TABLE 2.
Case ID | Subtype | No. of injections | No. of late injections | Time since last injection (days) | VL (copies/mL) at 1st positive visit | [CAB] (μg/mL) at 1st positive visit | DX delay | Time to site detection (days) | Drug administration after infection | Ag/Ab lab test result at 1st positive visit | Confirmatory Ab test result at 1st positive visit | Major INSTI RAM at 1st positive visit | Major INSTI RAM at any visitb | TDF-FTC administration | [TFV] (ng/mL) at 1st positive visit |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
A1 | B | 0 | 0 | NA | 4,010 | BLQ | Yes | 28 | Yes | NR | NA | No | No | No | |
A2 | C | 1 | 0 | NA | 50,080 | BLQ | Yes | 60 | Yes | NR | NA | No | Yes | No | |
A3 | B | 2 | 0 | NA | 1,360 | BLQ | Yes | 72 | Yes | NR | NA | No | No | No | |
A4 | B | 2 | 0 | NA | 44,180 | BLQ | Yes | 63 | Yes | R | NEG | No | No | No | |
C1 | B | 2 | 0 | NA | 120 | 6,301 | Yes | 47 | Yes | NR | NA | No | Yes | No | |
C2 | BF | 0 | 0 | NA | 494 | BLQ | Yes | 185 | No | NR | NA | No | No | No | |
C3 | B | 1 | 0 | NA | SCA, 15.3 | 10.690 | Yes | 35 | Yes | NR | NA | No | Yes | No | |
D1 | Likely B | 10 | 1c | 56 | 130 | 1.613 | Yes | 112 | Yes | NR | NA | Yes | Yes | No | |
D2 | Likely B | 6 | 0 | 14 | SCA, 6.1 | 1.405 | Yes | 98 | Yes | NR | NA | Failed testing | Yes | No | |
D3 | BF | 5 | 0 | 56 | 860 | 1.504 | Yes | 117 | Yes | NR | NA | No | Yes | No | |
D4 | C | 4 | 0 | 13 | <40 | 2.017 | Yes | 45 | Yes | NR | NA | Failed testing | Yes | No | |
D5 | F | 5 | 0 | 21 | 59 | 1.906 | Yes | 42 | No | NR | NA | Yes | Yes | No | |
D6 | AE | 15 | 0 | 53 | 2,020 | 1.824 | Yes | 59 | Yes | NR | NA | No | Yes | No | |
DX1 | B | 7 | 3 | 87 | 1,212,660 | 0.495 | No | Yes | R | IND | No | NA (ART) | No | ||
DX2 | BF | 10 | 1 | 168 | 73,380 | BLQ | No | Yes | R | IND | No | No | No | ||
DX3 | B | 6 | 1 | 169 | 48,030 | 0.041 | No | No | R | POS | No | NA (ART) | No | ||
BR1 | BC | 9 | 1d | 422 | 450 | BLQ | Yes | 81 | Yes | NR | NA | No | Yes | No | |
BR2 | B | 20 | 2d | 425 | 1,620 | BLQ | No | Yes | NR | NA | No | No | Yes | 102 |
Key laboratory results for cases in the cabotegravir (CAB) arm of HPTN 083 where the participant received CAB within 6 months of the first HIV-positive visit (group 1). The HIV subtype was determined by phylogenetic analysis of HIV sequences; if HIV sequences were not available, the likely subtype was assigned based on the predominant subtype in the region. The total number of injections received and the number of delayed injections (late, >2 weeks after the planned injection [>44 days after the 1st injection or >70 days after subsequent injections]) are shown. The number of days between the last injection and the first HIV-positive visit is shown. Some participants switched from CAB PrEP to TDF-FTC PrEP; for those participants, the concentration of tenofovir at the first HIV-positive visit is shown. Ab, antibody; Ag, antigen; ART, antiretroviral therapy; BLQ, below the limit of quantification; [CAB], CAB concentration (micrograms per milliliter); Case ID, case identifier; DX delay, delayed detection of HIV infection at the study site; FTC, emtricitabine; IND, indeterminate; INSTI, integrase strand transfer inhibitor; NA, not applicable (testing not indicated); NEG, negative; NR, nonreactive; POS, positive; RAM, resistance-associated mutation; R, reactive; TDF, tenofovir disoproxil fumarate; [TFV], tenofovir concentration (nanograms per milliliter); VL, viral load (HIV RNA copies per milliliter).
The INSTI RAMs detected in each case are shown in File S5 in the supplemental material.
This case was classified as a D case in previous publications. This participant had one delayed injection (the 6th of 9 injections was 75 days after the previous injection) and would be classified as a DX case under the updated classification system used in this report.
In both of the BR cases, CAB injections were restarted before the site was aware that the participants had HIV infection. For case BR1, CAB-LA was restarted 422 days after a series of 7 on-time injections; the 8th injection was given 3 days after the first HIV-positive visit. For case BR2, CAB-LA was restarted in the open-label extension (OLE) 425 days after the participant completed all 19 scheduled injections in the main HPTN 083 study. In this case, the 20th injection was given at the first HIV-positive visit; one of the 19 previous injections was delayed (time interval, 75 days). Note that this report does not include participants who acquired HIV infection after the first OLE visit.