Evidence map›Paper›PMID 39234659›Full record

ArticleHIV medicine2025

Therapeutic failure reported with HIV long-acting injectables: An analysis of the FDA Adverse Event Reporting System from 2021 to 2024.

Kenneth L McCall, Danielle L Cabral, Jamie F Coghlan, Ashante M Concepcion, Kristine E Denimarck, Shawn S Shalumov

Registry-linked trialAbstract read
In one paragraph

Article in HIV medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07620652 (Retrospective/Prospective Pilot Study to Evaluate Efficacy and Safety of Switching to BIC/FTC/TAF in PWH With a Previous Virological Failure Under CAB/RPV LAI), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

NCT07620652 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Retrospective/Prospective Pilot Study to Evaluate Efficacy and Safety of Switching to BIC/FTC/TAF in PWH With a Previous Virological Failure Under CAB/RPV LAI

TypeobservationalSponsorCristina MussiniRan2026 to 2027Enrolled30ConditionsHIV Infection
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
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  4. Review
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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

6 authors.

Kenneth L McCallDepartment of Pharmacy Practice, Binghamton University School of Pharmacy & Pharmaceutical Sciences, Johnson City, New York, USA.ORCID https://orcid.org/0000-0003-2061-108X
Danielle L CabralCenter for Young Adult, Adolescent, and Pediatric HIV, Northwell Health, Great Neck, New York, USA.
Jamie F CoghlanDoctor of Pharmacy Candidate, Binghamton University School of Pharmacy & Pharmaceutical Sciences, Johnson City, New York, USA.
Ashante M ConcepcionDoctor of Pharmacy Candidate, Binghamton University School of Pharmacy & Pharmaceutical Sciences, Johnson City, New York, USA.
Kristine E DenimarckDoctor of Pharmacy Candidate, Binghamton University School of Pharmacy & Pharmaceutical Sciences, Johnson City, New York, USA.
Shawn S ShalumovDoctor of Pharmacy Candidate, Binghamton University School of Pharmacy & Pharmaceutical Sciences, Johnson City, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe examined adverse event (AE) reports relating to cabotegravir/rilpivirine (CAB/RPV) in the US FDA Adverse Event Reporting System (FAERS), focusing on therapeutic failure (TF) and non-therapeutic failure (NTF) outcomes.

methodsFAERS is a database of AE and medication error reports from post-marketing surveillance. The study was granted exempt approval by the Binghamton University Institutional Review Board. We queried reports for CAB/RPV in the FAERS system from 1 January 2021 to 31 March 2024. TFs were defined as involving any of the following terms: viral load increased, virological failure, pathogen resistance, blood HIV RNA increased, treatment failure, drug ineffective, viral mutation identified, viraemia, and therapy non-responder. The top 20 most common AEs were also identified. Means, standard deviations, and percentages were used to characterize the sample.

resultsThe study cohort consisted of 2605 reports. The reported sex of the study cohort was 50% male (n = 1295), 19% female (n = 505), and 31% unspecified (n = 805), with a mean ± standard deviation (SD) age of 46.9 ± 12.4 years (n = 378). The top three most reported AEs were TFs, product dose omissions, and injection site pain, with 377 (14.5%), 354 (13.6%), and 331 (12.7%) cases, respectively. The mean ± SD weight of people with a report of TF versus NTF was 101.8 ± 33.4 kg and 87.7 ± 26.7 kg, respectively (p = 0.0175).

conclusionOur findings suggest that healthcare professionals should have a heightened awareness of potential challenges with CAB/RPV administration, including TFs and dose omissions in real-world settings.

Indexed as

Adverse Drug Reaction Reporting SystemsAnti-HIV AgentsHIV InfectionsPyridonesRilpivirineAdultFemaleHumansMaleMiddle AgedTreatment FailureUnited StatesUnited States Food and Drug AdministrationViral LoadAnti-HIV AgentsPyridonesRilpivirineadverse eventscabotegravir/rilpivirineHIVlong‐acting injectabletreatment failure

Identifiers

PMID39234659
PMCPMC11725410

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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.