Article: Outcomes of severely ill patients with AIDS treated with efavirenz or dolutegravir: a multicenter, observational study.
2024 Volume 11, Page(s) 1302710
Abstract: Background: Currently, integrase inhibitors (INIs)-based ART regimens are the preferred initial therapy for AIDS patients. There is scarce information on the use of dolutegravir (DTG) among late-presenter people living with HIV (PLHIV).: Objectives: ... ...
Abstract | Background: Currently, integrase inhibitors (INIs)-based ART regimens are the preferred initial therapy for AIDS patients. There is scarce information on the use of dolutegravir (DTG) among late-presenter people living with HIV (PLHIV). Objectives: To compare the effect of DTG- or efavirenz (EFV)-based regimens on the outcomes of patients with advanced AIDS. Methods: We compared two cohorts of consecutive symptomatic AIDS patients (WHO stage 4, CD4 count<50 cells/mL) starting therapy with DTG-based (2018-2021, prospective cohort) or EFV-based regimens (2013-2016, retrospective cohort) from five Brazilian cities. The main endpoints were early (all-cause) mortality, viral suppression at 24 and 48 weeks, changes in CD4 count, and changes in initial therapy (for any reason). Results: We included all eligible patients in a consecutive way (in both groups) until we reached 92 individuals per arm. The median baseline CD4 count (20 vs. 21 cells/mL) and the median HIV plasma viral load (5.5 copies/mL log Conclusion: We detected a higher rate of virological suppression and greater treatment durability in patients with advanced AIDS treated with DTG than in those treated with EFV. |
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Language | English |
Publishing date | 2024-02-28 |
Publishing country | Switzerland |
Document type | Journal Article |
ZDB-ID | 2775999-4 |
ISSN | 2296-858X |
ISSN | 2296-858X |
DOI | 10.3389/fmed.2024.1302710 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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