Evidence map›Paper›PMID 41854855›Full record

ArticleInfectious diseases and therapy2026

Effectiveness of Switching to Bictegravir/Emtricitabine/Tenofovir Alafenamide from Rilpivirine or Other Non-nucleoside Reverse Transcriptase Inhibitor (NNRTI)-Based Antiretroviral Therapy in Virologically Suppressed People with HIV: A Retrospective Analysis (DRIVE-SWITCH Study).

Roberta Gagliardini, Alessandro Caioli, Marisa Fusto, Sandrine Ottou, Federica Forbici, Lavinia Fabeni, Fabrizio Maggi, Maria Maddalena Plazzi, Federico De Zottis, Rita Bellagamba and 8 more

Abstract read
In one paragraph

Article in Infectious diseases and therapy, 2026. 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

18 authors.

Roberta GagliardiniNational Institute for Infectious Diseases Lazzaro Spallanzani, IRCCS, Rome, Italy.
Alessandro CaioliNational Institute for Infectious Diseases Lazzaro Spallanzani, IRCCS, Rome, Italy. alessandro.caioli@gmail.com.ORCID http://orcid.org/0000-0003-2097-9116
Marisa FustoNational Institute for Infectious Diseases Lazzaro Spallanzani, IRCCS, Rome, Italy.
Sandrine OttouNational Institute for Infectious Diseases Lazzaro Spallanzani, IRCCS, Rome, Italy.
Federica ForbiciNational Institute for Infectious Diseases Lazzaro Spallanzani, IRCCS, Rome, Italy.
Lavinia FabeniNational Institute for Infectious Diseases Lazzaro Spallanzani, IRCCS, Rome, Italy.
Fabrizio MaggiNational Institute for Infectious Diseases Lazzaro Spallanzani, IRCCS, Rome, Italy.
Maria Maddalena PlazziNational Institute for Infectious Diseases Lazzaro Spallanzani, IRCCS, Rome, Italy.
Federico De ZottisNational Institute for Infectious Diseases Lazzaro Spallanzani, IRCCS, Rome, Italy.
Rita BellagambaNational Institute for Infectious Diseases Lazzaro Spallanzani, IRCCS, Rome, Italy.
Jessica PaulicelliNational Institute for Infectious Diseases Lazzaro Spallanzani, IRCCS, Rome, Italy.
Ilaria MastrorosaNational Institute for Infectious Diseases Lazzaro Spallanzani, IRCCS, Rome, Italy.
Elisabetta GrilliNational Institute for Infectious Diseases Lazzaro Spallanzani, IRCCS, Rome, Italy.
Carmela PinnettiNational Institute for Infectious Diseases Lazzaro Spallanzani, IRCCS, Rome, Italy.
Valentina MazzottaNational Institute for Infectious Diseases Lazzaro Spallanzani, IRCCS, Rome, Italy.
Roberto CalderaGilead Sciences Srl, Milan, Italy.
Gabriele ForcinaGilead Sciences Srl, Milan, Italy.
Andrea AntinoriNational Institute for Infectious Diseases Lazzaro Spallanzani, IRCCS, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionExtensive real-world data in people with HIV (PWH) switching from non-nucleoside reverse transcriptase inhibitors (NNRTIs), in particular from rilpivirine (RPV)-based regimens to bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF), are lacking.

methodsThis is a single-center retrospective study. Inclusion criteria were PWH aged ≥ 18 years, virologically suppressed on NNRTI triple antiretroviral regimens. The primary endpoint was the proportion of PWH with HIV-RNA < 50 cp/mL at 12 months from time of switch to B/F/TAF.

resultsOverall, 214 PWH were included, of whom 105 (49.1%) were switching from RPV/FTC/TAF. After 12 months, the proportion of PWH with HIV-RNA < 50 copies/mL was 82.7% (95% confidence interval, CI, 77.1-87.2) at intention-to-treat (ITT) and 95.7% (95% CI 91.7-97.8) at missing=excluded (M=E) analysis. In the group switching from RPV/FTC/TAF, the proportion of PWH with HIV-RNA < 50 copies/mL at 12 months was 74.3% (95% CI 65.2-81.7) at ITT and 95.1% (95% CI 88.1-98.1) at M=E analysis. Two PWH (0.93%, 95% CI 0.26-3.34) experienced virological failure after switching to B/F/TAF, with no resistance mutations detected. Six treatment discontinuations were observed (2.8%, 95% CI 1.3-5.6). A decrease in low-density lipoprotein (LDL) cholesterol was documented when switching from RPV/FTC/TAF to B/F/TAF.

conclusionSwitching to B/F/TAF from NNRTI-based regimens, particularly if RPV-based, showed high virological effectiveness and rare treatment discontinuations. No resistance mutations were detected at failure.

Indexed as

Antiretroviral therapy (ART)Integrase inhibitorsOptimizationSwitch strategiesTolerability

Identifiers

PMID41854855
PMCPMC13129101

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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.