Evidence map›Paper›PMID 37526898›Full record

Observational studyInfection2023

The DoDo experience: an alternative antiretroviral 2-drug regimen of doravirine and dolutegravir.

Stefanie Sammet, Veronique Touzeau-Römer, Eva Wolf, Pia Schenk-Westkamp, Birgit Romano, Elke Gersbacher, Ulrich Kastenbauer, Christoph Boesecke, Jürgen Rockstroh, Stefan Scholten and 3 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Infection, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
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, 11 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

13 authors at 6 institutions in 2 countries.

Stefanie SammetKlinik für Dermatologie und Venerologie, Universitätsklinikum Essen, Hufelandstrasse 55, 45122, Essen, Germany.
Veronique Touzeau-RömerUniversitätsklinik für Dermatologie, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Vienna, Austria.
Eva WolfMUC Research GmbH, Waltherstr. 32, 80337, Munich, Germany.
Pia Schenk-WestkampKlinik für Dermatologie und Venerologie, Universitätsklinikum Essen, Hufelandstrasse 55, 45122, Essen, Germany.
Birgit RomanoUniversitätsklinik für Dermatologie, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Vienna, Austria.
Elke GersbacherMUC Research GmbH, Waltherstr. 32, 80337, Munich, Germany.
Ulrich KastenbauerInfektiologie Schwabing, Ainmillerstr. 26, 80801, Munich, Germany.
Christoph BoeseckeMedizinische Klinik und Poliklinik I, Universitätsklinikum Bonn, Campus-Venusberg, Gebäude 26, 53127, Bonn, Germany.
Jürgen RockstrohMedizinische Klinik und Poliklinik I, Universitätsklinikum Bonn, Campus-Venusberg, Gebäude 26, 53127, Bonn, Germany.
Stefan ScholtenPraxis Hohenstaufenring, Richard-Wagner-Str. 9-11, 50674, Cologne, Germany.
Stephan SchneeweissPraxis Hohenstaufenring, Richard-Wagner-Str. 9-11, 50674, Cologne, Germany.
Julia RoiderSektion Klinische Infektiologie, Medizinische Klinik und Poliklinik IV, LMU Klinikum, Ludwig-Maximilians-Universität München, Pettenkoferstr. 8a, 80336, Munich, Germany.
Ulrich SeyboldSektion Klinische Infektiologie, Medizinische Klinik und Poliklinik IV, LMU Klinikum, Ludwig-Maximilians-Universität München, Pettenkoferstr. 8a, 80336, Munich, Germany. useybold@med.lmu.de.
Essen University Hospital · DELMU Klinikum · DEMedical University of Vienna · ATMUC Research (Germany) · DEUniversity Hospital Bonn · DEMünchen Klinik Schwabing · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrently available antiretroviral 2-drug regimen (2DR) fixed dose combinations may not be suitable for specific situations including the presence of resistance associated mutations (RAM) or drug - drug interactions (DDI). The data on the use of the non-nucleoside reverse transcriptase inhibitor doravirine (DOR) and the integrase inhibitor dolutegravir (DTG) as an alternative 2DR remain scarce.

methodsPeople living with HIV with DOR + DTG as a 2DR are being followed in a prospective observational study.

resultsThis analysis describes 85 participants with a median age of 57 years. Median CD4-nadir was 173/µl and a majority (66%) had a history of HIV-associated or AIDS-defining conditions. Antiretroviral history was mostly extensive, and documentation of RAM was frequent. The main reasons for choosing DOR + DTG were DDI (29%), tolerability (25%), and cardiovascular risk reduction (21%). Plasma viral load at switch was < 50 copies/ml in all but 3 instances, median CD4 count was 600/µl. DOR + DTG was later changed to another regimen in 10 participants after a median of 265 days, the other 75 participants have remained on DOR + DTG for a median of 947 days.

conclusionDOR + DTG as a 2DR proved to be a durable treatment option even in extensively pretreated individuals.

Indexed as

Acquired Immunodeficiency SyndromeAnti-HIV AgentsHIV InfectionsAnti-Retroviral AgentsDolutegravirHumansMiddle AgedOxazinesPyridonesTreatment OutcomeTriazolesViral LoadAnti-HIV AgentsAnti-Retroviral AgentsDolutegravirdoravirineOxazinesPyridonesTriazoles2-drug regimenAntiretroviral therapyDolutegravirDoravirineHIV

Identifiers

PMID37526898
PMCPMC10665222
OpenAlexW4385442861

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.