Evidence map›Paper›PMID 30101539›Full record

Trial reportHIV medicine2018

Switching to coformulated rilpivirine (RPV), emtricitabine (FTC) and tenofovir alafenamide from either RPV, FTC and tenofovir disoproxil fumarate (TDF) or efavirenz, FTC and TDF: 96-week results from two randomized clinical trials.

D Hagins, C Orkin, E S Daar, A Mills, C Brinson, E DeJesus, F A Post, J Morales-Ramirez, M Thompson, O Osiyemi and 9 more

3 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in HIV medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.3field-weighted citation impact, top 5% 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.

NCT02345226 phase3completednot on this map

A Phase 3b, Randomized, Double-Blind Study to Evaluate Switching From a Regimen Consisting of Efavirenz/Emtricitabine/Tenofovir Disoproxil Fumarate (EFV/FTC/TDF) Fixed Dose Combination (FDC) to Emtricitabine/Rilpivirine/ Tenofovir Alafenamide (FTC/RPV/TAF) FDC in Virologically-Suppressed, HIV-1 Infected Subjects

TypeinterventionalSponsorGilead SciencesRan2015 to 2019Enrolled881ConditionsHIV-1 InfectionArmsFTC/RPV/TAF, EFV/FTC/TDF Placebo, EFV/FTC/TDF, FTC/RPV/TAF Placebo
NCT02345252 phase3completednot on this map

A Phase 3b, Randomized, Double-Blind Switch Study to Evaluate the Safety and Efficacy of Emtricitabine/Rilpivirine/Tenofovir Alafenamide (FTC/RPV/TAF) Fixed Dose Combination (FDC) in HIV-1 Positive Subjects Who Are Virologically Suppressed on Emtricitabine/Rilpivirine/Tenofovir Disoproxil Fumarate (FTC/RPV/TDF)

TypeinterventionalSponsorGilead SciencesRan2015 to 2019Enrolled632ConditionsHIV-1 InfectionArmsFTC/RPV/TAF, FTC/RPV/TDF Placebo, FTC/RPV/TDF, FTC/RPV/TAF Placebo
NCT03664440 nacompletednot on this map

Efficacy of Rilpivirine-based Regimens as Switch Therapy From Nevirapine-based Regimens in HIV-infected Patients With Complete Virological Suppression: A Randomized Controlled Trial

TypeinterventionalSponsorMahidol UniversityRan2016 to 2017Enrolled106ConditionsEfficacy of Rilpivirine-based Regimens as Switch TherapyArmsNevirapine, Rilpivirine
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
  2. Review
  3. [Comparison of the effects of tenofovir amibufenamide and tenofovir alafenamide on lipid metabolism in the body].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2024
    Article
  4. Article
  5. Cardiometabolic health in people with HIV: expert consensus review.The Journal of antimicrobial chemotherapy · 2024
    Review
  6. Tenofovir amibufenamideWorld journal of gastroenterology · 2023
    Article
  7. Article
  8. Review
  9. Observational
  10. Article
  11. Weight Change Following Antiretroviral Therapy Switch in People With Viral Suppression: Pooled Data from Randomized Clinical Trials.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  12. Article
  13. Article
  14. Observational
  15. Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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

19 authors at 11 institutions in 4 countries.

