Evidence map›Paper›PMID 37376649›Full record

ArticleViruses2023

Assessing the Virologic Impact of Archived Resistance in the Dolutegravir/Lamivudine 2-Drug Regimen HIV-1 Switch Study TANGO through Week 144.

Ruolan Wang, Jonathan Wright, Parminder Saggu, Mounir Ait-Khaled, Riya Moodley, Chris M Parry, Thomas Lutz, Daniel Podzamczer, Richard Moore, Miguel Górgolas Hernández-Mora and 4 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Viruses, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03446573 (A Phase III, Randomized, Multicenter, Parallel-group, Non-inferiority Study Evaluating the Efficacy, Safety, and Tolerability of Switching to Dolutegravir Plus Lamivudine in HIV-1 Infected Adults Who Are Virologically Suppressed), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 30% 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.

NCT03446573 phase3completednot on this map

A Phase III, Randomized, Multicenter, Parallel-group, Non-inferiority Study Evaluating the Efficacy, Safety, and Tolerability of Switching to Dolutegravir Plus Lamivudine in HIV-1 Infected Adults Who Are Virologically Suppressed

TypeinterventionalSponsorViiV HealthcareRan2018 to 2022Enrolled743ConditionsHIV InfectionsArmsDTG + 3TC, TAF based regimen (TBR)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Article
  3. 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

14 authors at 5 institutions in 3 countries.

Ruolan WangViiV Healthcare, 406 Blackwell Street, Suite 300, Durham, NC 27701, USA.
Jonathan WrightGSK, 980 Great West Road, Brentford TW8 9GS, Middlesex, UK.
Parminder SagguGSK, 980 Great West Road, Brentford TW8 9GS, Middlesex, UK.
Mounir Ait-KhaledViiV Healthcare, 980 Great West Road, Brentford TW8 9GS, Middlesex, UK.
Riya MoodleyViiV Healthcare, 980 Great West Road, Brentford TW8 9GS, Middlesex, UK.
Chris M ParryViiV Healthcare, 980 Great West Road, Brentford TW8 9GS, Middlesex, UK.ORCID 0000-0002-3295-0436
Thomas LutzInfektiologikum, Stresemannallee 3, 60596 Frankfurt am Main, Germany.
Daniel PodzamczerHospital Universitari de Bellvitge, Carrer de la Feixa Llarga, s/n, 08907 L'Hospitalet de Llobregat, Barcelona, Spain.
Richard MooreNorthside Clinic, 370 St Georges Rd, Fitzroy North, VIC 3068, Australia.
Miguel Górgolas Hernández-MoraJiménez Díaz Foundation University Hospital, Av. de los Reyes Católicos, 2, 28040 Madrid, Madrid, Spain.
Clifford KinderAIDS Healthcare Foundation-The Kinder Medical Group, 3661 S Miami Ave Suite 806, Miami, FL 33133, USA.
Brian WynneViiV Healthcare, 406 Blackwell Street, Suite 300, Durham, NC 27701, USA.
Jean van WykViiV Healthcare, 980 Great West Road, Brentford TW8 9GS, Middlesex, UK.
Mark UnderwoodViiV Healthcare, 406 Blackwell Street, Suite 300, Durham, NC 27701, USA.ORCID 0000-0002-6803-2346
ViiV Healthcare (United Kingdom) · GBWest Middlesex University Hospital · GBAIDS Healthcare Foundation · USBellvitge University Hospital · ESHospital Universitario Fundación Jiménez Díaz · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The TANGO study (ClinicalTrials.gov, NCT03446573) demonstrated that switching to dolutegravir/lamivudine (DTG/3TC) was non-inferior to continuing tenofovir alafenamide-based regimens (TBR) through week 144. Retrospective baseline proviral DNA genotypes were performed for 734 participants (post-hoc analysis) to assess the impact of archived, pre-existing drug resistance on 144-week virologic outcomes by last on-treatment viral load (VL) and Snapshot. A total of 320 (86%) participants on DTG/3TC and 318 (85%) on TBR had both proviral genotype data and ≥1 on-treatment post-baseline VL results and were defined as the proviral DNA resistance analysis population. Archived International AIDS Society-USA major nucleoside reverse transcriptase inhibitor, non-nucleoside reverse transcriptase inhibitor, protease inhibitor, and integrase strand transfer inhibitor resistance-associated mutations (RAMs) were observed in 42 (7%), 90 (14%), 42 (7%), and 11 (2%) participants, respectively, across both groups; 469 (74%) had no major RAMs at baseline. M184V/I (1%), K65N/R (<1%), and thymidine analogue mutations (2%) were infrequent. Through week 144, >99% of participants on DTG/3TC and 99% on TBR were virologically suppressed (last on-treatment VL <50 copies/mL) regardless of the presence of major RAMs. Results from the sensitivity analysis by Snapshot were consistent with the last available on-treatment VL. In TANGO, archived, pre-existing major RAMs did not impact virologic outcomes through week 144.

Indexed as

Anti-HIV AgentsHIV-1HIV InfectionsHIV SeropositivityDolutegravirHeterocyclic Compounds, 3-RingHumansLamivudineRetrospective StudiesReverse Transcriptase InhibitorsTreatment OutcomeViral LoadAnti-HIV AgentsDolutegravirHeterocyclic Compounds, 3-RingLamivudineReverse Transcriptase Inhibitors2-drug regimenantiretroviral therapyHIV-1resistanceswitchvirologic response

Identifiers

PMID37376649
PMCPMC10300912
OpenAlexW4380263851

What OpenQuestion holds

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LicenceCC BY
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.