Long-term Evaluation of Residual Viremia in a Clinical Trial of Dolutegravir Plus Lamivudine as Maintenance Treatment for Participants With and Without Prior Lamivudine Resistance

Author:

De Miguel Buckley Rosa12ORCID,Rial-Crestelo David23ORCID,Montejano Rocío12,Pinto Adriana3,Jimenez-Gonzalez María12,Lagarde Maria234,Esteban-Cantos Andrés12,Aranguren-Rivas Paula3,Cadiñanos Julen12,Bisbal Otilia23,Castro Juan Miguel1,Santacreu-Guerrero Mireia3,Bermejo-Plaza Laura3,Moreno Victoria1,Hernando Asunción23,Martín-Carbonero Luz12,Rubio Rafael234,Delgado Rafael45ORCID,Arribas José Ramón126,Pulido Federico234ORCID,

Affiliation:

1. Infectious Diseases Unit, La Paz University Hospital, Instituto de Investigación Hospital Universitario La Paz , Madrid , Spain

2. Centro de Investigación Biomédica en Red de Enfermedades Infecciosas , CIBERINFEC , Spain

3. HIV Unit, University Hospital 12 de Octubre–Imas12 , Madrid , Spain

4. Universidad Complutense School of Medicine , Madrid , Spain

5. Department of Microbiology, University Hospital 12 de Octubre–Imas12 , Madrid , Spain

6. School of Medicine, Universidad Autónoma de Madrid , Madrid , Spain

Abstract

Abstract In this pilot clinical trial, we evaluated rates of residual replication in persons without lamivudine resistance-associated mutations in proviral DNA population sequencing who switched to dolutegravir plus lamivudine. After 144 weeks, there was no signal of changes in residual viremia based on qualitative detection methods, irrespective of past lamivudine resistance. Clinical Trials Registration. NCT03539224.

Funder

Fondo de Investigaciones Sanitarias

Instituto de Salud Carlos III

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Oncology

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