Evidence map›Paper›PMID 39465671›Full record

Trial reportThe Journal of infectious diseases2025

Impact of Dolutegravir Plus Lamivudine as First-line Antiretroviral Treatment on the Human Immunodeficiency Virus Type 1 Reservoir and Inflammatory Markers in Peripheral Blood.

Lucía Bailón, Maria C Puertas, Maria C García-Guerrero, Igor Moraes-Cardoso, Ester Aparicio, Yovaninna Alarcón-Soto, Angel Rivero, Elias P Rosen, Jacob D Estes, Julià Blanco and 5 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
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  4. Review
  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Lucía BailónDepartment of Infectious Diseases, Hospital Universitari Germans Trias i Pujol.
Maria C PuertasInstitute for Health Science Research Germans Trias i Pujol, Badalona.
Maria C García-GuerreroIrsiCaixa, Badalona.
Igor Moraes-CardosoInstitute for Health Science Research Germans Trias i Pujol, Badalona.ORCID 0000-0003-1011-8849
Ester AparicioIrsiCaixa, Badalona.
Yovaninna Alarcón-SotoFundació Lluita contra les Infeccions.ORCID 0000-0002-9977-8634
Angel RiveroDepartment of Infectious Diseases, Hospital Universitari Germans Trias i Pujol.
Elias P RosenEshelman School of Pharmacy, University of North Carolina at Chapel Hill.ORCID 0000-0001-5531-7281
Jacob D EstesVaccine and Gene Therapy Institute.ORCID 0000-0002-9652-6394
Julià BlancoInstitute for Health Science Research Germans Trias i Pujol, Badalona.
Alex OlveraCentro de Investigación Biomédica en Red Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid.ORCID 0000-0002-9934-5759
Beatriz MotheDepartment of Infectious Diseases, Hospital Universitari Germans Trias i Pujol.ORCID 0000-0001-9975-407X
Javier Martinez-PicadoCentro de Investigación Biomédica en Red Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid.
José MoltóDepartment of Infectious Diseases, Hospital Universitari Germans Trias i Pujol.ORCID 0000-0003-4564-1963
DUALITY Study Group

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Reversing Immune Dysfunction for HIV-1 EradicationUM1AI164561 · NIAID · SCRIPPS RESEARCH INSTITUTE, THE · PI SUMIT K CHANDA, Paula M Cannon · 2021 to 2026
$30.0M
Fundació Lluita Contra les InfeccionsNational Institute for Allergy and Infectious Diseases 1 UM1 AI164561-01NIAID NIH HHS P30 AI050410NIAID NIH HHS UM1 AI164561Wellcome Trust 213096
6 · The paper itself

Abstract

backgroundTo compare the effects of first-line antiretroviral therapy (ART) with dolutegravir plus lamivudine (DTG + 3TC) versus dolutegravir plus emtricitabine/tenofovir alafenamide (DTG + FTC/TAF) on the human immunodeficiency virus type 1 (HIV-1) reservoir and immune activation biomarkers in people with HIV (PWH).

methodsDUALITY was a 48-week, single-center, randomized, open-label clinical trial in ART-naive PWH, randomized (1:1) to receive ART with DTG + 3TC (2DR group) or DTG + FTC/TAF (3DR group). We measured total and intact proviral HIV-1 DNA, cell-associated RNA in CD4+ T cells, frequency of HIV-infected CD4+ T cells able to produce p24, plasma soluble inflammatory markers, and activation and exhaustion markers in CD4+ and CD8+ T cells.

resultsForty-four participants (22 per study arm) were enrolled, with baseline mean (standard deviation) log10 plasma viral load (pVL) 4.4 (0.7) copies/mL and CD4+ T-cell counts of 493 (221) cells/μL. At week 48, all participants had pVL <50 copies/mL at week 48, except for 1 participant in the 2DR group who was resuppressed after treating syphilis. Changes from baseline in reservoir parameters and immune biomarkers were comparable between groups.

conclusionsFirst-line ART with DTG + 3TC showed similar reductions of HIV-1 persistence parameters and immune markers as DTG + FTC/TAF, supporting DTG/3TC among preferred first-line ART options for PWH.

Indexed as

Anti-HIV AgentsHeterocyclic Compounds, 3-RingHIV-1HIV InfectionsLamivudineAdultBiomarkersCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesDolutegravirDrug Therapy, CombinationEmtricitabineFemaleHumansMaleMiddle AgedAnti-HIV AgentsBiomarkersDolutegravirEmtricitabineHeterocyclic Compounds, 3-RingLamivudineOxazinesPiperazinesPyridonesRNA, Viraldolutegravir/lamivudinedual antiretroviral therapyHIV infectionHIV reservoirimmune activation

Identifiers

PMID39465671
PMCPMC11911789

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.