Table 3.
Multivariate Logistic Regression Analysis Evaluating the Vi-rologic Function of 3 Weighting Schemes
Algorithma | Mean rGSS ± SD |
Adjusted OR of rGSSb |
Mean AUC ± SDc |
---|---|---|---|
Unweighted | |||
| |||
ANRS | 2.26 ± 0.94 | 1.70 | 0.76 ± 0.08 |
| |||
HIVdb | 1.91 ± 0.91 | 1.71 | 0.76 ± 0.08 |
| |||
Rega | 2.22 ± 0.91 | 1.63 | 0.76 ± 0.08 |
| |||
ViroSeq | 2.14 ± 0.96 | 1.66 | 0.76 ± 0.08 |
| |||
Boosted PI weighting | |||
| |||
ANRS | 2.51 ± 1.03 | 1.89 | 0.77 ± 0.05 |
| |||
HIVdb | 2.12 ± 0.99 | 1.88 | 0.77 ± 0.05 |
| |||
Rega | 2.49 ± 0.91 | 1.83 | 0.77 ± 0.06 |
| |||
ViroSeq | 2.37 ± 1.05 | 1.81 | 0.77 ± 0.05 |
| |||
Comprehensive weighting | |||
| |||
ANRS | 2.14 ± 0.97 | 2.14 | 0.79 ± 0.03 |
| |||
HIVdb | 1.82 ± 0.88 | 2.22 | 0.80 ± 0.03 |
| |||
Rega | 2.18 ± 0.91 | 2.15 | 0.80 ± 0.04 |
| |||
ViroSeq | 2.02 ± 0.95 | 2.08 | 0.80 ± 0.03 |
NOTE. For boosted protease inhibitor (PI) weighting, the drug-specific genotypic susceptibility score (GSS) was multiplied by 1.5 before the regimen-specific GSS (rGSS) was calculated. This is the weighting used by the Rega algorithm. For comprehensive weighting, the drug-specific GSS was multiplied by 2.0 for boosted PIs and by 0.5 for nucleoside reverse-transcriptase inhibitors before the rGSS was calculated. ANRS, Agence National de Recerche sur le SIDA; AUC, area under the receiver operating characteristic curve; HIVdb, HIV Drug Resistance Database; OR, odds ratio; SD, standard deviation.
Algorithm versions were as follows: ANRS 2007.10, HIVdb 4.3.1, Rega 7.1.1, and ViroSeq 2.8.
Adjusted ORs for attaining virologic suppression (plasma human immunodeficiency virus type 1 RNA level below the limit of quantification) for each unit increase in rGSS. For all ORs in this column, P values were <.001.
Mean AUCs were calculated from the prediction results of multivariate logistic regression models tested in 10-fold cross-validation.