravir resistance.The Journal of antimicrobial chemotherapy · 2019
    Pooled it
  2. Trial
  3. Review
  4. Observational
  5. Review
  6. Review
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

11 authors at 7 institutions in 1 country.

Rosario Palacios1 UGC Enfermedades Infecciosas y Microbiología, Hospital Virgen de la Victoria, Málaga, Spain.
M Mayorga2 UGC Enfermedades Infecciosas y Microbiología, Hospital Carlos Haya, Málaga, Spain.
C M González-Domenech1 UGC Enfermedades Infecciosas y Microbiología, Hospital Virgen de la Victoria, Málaga, Spain.
C Hidalgo-Tenorio3 Servicio de Enfermedades Infecciosas, Complejo Hospitalario Universitario Granada, Granada, Spain.
C Gálvez4 UGC Enfermedades Infecciosas, Hospital Torrecárdenas, Málaga, Spain.
L Muñoz-Medina3 Servicio de Enfermedades Infecciosas, Complejo Hospitalario Universitario Granada, Granada, Spain.
J de la Torre5 UGC Enfermedades Infecciosas, Hospital Costa del Sol, Málaga, Spain.
A Lozano6 UGC Enfermedades Infecciosas, Hospital de Poniente, Almería, Spain.
M Castaño2 UGC Enfermedades Infecciosas y Microbiología, Hospital Carlos Haya, Málaga, Spain.
M Omar7 UGC Enfermedades Infecciosas, Complejo hospitalario de Jaén, Jaén, Spain.
Jesús Santos1 UGC Enfermedades Infecciosas y Microbiología, Hospital Virgen de la Victoria, Málaga, Spain.
Hospital Clínico Universitario Virgen de la Victoria · ESComplejo Hospitalario Universitario de Granada · ESHospital Doctor José Molina Orosa · ESComplejo Hospitalario de Jaén · ESComplejo Hospitalario Torrecárdenas · ESHospital Costa del Sol · ESHospital de Poniente · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo analyze the efficacy and safety of dolutegravir/rilpivirine (DTG/RPV) in HIV-infected patients who switched from any other antiretroviral therapy (ART).

methodsOpen-label, multicenter study including patients who switched to DTG/RPV between February 2015 and February 2016. Efficacy (HIV RNA <50 copies/mL), adverse events, and metabolic changes at 24 weeks were analyzed.

resultsA total of 104 participants were included, who switched for the following reasons: toxicity/intolerance (42.3%), convenience (27.8%), and drug interactions (17.3%). Prior regimens are protease inhibitor (56.7%), integrase strand transfer inhibitor (26.9%), and non-nucleoside reverse transcriptase inhibitor (16.3%). Efficacy at 24 weeks was 88.4% (intention to treat) and 96.8% (per protocol). Triglyceride levels were reduced, on average, by 12.7% and a mean decrease of 9.0% in the glomerular filtration rate was observed as well ( P values of .003 and .002, respectively), whereas total cholesterol, HDL cholesterol, LDL cholesterol, creatinine, and glutamic-pyruvic transaminase remained unchanged. No patient discontinued due to adverse events.

conclusionsDolutegravir/RPV is effective and safe in long-term HIV-infected patients under any prior ART. Toxicity, convenience, and interactions were the main reasons for changing. At 24 weeks, the lipid profile improved with a decrease in triglycerides.

Indexed as

Anti-HIV AgentsCohort StudiesDolutegravirDrug SubstitutionFemaleHeterocyclic Compounds, 3-RingHIV-1HIV InfectionsHumansLipid MetabolismMaleMetabolomeMiddle AgedOxazinesPiperazinesPyridonesAnti-HIV AgentsDolutegravirHeterocyclic Compounds, 3-RingOxazinesPiperazinesPyridonesRilpivirineRNA, ViralART switchingdolutegravir/rilpivirineefficacylipid profile improvementsafety

Identifiers

PMID29529910
PMCPMC6748491
OpenAlexW2793832384

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.