Evidence map›Paper›PMID 37099559›Full record

ArticleThe Journal of antimicrobial chemotherapy2023

Effectiveness and tolerability of dolutegravir/lamivudine for the treatment of HIV-1 infection in clinical practice.

Inés Suárez-García, Belén Alejos, Victoria Hernando, Laura Viñuela, Mar Vera García, David Rial-Crestelo, María Jesús Pérez Elías, Helena Albendín Iglesias, Joaquim Peraire, Juan Tiraboschi and 4 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
5.2field-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.

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

18 citing papers in PubMed, 27 citations in OpenAlex.

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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

14 authors at 8 institutions in 1 country.

Inés Suárez-GarcíaInfectious Diseases Group, Department of Internal Medicine, Hospital Universitario Infanta Sofía, FIIB HUIS HHEN, Madrid, Spain.ORCID 0000-0002-7016-716X
Belén AlejosIndependent Researcher, Madrid, Spain.
Victoria HernandoCIBER de Enfermedades Infecciosas (CIBERINFEC), Madrid, Spain.
Laura ViñuelaDepartment of Microbiology, Hospital Universitario Clínico San Cecilio, Granada, Spain.
Mar Vera GarcíaCentro Sanitario Sandoval, IdISSC, Hospital Clínico San Carlos, Madrid, Spain.
David Rial-CresteloCIBER de Enfermedades Infecciosas (CIBERINFEC), Madrid, Spain.ORCID 0000-0001-9951-712X
María Jesús Pérez ElíasCIBER de Enfermedades Infecciosas (CIBERINFEC), Madrid, Spain.ORCID 0000-0001-5700-5257
Helena Albendín IglesiasHIV and STI Unit, Department of Internal Medicine, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain.
Joaquim PeraireCIBER de Enfermedades Infecciosas (CIBERINFEC), Madrid, Spain.
Juan TiraboschiHIV Unit, Department of Infectious Diseases, Hospital Universitari de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain.ORCID 0000-0002-0073-873X
Asunción DíazCIBER de Enfermedades Infecciosas (CIBERINFEC), Madrid, Spain.
Santiago MorenoCIBER de Enfermedades Infecciosas (CIBERINFEC), Madrid, Spain.ORCID 0000-0002-2843-1094
Inma JarrínCIBER de Enfermedades Infecciosas (CIBERINFEC), Madrid, Spain.
Cohort of the Spanish HIV/AIDS Research Network (CoRIS)
Centro de Investigación Biomédica en Red · ESHospital Clínico San Carlos · ESInstituto de Salud Carlos III · ESBellvitge University Hospital · ESInstituto Murciano de Investigación Biosanitaria · ESInstituto de Investigación Biosanitaria de Granada · ESHospital Universitario 12 De Octubre · ESInstitut de Recerca Biomèdica Catalunya Sud · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the effectiveness and tolerability of dolutegravir (DTG)/lamivudine (3TC) among treatment-naive and virologically suppressed treatment-experienced individuals in the multicentre cohort of the Spanish HIV/AIDS Research Network (CoRIS) during the years 2018-2021.

methodsWe used multivariable regression models to compare viral suppression (VS) [HIV RNA viral load (VL) <50 copies/mL] and the change in CD4 cell counts at 24 and 48 (±12) weeks after initiation with dolutegravir/lamivudine or other first-line ART regimens.

resultsWe included 2160 treatment-naive subjects, among whom 401 (18.6%) started with dolutegravir/lamivudine. The remaining subjects started bictegravir (BIC)/emtricitabine (FTC)/tenofovir alafenamide (TAF) (n = 949, 43.9%), DTG + FTC/tenofovir disoproxil fumarate (TDF) (n = 282, 13.1%), DTG/3TC/abacavir (ABC) (n = 255, 11.8%), darunavir (DRV)/cobicistat(COBI)/FTC/TAF (n = 147, 6.8%) and elvitegravir (EVG)/COBI/FTC/TAF (n = 126, 5.8%). At 24 and 48 weeks after starting dolutegravir/lamivudine, 91.4% and 93.8% of the subjects, respectively, achieved VS. The probability of achieving VS with dolutegravir/lamivudine was not significantly different compared with any other regimen at 24 or 48 weeks, with the exception of a lower chance of achieving VS at 24 weeks for DRV/COBI/FTC/TAF (adjusted OR: 0.47; 95% CI: 0.30-0.74) compared with dolutegravir/lamivudine.For the analysis of treatment-experienced virally suppressed subjects we included 1456 individuals who switched to dolutegravir/lamivudine, among whom 97.4% and 95.5% maintained VS at 24 and 48 weeks, respectively. During the first 48 weeks after dolutegravir/lamivudine initiation, 1.0% of treatment-naive and 1.5% of treatment-experienced subjects discontinued dolutegravir/lamivudine due to an adverse event.

conclusionsIn this large multicentre cohort, effectiveness and tolerability of dolutegravir/lamivudine were high among treatment-naive and treatment-experienced subjects.

Indexed as

Anti-HIV AgentsHIV-1HIV InfectionsDolutegravirEmtricitabineHeterocyclic Compounds, 3-RingHumansLamivudineOxazinesPyridonesAnti-HIV AgentsDolutegravirEmtricitabineHeterocyclic Compounds, 3-RingLamivudineOxazinesPyridones

Identifiers

PMID37099559
PMCPMC10232237
OpenAlexW4367046035

What OpenQuestion holds

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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.