Evidence map›Paper›PMID 40781957›Full record

Observational studyHIV medicine2025

Evaluation of cabotegravir plus rilpivirine in routine clinical settings in Japan: A multicentre study of efficacy, safety and biomarker dynamics.

Eisuke Adachi, Rumi Minami, Michinori Shirano, Hideta Nakamura, Kazuaki Fukushima, Mayumi Imahashi, Ryoko Sekiya, Yusuke Yoshino, Toshibumi Taniguchi, J‐HIV RWD Collaborative Database Team

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in HIV medicine, 2025. 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
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
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

10 authors.

Eisuke AdachiDepartment of Infectious Diseases and Applied Immunology, IMSUT Hospital of The Institute of Medical Science, The University of Tokyo, Tokyo, Japan.ORCID https://orcid.org/0000-0002-1623-873X
Rumi MinamiInternal Medicine, Clinical Research Institute, NHO Kyushu Medical Center, Fukuoka, Japan.ORCID https://orcid.org/0000-0002-5847-4108
Michinori ShiranoDepartment of Infectious Diseases, Osaka City General Hospital, Osaka, Japan.
Hideta NakamuraDivision of Infectious, Respiratory, and Digestive Medicine, First Department of International Medicine, University of the Ryukyus Graduate School of Medicine, Okinawa, Japan.ORCID https://orcid.org/0000-0001-7686-4604
Kazuaki FukushimaDepartment of Infectious Diseases, Tokyo Metropolitan Cancer and Infectious Disease Center Komagome Hospital, Tokyo, Japan.ORCID https://orcid.org/0000-0001-8986-6879
Mayumi ImahashiDepartment of Infectious Diseases, NHO Nagoya Medical Center, Nagoya, Japan.ORCID https://orcid.org/0000-0003-3464-4106
Ryoko SekiyaDepartment of Infectious Diseases, Tokyo Metropolitan Cancer and Infectious Disease Center Komagome Hospital, Tokyo, Japan.
Yusuke YoshinoDepartment of Internal Medicine, Teikyo University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0002-3633-4243
Toshibumi TaniguchiDepartment of Infectious Diseases, Chiba University Hospital, Chiba, Japan.ORCID https://orcid.org/0000-0002-7732-9870
J‐HIV RWD Collaborative Database Team

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesLong-acting cabotegravir plus rilpivirine (CAB+RPV) offers an alternative to daily oral therapy, but real-world data in East Asia remain scarce. This study aims to evaluate the impact of CAB+RPV in people with HIV in Japan, focusing on virological outcomes, treatment continuation and inflammatory markers, providing valuable insight into the use of injectable regimens in clinical practice.

methodsThis multicentre retrospective study analysed routinely collected data from eight HIV centres in Japan on people with HIV who initiated CAB+RPV before January 2024. Virological, renal, inflammatory and lipid outcomes were assessed using follow-up laboratory data obtained through April 2025.

resultsAmong 136 participants, over 95% maintained HIV RNA <50 copies/mL, and more than 75% sustained undetectable levels through 14 months. No virological failures occurred. Seven participants (5.1%) discontinued treatment, mostly due to injection site reactions (ISRs). Serum creatinine and cystatin C significantly decreased overall, although a significant change in serum creatinine was not observed in the subgroup switching from a regimen that did not contain a renal tubular transport inhibitor. CD4 and CD8 cell counts declined (median changes: -32 cells/μL, p = 0.0047; -52 cells/μL, p < 0.0001), with no significant change in the CD4/CD8 ratio or CRP. high-density lipoprotein cholesterol (HDL-c) increased significantly (p = 0.0005), while LDL-c and the T-chol/HDL-c ratio remained unchanged.

conclusionsThis study provides the first multicentre real-world data on CAB+RPV in Japan, demonstrating high virological outcomes among a significant portion of Japanese people with HIV. The findings suggest that CAB+RPV maintains a favourable safety profile, with no significant effects on chronic inflammation.

Indexed as

Anti-HIV AgentsHIV InfectionsPyridonesRilpivirineAdultBiomarkersCD4 Lymphocyte CountDiketopiperazinesDrug Therapy, CombinationFemaleHumansJapanMaleMiddle AgedRetrospective StudiesTreatment OutcomeAnti-HIV AgentsBiomarkerscabotegravirDiketopiperazinesPyridonesRilpivirineantiretroviral therapycabotegravir plus rilpivirinechronic inflammationHIVlong‐acting injectablereal‐world data

Identifiers

PMID40781957
PMCPMC12579889

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.