Evidence map›Paper›PMID 40843368›Full record

ArticleFrontiers in pharmacology2025

Durability and effectiveness of dual vs. triple therapy and tablet simplification in ART: findings from the Italian MOSAICO study.

Daniele Mengato, Giacomo Berti, Andrea Francavilla, Silvia Michielan, Linda Cappellazzo, Laura Agnoletto, Maria Chiara Silvani, Marco Chiumente, Dario Gregori, Maria Mazzitelli and 3 more

Abstract read
In one paragraph

Article in Frontiers in pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Daniele MengatoHospital Pharmacy Unit, Azienda Ospedale-Università Padova, Padova, Italy.
Giacomo BertiHospital Pharmacy Unit, Azienda Ospedale-Università Padova, Padova, Italy.
Andrea FrancavillaUnit of Biostatistics, Epidemiology and Public Health, Department of Cardiac Thoracic Vascular Sciences and Public Health, University of Padova, Padova, Italy.
Silvia MichielanPharmaceutical Department, Azienda AUSL of Modena, Modena, Italy.
Linda CappellazzoHospital Pharmacy, Hospital of Bolzano (SABES-ASDAA), Bolzano, Italy.
Laura AgnolettoHospital Pharmacy Unit, Azienda Ulss 5 Polesana, Rovigo, Italy.
Maria Chiara SilvaniHospital Pharmacy Unit, Azienda USL Romagna, Ravenna, Italy.
Marco ChiumenteSocietà Italiana di Farmacia Clinica e Terapia (SIFaCT), Turin, Italy.
Dario GregoriUnit of Biostatistics, Epidemiology and Public Health, Department of Cardiac Thoracic Vascular Sciences and Public Health, University of Padova, Padova, Italy.
Maria MazzitelliInfectious and Tropical Diseases Unit, Azienda Ospedale-Università Padova, Padova, Italy.
Francesca VenturiniHospital Pharmacy Unit, Azienda Ospedale-Università Padova, Padova, Italy.
Anna Maria CattelanInfectious and Tropical Diseases Unit, Azienda Ospedale-Università Padova, Padova, Italy.
SIFaCT MOSAICO Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Treatment optimization in people with HIV (PWH) has increasingly focused on reducing drug burden and improving regimen simplicity. However, comparative real-world evidence on dual therapy (DT) vs. triple therapy (TT), and single-tablet regimens (STR) vs. multi-tablet regimens (MTR), remains limited. Methods: The MOSAICO study is a multicenter, retrospective observational analysis conducted across 20 centers, including people with HIV on a stable virological suppression who switched antiretroviral therapy between 2017 and 2019. People were followed-up up to 48 months post-switch. Comparative analyses assessed virological suppression (HIV-RNA <50 copies/mL), CD4 Results: Four hundred ninety-one PWH were included. Both DT and triple therapy groups maintained high levels of virological suppression over 48 months (12 months: 97.1% vs. 91.6%; 24 months: 100% vs. 95.6%; 36 months: 100% vs. 96.9%; 48 months: 100% vs. 100%). From 24 months onward, all persons living with HIV remaining on their respective regimens achieved full virological suppression. Immunological recovery (CD4 Discussion: The real-world effectiveness of both dual and triple therapies when tailored to appropriate person profiles. STRs offer enhanced long-term persistence compared to MTRs, supporting treatment simplification strategies. These results reinforce the importance of individualized treatment approaches balancing clinical effectiveness with person-centered considerations such as pill burden and tolerability. Limitations include the retrospective design and the lack of quality-of-life data, which may affect interpretation of patient-centered outcomes. Future efforts should expand access to dual-agent STR to further improve Antiretroviral Therapy outcomes.

Indexed as

dual therapyHIV treatmentoptimizationpeople with HIVsingle tablet regimenswitch therapy

Identifiers

PMID40843368
PMCPMC12365616

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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.