Skip to main content

Table 4 First Generation INSTIs: Virologic Outcomes at Week 48 (FDA Snapshot)

From: A clinical review of HIV integrase strand transfer inhibitors (INSTIs) for the prevention and treatment of HIV-1 infection

 

STARTMRK

ONCEMRK

GS-US-236–0102

GS-US-236–0103

GS-US-292–0104/0111

RAL + FTC/TDF n = 281

EFV + TDF/ FTC n = 282

RAL 1200 QD + TDF/ FTC n = 531

RAL 400 BID + TDF/ FTC n = 266

EVG/ COBI/ FTC/ TDF n = 348

EFV/FTC/TDF n = 352

EVG/ COBI/ FTC/ TDF n = 353

ATV/RTV + FTC/ TDF n = 355

EVG/ COBI/ FTC/ TAF n = 866

EVG/ COBI/ FTC/ TDF n = 867

HIV- 1 RNA < 50 copies/mL

241 (86.1%)

230 (81.9%)

472 (89%)a

235 (88%)a

305 (87.6%)

296 (84.1%)

316 (89.5%)

308 (86.8%)

800 (92%)

784 (90%)

Difference, % (95% CI)

4.2 (−1.9, 10.3)

−0.5 (−4.2, 5.2)

3.6 (−1.6, 8.8)

3.0 (−1.9, 7.8)

2.0 (−0.7, 4.7)

HIV- 1 RNA ≥ 50 copies/mL

27 (9.6%)

39 (13.8%)

29 (5%)

16 (6%)

25 (7.2%)

25 (7.1%)

19 (5.4%)

19 (5.4%)

–

–

No virologic data

–

–

30 (6%)

15 (6%)

18 (5.2%)

31 (8.8%)

18 (5.1%)

28 (7.9%)

34 (4%)

52 (6%)

INSTI resistance mutations detected

E92Q + L74L/M + T97T/A + Y143Y/H; G140S + Q148H/R; Y143R

None

E92Q + L74M; N155H; N155H + V151I; N155H + I203M

None

E92Q; N155H; Q148R; T66I

None

E92Q + N155H + T66I; N155H; Q148R

None

E92Q N155H Q148R + T66I/A T66A

E92Q E92Q + Q148R Q148R

References

[90]

[63]

[91]

[11]

[65]

  1. Dash (-) indicates that information was not reported in the study results
  2. 3TC lamivudine, ABC abacavir, ATV atazanavir, BIC bictegravir, CI confidence interval, COBI cobicistat, DTG dolutegravir, EFV efavirenz, EVG elvitegravir, FDA food and drug administration, FTC emtricitabine, INSTI integrase strand transfer inhibitor, TAF tenofovir alafenamide, TDF tenofovir disoproxil fumarate, NRTI nucleoside reverse transcriptase inhibitor, RAL raltegravir, RTV ritonavir
  3. aHIV-1 RNA reported as HIV-1 RNA < 40 copies/mL