Noninferiority of Simplified Dolutegravir Monotherapy Compared to Continued Combination Antiretroviral Therapy That Was Initiated During Primary Human Immunodeficiency Virus Infection: A Randomized, Controlled, Multisite, Open-label, Noninferiority Trial
Author(s) -
Dominique L. Braun,
Teja Turk,
Fabian Tschumi,
Christina Grube,
Benjamin Hampel,
Carsten Depmeier,
Peter W. Schreiber,
Silvio D. Brugger,
Michael Greiner,
Daniela Steffens,
Cornelia De Torrenté-Bayard,
Perrine Courlet,
Kathrin Neumann,
Herbert Kuster,
Markus Flepp,
Barbara Bertisch,
Laurent A. Décosterd,
Jürg Böni,
Karin J. Metzner,
Roger D. Kouyos,
Huldrych F. Günthard
Publication year - 2018
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/ciy1131
Subject(s) - dolutegravir , medicine , human immunodeficiency virus (hiv) , antiretroviral therapy , randomized controlled trial , open label , virology , viral load
Patients who start combination antiretroviral therapy (cART) during primary human immunodeficiency virus type 1 (HIV-1) infection show a smaller HIV-1 latent reservoir, less immune activation, and less viral diversity compared to patients who start cART during chronic infection. We conducted a pilot study to determine whether these properties would allow sustained virological suppression after simplification of cART to dolutegravir monotherapy.
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