IDa | Previous ARVs experienced | Time under VS before switch (months) | Baseline cGSS for companion drug | Drugs received at switch | Viremia at GRT (copies/mL) | Time under INI‐based dual therapy (months) | Resistance mutations detected after VF | |||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
No of ARV classes INI | INI | INI MRMs | INI accessory | PI MRM | NRTI MRM | NNRTI MRM | ||||||
357a | 6 | RAL | 7 | F/I | DTG, DRV/r | 297560 | 11.3 | Y143YCHR | T97TA | None | None | None |
326 | 5 | None | 37 | F/I | RAL, ATV/r | 1786 | 7.1 | G140S, Q148H | None | L90M | M184V | None |
1321 | 5 | RAL | 1 | F/I | RAL, SQV/r | 3356 | 19.5 | Y143YCHR | T97A | V32I, L33F, M46I, I47V, I50V, I54L | K70R, K219Q | None |
3507 | 5 | RAL | 1 | F/I | RAL, LPV/r | 7590 | 34.2 | N155H | None | M46L, I54V, V82A | M41L, D67G, L210W, T215Y, K219E | None |
7583 | 5 | RAL | 24 | F/I | RAL, NVP | 4627 | 2.1 | N155H | None | M46L, I84V | M184V, T215Y | K103N, Y188L |
10930 | 6 | None | 44 | S | RAL, ATV/r | 2709 | 11.6 | None | G163R | None | None | None |
11067 | 4 | None | 16 | S | RAL, FPV/r | 1045 | 10.9 | Y143S | None | L76V | None | None |
Among 12 patients with an available GRT after virological failure, 7 showed resistance. In bold are indicated mutations selected after virological failure. athe patient was previously heavily treated and developed the mutation N155H after raltegravir failure. /r = ritonavir‐boosted; ATV = atazanavir; cGSS = cumulative genotypic susceptibility score for companion drugs; DRV = daraunavir; DTG = dolutegravir; F/I = fully/intermediate resistant cGSS; GRT = genotypic resistance test; INI = integrase inhibitor; LPV = lopinavir; MRM = major resistance mutation; NRTI = nucleos(t)ide reverse transcriptase‐inhibitor; NNRTI = non‐NRTI; PI = protease inhibitor; RAL = raltegravir; S = susceptible cGSS; SQV = saquinavir; VF = virological failure; VS = virological suppression.