Evidence map›Paper›PMID 36309038›Full record

ReviewThe lancet. HIV2022

Two-drug regimens for HIV treatment.

Kevin M Gibas, Sean G Kelly, Jose R Arribas, Pedro Cahn, Chloe Orkin, Eric S Daar, Paul E Sax, Babafemi O Taiwo

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in The lancet. HIV, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07678268 (Effectiveness and Safety of Darunavir/Cobicistat Plus Lamivudine Compared With Darunavir/Cobicistat Plus Tenofovir Alafenamide/Emtricitabine in Virologically Suppressed People Living With HIV at 24 and 48 Weeks of Follow-up), which is not on this map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 3% 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.

NCT07678268 phase4recruitingnot on this mapstarted 2025, after this paper: background citation

Effectiveness and Safety of Darunavir/Cobicistat Plus Lamivudine Compared With Darunavir/Cobicistat Plus Tenofovir Alafenamide/Emtricitabine in Virologically Suppressed People Living With HIV at 24 and 48 Weeks of Follow-up

TypeinterventionalSponsorInstituto Mexicano del Seguro SocialRan2025 to 2026Enrolled78ConditionsHIV Infection, Antiretroviral Therapy, Lentivirus InfectionsArmsDual therapy: darunavir/cobicistat + lamivudine, Triple therapy: darunavir/cobicistat plus tenofovir alafenamide/emtricitabine
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Phase 2 Trial of Long-Acting Cabotegravir and VRC07-523LS for Viral Suppression in Adults With HIV-1: ACTG A5357.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Forecasting drug resistant HIV protease evolution.PLoS computational biology · 2026
    Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 4 countries.

Kevin M GibasDivision of Infectious Diseases, Vanderbilt University Medical Center, Vanderbilt University, Nashville, TN, USA.
Sean G KellyDivision of Infectious Diseases, Vanderbilt University Medical Center, Vanderbilt University, Nashville, TN, USA.
Jose R ArribasInfectious Diseases Unit, La Paz University Hospital, Hospital La Paz Institute for Health Research, Madrid, Spain; School of Medicine, Universidad Autónoma de Madrid, Madrid, Spain; Centro de Investigación Biomédica en Red de Enfermedades Infecciosas, Madrid, Spain.
Pedro CahnFundación Huésped, Buenos Aires, Argentina.
Chloe OrkinDepartment of Immunobiology, Queen Mary University of London, London, UK.
Eric S DaarThe Lundquist Institute, Harbor University of California, Los Angeles, Torrence, CA, USA.
Paul E SaxDivision of Infectious Diseases, Brigham and Women's Hospital, Boston, MA, USA; Harvard Medical School, Harvard University, Boston, MA, USA.
Babafemi O TaiwoDivision of Infectious Diseases, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA. Electronic address: b-taiwo@northwestern.edu.
Vanderbilt University Medical Center · USBrigham and Women's Hospital · USCentro de Investigación Biomédica en Red · ESFundación Huésped · ARNorthwestern University · USQueen Mary University of London · GBUniversity of California, Los Angeles · US

Funding

Learning Health System training program: PROgRESS--Patient/ pRactice Outcomes and Research in Effectiveness and Systems ScienceT32HS026122 · AHRQ · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GRIJALVA, CARLOS G, ROUMIE, CHRISTIANNE L. · 2018 to 2024
$3.5M
AHRQ HHS T32 HS026122NIAID NIH HHS L30 AI172003
6 · The paper itself

Abstract

Combination therapy with three antiretroviral agents has been integral to successful HIV-1 treatment since 1996. Although the efficacy, adverse effects, and toxicities of contemporary three-drug regimens have improved, even the newest therapies have potential adverse effects. The use of two-drug regimens is one way to reduce lifetime exposure to antiretroviral drugs while maintaining the benefits of viral suppression. Multiple large, randomised trials have shown the virological non-inferiority of certain two-drug regimens versus three-drug comparators, including adverse effect differences that reflect known profiles of the antiretroviral drugs in the respective regimens. Two-drug combinations are now recommended in treatment guidelines and include the first long-acting antiretroviral regimen for the treatment of HIV-1. Recommended two-drug regimens differ in their risks for, and factors associated with, virological failure and emergent resistance. The tolerability, safety, metabolic profiles, and drug interactions of two-drug regimens also vary by the constituent drugs. No current two-drug regimen is recommended for people with chronic hepatitis B virus as none include tenofovir. Two-drug regimens have increased options for individualised care.

Indexed as

Anti-HIV AgentsHepatitis B, ChronicHIV-1HIV InfectionsAnti-Retroviral AgentsDrug Therapy, CombinationHumansTenofovirAnti-HIV AgentsAnti-Retroviral AgentsTenofovir

Identifiers

PMID36309038
PMCPMC10015554
OpenAlexW4307572653

What OpenQuestion holds

Textmetadata
LicenceTDM
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.