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ArticleAIDS research and therapy2022

Raltegravir 1200 mg once daily as maintenance therapy in virologically suppressed HIV-1 infected adults: QDISS open-label trial.

Nolwenn Hall, Clotilde Allavena, Christine Katlama, Alexandra Jobert, Jean-Michel Molina, Eric Cua, Firouzé Bani-Sadr, Laurent Hocqueloux, Claudine Duvivier, Dominique Merrien and 5 more

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

Article in AIDS research and therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03195452 (QD Isentress as Switch Strategy in Virologically Suppressed HIV-1 Infected-Patient), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 52% 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.

NCT03195452 phase2completednot on this map

QD Isentress as Switch Strategy in Virologically Suppressed HIV-1 Infected-Patient

TypeinterventionalSponsorNantes University HospitalRan2017 to 2020Enrolled100ConditionsVirus-HIVArmsRaltegravir and 2 Nucleoside/Nucleotide reverse transcriptase inhibitor (NRTI)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

15 authors at 11 institutions in 1 country.

Nolwenn HallPublic Health Center, CH Quimper, Quimper, France.
Clotilde AllavenaDepartment of Infectious Diseases, CHU Nantes, INSERM UIC 1413, CHU Nantes, Hôtel-Dieu University Hospital, 1 Place Alexis-Ricordeau, 44000, Nantes, France.
Christine KatlamaDepartment of Infectious Diseases, Assistance Publique-Hôpitaux de Paris, Pitié-Salpêtrière University Hospital, Paris, France.
Alexandra JobertSponsor Department, CHU Nantes, Nantes, France.
Jean-Michel MolinaDepartment of Infectious Diseases, Hôpital Saint-Louis, Assistance Publique-Hôpitaux de Paris, Université de Paris Diderot, Sorbonne Paris Cité, INSERM UMR 941, Paris, France.
Eric CuaDepartment of Infectious Diseases, Hôpital de l'Archet, Centre Hospitalier de Nice, Nice, France.
Firouzé Bani-SadrDepartment of Internal Medicine, Infectious Diseases, and Clinical Immunology, Reims Teaching Hospitals, University of Reims, Reims, France.
Laurent HocquelouxDepartment of Infectious Diseases, CHR d'Orléans, Orléans, France.
Claudine DuvivierAP-HP-Necker Hospital, Infectious Diseases Department, Necker-Pasteur Infectiology Centre, Paris, France.
Dominique MerrienDepartment of Infectious Diseases, CHD Vendee, La Roche sur yon, France.
Hitoto HikomboInfectious and Tropical Diseases Department, Le Mans General Hospital, Le Mans, France.
Elisabeth André-GarnierVirology Laboratory CHU Hôtel Dieu and INSERM CIC 1413 Nantes University, Nantes, France.
Aurélie GaultierDepartment of Biostatistics, CHU de Nantes, Direction de la recherche, Nantes, France.
François RaffiDepartment of Infectious Diseases, CHU Nantes, INSERM UIC 1413, CHU Nantes, Hôtel-Dieu University Hospital, 1 Place Alexis-Ricordeau, 44000, Nantes, France. francois.raffi@wanadoo.fr.
QDISS Study Group
Inserm · FRRoche (France) · FRCentre hospitalier universitaire d'Orléans · FRHôpital l'Archet · FRSorbonne Université · FRUniversité de Reims Champagne-Ardenne · FRCentre Hospitalier du Mans · FRAssistance Publique – Hôpitaux de Paris · FRCentre d'Investigation Clinique de Nantes · FRCentre Hospitalier de Cornouaille · FRCentre Hospitalier Universitaire de Nantes · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRaltegravir (RAL) has favorable tolerability and safety profile, with few and manageable drug interactions. The use of RAL 1200 mg once daily (qd) for first-line therapy is well established. We assessed efficacy and safety of RAL 1200 mg qd, as part of triple combined antiretroviral therapy (cART), for maintenance strategy.

methodsThe QDISS trial (NCT03195452) was a 48-week multicenter, single-arm, open-label study designed to evaluate the ability of 2 NRTIs + RAL 1200 mg qd to maintain virological suppression in HIV-1 infected subjects on a stable cART with 2 NRTIs and a third agent for at least 6 months. The primary endpoint was the proportion of participants with HIV-1 RNA < 50 copies/mL at week 24, by the FDA snapshot algorithm.

resultsOf 100 participants 91% maintained viral suppression (95% CI: 83.6-95.8) at week 24 and 89% (81.2-94.4) at week 48. At week 24, there was one virological failure, without emergence of resistance-associated mutation and 10 participants had discontinued, 4 because of adverse events (AEs). Over 48 weeks, 7 AEs of grade 3-4 were reported, one possibly study-drug related (spontaneous abortion). BMI remained stable regardless of previous therapy or baseline BMI category. Over 48 weeks, total cholesterol (p = 0.023) and LDL-cholesterol (p = 0.009) decreased, lifestyle and ease subscale significantly improved (p = 0.04). The quality of life and Patients Reported Outcomes (PROs) also improved at W12 (p = 0.007).

conclusionRAL 1200 mg qd as part of a maintenance triple therapy showed a high efficacy in virologically suppressed HIV-1 infected subjects, with good safety profile and improved lipid profile and patient reported outcomes.

trial registrationClinical trials.gov NCT03195452 and EudraCT 2016-003702-13.

Indexed as

HIV-1HIV InfectionsHIV SeropositivityAdultHumansQuality of LifeRaltegravir PotassiumTreatment OutcomeViral LoadRaltegravir PotassiumHIV-1 infectionIntegrase inhibitorMaintenanceOnce dailyQuality of lifeRaltegravirSwitch

Identifiers

PMID35033092
PMCPMC8760827
OpenAlexW4205741499

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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.