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Rev Esp Quimioter 2022; May 24

Real-world efficacy of switching to bictegravir/ emtricitabine/tenofovir alafenamide in pretreated patients with triple therapy containing rilpivirine

ALEJANDRO DE GEA GRELA, LUZ MARTÍN CARBONERO, RAFAEL MICÁN, JOSÉ IGNACIO BERNARDINO, LUIS RAMOS, Mª EULALIA VALENCIA

Published: 24 May 2022

http://www.doi.org/10.37201/req/013.2022

Objective. To analyze the efficacy and tolerability of the strategy to change from rilpivirine (RPV) based regimens to bictegravir / emtricitabine / tenofovir alafenamide (B/F/TAF).
Methods. Single-center, observational and retrospective study. Patients who made the change to B/F/TAF before February 2020 were selected, analyzing the results after 24 and 48 weeks. The percentage that remained with an undetectable viral load was determined, as well as the changes in CD4 + lymphocytes, metabolic parameters and renal function.
Results. A total of 42 patients were included. Thirty-two of the 35 patients (91.4%) who completed the 48 weeks of follow-up had an undetectable viral load. The CD4 + lymphocyte count remained stable at 24 and 48 weeks. The response to B/F/TAF was not influenced by the two analogs previously received.
Conclusion. Switching from triple therapy with RPV to B/F/TAF is a safe and effective strategy in real life.

Rev Esp Quimioter 2022; May 24 [Texto completo PDF]