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. 2018 Nov 9;2018(11):CD006495. doi: 10.1002/14651858.CD006495.pub5

Wegner 2004.

Methods A prospective randomized 3‐arm multi‐centre clinical trial at 6 military hospitals in the USA
Participants 450 participants
Inclusion: at least 18 years of age, receiving a stable ART regimen containing ≥ 2 drugs for at least 8 weeks before randomization, able to provide informed consent, willing to attend regular study visits
Exclusion: not reported
Interventions Intervention 1: routine access to phenotype testing (PT)
Intervention 2: routine access to genotype testing (GT)
Control: no access to resistance testing (VB)
Outcomes Treatment failure, discontinuation
Notes All participants provided informed consent.
Funding: US Army Medical Research and Material Command and the Henry M. Jackson Foundation for the Advancement of Military Medicine
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Method of randomization was not reported.
Allocation concealment (selection bias) Low risk The randomization procedure was centrally located.
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk This was an open‐label study (knowledge of allocation is unlikely to introduce bias).
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Trial authors did not report this information (knowledge of allocation is unlikely to introduce bias).
Incomplete outcome data (attrition bias) 
 All outcomes High risk Losses to follow‐up were balanced between groups but were considerable (> 65%).
Selective reporting (reporting bias) High risk Only treatment failure and discontinuation were reported.
Other bias Low risk We found no other sources of bias.
Overall risk assessment High risk Risk is due to the uncertainties raised above.

Abbreviations: ART: antiretroviral therapy; CG: control group; EA: expert advice; G: genotyping; GART: genotypic antiretroviral resistance testing; GG: genotypic group; GT: genotype testing; ITT: intention‐to‐treat; NNRTI: non‐nucleoside reverse transcriptase inhibitor; NRTI: nucleoside reverse transcriptase inhibitor; P: phenotyping; PI: protease inhibitor; PRT: phenotypic resistance testing; PT: phenotype testing; SOC: standard of care; VB: XXX; VL: viral load.