| Literature DB >> 34848579 |
Suzanne M McCluskey1,2,3, Toby Pepperrell4, Andrew Hill5, Willem D F Venter6, Ravindra K Gupta7,8, Mark J Siedner1,2,3,7.
Abstract
Dolutegravir (DTG) is now a component of preferred first-line antiretroviral therapy (ART) worldwide. ADVANCE and NAMSAL were two landmark clinical trials conducted exclusively in sub-Saharan Africa, which studied the effectiveness of DTG-based first-line regimens for ART-naive individuals. In this review, we examine the data from these studies to consider the contributions of adherence and HIV drug resistance to treatment failure on DTG-based ART, as compared with efavirenz (EFV)-based ART, which has a lower genetic barrier to resistance. We also discuss the implications of virologic failure on DTG and consolidate currently available data to conclude with recommendations for virologic monitoring on DTG-based ART.Entities:
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Year: 2021 PMID: 34848579 PMCID: PMC8647784 DOI: 10.1097/QAD.0000000000003082
Source DB: PubMed Journal: AIDS ISSN: 0269-9370 Impact factor: 4.177