Evidence map›Paper›PMID 37340869›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2023

Expanded Multivariable Models to Assist Patient Selection for Long-Acting Cabotegravir + Rilpivirine Treatment: Clinical Utility of a Combination of Patient, Drug Concentration, and Viral Factors Associated With Virologic Failure.

Chloe Orkin, Jonathan M Schapiro, Carlo F Perno, Daniel R Kuritzkes, Parul Patel, Rebecca DeMoor, David Dorey, Yongwei Wang, Kelong Han, Veerle Van Eygen and 13 more

Open access · hybridAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 2 pooled it
22.3field-weighted citation impact, top 1% 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

63 citing papers in PubMed, 2 syntheses or guidelines pooled it, 116 citations in OpenAlex.

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  16. Combined Use of Ibalizumab and Lenacapavir for the Treatment of Multidrug-resistant HIV-1: A Case Series.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
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3 more citing papers are in PubMed but not listed here.

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

23 authors at 8 institutions in 6 countries.

Chloe OrkinSHARE Collaborative, Department of Immunobiology, Queen Mary University of London, London, United Kingdom.ORCID 0000-0001-6168-6745
Jonathan M SchapiroNational Hemophilia Center, Sheba Medical Center, Ramat Gan, Israel.
Carlo F PernoIRCCS Bambino Gesù Pediatric Hospital, Rome, Italy.
Daniel R KuritzkesDivision of Infectious Diseases, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Parul PatelViiV Healthcare, Durham, North Carolina, USA.
Rebecca DeMoorGSK, Collegeville, Pennsylvania, USA.
David DoreyGSK, Mississauga, Canada.
Yongwei WangViiV Healthcare, Durham, North Carolina, USA.
Kelong HanGSK, Collegeville, Pennsylvania, USA.
Veerle Van EygenJanssen Research & Development, Beerse, Belgium.
Herta CrauwelsJanssen Research & Development, Beerse, Belgium.
Susan L FordGSK, Durham, North Carolina, USA.
Christine L LathamViiV Healthcare, Durham, North Carolina, USA.
Marty St ClairViiV Healthcare, Durham, North Carolina, USA.
Joseph W PolliViiV Healthcare, Durham, North Carolina, USA.
Simon VanveggelJanssen Research & Development, Beerse, Belgium.
Kati VandermeulenJanssen Research & Development, Beerse, Belgium.
Ronald D'AmicoViiV Healthcare, Durham, North Carolina, USA.
Harmony P GargesViiV Healthcare, Durham, North Carolina, USA.
Andrew ZolopaViiV Healthcare, Durham, North Carolina, USA.
William R SpreenViiV Healthcare, Durham, North Carolina, USA.
Jean van WykViiV Healthcare, Brentford, United Kingdom.
Amy G CutrellViiV Healthcare, Durham, North Carolina, USA.
Janssen (Belgium) · BEGlaxoSmithKline (United States) · USBambino Gesù Children's Hospital · ITBrigham and Women's Hospital · USGlaxoSmithKline (Canada) · CAQueen Mary University of London · GBSheba Medical Center · ILViiV Healthcare (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreviously reported post hoc multivariable analyses exploring predictors of confirmed virologic failure (CVF) with cabotegravir + rilpivirine long-acting (CAB + RPV LA) were expanded to include data beyond week 48, additional covariates, and additional participants.

methodsPooled data from 1651 participants were used to explore dosing regimen (every 4 or every 8 weeks), demographic, viral, and pharmacokinetic covariates as potential predictors of CVF. Prior dosing regimen experience was accounted for using 2 populations. Two models were conducted in each population-baseline factor analyses exploring factors known at baseline and multivariable analyses exploring baseline factors plus postbaseline model-predicted CAB/RPV trough concentrations (4 and 44 weeks postinjection). Retained factors were evaluated to understand their contribution to CVF (alone or in combination).

resultsOverall, 1.4% (n = 23/1651) of participants had CVF through 152 weeks. The presence of RPV resistance-associated mutations, human immunodeficiency virus-1 subtype A6/A1, and body mass index ≥30 kg/m2 were associated with an increased risk of CVF (P < .05 adjusted incidence rate ratio), with participants with ≥2 of these baseline factors having a higher risk of CVF. Lower model-predicted CAB/RPV troughs were additional factors retained for multivariable analyses.

conclusionsThe presence of ≥2 baseline factors (RPV resistance-associated mutations, A6/A1 subtype, and/or body mass index ≥30 kg/m2) was associated with increased CVF risk, consistent with prior analyses. Inclusion of initial model-predicted CAB/RPV trough concentrations (≤first quartile) did not improve the prediction of CVF beyond the presence of a combination of ≥2 baseline factors, reinforcing the clinical utility of the baseline factors in the appropriate use of CAB + RPV LA.

Indexed as

Anti-HIV AgentsHIV-1HIV InfectionsAnti-Retroviral AgentsDiketopiperazinesHumansPatient SelectionPyridonesReverse Transcriptase InhibitorsRilpivirineAnti-HIV AgentsAnti-Retroviral AgentscabotegravirDiketopiperazinesPyridonesReverse Transcriptase InhibitorsRilpivirinecabotegravirlong-acting antiretroviral therapymultivariable analysisrilpivirinevirologic response

Identifiers

PMID37340869
PMCPMC10654860
OpenAlexW4381470336

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.