Evidence map›Paper›PMID 41393919›Full record

ArticleAIDS research and treatment2025

BIKSWITCH Study: Effectiveness and Safety of Switching to Bictegravir/Emtricitabine/Tenofovir Alafenamide (B/F/TAF) From Therapies Not Based on Integrase Inhibitors in Virologically Suppressed HIV-Infected Patients.

Fernando Pérez-Calvo, Francisco Jover-Diaz, Elisabet Delgado-Sánchez, Jorge Peris-García, María Ángeles Bernabéu-Martínez

Abstract read
In one paragraph

Article in AIDS research and treatment, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

5 authors.

Fernando Pérez-CalvoClinical Medicine Department, Miguel Hernández de Elche University, Alicante, Spain.ORCID https://orcid.org/0009-0005-1637-8387
Francisco Jover-DiazClinical Medicine Department, Miguel Hernández de Elche University, Alicante, Spain.ORCID https://orcid.org/0000-0002-1939-4295
Elisabet Delgado-SánchezInfectious Diseases Department, Hospital Clínico Universitario San Juan de Alicante, Alicante, Spain.ORCID https://orcid.org/0009-0001-5408-281X
Jorge Peris-GarcíaClinical Medicine Department, Miguel Hernández de Elche University, Alicante, Spain.ORCID https://orcid.org/0000-0002-0238-9350
María Ángeles Bernabéu-MartínezPharmacy Department, Hospital Clínico Universitario San Juan de Alicante, Alicante, Spain.ORCID https://orcid.org/0000-0003-0984-1888

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Beyond initial antiretroviral therapy (ART), bictegravir/emtricitabine/tenofovir alafenamide 50/200/25 mg (B/F/TAF) has been evaluated as an option for the continuation of treatment for virologically suppressed individuals who switch from other regimens. While treatment-emergent resistance to bictegravir has not been observed in clinical trials, rare case reports have described resistance development during B/F/TAF therapy, typically in the context of suboptimal adherence. Its favourable safety profile, minimal drug-drug interactions and proven virological efficacy suggest that virologically suppressed individuals may benefit from switching to B/F/TAF. Methods: Descriptive, retrospective, observational study of adults with HIV infection receiving effective non-INSTI (integrase strand transfer inhibitors)-based ART who switched to a B/F/TAF, but not all were suppressed. We compared individuals' viral loads, CD4+ lymphocyte counts, glomerular filtration rates, and lipid profiles before the switch and after 24 weeks of B/F/TAF. Safety was also assessed. Results: Seventy-nine individuals switched from non-INSTI-based therapies to B/F/TAF. At 24 weeks after the switch, HIV-1 RNA < 50 copies/mL was reported in 96.1% and 92.4% of participants per protocol and intention-to-treat analysis, respectively, compared to 81.0% at baseline. This represents a 15.1% increase in virologic suppression (viral load < 50 copies/mL) compared to baseline. No significant changes were detected in the CD4+ lymphocyte count, glomerular filtration rate, or lipid profile. Adverse events (AEs) were reported in 5.1% of patients. Three patients discontinued treatment due to AEs. Conclusions: The results of this study suggest that patients can switch to B/F/TAF from non-INSTI-based therapies without compromising the effectiveness or safety of ART.

Indexed as

bictegravirhighly active antiretroviral therapyHIV infectiontreatment switchvirological suppression

Identifiers

PMID41393919
PMCPMC12699972

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.