Evidence map›Paper›PMID 41187020›Full record

Observational studyClinical infectious diseases : an official publication of the Infectious Diseases Society of America2026

Combined Use of Ibalizumab and Lenacapavir for the Treatment of Multidrug-resistant HIV-1: A Case Series.

Charlotte Rolle, Amit Achhra, Christina Harbison, Diana Finkel, Christopher Lucasti, Claudia Martorell, Tammie McClendon, Jihad Slim

Abstract readObservational Study
In one paragraph

Observational study in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2026. 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. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Charlotte RolleResearch Operations, Orlando Immunology Center, Orlando, Florida, USA.
Amit AchhraInfectious Diseases, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0009-0002-8954-345X
Christina HarbisonClinical Pharmacy, Prism Health North Texas, Dallas, Texas, USA.
Diana FinkelRutgers Health, New Jersey Medical School, Newark, New Jersey, USA.
Christopher LucastiShore Medical Center, South Jersey Infectious Disease, Somers Point, New Jersey, USA.
Claudia MartorellClinical/Medical and Research Divisions, The Research Institute, Springfield, Massachusetts, USA.
Tammie McClendonInfectious Diseases, Wayne Health, Detroit, Michigan, USA.
Jihad SlimSchool of Medicine, New York Medical College, Valhalla, New York, USA.ORCID 0000-0002-4192-7246

Funding

Theratechnologies Inc
6 · The paper itself

Abstract

backgroundSome individuals with human immunodeficiency virus (HIV-1) have acquired multidrug-resistant (MDR) strains of HIV and/or are nonadherent to antiretroviral (ARV) medication. Injectable ARVs can provide salvage therapy for those with limited therapeutic options and may be preferred by some people with HIV (PWH). Real-world evidence may contribute to a more comprehensive understanding of the barriers to adherence and the utility of injectable ARVs in PWH. Currently, there is a lack of data on combined use of injectable ibalizumab (IBA) and lenacapavir (LEN) with optimized background regimen (OBR).

methodsA retrospective observational study examined medical charts from people with MDR HIV across 8 facilities in the United States. All PWH used a combination of both IBA + LEN ± OBR for at least 6 months. Viral loads and CD4+ counts were collected.

resultsA total of 21 PWH were included. Four-class resistance at baseline was reported in 38.1% of PWH. Within 12 to 24 weeks of combined IBA + LEN treatment, a median reduction of -2710 copies/mL HIV RNA was observed. Median increase to CD4+ count was 67.5 cells/mm3 within 4 to 44 weeks of treatment initiation. Few intolerances required changes to treatment. Therapy with IBA + LEN continued for an average of 30 months and 20 months, respectively.

conclusionsIn this small group of individuals with MDR HIV who were heavily treatment-experienced and/or faced adherence challenges, the use of IBA + LEN ± OBR was well tolerated and led to clinically significant reductions in viral loads and improvements in CD4+ counts.

Indexed as

Antibodies, MonoclonalAnti-HIV AgentsDrug Resistance, Multiple, ViralHIV-1HIV InfectionsAcetamidesAdultCD4 Lymphocyte CountDrug Therapy, CombinationFemaleHumansIndazolesMaleMiddle AgedRetrospective StudiesTreatment OutcomeAcetamidesAntibodies, MonoclonalAnti-HIV AgentsibalizumabIndazoleslenacapavirheavily treatment-experienced persons with HIVibalizumabinjectable antiretrovirallenacapavirmultidrug-resistant HIV-1

Identifiers

PMID41187020
PMCPMC13017887

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Registered trials

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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.