Evidence map›Paper›PMID 37059996›Full record

ArticleBMC infectious diseases2023

Lipids and transaminase elevations in ARV-experienced PLWH switching to a doravirine-based regimen from rilpivirine or other regimens.

Paolo Maggi, Elena Delfina Ricci, Stefania Cicalini, Giovanni Francesco Pellicanò, Benedetto Maurizio Celesia, Francesca Vichi, Antonio Cascio, Eleonora Sarchi, Giancarlo Orofino, Nicola Squillace and 11 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

10 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
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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

21 authors at 16 institutions in 1 country.

Paolo MaggiInfectious Diseases Unit, AORN Sant'Anna e San Sebastiano, Caserta, Italy.
Elena Delfina RicciFondazione ASIA Onlus, Via Garibaldi, 13, Buccinasco, 20090, MI, Italy. ed.ricci@libero.it.
Stefania CicaliniNational Institute for Infectious Diseases Lazzaro Spallanzani Institute for Hospitalization and Care Scientific, Roma, Lazio, Italy.
Giovanni Francesco PellicanòUnit of Infectious Diseases, Department of Human Pathology of the Adult and the Developmental Age 'G. Barresi', University of Messina, Messina, Italy.
Benedetto Maurizio CelesiaUnit of Infectious Diseases, Garibaldi Hospital, Catania, Italy.
Francesca VichiUnit of Infectious Diseases, USLCENTRO FIRENZE, Santa Maria Annunziata Hospital, Florence, Italy.
Antonio CascioUnit of Infectious Diseases, Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy.
Eleonora SarchiInfectious Diseases Unit, S.Antonio e Biagio e Cesare Arrigo Hospital, Alessandria, Italy.
Giancarlo OrofinoDivision I of Infectious and Tropical Diseases, ASL Città di Torino, Torino, Italy.
Nicola SquillaceInfectious Disease Unit, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Giordano MadedduUnit of Infectious Diseases, Department of Medicine, Surgery and Pharmacy, University of Sassari, Sassari, Italy.
Giuseppe Vittorio De SocioUnit of Infectious Diseases, Santa Maria Hospital, Perugia, Italy.
Olivia BargiacchiUnit of Infectious Diseases, Ospedale Maggiore della Carità, Novara, Italy.
Chiara MolteniUnit of Infectious Diseases, A. Manzoni Hospital, Lecco, Italy.
Addolorata MasielloInfectious Diseases Unit, AORN Sant'Anna e San Sebastiano, Caserta, Italy.
Annalisa SaracinoDepartment of Biomedical Sciences and Human Oncology, Clinic of Infectious Diseases, University of Bari Aldo Moro, Bari, Italy.
Barbara MenzaghiUnit of Infectious Diseases, ASST della Valle Olona - Busto Arsizio (VA), Busto Arsizio VA, Italy.
Katia FalascaClinic of Infectious Diseases, Department of Medicine and Science of Aging, G. D'Annunzio University, Chieti-Pescara, Chieti, Italy.
Lucia TaramassoInfectious Diseases, San Martino Hospital Genoa, University of Genoa, Genoa, Italy.
Antonio Di BiagioInfectious Diseases, San Martino Hospital Genoa, University of Genoa, Genoa, Italy.
Paolo BonfantiInfectious Disease Unit, Fondazione IRCCS San Gerardo dei Tintori, Monza - University of Milano-Bicocca, Monza, Italy.
Ospedale Sant'Anna · ITUniversity of Genoa · ITAlessandro Manzoni Hospital · ITAzienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo · ITAzienda Ospedaliera San Gerardo · ITAzienda Socio Sanitaria Territoriale della Valle OlonaFondazione Roma · ITIstituto Nazionale per le Malattie Infettive Lazzaro Spallanzani · ITOspedale Garibaldi · ITOspedale Maggiore · ITUniversity of Bari Aldo Moro · ITUniversity of Chieti-Pescara · ITUniversity of Messina · ITUniversity of Milano-Bicocca · ITUniversity of Palermo · ITUniversity of Sassari · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDoravirine (DOR) is a newly approved antiretroviral belonging to the class of non-nucleoside reverse transcriptase inhibitors (NNRTI), well tolerated and leading to an improved lipid profile in antiretroviral experienced people living with HIV (PLWH). We aimed at evaluating if the lipid-lowering effect is linked to the drug class, using real-life data from the SCOLTA cohort.

methodsWe compared the lipid profile modifications in experienced PLWH switching to a DOR-based regimen from rilpivirine or another NNRTI-based regimen or from an integrase strand transferase (INSTI)-based regimen. T0 and T1 were defined as the baseline and 6-month follow-up respectively. Data were collected at baseline and prospectively every six months and changes from baseline were compared using a multivariable linear model.

resultsIn 107 PLWH, enrolled in the SCOLTA DOR cohort, with undetectable HIV-RNA at baseline, 32.7% switched from RPV-based regimens (DOR1), 29.9% from other NNRTI-including regimens (DOR2) and 37.4% switched from INSTI-including regimens (DOR3). At T1, TC significantly decreased in DOR2 (-15 mg/dL) and DOR3 (-23 mg/dL), and significantly more in DOR3 than in DOR1 (-6 mg/dL) (p = 0.016). HDL-C declined in DOR2 (-2 mg/dL) whereas it increased in DOR1 (+ 3 mg/dL) (p = 0.042) and remained stable in DOR3. LDL-C significantly decreased from baseline in DOR2 (-12 mg/dL) and DOR3 (-22 mg/dL) and was different between DOR1 (-8 mg/dL) and DOR3 (p = 0.022). TC/HDL ratio showed a significant decline in the DOR3 group (-0.45), although similar to DOR1 (-0.23, p = 0.315) and DOR2 (-0.19, p = 0.254). Triglycerides did not noticeably change. ALT significantly decreased in PLWH with a baseline level > 40 UI/mL.

conclusionsPLWH on doravirine treatment showed different trends in blood lipids according to their previous regimen. In PLWH switching from RPV, minimal modifications were seen, whereas in those switching from other NNRTIs and from INSTI-including regimens, we observed an overall improvement in lipid profile, seemingly independent of the "statin effect" of TDF.

Indexed as

Anti-HIV AgentsHIV InfectionsHumansLipidsPyridonesReverse Transcriptase InhibitorsRilpivirineTriazolesAnti-HIV AgentsdoravirineLipidsPyridonesReverse Transcriptase InhibitorsRilpivirineTriazolesAdverse eventsART-experiencedDoravirineHepatic safetyHIV infectionMetabolic safetyRilpivirine

Identifiers

PMID37059996
PMCPMC10103465
OpenAlexW4365514769

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Registered trials

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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.