Evidence map›Paper›PMID 37556481›Full record

ArticlePloS one2023

Real-life safety of Emtricitabine/Tenofovir Alafenamide/Bictegravir.

Nicola Squillace, Elena Ricci, Paolo Maggi, Lucia Taramasso, Barbara Menzaghi, Giuseppe Vittorio De Socio, Stefania Piconi, Benedetto Maurizio Celesia, Giancarlo Orofino, Eleonora Sarchi and 13 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Observational
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  8. Article
  9. Considerations for the Use of AAV-based Gene Therapy in HIV-Positive Individuals With Haemophilia.Haemophilia : the official journal of the World Federation of Hemophilia
    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

23 authors at 15 institutions in 1 country.

Nicola SquillaceInfectious Diseases Unit, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.ORCID 0000-0002-7608-6045
Elena RicciFondazione ASIA Onlus, Buccinasco (MI), Italy.
Paolo MaggiInfectious Diseases Unit, AORN Sant'Anna e San Sebastiano, Caserta, Italy.
Lucia TaramassoInfectious Diseases, San Martino Hospital Genoa, University of Genoa, Genoa, Italy.
Barbara MenzaghiUnit of Infectious Diseases, ASST della Valle Olona, Busto Arsizio (VA), Italy.
Giuseppe Vittorio De SocioUnit of Infectious Diseases, Santa Maria Hospital, Perugia, Italy.
Stefania PiconiUnit of Infectious Diseases, A. Manzoni Hospital, Lecco, Italy.ORCID 0000-0001-7058-1048
Benedetto Maurizio CelesiaUnit of Infectious Diseases, Garibaldi Hospital, Catania, Italy.ORCID 0000-0002-6919-1955
Giancarlo OrofinoDivision I of Infectious and Tropical Diseases, ASL Città di Torino, Torino, Italy.
Eleonora SarchiInfectious Diseases Unit, S.Antonio e Biagio e Cesare Arrigo Hospital, Alessandria, Italy.
Giovanni Francesco PellicanòInfectious Diseases, G. Martino Hospital -University of Messina, Messina, Italy.ORCID 0000-0002-9640-8742
Filomena SimeoneInfectious Diseases Unit, AORN Sant'Anna e San Sebastiano, Caserta, Italy.
Laura Valsecchi1st Department of Infectious Diseases, ASST Fatebenefratelli Sacco, Milan, Italy.
Alessandra BanderaInfectious Disease Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Giovanni CenderelloInfectious Diseases Department, Sanremo Hospital, Sanremo, Italy.
Letizia AttalaSOC 1 USLCENTRO FIRENZE, Unit of Infectious Diseases, Santa Maria Annunziata Hospital, Florence, Italy.
Goffredo AngioniInfectious Diseases Unit, SS Trinità Hospital, Cagliari, Italy.
Katia FalascaClinic of Infectious Diseases, Department of Medicine and Science of Aging, G. D'Annunzio University, Chieti-Pescara, Chieti, Italy.
Antonio CascioUnit of Infectious Diseases, Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy.
Olivia BargiacchiUnit of Infectious Diseases, Ospedale Maggiore della Carità, Novara, Italy.
Antonio Di BiagioInfectious Diseases, San Martino Hospital Genoa, University of Genoa, Genoa, Italy.
Paolo BonfantiInfectious Diseases Unit, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
CISAI Study Group
Azienda Ospedaliera San Gerardo · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITOspedale Sant'Anna · ITUniversity of Genoa · ITAlessandro Manzoni Hospital · ITASST Fatebenefratelli Sacco · ITAzienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo · ITFondazione Roma · ITOspedale di Circolo di Busto Arsizio · ITOspedale di Sanremo · ITOspedale Garibaldi · ITSantissima Trinità · ITUniversity of Chieti-Pescara · ITUniversity of Messina · ITUniversity of Palermo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIntegrase strand transfer inhibitors (INSTI) are one of the most prescribed drug classes for the treatment of HIV infection worldwide. Emtricitabine/Tenofovir Alafenamide/ Bictegravir (FTC/TAF/BIC) has been evaluated in randomized clinical trials; few studies have verified tolerability and safety in clinical practice. Our aim was to investigate the metabolic and hepatic safety in a real-life setting of FTC/TAF/BIC. MATERIALS AND

methodsConsecutive people living with HIV infection (PLWH) enrolled in the SCOLTA project, switching to or initiating their first antiretroviral treatment with FTC/TAF/BIC were included. PLWH with HBV co-infection were excluded. Metabolic and hepatic variables were collected at T0 and T1, were defined as baseline and 6-month follow-up respectively, and their modifications were analysed using the paired t-test and the analysis of variance.

resultsFive hundred and thirty-nine PLWH with at least one follow-up visit were included in the analysis. Mean age was 48 years (±12.1), 74% were male, 16.1% were naïve to antiretrovirals (ART). At T1, ART-experienced PLWH showed a significant reduction of total cholesterol (TC) and triglycerides, and a slight increase in blood glucose (BG) and ALT. On the contrary, in ART-naïve PLWH blood lipids significantly increased, although with an unaffected TC/high density lipoprotein (HDL)-c ratio, while alanine aminotransferase (ALT) decreased significantly, mainly in those with altered baseline level. The treatment interruptions were 45 (8.4%) over the whole observation period, 13 (2.4%) due to AEs. The most frequent AEs were related to the central nervous system (6 events of depression, insomnia, headache, agitation) and 3 PLWH discontinued the regimen because of grade 1-2 weight gain.

conclusionsIn ART-experienced PLWH switching to FTC/TAF/BIC a significant improvement of lipid profile occurred but with significant BG and ALT variation without clinical relevance. In ART-naïve PLWH, blood lipids increased even though lipid profile did not worsen, and a trend towards normalization of liver enzymes was suggested. FTC/TAF/BIC is well tolerated in the real life setting.

Indexed as

Anti-HIV AgentsHIV InfectionsAdenineAlanineAmidesAnti-Retroviral AgentsEmtricitabineFemaleHeterocyclic Compounds, 3-RingHumansLipoproteins, HDLMaleMiddle AgedPiperazinesPyridonesTenofovirAdenineAlanineAmidesAnti-HIV AgentsAnti-Retroviral AgentsbictegravirEmtricitabineemtricitabine tenofovir alafenamideHeterocyclic Compounds, 3-RingLipoproteins, HDLPiperazinesPyridonesTenofovirtenofovir alafenamide

Identifiers

PMID37556481
PMCPMC10411741
OpenAlexW4385689805

What OpenQuestion holds

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LicenceCC BY
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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.