Evidence map›Paper›PMID 37520425›Full record

ArticleOpen forum infectious diseases2023

Transitioning to Dolutegravir in a Programmatic Setting: Virological Outcomes and Associated Factors Among Treatment-Naive Patients With HIV-1 in the Kilombero and Ulanga Antiretroviral Cohort in Rural Tanzania.

Alex J Ntamatungiro, Anna Eichenberger, James Okuma, Fiona Vanobberghen, Robert Ndege, Namvua Kimera, Joel M Francis, Juliana Kagura, Maja Weisser, Kilombero and Ulanga Antiretroviral Cohort (KIULARCO) Study Group

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
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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

10 authors at 4 institutions in 3 countries.

Alex J NtamatungiroDivision of Epidemiology and Biostatistics, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa.ORCID https://orcid.org/0000-0002-3134-3992
Anna EichenbergerDepartment of Infectious Diseases, Bern University Hospital, Bern, Switzerland.
James OkumaDepartment of Medicine, Swiss Tropical and Public Health Institute, Basel, Switzerland.
Fiona VanobberghenDepartment of Medicine, Swiss Tropical and Public Health Institute, Basel, Switzerland.ORCID https://orcid.org/0000-0002-8908-0953
Robert NdegeDivision of Epidemiology and Biostatistics, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa.
Namvua KimeraDepartment of Interventions and Clinical Trials, Ifakara Health Institute, Ifakara, Tanzania.
Joel M FrancisDepartment of Family Medicine and Primary Care, University of the Witwatersrand, Johannesburg, South Africa.ORCID https://orcid.org/0000-0003-1902-2683
Juliana KaguraDivision of Epidemiology and Biostatistics, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa.
Maja WeisserDepartment of Interventions and Clinical Trials, Ifakara Health Institute, Ifakara, Tanzania.
Kilombero and Ulanga Antiretroviral Cohort (KIULARCO) Study Group
Ifakara Health Institute · TZSwiss Tropical and Public Health Institute · CHUniversity of the Witwatersrand · ZAUniversity Hospital of Bern · CH

Funding

Wellcome Trust
6 · The paper itself

Abstract

Background: Virological outcome data after programmatic transition from non-nucleoside reverse transcriptase inhibitor (NNRTI)-based to dolutegravir (DTG)-based antiretroviral therapy (ART) regimens in sub-Saharan Africa (SSA) outside of clinical trials are scarce. We compared viral suppression and associated factors in treatment-naïve people living with HIV (PLHIV) starting DTG- based versus NNRTI-based ART. Methods: We compared virological suppression at 12 months, after treatment initiation in the two cohorts of participants aged ≥15 years, initiating DTG- and NNRTI-based ART. Drug resistance was assessed among participants with viremia ≥50 copies/mL on DTG. Results: Viral suppression was achieved for 165/195 (85%) and 154/211 (73%) participants in the DTG- and NNRTI- cohorts, respectively ( Conclusions: Virological suppression at 1 year was higher in participants initiating DTG- versus NNRTI-based ART. In those with viremia ≥50 copies/mL on DTG-based ART, there was no pretreatment or acquired resistance to the DTG co-administered NRTIs, although the number of samples tested was small.

Indexed as

ART-naivedolutegravirdrug resistanceHIV-1sub-Saharan Africa

Identifiers

PMID37520425
PMCPMC10375425
OpenAlexW4382046169

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.