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. 2023 Dec 13;36:100793. doi: 10.1016/j.lanepe.2023.100793

Table 2.

Comparison of observed concentrations of cabotegravir and rilpivirine with reported thresholds.

Observed concentrations Number (%)
Overall (569 samples, 186 PWH) Males (486 samples, 153 PWH) Females (83 samples, 33 PWH)
Cabotegravir q8w
 Plasma concentrations
 <1120 ng/mL (Q1Ctrough)a 210 (37%) 195 (40%) 15 (18%)
 <664 ng/mL (4xPAIC90)b 83 (15%) 75 (15%) 8 (10%)
 ≤166 ng/mL (PAIC90) 8 (1%) 8 (2%)
 PWH with ≥1 measurement
 <1120 ng/mL (Q1Ctrough)a 106 (57%) 94 (61%) 12 (36%)
 <664 ng/mL (4xPAIC90)b 56 (30%) 48 (31%) 8 (24%)
 ≤166 ng/mL (PAIC90) 8 (4%) 8 (5%)
 PWH with ≥2 measurements
 <1120 ng/mL (Q1Ctrough)a 57 (31%) 55 (36%) 2 (6%)
 <664 ng/mL (4xPAIC90)b 18 (10%) 18 (12%)
 ≤166 ng/mL (PAIC90)
Rilpivirine q8w
 Plasma concentrations
 <50 ng/mL (4xPAIC90)c 273 (48%) 231 (48%) 42 (51%)
 <32 ng/mL (Q1Ctrough)a 104 (18%) 81 (17%) 23 (28%)
 ≤12 ng/mL (PAIC90) 3 (<1%) 3 (4%)
 PWH with ≥1 measurement
 <50 ng/mL (4xPAIC90)c 119 (64%) 99 (65%) 20 (61%)
 <32 ng/mL (Q1Ctrough)a 60 (32%) 47 (31%) 13 (39%)
 ≤12 ng/mL (PAIC90) 2 (1%) 2 (6%)
 PWH with ≥2 measurements
 <50 ng/mL (4xPAIC90)c 76 (41%) 66 (43%) 10 (30%)
 <32 ng/mL (Q1Ctrough)a 25 (13%) 22 (14%) 3 (9%)
 ≤12 ng/mL (PAIC90) 1 (<1%) 1 (3%)

PWH: people with HIV; BMI: body-mass index; q8w: every 8 weeks.

a

Correspond to the limit of the first quartile (25th percentile) when considering all rilpivirine and cabotegravir concentrations observed in phase III FLAIR4 and ATLAS.13

b

Corresponds to 4xPAIC90,8 and corresponds also to the 5th percentile of cabotegravir long-acting initial Ctrough observed in PrEP prevention studies.12

c

Minimum concentration to ensure optimal therapeutic response.9,10