Abstract P035 – Table 1. INSTI resistance developed after failure on an INSTI‐based regimen. | |||||||||
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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.