Table 2.
PWH with M184V treated with DTG + 3TC in real-world studies
Cohort or study | Study type | Study population | PWH on DTG + 3TC, N | M184V | Definition of VF | ||||
---|---|---|---|---|---|---|---|---|---|
PWH with M184V/I, n | M184V detection method | Time point | PWH maintaining/achieving virologic effectiveness, n or %a | PWH with VF, n | |||||
DOLULAMb (France) [33, 55] | Single-center, observational, prospective | Virologically suppressed; heavily treatment experienced | 27 | 17 | Historical RNA, 8; Sanger DNA, 2; NGS, 7 | 2 years | 17 | 0 | 2 confirmed VL > 50 c/ml |
DOLAMAb (Spain) [52] | Multicenter, observational, retrospective | Virologically suppressed | 177 | 4c | BL genotypic test | 48 week | 3 | 1 | 2 confirmed VL > 50 c/ml |
ODOACREd (Italy) [30] | Multicenter, observational, retrospective | Virologically suppressed | 556 | 45 | NR | 48 week | NR | 2 | 2 confirmed VL ≥ 50 c/ml or single VL ≥ 1000 c/ml |
ARCA (Italy) [66] | Retrospective, observational | Virologically suppressed | 126 | 21 | Historical RNA | 1 years | NR for M184V; 95% and 96% estimated probability of remaining free of VF in PWH with M184V (n = 349) and without M184V (n = 87)e | 0 | 2 confirmed VL > 50 c/ml or single VL ≥ 200 c/ml |
Galizzi (2020) [48] | Single-center, retrospective | Virologically suppressed | 307 | 60f | Historical RNA | 1.74 years (median follow-up) | NR for M184V; 97% and 97% estimated probability of remaining free of VF in PWH with M184V and without M184V | 2g | Confirmed VL > 50 c/ml or single VL > 1000 c/ml |
Battagin (2020) [45] | Retrospective | Virologically suppressed | 61 | 7 | Genotypic resistance test | Week 24 | NR for M184V, but no PWH with M184V had VF | 0 | From undetectable to HIV-1 RNA > 20 c/ml |
Duplicate studies have been removed
BL baseline, bPI boosted protease inhibitor, c/ml copies/ml, DTG dolutegravir, INSTI integrase strand transfer inhibitor, NGS next-generation sequencing, NR not reported, PWH people with HIV, PYFU person-years of follow-up, RPV rilpivirine, 3TC lamivudine, VF virologic failure, VL viral load
aDefined as VL < 50 c/ml
bStudies included in the total number of PWH treated with DTG + 3TC in studies reporting M184V data
cOf 90 tested
dOnly one publication from the ODOACRE cohort is presented to minimize the potential duplication of headcount from this cohort; this is not the publication used to establish the ODOACRE headcount of PWH receiving DTG + 3TC in the total number of PWH treated with DTG + 3TC in studies
eFor the overall study population in which PWH were treated with 3TC + bPI or 3TC + INSTI
fOf 220 tested from the population receiving DTG + 3TC or DTG + RPV
gThree additional PWH had VF while receiving DTG + 3TC but did not have baseline resistance data available