Evidence map›Paper›PMID 41467721›Full record

ArticleAIDS (London, England)2026

Tolerability of lopinavir versus dolutegravir in children and adolescents with HIV.

Jacob Blankenberger, Akash Devendra, Meenakshi Bakaya, Tristan Lee, Teresa L F Steffy, Thithili Makhesi, Charlie J Gilbride, Jennifer M Belus, Lineo Thahane, Nadine Tschumi and 6 more

Abstract readComparative Study
In one paragraph

Article in AIDS (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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

16 authors.

Jacob BlankenbergerDivision of Clinical Epidemiology, Department of Clinical Research, University Hospital Basel, Basel.
Akash DevendraBaylor College of Medicine Children's Foundation Lesotho, Maseru, Lesotho.
Meenakshi BakayaBaylor College of Medicine Children's Foundation Lesotho, Maseru, Lesotho.
Tristan LeeDivision of Clinical Epidemiology, Department of Clinical Research, University Hospital Basel, Basel.
Teresa L F SteffyBaylor College of Medicine Children's Foundation Lesotho, Maseru, Lesotho.
Thithili MakhesiBaylor College of Medicine Children's Foundation Lesotho, Maseru, Lesotho.
Charlie J GilbrideHealth Psychology Research Ltd., Egham, Surrey, Great Britain.
Jennifer M BelusDivision of Clinical Epidemiology, Department of Clinical Research, University Hospital Basel, Basel.
Lineo ThahaneBaylor College of Medicine Children's Foundation Lesotho, Maseru, Lesotho.
Nadine TschumiDivision of Clinical Epidemiology, Department of Clinical Research, University Hospital Basel, Basel.
Nthuseng B MarakeMinistry of Health, Maseru, Lesotho.
Tapiwa TarumbiswaMinistry of Health, Maseru, Lesotho.
Reto HuberChild Development Center, University Children's Hospital Zurich.
Frédérique ChammartinDivision of Clinical Epidemiology, Department of Clinical Research, University Hospital Basel, Basel.
Niklaus D LabhardtDivision of Clinical Epidemiology, Department of Clinical Research, University Hospital Basel, Basel.
Jennifer A BrownDivision of Clinical Epidemiology, Department of Clinical Research, University Hospital Basel, Basel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildren and adolescents with HIV previously taking ritonavir-boosted lopinavir (LPV/r)-based antiretroviral therapy (ART) were recently programmatically transitioned to dolutegravir (DTG)-based ART in Lesotho, southern Africa. We investigated associated changes in treatment satisfaction and potential side effects.

methodsThis single-center prospective cohort study enrolled participants younger than 18 years transitioned from LPV/r-based to DTG-based ART during the national programmatic DTG rollout in 2022-2023. Virally suppressed participants who were at least 6 years old and able to handle a sleep diary and actigraphy were eligible for additional sleep monitoring. Enrollment occurred 2 weeks before (with actigraphy) or at (without actigraphy) transition with follow-up until 4 weeks posttransition. Co-primary endpoints were change in treatment satisfaction assessed with the HIV Treatment Satisfaction Questionnaire change version (HIVTSQc; Teen and Parent versions) at 4 weeks, and difference in mean sleep period length over a 2-week period before and after transition (only actigraphy participants). Secondary endpoints assessed treatment satisfaction status, gastrointestinal symptoms, depressive symptoms, and additional sleep measures.

resultsAmong 245 participants with transition and 4-week data, 115 (47%) were girls and median age was 11.1 (interquartile range 8.9-13.6) years. HIVTSQc outcomes favored DTG, with 88/92 (96%) HIVTSQc-Teen and 149/151 (99%) HIVTSQc-Parent responses indicating being 'much more satisfied now' posttransition. Among 69 (28%) actigraphy participants, mean sleep period length was 9.0 h [standard deviation (SD) 1.0] before and 9.2 h (SD 1.0) 2-4 weeks posttransition [mean difference 0.2, 95% confidence interval (CI) 0.0-0.4]. Secondary outcomes did not change meaningfully.

conclusionObserved treatment satisfaction and tolerability support the rollout of DTG in pediatric HIV care.

Indexed as

Anti-HIV AgentsHeterocyclic Compounds, 3-RingHIV InfectionsHIV Integrase InhibitorsLopinavirPiperazinesAdolescentChildFemaleHumansMaleOxazinesPatient SatisfactionProspective StudiesPyridonesTreatment OutcomeAnti-HIV AgentsHeterocyclic Compounds, 3-RingHIV Integrase InhibitorsLopinavirOxazinesPiperazinesPyridonesHIVintegrase inhibitorspatient-reported outcome measurespediatricsprotease inhibitorssleep

Identifiers

PMID41467721
PMCPMC13034765

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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.