Evidence map›Paper›PMID 39844075›Full record

Observational studyBMC infectious diseases2025

Unconventional use of injectable long-acting cabotegravir and rilpivirine against HIV-1 in PWH in clinical need: 52 weeks real-world data.

Valentina Iannone, Roberto Rossotti, Nicholas Brian Bana, Gabriele Cavazza, Federico D'Amico, Francesca Lombardi, Pierluigi Francesco Salvo, Gianmaria Baldin, Simona Di Giambenedetto, Dario Bernacchia and 3 more

Abstract readObservational Study
In one paragraph

Observational study in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

7 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Review
  6. Article
  7. 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

13 authors.

Valentina Iannone *Department of Healtcare Surveillance and Bioetichs, Section of Infectious Diseases, Catholic University of Sacred Heart, Rome, Italy.
Roberto Rossotti *Department of Infectious Diseases, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Nicholas Brian BanaDepartment of Infectious Diseases, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Gabriele CavazzaDepartment of Infectious Diseases, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Federico D'AmicoDepartment of Infectious Diseases, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Francesca LombardiDepartment of Healtcare Surveillance and Bioetichs, Section of Infectious Diseases, Catholic University of Sacred Heart, Rome, Italy.
Pierluigi Francesco SalvoDepartment of Healtcare Surveillance and Bioetichs, Section of Infectious Diseases, Catholic University of Sacred Heart, Rome, Italy.
Gianmaria BaldinDepartment of Medical and Surgical Science, Fondazione Policlinico Universitario A. Gemelli IRCCS, UOC Infectious Diseases, Rome, Italy.
Simona Di GiambenedettoDepartment of Healtcare Surveillance and Bioetichs, Section of Infectious Diseases, Catholic University of Sacred Heart, Rome, Italy.
Dario BernacchiaClinical and Biomedical Science Department (DIBIC), Infectious Diseases Unit, University of Milan, Legnano General Hospital, ASST Ovest Milanese, Italy, Legnano, 20025, MI, Italy.
Gabriele PaganiClinical and Biomedical Science Department (DIBIC), Infectious Diseases Unit, University of Milan, Legnano General Hospital, ASST Ovest Milanese, Italy, Legnano, 20025, MI, Italy.
Alberto BorghettiDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Stefano RusconiClinical and Biomedical Science Department (DIBIC), Infectious Diseases Unit, University of Milan, Legnano General Hospital, ASST Ovest Milanese, Italy, Legnano, 20025, MI, Italy. stefano.rusconi@unimi.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong-acting Cabotegravir and Rilpivirine (LA CAB + RPV) shows potential advantages in heavily comorbid and even in viremic people with HIV (PWH). We assessed LA CAB + RPV durability in a cohort of PWH with a high comorbidity burden and adherence issues.

methodsRetrospective observational study in two Italian outpatient settings enrolling PWH who switched to LA CAB + RPV from February 2021 to January 2024 in presence of exclusion criteria enlisted in registrational trials or with other worrisome clinical risks. Kaplan-Meier (KM) was used to assess the probability of CAB/RPV discontinuation. Cox regression analysis was used to evaluate potential predictors of discontinuation.

resultsWe enrolled 74 PWH, with a median of 7 injections (IQR 5-9), a median age of 53 years (IQR 45-61), median time of exposure to antiretrovirals of 11 years (IQR 8-18) and median time from HIV diagnosis of 11.8 years (IQR 6.6-18.2). Eleven (14.9%) discontinued LA CAB + RPV mainly for injection-site pain. Of 53 PWH who were undetectable before switch, 37 maintained viral suppression at week 52. We registered only one virological failure at week 12. Twenty-one started injections with unsuppressed viral loads (median 66 cps/ml, IQR 40-215) and 10 (47.6%) achieved viral suppression. Overall probability of discontinuation was 14.9% at week 52. Younger age was protective against discontinuation (HR 0.93, 95%CI 0.88-0.99, p = 0.048).

conclusionsOur results support the potential advantages in using LA CAB + RPV in PWH with adherence issues and comorbidities.

Indexed as

Anti-HIV AgentsHIV-1HIV InfectionsPyridonesRilpivirineAdultDiketopiperazinesFemaleHumansItalyMaleMiddle AgedRetrospective StudiesViral LoadAnti-HIV AgentscabotegravirDiketopiperazinesPyridonesRilpivirineAdherence issuesComorbiditiesLong acting antiretroviralsPopulation in needVirological suppression

Identifiers

PMID39844075
PMCPMC11756072

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.