Evidence map›Paper›PMID 37399555›Full record

Observational studyAnnals of internal medicine2023

Demonstration Project of Long-Acting Antiretroviral Therapy in a Diverse Population of People With HIV.

Monica Gandhi, Matthew Hickey, Elizabeth Imbert, Janet Grochowski, Francis Mayorga-Munoz, John D Szumowski, Jon Oskarsson, Mary Shiels, John Sauceda, Jorge Salazar and 5 more

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Annals of internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 3 pooled it
19.4field-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

77 citing papers in PubMed, 3 syntheses or guidelines pooled it, 100 citations in OpenAlex.

  1. Pooled it
  2. Virologic Failure and Emergent Integrase Strand Transfer Inhibitor Drug Resistance With Long-Acting Cabotegravir for HIV Treatment: A Meta-analysis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Long-Acting Cabotegravir/Rilpivirine, Lenacapavir, and Ibalizumab Use Among Persons With HIV-1 Viremia at a Ryan White-Funded Clinic in the Urban US South.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  19. Observational
  20. Article

17 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 1 institution in 1 country.

Monica GandhiDivision of HIV, Infectious Diseases and Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, California (M.G., M.H., E.I., J.G., F.M., J.D.S., J.O., M.S., J. Salazar, S.D., J.Q.N., D.V.H., K.A.C.).ORCID 0000-0002-7025-1994
Matthew HickeyDivision of HIV, Infectious Diseases and Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, California (M.G., M.H., E.I., J.G., F.M., J.D.S., J.O., M.S., J. Salazar, S.D., J.Q.N., D.V.H., K.A.C.).ORCID 0000-0001-8913-1602
Elizabeth ImbertDivision of HIV, Infectious Diseases and Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, California (M.G., M.H., E.I., J.G., F.M., J.D.S., J.O., M.S., J. Salazar, S.D., J.Q.N., D.V.H., K.A.C.).ORCID 0000-0002-3060-3596
Janet GrochowskiDivision of HIV, Infectious Diseases and Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, California (M.G., M.H., E.I., J.G., F.M., J.D.S., J.O., M.S., J. Salazar, S.D., J.Q.N., D.V.H., K.A.C.).
Francis Mayorga-MunozDivision of HIV, Infectious Diseases and Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, California (M.G., M.H., E.I., J.G., F.M., J.D.S., J.O., M.S., J. Salazar, S.D., J.Q.N., D.V.H., K.A.C.).
John D SzumowskiDivision of HIV, Infectious Diseases and Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, California (M.G., M.H., E.I., J.G., F.M., J.D.S., J.O., M.S., J. Salazar, S.D., J.Q.N., D.V.H., K.A.C.).ORCID 0000-0002-0287-9704
Jon OskarssonDivision of HIV, Infectious Diseases and Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, California (M.G., M.H., E.I., J.G., F.M., J.D.S., J.O., M.S., J. Salazar, S.D., J.Q.N., D.V.H., K.A.C.).
Mary ShielsDivision of HIV, Infectious Diseases and Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, California (M.G., M.H., E.I., J.G., F.M., J.D.S., J.O., M.S., J. Salazar, S.D., J.Q.N., D.V.H., K.A.C.).
John SaucedaCenter for AIDS Prevention Studies, Department of Medicine, University of California, San Francisco, San Francisco, California (J. Sauceda).
Jorge SalazarDivision of HIV, Infectious Diseases and Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, California (M.G., M.H., E.I., J.G., F.M., J.D.S., J.O., M.S., J. Salazar, S.D., J.Q.N., D.V.H., K.A.C.).
Samantha DilworthDivision of HIV, Infectious Diseases and Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, California (M.G., M.H., E.I., J.G., F.M., J.D.S., J.O., M.S., J. Salazar, S.D., J.Q.N., D.V.H., K.A.C.).ORCID 0000-0002-5451-5486
Janet Q NguyenDivision of HIV, Infectious Diseases and Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, California (M.G., M.H., E.I., J.G., F.M., J.D.S., J.O., M.S., J. Salazar, S.D., J.Q.N., D.V.H., K.A.C.).
David V GliddenDepartment of Epidemiology and Biostatistics, Department of Medicine, University of California, San Francisco, San Francisco, California (D.V.G.).ORCID 0000-0001-5888-1419
Diane V HavlirDivision of HIV, Infectious Diseases and Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, California (M.G., M.H., E.I., J.G., F.M., J.D.S., J.O., M.S., J. Salazar, S.D., J.Q.N., D.V.H., K.A.C.).ORCID 0000-0003-0761-3136
Katerina A ChristopoulosDivision of HIV, Infectious Diseases and Global Medicine, Department of Medicine, University of California, San Francisco, San Francisco, California (M.G., M.H., E.I., J.G., F.M., J.D.S., J.O., M.S., J. Salazar, S.D., J.Q.N., D.V.H., K.A.C.).
University of California, San Francisco · US