D HaginsGeorgia Department of Public Health, Chatham Care Center, Savannah, GA, USA.
C OrkinGrahame Hayton Unit, Royal London Hospital and Queen Mary University, London, UK.
E S DaarLos Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, USA.
A MillsMills Clinical Research, Los Angeles, CA, USA.
C BrinsonCentral Texas Clinical Research, Austin, TX, USA.
E DeJesusOrlando Immunology Center, Orlando, FL, USA.
F A PostKing's College Hospital, London, UK.
J Morales-RamirezClinical Research Puerto Rico Inc., San Juan, Puerto Rico.
M ThompsonAIDS Research Consortium of Atlanta, Atlanta, GA, USA.
O OsiyemiTriple O Research Institute PA, West Palm Beach, FL, USA.
B RashbaumCapital Medical Associates, Washington, DC, USA.
H-J StellbrinkICH Study Center, Hamburg, Germany.
C MartorellThe Research Institute, Springfield, MA, USA.
H LiuGilead Sciences Inc, Foster City, CA, USA.
Y-P LiuGilead Sciences Inc, Foster City, CA, USA.
D PorterGilead Sciences Inc, Foster City, CA, USA.
S E CollinsGilead Sciences Inc, Foster City, CA, USA.ORCID 0000-0001-5641-8332
D SenGuptaGilead Sciences Inc, Foster City, CA, USA.
M DasGilead Sciences Inc, Foster City, CA, USA.
Gilead Sciences (United States) · USAIDS Research Consortium of Atlanta · USCapital University · USClinical Research Puerto Rico · PRCoastal Health District · USInfektionsmedizinisches Centrum Hamburg · DEKing's College Hospital · GBOrlando Immunology Center · USThe Lundquist Institute · USTriple O Medical Services · USUniversity of Ulster · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe single-tablet regimen rilpivirine, emtricitabine and tenofovir alafenamide (RPV/FTC/TAF) for treatment of HIV-1-infected adults was approved based on bioequivalence. We assessed the clinical efficacy, safety and tolerability of switching to RPV/FTC/TAF from either RPV/FTC/tenofovir disoproxil fumarate (TDF) or efavirenz (EFV)/FTC/TDF.

methodsWe conducted two distinct randomized, double-blind, active-controlled, noninferiority trials in participants taking RPV/FTC/TDF (Study 1216) and EFV/FTC/TDF (Study 1160). Each study randomized virologically suppressed (HIV-1 RNA < 50 copies/mL) adults (1:1) to switch to RPV/FTC/TAF or continue their current regimen for 96 weeks. We evaluated efficacy as the proportion with HIV-1 RNA < 50 copies/mL using the Food and Drug Administration snapshot algorithm and prespecified bone and renal endpoints at week 96.

resultsWe randomized and treated 630 participants in Study 1216 (RPV/FTC/TAF, n = 316; RPV/FTC/TDF, n = 314) and 875 in Study 1160 (RPV/FTC/TAF, n = 438; EFV/FTC/TDF, n = 437). In both studies, the efficacy of switching to RPV/FTC/TAF was noninferior to that of continuing baseline therapy at week 96, with respective percentages of patients with HIV RNA < 50 copies/mL being 89.2% versus 88.5% in Study 1216 [difference 0.7%; 95% confidence interval (CI) -4.3 to +5.8%] and 85.2% versus 85.1% in Study 1160 (difference 0%; 95% CI -4.8 to +4.8%). No participant on RPV/FTC/TAF developed treatment-emergent resistance versus two on EFV/FTC/TDF and one on RPV/FTC/TDF. Compared with continuing baseline therapy, significant improvements in bone mineral density and renal tubular markers were observed in the RPV/FTC/TAF groups (P < 0.001).

conclusionsSwitching to RPV/FTC/TAF from RPV/FTC/TDF or EFV/FTC/TDF was safe and effective and improved bone mineral density and renal biomarkers up to 96 weeks with no cases of treatment-emergent resistance.

Indexed as

Drug CombinationsAdultAnti-Retroviral AgentsAntiretroviral Therapy, Highly ActiveDouble-Blind MethodDrug SubstitutionFemaleHIV-1HIV InfectionsHumansMaleMiddle AgedRNA, ViralTreatment OutcomeViral LoadAnti-Retroviral AgentsDrug CombinationsRNA, Viralbone mineral densityHIVrenal diseaserilpivirinetenofovir alafenamide

Identifiers

PMID30101539
PMCPMC6221083
OpenAlexW2885213528

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.