Table 3.
Odds Ratios (OR) with 95% Wald Confidence Intervals (CI) for adjusted logistic regression of failure to reach a viral load (VL) <400 copies/ml at six and twelve months of treatment in children initiating ritonavir-boosted lopinavir (LPV/r)- or efavirenz (EFV)-based antiretroviral treatment (ART)
| LPV/r-based N=4369 | EFV-based N=5174 | |||||||
|---|---|---|---|---|---|---|---|---|
| Six Months | p | Twelve Months | p | Six Months | p | Twelve Months | p | |
| Unadjusted OR (95% CI): | ||||||||
| d4T-based vs. ABC-based | 0.49 (0.40–0.60) | <0.0001 | 0.52 (0.39–0.69) | 0.001 | 0.56 (0.43; 0.72) | <0.0001 | 0.55 (0.36–0.85) | 0.013 |
| Adjusted OR (95% CI): | ||||||||
| d4T-based vs. ABC-based | 0.57 (0.46–0.72) | <0.0001 | 0.69 (0.46–1.02) | 0.061 | 0.46 (0.32–0.65) | <0.0001 | 0.56 (0.36–0.86) | 0.012 |
| Male | 0.99 (0.86–1.15) | 0.942 | 1.05 (0.85–1.29) | 0.62 | 1.07 (0.90–1.27) | 0.415 | 1.05 (0.83–1.33) | 0.648 |
| Age at Initiation* | 0.70 (0.57–0.87) | 0.002 | 0.86 (0.57–1.30) | 0.411 | 0.99 (0.99–1.00) | 0.001 | 1.00 (0.99–1.00) | 0.631 |
| Pre-Treatment Weight-for-Age Z-score | 0.89 (0.83–0.96) | 0.007 | 0.93 (0.89–0.98) | 0.006 | 0.91 (0.85–0.98) | 0.009 | 0.93 (0.86–1.01) | 0.085 |
| Pre-Treatment CD4% | 0.98 (0.96–1.00) | 0.043 | 0.98 (0.97–0.99) | 0.003 | 0.98 (0.97–1.00) | 0.032 | 0.98 (0.96–0.99) | 0.002 |
| Pre-Treatment VL < 100,000 copies/ml | 0.65 (0.52–0.82) | <0.0001 | 0.69 (0.49–0.96) | 0.032 | 0.72 (0.58–0.88) | 0.002 | 0.79 (0.64–0.99) | 0.04 |
| Year of ART initiation | 1.06 (1.01–1.12) | 0.026 | 1.12 (1.04–1.20) | 0.004 | 0.97 (0.92–1.03) | 0.358 | 1.02 (0.95–1.10) | 0.555 |
Adjusted for cohort (individual cohort results not shown). Odds Ratios < 1 indicate factors improving viral suppression rate at six months.
Age at initiation categorized as < six months (reference) and > six months of age for LPV/r group and as continuous variable (months) for EFV group.
Abbreviations: stavudine (d4T) and abacavir (ABC)