Department of Infection and Immunity, Shanghai Public Health Clinical Center, Fudan University, 2901 Caolang Road, Jinshan District, Shanghai, 201508, China.
AIDS Res Ther. 2024 Nov 27;21(1):86. doi: 10.1186/s12981-024-00680-x.
This study aimed to evaluate the efficacy and safety of dolutegravir plus lamivudine (DTG/3TC) in antiretroviral treatment (ART)-experienced people living with HIV (PLWH). A total of 303 PLWH in Shanghai, China, who switched from triple ART to DTG/3TC between January 2019 and June 2022, with a minimum ART duration of 6 months, were retrospectively enrolled. More than 95% of PLWH maintained viral suppression with no significant changes in CD4 counts 12 months after switching. Patients transitioning from non-tenofovir (TDF)-based regimens demonstrated more pronounced improvements in lipid profiles, while those previously on TDF-based regimens showed greater enhancements in bone metabolism.
本研究旨在评估在接受过抗逆转录病毒治疗(ART)的 HIV 感染者(PLWH)中,多替拉韦加拉米夫定(DTG/3TC)的疗效和安全性。2019 年 1 月至 2022 年 6 月期间,中国上海共有 303 名 PLWH 从三药 ART 转换为 DTG/3TC,ART 持续时间至少 6 个月。回顾性纳入这些患者。转换后 12 个月,超过 95%的 PLWH 保持病毒抑制,CD4 计数无明显变化。从非替诺福韦(TDF)为基础的方案转换的患者血脂谱改善更为显著,而之前使用 TDF 为基础方案的患者骨代谢改善更为明显。