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEVEN Grant DEEKS · 1988 to 2026
$93.6M
Ujima Mentoring ProgramP30MH062246 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MALLORY O JOHNSON · 2001 to 2026
$57.4M
Training in HIV Translational ResearchT32AI060530 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Diane V Havlir · 2005 to 2026
$6.4M
Plugging Hair ARV Levels as Adherence Biomarkers into HIV Prevention TrialsR01AI098472 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GANDHI, MONICA · 2012 to 2021
$5.6M
Understanding Patient, Provider, and Systems Stakeholder Attitudes and Preferences to Optimize Implementation of Long-Acting Injectable Antiretrovirals and Maximize Clinical and Public Health ImpactR01MH123396 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHRISTOPOULOS, KATERINA A, HICKEY, MATTHEW · 2020 to 2023
$3.2M
“Hair Lengthening”: Using Hair Levels to Interpret Long-Acting PrEP Studies.R37AI098472 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Monica Gandhi · 2023 to 2026
$3.2M
Unraveling the intersection of substance use, inflammation, and HIV via hair levelsR01DA059291 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Monica Gandhi, Pamina Mae Gorbach · 2023 to 2026
$3.0M
NIAID NIH HHS L30 AI154475NIAID NIH HHS P30 AI027763NIAID NIH HHS R01 AI098472NIAID NIH HHS R37 AI098472NIAID NIH HHS T32 AI060530NIDA NIH HHS R01 DA059291NIMH NIH HHS P30 MH062246NIMH NIH HHS R01 MH123396
6 · The paper itself

Abstract

backgroundIntramuscular cabotegravir (CAB) and rilpivirine (RPV) is the only long-acting antiretroviral therapy (LA-ART) regimen approved for people with HIV (PWH). Long-acting ART holds promise for improving outcomes among populations with barriers to adherence but is only approved for PWH who have virologic suppression with use of oral ART before initiating injectables.

objectiveTo examine LA-ART in a population of PWH that includes those with viremia.

designObservational cohort study.

settingUrban academic safety-net HIV clinic. PATIENTS: Publicly insured adults living with HIV with and without viral suppression, high rates of unstable housing, mental illness, and substance use.

interventionDemonstration project of long-acting injectable CAB-RPV. MEASUREMENTS: Descriptive statistics summarizing cohort outcomes to date, based on pharmacy team logs and electronic medical record data.

resultsBetween June 2021 and November 2022, 133 PWH at the Ward 86 HIV Clinic were started on LA-ART, 76 of whom had virologic suppression while using oral ART and 57 of whom had viremia. The median age was 46 years (IQR, 25 to 68 years); 117 (88%) were cisgender men, 83 (62%) had non-White race, 56 (42%) were experiencing unstable housing or homelessness, and 45 (34%) had substance use. Among those with virologic suppression, 100% (95% CI, 94% to 100%) maintained suppression. Among PWH with viremia, at a median of 33 days, 54 of 57 had viral suppression, 1 showed the expected 2-log LIMITATION: Single-site study.

conclusionThis project demonstrates the ability of LA-ART to achieve virologic suppression among PWH, including those with viremia and challenges to adherence. Further data on the ability of LA-ART to achieve viral suppression in people with barriers to adherence are needed. PRIMARY FUNDING SOURCE: National Institutes of Health, City and County of San Francisco, and Health Resources and Services Administration.

Indexed as

Anti-HIV AgentsHIV InfectionsAdultCohort StudiesHumansMaleMiddle AgedRilpivirineViral LoadViremiaAnti-HIV AgentsRilpivirine

Identifiers

PMID37399555
PMCPMC10771861
OpenAlexW4382933695

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.