Table 5. Univariate and multivariable logistic regression analysis of factors associated with virological failure at 48 weeks.
Univariate analysis | Multivariable analysis | ||||||
---|---|---|---|---|---|---|---|
N | Failure (%) | p-value | AOR | 95% CI | p-value | ||
Age (years) | <35 | 105 | 28.6 | 0.19 | 1.00 | 0.05 | |
≥35 | 897 | 19.1 | 0.58a | 0.35–0.95 | |||
35–44 | 354 | 20.0 | |||||
45–54 | 379 | 19.3 | |||||
≥55 | 164 | 16.5 | |||||
Nadir CD4 count (cells/mm3) | <50 | 195 | 29.7 | <0.01 | 1.00 | ||
50–199 | 335 | 17.9 | 0.55 | 0.35–0.85 | <0.01 | ||
200–349 | 209 | 16.3 | 0.57 | 0.34–0.94 | 0.03 | ||
≥350 | 112 | 14.3 | 0.42 | 0.22–0.81 | <0.01 | ||
Baseline CD4 count (cells/mm3) | <50 | 31 | 32.3 | <0.01 | NI | ||
50–199 | 170 | 27.6 | |||||
200–349 | 196 | 20.4 | |||||
≥350 | 584 | 16.6 | |||||
Baseline HIV-1 RNA (cps/mL) | <50 | 473 | 10.1 | <0.01 | 1.00 | ||
50–199 | 110 | 30.9 | 3.59 | 2.13–6.03 | <0.01 | ||
200–4.999 | 182 | 32.4 | 4.45 | 2.83–6.98 | <0.01 | ||
5.000–99.999 | 141 | 18.6 | 2.37 | 1.39–4.03 | <0.01 | ||
≥100.000 | 81 | 32.9 | 4.88 | 2.74–8.69 | <0.01 | ||
Maraviroc daily dose | <300 mg | 105 | 21.9 | 0.33 | NI | ||
≥300 mg | 752 | 19.3 | |||||
Maraviroc schedule | Once daily | 190 | 21.6 | 0.52 | NI | ||
Twice daily | 498 | 18.5 | |||||
Context of maraviroc use | ART naive | 32 | 15.6 | <0.01 | NI | ||
Switch. suppressed VL | 303 | 8.6 | |||||
Switch. detectable VL | 310 | 27.7 | |||||
Intensify. suppressed VL | 34 | 14.7 | |||||
Intensify. detectable VL | 37 | 40.5 | |||||
Drug classes previously experienced | <3 | 361 | 17.2 | 0.13 | |||
3 | 337 | 19.9 | |||||
≥3 | 311 | 23.5 | |||||
Previous PI experience | Yes | 876 | 21.0 | 0.05 | 2.21 | 1.21–4.04 | 0.01 |
No | 133 | 13.7 | |||||
Previous INSTI experience | Yes | 456 | 22.4 | 0.07 | NI | ||
No | 553 | 17.9 | |||||
Previous enfuvirtide experience | Yes | 61 | 26.2 | 0.18 | NI | ||
No | 948 | 19.5 | |||||
Viral tropism | R5 | 805 | 19.8 | 0.06 | 1.00 | ||
Non-R5 | 108 | 25.2 | 1.25 | 0.79–1.96 | 0.34 | ||
ART classes used with maraviroc (n) | 1 | 378 | 15.9 | 0.02 | NI | ||
2 | 457 | 21.0 | |||||
3 | 105 | 28.6 | |||||
Concomitant PI use | Yes | 655 | 21.3 | 0.17 | |||
No | 285 | 16.1 | |||||
GSS of accompanying regimen | <1 | 73 | 17.8 | <0.01 | 1.00 | ||
1 <2 | 191 | 17.3 | 0.82 | 0.64–2.76 | 0.61 | ||
2 <3 | 188 | 18.6 | 0.86 | 0.40–1.85 | 0.69 | ||
≥3 | 65 | 33.8 | 2.14 | 0.90–5.09 | 0.08 |
Note: Table refers to 1009 subjects; cases with missing values for each variable are not reported in the table; in 264 cases viral tropism was collected but no FPR was available at the data analysis. Additional variables tested but not found to be associated by univariate analysis (p>0.2): maraviroc schedule and daily dosing, gender, ethnicity, number of previous drugs experienced, previous experience with NRTIs, or NNRTIs, viral subtype, false positive rate value of the geno2pheno[coreceptor] genotypic tropism interpretation, and calendar year of maraviroc start.
a(≥ 35 vs <35 years)
All variables shown in the univariate analysis were included in the multivariable model. Variables retained in the final step of the backward elimination procedure (see methods) are shown. all the other were excluded, except the viral tropism result that was manually included. All AOR shown are simultaneously adjusted.