Evidence map›Paper›PMID 34291580›Full record

ArticleJournal of the International AIDS Society2021

Effectiveness and tolerability of dolutegravir and abacavir/lamivudine administered as two separate pills compared to their equivalent single-tablet regimen in a multicentre cohort in Spain.

Inés Suárez-García, Belén Alejos, Marta Ruiz-Algueró, Cristina García Yubero, Cristina Moreno, Enrique Bernal, Laura Pérez-Is, Zuriñe Zubero, Miguel Alberto de Zárraga Fernández, Gloria Samperiz Abad and 2 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of the International AIDS Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 39% 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

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

  1. Pooled it
  2. Trial
  3. Article
  4. 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

12 authors at 7 institutions in 2 countries.

Inés Suárez-GarcíaInfectious Diseases Group, Department of Internal Medicine, Hospital Universitario Infanta Sofía (FIIB HUIS HHEN), Madrid, Spain.ORCID 0000-0002-7016-716X
Belén AlejosNational Epidemiology Centre, Instituto de Salud Carlos III, Madrid, Spain.
Marta Ruiz-AlgueróNational Epidemiology Centre, Instituto de Salud Carlos III, Madrid, Spain.
Cristina García YuberoDepartment of Hospital Pharmacy, Hospital Universitario Infanta Sofía (FIIB HUIS HHEN), Madrid, Spain.
Cristina MorenoNational Epidemiology Centre, Instituto de Salud Carlos III, Madrid, Spain.
Enrique BernalInfectious Diseases Section, Hospital General Universitario Reina Sofía, Murcia, Spain.
Laura Pérez-IsFINBA/ISPA, Hospital Universitario Central de Asturias, Avilés, Spain.
Zuriñe ZuberoDepartment of Infectious Diseases. Hospital, Universitario Basurto, Bizkaia, Spain.
Miguel Alberto de Zárraga FernándezDepartment of Internal Medicine, Hospital San Agustín, Avilés, Spain.
Gloria Samperiz AbadInfectious Diseases Unit, Hospital Universitario Miguel Servet, Zaragoza, Spain.
Inma JarrínNational Epidemiology Centre, Instituto de Salud Carlos III, Madrid, Spain.ORCID 0000-0002-7485-2252
Cohort of the Spanish HIV/AIDS Research Network (CoRIS)
Instituto de Salud Carlos III · ESHospital de Basurto · ESHospital Reina Sofía de Murcia · ESHospital Universitario Infanta Sofía · ESHospital Universitario Miguel Servet · ESHospital Universitario San Agustín · ESZero to Three · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe aimed to assess the effectiveness and tolerability of dolutegravir (DTG), abacavir (ABC) and lamivudine (3TC) administered as branded STR (DTG/ABC/3TC) or as two separate pills (DTG and either branded ABC/3TC [DTG+(ABC/3TC)b] or generic ABC/3TC [DTG+(ABC/3TC)g]).

methodsWe included individuals from the multicentre cohort of the Spanish HIV/AIDS Research Network (CoRIS) who received DTG/ABC/3TC, DTG+(ABC/3TC)b or DTG+(ABC/3TC)g during 2015 to 2018. We used multivariable logistic regression to compare the proportion of antiretroviral-naïve individuals who achieved viral suppression (VS) (viral load ≤50 copies/mL) at 24 weeks of initiating with DTG+(ABC/3TC)b or DTG+(ABC/3TC)g versus DTG/ABC/3TC. We also calculated the proportion of virologically suppressed individuals who maintained VS at 24 weeks after switching from DTG/ABC/3TC to DTG+(ABC/3TC)g.

resultsDuring the study period, 829, 68 and 47 treatment-naïve individuals started treatment with DTG/ABC/3TC, DTG+(ABC/3TC)b or DTG+(ABC/3TC)g respectively. The proportions of individuals who changed their regimens due to side effects during the first 24 weeks were 3.7%, 4.4% and 6.4% respectively (p = 0.646). We did not find significant differences in VS at 24 weeks among individuals starting with DTG+(ABC/3TC)b or DTG+(ABC/3TC)g compared to those initiating with DTG/ABC/3TC. Among 177 virologically suppressed individuals who switched from DTG/ABC/3TC to DTG+(ABC/3TC)g, 170 (96.0%) maintained VS at 24 weeks.

conclusionsIn naïve individuals, the effectiveness and tolerability at 24 weeks of DTG plus ABC/3TC administered as two separate pills, either as branded or generic ABC/3TC, was similar to the STR DTG/ABC/3TC. Switching the STR DTG/ABC/3TC to its separate components DTG+(ABC/3TC)g in virologically suppressed individuals did not seem to impair its effectiveness.

Indexed as

Anti-HIV AgentsHIV InfectionsLamivudineAbacavirDideoxynucleosidesDolutegravirDrug CombinationsHeterocyclic Compounds, 3-RingHumansOxazinesPiperazinesPyridonesSpainTabletsAbacavirabacavir, lamivudine drug combinationAnti-HIV AgentsDideoxynucleosidesDolutegravirDrug CombinationsHeterocyclic Compounds, 3-RingLamivudineOxazinesPiperazinesPyridonesTabletsantiretroviral therapycohort studiesgeneric drugsHIV infectionssingle-tablet regimens

Identifiers

PMID34291580
PMCPMC8295592
OpenAlexW3184575839

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.