A Switch to B/F/TAF Keeps HIV Suppressed, Even With Mutation

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A Switch to B/F/TAF Keeps HIV Suppressed, Even With Mutation
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People with suppressed HIV and the M184V/I viral mutation who switch medications to B/F/TAF appear to maintain viral suppression, reports an industry-sponsored analysis. HIVtreatment MedTwitter

appear to maintain viral suppression, reports an industry-sponsored analysis.

White and her colleagues analyzed pooled data from 2286 adult and 100 child participants in six randomized clinical trials investigating the safety and efficacy of switching to B/F/TAF in virologically suppressed people with HIV. At screening, participants were on three-drug antiretroviral regimens.

The researchers assessed preexisting drug resistance by historical genotypes, baseline proviral DNA genotyping, or both, and they determined virologic outcomes by last available on-treatment HIV-1 RNA. They used stepwise selection in a multivariate logistic regression model to identify potential risk factors for M184V/I.

Clinicians may comfortably switch patients to this regimen without fear of virologic failure, she added.

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