Table 5. Predictors of virologic suppression <400 copies/ml 4–12 months after restarting NNRTI-based ART.a .
Univariable analysis | Multivariable analysis | ||||||
OR | 95% CI | P-value | OR | 95% CI | P-value | ||
Gender | Female | 0.60 | 0.19, 1.85 | 0.38 | 0.41 | 0.10, 1.68 | 0.22 |
Male | 1.00 | – | 1.00 | – | |||
Age | Each 5 years older | 1.04 | 0.78, 1.39 | 0.79 | 1.09 | 0.71, 1.68 | 0.70 |
Time on ART pre-interruption | Each year longer | 0.91 | 0.80, 1.03 | 0.15 | 0.89 | 0.75, 1.07 | 0.21 |
HIV-1 RNA load at interruptionb | <50 copies/ml | 1.09 | 0.38, 3.15 | 0.87 | 1.00 | 0.27, 3.72 | 0.99 |
Other | 1.00 | – | 1.00 | – | |||
CD4 count at interruption | Each 50 cells/mm3 higher | 1.05 | 0.91, 1.19 | 0.52 | 1.06 | 0.89, 1.27 | 0.50 |
Time to restarting ART | Each week longer | 1.01 | 0.99, 1.04 | 0.21 | 1.02 | 0.99, 1.06 | 0.11 |
NNRTI restarted | Nevirapine | 0.55 | 0.19, 1.61 | 0.28 | 0.55 | 0.15, 2.09 | 0.38 |
Efavirenz | 1.00 | – | 1.00 | – | |||
Interruption modality | Staggered/Switched | 1.83 | 0.63, 5.34 | 0.27 | 2.62 | 0.60, 11.38 | 0.20 |
Simultaneous | 1.00 | – | 2.62 | – | 0.20 | ||
Resistance-associated mutations | NNRTI | 0.22 | 0.06, 0.84 | 0.03 | 0.18 | 0.03, 0.89 | 0.04 |
NRTI only | 0.24 | 0.06, 1.01 | 0.17 | 0.03, 1.15 | |||
None | 1.00 | – | 1.00 | – |
The analysis included 90 patients who restarted NNRTI-based ART without a protease inhibitor and had at least one viral load measurement in the 4–12 months after re-starting therapy.
As noted above some patients had the viral load measured by assays with a lower limit of quantification of either 75 or 400 copies/ml. NNRTI = non-nucleoside reverse transcriptase inhibitor; ART = antiretroviral therapy; OR = Odds ratio; CI = confidence interval.