Maintenance of Viral Suppression after Optimization Therapy from Etravirine Plus Raltegravir to Rilpivirine Plus Dolutegravir in HIV-1-Infected Patients

J Int Assoc Provid AIDS Care. 2019 Jan-Dec:18:2325958218821657. doi: 10.1177/2325958218821657.

Abstract

Non-nucleoside reverse-transcriptase inhibitor plus integrase strand transfer inhibitor-based dual therapies are an attractive simplification, nucleoside reverse transcriptase inhibitor-sparing strategy for experienced human immunodeficiency virus-infected patients. Thus, we performed a 24-week real-life observational study to assess efficacy and safety of switching from raltegravir plus etravirine to dolutegravir plus rilpivirine in 7 previously heavily treated patients. This simplification strategy reduced pill burden and preserved viral suppression in treatment-experienced patients with no major mutations to rilpivirine at historical genotyping.

Keywords: dolutegravir; dual-therapy; optimization; rilpivirine.

Publication types

  • Case Reports
  • Observational Study

MeSH terms

  • Adult
  • Aged
  • Anti-HIV Agents / therapeutic use*
  • Drug Substitution*
  • Drug Therapy, Combination
  • Female
  • HIV Infections / drug therapy*
  • HIV-1 / drug effects
  • HIV-1 / genetics
  • Heterocyclic Compounds, 3-Ring / therapeutic use
  • Humans
  • Male
  • Middle Aged
  • Mutation
  • Nitriles
  • Oxazines
  • Piperazines
  • Pyridazines / therapeutic use
  • Pyridones
  • Pyrimidines
  • Raltegravir Potassium / therapeutic use
  • Rilpivirine / therapeutic use
  • Sustained Virologic Response*
  • Viral Load / drug effects*

Substances

  • Anti-HIV Agents
  • Heterocyclic Compounds, 3-Ring
  • Nitriles
  • Oxazines
  • Piperazines
  • Pyridazines
  • Pyridones
  • Pyrimidines
  • etravirine
  • Raltegravir Potassium
  • dolutegravir
  • Rilpivirine