Evidence map›Paper›PMID 41567259›Full record

Trial reportOpen forum infectious diseases2026

Switch to Fixed Dose of Doravirine, Lamivudine, Tenofovir Disoproxil Fumarate Versus Bictegravir, Emtricitabine, and Tenofovir Alafenamide Fumarate in Virologically Suppressed Adults on Efavirenz-Based Regimens: 48-Week Results of a Real-world, Prospective, Observational Cohort Study.

Aixin Li, Zaicun Li, Jianwei Li, Yue Gao, Lili Dai, An Liu, Hongwei Zhang, Xi Wang, Liang Wu, Yanwei Yao and 3 more

Abstract readClinical Trial
In one paragraph

Trial report in Open forum infectious diseases, 2026. 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

13 authors.

Aixin LiCenter for Infectious Diseases, Beijing Youan Hospital, Capital Medical University, Beijing, People's Republic of China.ORCID https://orcid.org/0000-0003-3525-5081
Zaicun LiCenter for Infectious Diseases, Beijing Youan Hospital, Capital Medical University, Beijing, People's Republic of China.
Jianwei LiCenter for Infectious Diseases, Beijing Youan Hospital, Capital Medical University, Beijing, People's Republic of China.
Yue GaoCenter for Infectious Diseases, Beijing Youan Hospital, Capital Medical University, Beijing, People's Republic of China.
Lili DaiCenter for Infectious Diseases, Beijing Youan Hospital, Capital Medical University, Beijing, People's Republic of China.ORCID https://orcid.org/0000-0002-3917-3027
An LiuCenter for Infectious Diseases, Beijing Youan Hospital, Capital Medical University, Beijing, People's Republic of China.
Hongwei ZhangCenter for Infectious Diseases, Beijing Youan Hospital, Capital Medical University, Beijing, People's Republic of China.
Xi WangCenter for Infectious Diseases, Beijing Youan Hospital, Capital Medical University, Beijing, People's Republic of China.
Liang WuClinical Center for HIV/AIDS, Beijing Ditan Hospital, Capital Medical University, Beijing, People's Republic of China.
Yanwei YaoDermatology & STD Department, Chifeng Infectious Disease Prevention and Control Hospital, Inner Mongolia, Chifeng, People's Republic of China.
LetiAn LiuCenter for Infectious Diseases, Beijing Youan Hospital, Capital Medical University, Beijing, People's Republic of China.
Jiangzhu YeCenter for Infectious Diseases, Beijing Youan Hospital, Capital Medical University, Beijing, People's Republic of China.
Lijun SunCenter for Infectious Diseases, Beijing Youan Hospital, Capital Medical University, Beijing, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: We compared the effectiveness and safety profiles of doravirine, lamivudine, tenofovir disoproxil fumarate (DOR/3TC/TDF) with bictegravir, emtricitabine, tenofovir alafenamide fumarate (BIC/FTC/TAF) in people with HIV (PWH) who had achieved virological suppression on efavirenz (EFV)-based antiretroviral regimens. Methods: This study was a single-center, real-world, prospective observational cohort study. The main inclusion criteria: PWH aged ≥18 years who had received an EFV-containing regimen for ≥6 months and achieved confirmed virological suppression. Participants were stratified according to clinical decisions to switch to DOR/3TC/TDF or BIC/FTC/TAF. The primary effectiveness end point was the proportion of participants with HIV-1 RNA ≥50 copies/mL at week 48, with a preset 4% noninferiority margin. Results: A total of 349 participants received at least 1 dose of study drugs (142 in DOR group, 207 in BIC group). At 48 weeks, 2 (1.4%) in the DOR group and 1 (0.5%) in the BIC group had HIV-1 RNA ≥50 copies/mL (estimated treatment difference [ETD], 1.0%; 95% CI, -1.6% to 3.7%), establishing noninferiority. In the BIC group, mean CD4 counts decreased significantly by ∼76.5 cells/µL at week 48 (95% CI, -111.801 to -41.218; Conclusions: In previously virologically suppressed PWH on an EFV-based regimen, the switch to DOR/3TC/TDF maintained virological suppression noninferior to that of BIC/FTC/TAF, with favorable metabolic profiles.

Indexed as

antiretroviral therapybictegravirdoravirinenoninferiorityreal-worldswitch therapy

Identifiers

PMID41567259
PMCPMC12817991

What OpenQuestion holds

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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.