TheBodyPro | Long-acting ART in the real world: New data on efficacy, persistence, and nonsuppression timing

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TheBodyPro | Expert analysis from Benjamin Young, M.D., Ph.D.

A new tranche of real-world data from a major Spanish study gives us further evidence that long-acting antiretroviral therapy with cabotegravir/rilpivirine (CAB/RPV) has real staying power once people switch to it. It also helps us begin to understand some of the specific reasons why CAB/RPV is sometimes unsuccessful — and gives us a sense of when that is most likely to become apparent.

Key takeaways

  • In the RELATIVITY cohort, through a median two years of follow-up after switching to CAB/RPV, 89% remained on the regimen, and 97% of participants with viral load measurements were virally suppressed.
  • Virologic failure occurred in 0.8% of participants, predominantly within the first year; two-thirds of these cases involved emergent drug resistance.
  • These data can help clinicians individualize CAB/RPV decision-making and monitoring, including consideration of a patient’s resistance history, treatment preferences, level of access to care, and level of support for changing life circumstances.

Read the full analysis here.

 

Source : TheBodyPro

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