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. 2022 Oct 21;25(Suppl 6):e26009. doi: 10.1002/jia2.26009
Abstract P035 – Table 1.  INSTI resistance developed after failure on an INSTI‐based regimen.
Study Country Population Age range (years) INSTI used Total on INSTI (n) Treatment failure on INSTI (n) Treatment failure on INSTI [% (95% CI)] INSTI resistance following failure (n) INSTI resistance following failure [% (95% CI)]
Clinical trials
IMPAACT P1066 [1] Multinational ART‐experienced, viremic 4 weeks to 18 RAL 122 60 49 (40 to 58) 19 16 (10 to 23)
GS‐US‐292‐0106 [2] Multinational ART‐experienced, suppressed 6 to 11 EVG 23 0 0 (0 to 15) 0 0 (0 to 15)
GS‐US‐292‐0106 [3] Multinational ART‐naive 12 to 18 EVG 50 3 6 (1 to 17) 0 0 (0 to 7)
GS‐US‐236‐0112 [4] Multinational ART‐naive 12 to 17 EVG 21 2 10 (1 to 30) 0 0 (0 to 16)
IMPAACT P1093 [5] Multinational ART‐naive and ART‐experienced 4 weeks to 17 DTG 142 36 25 (18 to 33) 8 6 (2 to 11)
ODYSSEY [6] Multinational ART‐naive and ART‐experienced, viremic 4 weeks to 17 DTG 350 47 13 (10 to 17) 4 1 (0 to 3)
SMILE PENTA‐17 [7] Multinational ART‐experienced, suppressed 6 to 18 DTGa 158 8 5 (2 to 10) 0 0 (0 to 2)
GS‐US‐380‐1474 [8] Multinational ART‐experienced, suppressed 6 to 17 BIC 100 2 2 (0 to 7) 0 0 (0 to 4)
Non‐interventional studies
Abo et al, 2019 [9] United Kingdom ART‐naive and ART‐experienced 0 to 17 DTG/ RAL/ EVG 29/ 21/ 6 8b 14 (6 to 26) 1b 2 (0 to 10)
Levy et al, 2020 [10] United States ART‐experienced 0 to 24 DTG 78 72c 51 (43 to 60) 0 0 (0 to 5)
RAL 11 1 9 (0 to 41)
EVG 52 1 2 (0 to 10)
Briz et al, 2012 [11] Spain ART‐experienced, viremic 6 to 18 RAL 19 2d 11 (1 to 33) 0 0 (0 to 18)
Patten et al, 2020 [12] Multinational ART‐experienced, viremic 0 to 17 RAL 62 24e 39 (27 to 52) 4f 6 (2 to 16)
Steegen et al, 2019 [13] South Africa ART‐experienced 0 to 17 RAL 7g 7 100 (59 to 100) 2 29 (4 to 71)
Briand et al, 2017 [14] France ART‐naive and ART‐experienced 12 to 17 DTG 50 17 34 (21 to 49) 0 0 (0 to 7)
Frange et al, 2019 [15] France ART‐naive and ART‐experienced 5 to 25 DTG 109 22 20 (13 to 29) 0 0 (0 to 3)
Frange et al, 2021 [16] France ART‐naive and ART‐experienced 6 to 18 DTG 134 43 32 (24 to 41) 1 1 (0 to 4)

aOne hundred and fifty‐three took DTG+DRV/r, five took EVG+DRV/r;

baggregated results for all INSTI‐based regimens reported;

caggregated results for all INSTI‐based regimens reported for virologic outcomes; virologic failure defined as: 55/70 individuals not suppressed at baseline never achieved suppression or had viral rebound after suppression; 17/35 suppressed at baseline did not maintain suppression through follow‐up;

dvirologic failure defined as: 2/19 never achieved viral load <400 copies/mL during follow‐up (non‐responders);

evirologic failure defined as: 16/62 never achieved viral load <400 copies/mL during follow‐up and 8/62 experienced virologic rebound ≥1000 copies/mL after achieving suppression;

ffour discontinuations were attributed to virologic failure, immunologic failure, or resistance ‐ no additional details provided;

gstudy looked at samples from individuals currently failing INSTI‐based regimens; there were seven samples from individuals <18 years old.