Table 2.
Timing | |||||||
---|---|---|---|---|---|---|---|
Timing of infection | Case | Viral load (copies/mL) | Major INSTI RAMs detected | Relative to injections | Relative to the 1st site pos visit | Days since the 1st HIV pos visit | CAB concentration (µg/mL)a |
Enrollment | A2 | 204 | E138E/K, Q148K/R | 1st injection visit | Before | 40 | 3.318 |
While receiving oral CAB | C1 | 137 | Q148Q/R | 8 days after the 1st injection | Before | 17 | 1.219 |
C3 | 102,329 | E138A, Q148R | 20 days after the 1st injection | Same visit | 35 | 1.108 | |
While receiving CAB injections | D1 | 130 | N155H | 8th injection visit | Before | 0 | 1.613 |
D2 | <40 | N155H | 182 days after the 6th injection | Afterb | 280b | 0.703 | |
D3 | <40 | R263K | 4th injection visit | Before | 62 | 1.213 | |
D4 | 158 | Q148R | 4th injection visit | Same visitc | 45 | 1.930 |
The concentration of cabotegravir associated with protection against HIV infection (PAIC90) is 1.33 µg/mL.
In these cases, HIV genotyping results were not obtained prior to the first site positive visit.
Only three of 11 visits during this interval had a positive result with the qualitative RNA assay; two samples from this case failed genotyping.
Abbreviations: CAB, cabotegravir; HIV, human immunodeficiency virus; INSTI, integrase strand transfer inhibitor; RAM, resistance associated mutation.
Characteristics of the first visit with major INSTI RAMs detected. The first HIV positive visit was identified based on results of retrospective HIV RNA testing performed at the HPTN Laboratory Center. The first site positive visit is the first visit where the participant had a reactive rapid test or a reactive antigen/antibody test at the study site.