Evidence map›Paper›PMID 37585352›Full record

ArticleThe Journal of antimicrobial chemotherapy2023

Archived rilpivirine-associated resistance mutations among ART-naive and virologically suppressed people living with HIV-1 subtype C in Botswana: implications for cabotegravir/rilpivirine use.

Dorcas Maruapula, Natasha O Moraka, Ontlametse T Bareng, Patrick T Mokgethi, Wonderful T Choga, Kaelo K Seatla, Nametso Kelentse, Catherine K Koofhethille, Boitumelo J L Zuze, Tendani Gaolathe and 7 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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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

17 authors at 4 institutions in 2 countries.

Dorcas MaruapulaBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Natasha O MorakaBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Ontlametse T BarengBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Patrick T MokgethiBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Wonderful T ChogaBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Kaelo K SeatlaBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Nametso KelentseBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.ORCID 0000-0003-2433-2416
Catherine K KoofhethilleBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Boitumelo J L ZuzeBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Tendani GaolatheBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Molly Pretorius-HolmeDepartment of Immunology and Infectious Diseases, Harvard University T.H. Chan School of Public Health, Boston, MA, USA.
Joseph MakhemaBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Vlad NovitskyBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Roger ShapiroBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Sikhulile MoyoBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Shahin LockmanBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Simani GaseitsiweBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Botswana Harvard AIDS Institute Partnership · BWHarvard University · USUniversity of Botswana · BWBrigham and Women's Hospital · US

Funding

H3ABioNet: a sustainable African Bioinformatics Network for H3AfricaU41HG006941 · NHGRI · UNIVERSITY OF CAPE TOWN · PI MULDER, NICOLA · 2012 to 2017
$14.8M
Training in HIV Genomics, Treatment, and Cure Research in BotswanaD43TW009610 · FIC · THE BOTSWANA HARVARD HEALTH PARTNERSHIP · PI SHAHIN LOCKMAN, Joseph Moeketsi Makhema · 2013 to 2026
$4.4M
Expansion of research and mentoring to improve birth outcomes and treatment outcomes among HIV-affected children in BotswanaK24AI131924 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Roger L Shapiro · 2018 to 2026
$1.6M
Viral Diversity an Innovative Biomarker for Refining Estimates of HIV IncidenceK43TW012350 · FIC · THE BOTSWANA HARVARD HEALTH PARTNERSHIP · PI Sikhulile Moyo · 2022 to 2026
$682k
CGH CDC HHS U01 GH000447CGH CDC HHS U2G GH001911FIC NIH HHS D43 TW009610FIC NIH HHS K43 TW012350NHGRI NIH HHS U41 HG006941NIAID NIH HHS K24 AI131924
6 · The paper itself

Abstract

objectivesPre-existing rilpivirine resistance-associated mutations (RVP-RAMs) have been found to predict HIV-1 virological failure in those switching to long-acting injectable cabotegravir/rilpivirine. We here evaluated the prevalence of archived RPV-RAMs in a cohort of people living with HIV (PWH).

methodsWe analysed near full-length HIV-1 pol sequences from proviral DNA for the presence of RPV-RAMs, which were defined according to the 2022 IAS-USA drug resistance mutation list and Stanford HIV drug resistance database.

resultsRPV-RAMs were identified in 757/5805 sequences, giving a prevalence of 13.0% (95% CI 12%-13.9%). Amongst the ART-naive group, 137/1281 (10.7%, 95% CI 9.1%-12.5%) had at least one RPV-RAM. Of the 4524 PWH with viral suppression on ART (VL <400 copies/mL), 620 (13.7%, 95% CI 12.7%-14.7%) had at least one RPV-RAM. E138A was the most prevalent RPV-RAM in the ART-naive group (7.9%) and the ART-suppressed group (9.3%). The rest of the mutations observed (L100I, K101E, E138G, E138K, E138Q, Y181C, H221Y, M230L, A98G, V179D, G190A, G190E and M230I) were below a prevalence of 1%.

conclusionsRPV-RAMs were present in 10.7% of ART-naive and 13.7% of ART-suppressed PWH in Botswana. The most common RPV-RAM in both groups was E138A. Since individuals with the E138A mutation may be more likely to fail cabotegravir/rilpivirine, monitoring RPV-RAMs will be crucial for effective cabotegravir/rilpivirine implementation in this setting.

Indexed as

Anti-HIV AgentsHIV-1HIV InfectionsHIV SeropositivityAnti-Retroviral AgentsBotswanaDiketopiperazinesDrug Resistance, ViralGenotypeHumansMutationNitrilesPyridonesPyrimidinesRilpivirineAnti-HIV AgentsAnti-Retroviral AgentscabotegravirDiketopiperazinesNitrilesPyridonesPyrimidinesRilpivirine

Identifiers

PMID37585352
PMCPMC10545497
OpenAlexW4385879069

What OpenQuestion holds

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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.