Evidence map›Paper›PMID 38400035›Full record

ArticleViruses2024

DOLAMA 200: Effectiveness and Safety of a Dual Therapy with Dolutegravir Plus Lamivudine in Treatment-Experienced HIV-1 Infected Real World Participants in Spain.

Sergio Sequera-Arquelladas, Carmen Hidalgo-Tenorio, Luis López-Cortés, Alicia Gutiérrez, Jesús Santos, Francisco Téllez, Mohamed Omar, Sergio Ferra-Murcia, Elisa Fernández, Rosario Javier and 2 more

Open access · goldAbstract read
In one paragraph

Article in Viruses, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 25% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Observational
  2. Review
  3. Article
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

12 authors at 7 institutions in 1 country.

Sergio Sequera-ArquelladasUnit of Infectious Diseases, Instituto de Investigación Biosanitario de Granada (IBS-Granada), Virgen de las Nieves University Hospital, 18014 Granada, Spain.ORCID 0000-0003-2780-8475
Carmen Hidalgo-TenorioUnit of Infectious Diseases, Instituto de Investigación Biosanitario de Granada (IBS-Granada), Virgen de las Nieves University Hospital, 18014 Granada, Spain.
Luis López-CortésDepartment of Infectious Diseases, Virgen del Rocio University Hospitals, 41013 Seville, Spain.ORCID 0000-0002-3804-3458
Alicia GutiérrezDepartment of Infectious Diseases, Virgen del Rocio University Hospitals, 41013 Seville, Spain.
Jesús SantosIBIMA Plataforma BIONAND, Unit of Infectious Diseases, Virgen de la Victoria University Hospital, 29010 Málaga, Spain.ORCID 0000-0002-4354-8418
Francisco TéllezUnit of Infectious Diseases, Puerto Real Universitary Hospital, 11510 Cádiz, Spain.
Mohamed OmarUnit of Infectious Diseases, Hospital Complex of Jaen, 23007 Jaén, Spain.
Sergio Ferra-MurciaUnit of Infectious Diseases, Hospital Torrecárdenas Hospital, 04009 Almería, Spain.ORCID 0000-0003-4054-3491
Elisa FernándezInternal medicine Service, Hospital Poniente, 04700 Almería, Spain.
Rosario JavierUnit of Infectious Diseases, Instituto de Investigación Biosanitario de Granada (IBS-Granada), Virgen de las Nieves University Hospital, 18014 Granada, Spain.
Coral García-VallecillosUnit of Infectious Diseases, Instituto de Investigación Biosanitario de Granada (IBS-Granada), Virgen de las Nieves University Hospital, 18014 Granada, Spain.
Juan PasquauUnit of Infectious Diseases, Instituto de Investigación Biosanitario de Granada (IBS-Granada), Virgen de las Nieves University Hospital, 18014 Granada, Spain.
Instituto de Investigación Biosanitaria de Granada · ESHospital Universitario Virgen del Rocío · ESComplejo Hospitalario de Jaén · ESComplejo Hospitalario Torrecárdenas · ESHospital Clínico Universitario Virgen de la Victoria · ESHospital de Poniente · ESHospital Universitario Puerto Real · ES

Funding

ViiV Healthcare (Spain) DOLAMA-ISS212985
6 · The paper itself

Abstract

The continuous pharmacological advances in antiretroviral treatment (ART) and the increasing understanding of HIV drug resistance has led to a change in the paradigm of ART optimization in the setting of the viral suppression of treatment-experienced patients with the emerging evidence of the effectiveness and safety of dual therapies. The aim of this study is to determine the antiviral efficacy and safety of switching to Dolutegravir + Lamivudine in people living with HIV, and to analyze the rate of patients with virologic failure (VF). A total of 200 patients were included with a median age of 51 years, 189 cells/µL of nadir CD4+, 13 years on ART and four previous ART regimens. Among the 168 patients who completed a follow-up at 48 weeks, a total of five VFs occurred, resulting in a 2.98% (5/168) VF rate. The results of the intention-to-treat analysis were a VF rate of 2.54% (5/197), and the rate of patients/year with viral suppression was 98.3% (298/303) in the observed data analysis. We observed a significant improvement in mean CD4 lymphocytes, the CD4/CD8 ratio and lipid profiles. The optimization of ART to DTG plus 3TC is a cost-effective switch option for treatment-experienced HIV patients, and also improves their lipid profiles.

Indexed as

Anti-HIV AgentsHIV-1HIV InfectionsHIV SeropositivityOxazinesPiperazinesPyridonesAnti-Retroviral AgentsDolutegravirHeterocyclic Compounds, 3-RingHumansLamivudineLipidsMiddle AgedSpainAnti-HIV AgentsAnti-Retroviral AgentsDolutegravirHeterocyclic Compounds, 3-RingLamivudineLipidsOxazinesPiperazinesPyridonesARTcost-effectivedolutegravirHIVlamivudinesimplification

Identifiers

PMID38400035
PMCPMC10893067
OpenAlexW4391574428

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.