Evidence map›Paper›PMID 39052748›Full record

Trial reportThe Journal of infectious diseases2024

Efficacy, Safety, and Pharmacokinetics by Body Mass Index Category in Phase 3/3b Long-Acting Cabotegravir Plus Rilpivirine Trials.

Emilie R Elliot, Joseph W Polli, Parul Patel, Louise Garside, Richard Grove, Vincent Barnett, Jeremy Roberts, Sri Byrapuneni, Herta Crauwels, Susan L Ford and 5 more

3 registry-linked trialsAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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.

NCT02938520 phase3active not recruitingnot on this map

A Phase III, Randomized, Multicenter, Parallel-group, Open-Label Study Evaluating the Efficacy, Safety, and Tolerability of Long-Acting Intramuscular Cabotegravir and Rilpivirine for Maintenance of Virologic Suppression Following Switch From an Integrase Inhibitor Single Tablet Regimen in HIV-1 Infected Antiretroviral Therapy Naive Adult Participants

TypeinterventionalSponsorViiV HealthcareRan2016 to 2029Enrolled631ConditionsHIV InfectionsArmsCabotegravir (CAB) tablet, Rilpivirine (RPV) tablet, Cabotegravir - Injectable Suspension (CAB LA), Rilpivirine - Injectable Suspension (RPV LA), ABC/DTG/3TC STR - Tablet
NCT02951052 phase3active not recruitingnot on this map

A Phase III, Randomized, Multicenter, Parallel-group, Non-inferiority, Open-label Study Evaluating the Efficacy, Safety, and Tolerability of Switching to Long-acting Cabotegravir Plus Long-acting Rilpivirine From Current INI- NNRTI-, or PI-based Antiretroviral Regimen in HIV-1-infected Adults Who Are Virologically Suppressed

TypeinterventionalSponsorViiV HealthcareRan2016 to 2029Enrolled618ConditionsInfection, Human Immunodeficiency Virus, HIV InfectionsArmsCabotegravir (CAB) tablet, Rilpivirine (RPV) tablet, Cabotegravir - Injectable Suspension (CAB LA), Rilpivirine - Injectable Suspension (RPV LA), 2 NRTIs plus an INI, NNRTI, or PI
NCT03299049 phase3active not recruitingnot on this map

A Phase IIIb, Randomized, Multicenter, Parallel-group, Non-inferiority, Open-label Study Evaluating the Efficacy, Safety, and Tolerability of Long-acting Cabotegravir Plus Long-acting Rilpivirine Administered Every 8 Weeks or Every 4 Weeks in HIV-1-infected Adults Who Are Virologically Suppressed

TypeinterventionalSponsorViiV HealthcareRan2017 to 2029Enrolled1,049ConditionsHIV InfectionsArmsCabotegravir Tablets, Rilpivirine Tablets, Cabotegravir Injectable Suspension, Rilpivirine Injectable Suspension
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Trial
  2. Observational
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Effect of Obesity on the Exposure of Long-acting Cabotegravir and Rilpivirine: A Modeling Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    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

15 authors.

Emilie R ElliotViiV Healthcare, Durham, North Carolina, USA.
Joseph W PolliViiV Healthcare, Durham, North Carolina, USA.
Parul PatelViiV Healthcare, Durham, North Carolina, USA.
Louise GarsideGSK, London, United Kingdom.
Richard GroveGSK, Uxbridge, United Kingdom.
Vincent BarnettGSK, Durham, North Carolina, USA.
Jeremy RobertsGSK, Mississauga, Ontario, Canada.
Sri ByrapuneniParexel International, Research Triangle Park, North Carolina, USA.
Herta CrauwelsJanssen Research and Development, Beerse, Belgium.
Susan L FordGSK, Durham, North Carolina, USA.
Rodica Van Solingen-RisteaJanssen Research and Development, Beerse, Belgium.
Eileen BirminghamJanssen Research and Development, Raritan, New Jersey, USA.
Ronald D'AmicoViiV Healthcare, Durham, North Carolina, USA.
Bryan BaughJanssen Research and Development, Raritan, New Jersey, USA.
Jean van WykViiV Healthcare, Brentford, United Kingdom.

Funding

Janssen Research and DevelopmentViiV Healthcare
6 · The paper itself

Abstract

backgroundCabotegravir plus rilpivirine (CAB + RPV) is a guideline-recommended long-acting (LA) injectable regimen for the maintenance of human immunodeficiency virus-1 (HIV-1) virologic suppression. This post hoc analysis summarizes CAB + RPV LA results by baseline body mass index (BMI) category among phase 3/3b trial participants.

methodsData from CAB + RPV-naive participants receiving every 4 or 8 week dosing in FLAIR, ATLAS, and ATLAS-2M were pooled through week 48. Data beyond week 48 were summarized by study (FLAIR through week 96 and ATLAS-2M through week 152). HIV-1 RNA <50 and ≥50 copies/mL, confirmed virologic failure (CVF; 2 consecutive HIV-1 RNA ≥200 copies/mL), safety and tolerability, and plasma CAB and RPV trough concentrations were evaluated by baseline BMI (<30 kg/m2, lower; ≥30 kg/m2, higher).

resultsAmong 1245 CAB + RPV LA participants, 213 (17%) had a baseline BMI ≥30 kg/m2. At week 48, 92% versus 93% of participants with lower versus higher BMI had HIV-1 RNA <50 copies/mL, respectively. Including data beyond week 48, 18 participants had CVF; those in the higher BMI group (n = 8) all had at least 1 other baseline factor associated with CVF (archived RPV resistance-associated mutations or HIV-1 subtype A6/A1). Safety and pharmacokinetic profiles were comparable between BMI categories.

conclusionsCAB + RPV LA was efficacious and well tolerated, regardless of baseline BMI category. CLINICAL TRIALS REGISTRATION: NCT02938520, NCT02951052, and NCT03299049.

Indexed as

Anti-HIV AgentsBody Mass IndexHIV-1HIV InfectionsPyridonesRilpivirineAdultDiketopiperazinesDrug Therapy, CombinationFemaleHumansMaleMiddle AgedRNA, ViralTreatment OutcomeViral LoadAnti-HIV AgentscabotegravirDiketopiperazinesPyridonesRilpivirineRNA, ViralBMIcabotegravirHIV-1long-actingrilpivirine

Identifiers

PMID39052748
PMCPMC11272083

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.