Evidence map›Paper›PMID 40152537›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2025

Real-world Effectiveness and Safety of Bictegravir/Emtricitabine/Tenofovir Alafenamide in Comparison With Other Regimens in People With HIV Starting Therapy With AIDS-Defining Conditions: Results From the CoRIS Cohort-The ACTUAS II Study.

Ignacio Pérez-Valero, Diana Corona Mata, Angela Camacho Espejo, Marina Gallo, Alejandro G García-Ruiz de Morales, Chiara Fanciulli, Luz Martín-Carbonero, Sonia Calzado Isbert, Cristina Hernández Gutiérrez, Víctor Asensi and 3 more

Abstract readComparative Study
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

13 authors.

Ignacio Pérez-ValeroServicio de Enfermedades Infecciosas, Hospital Universitario Reina Sofia, Córdoba, Spain.ORCID 0000-0002-3488-7135
Diana Corona MataServicio de Enfermedades Infecciosas, Hospital Universitario Reina Sofia, Córdoba, Spain.ORCID 0000-0002-8059-7171
Angela Camacho EspejoServicio de Enfermedades Infecciosas, Hospital Universitario Reina Sofia, Córdoba, Spain.
Marina GalloServicio de Enfermedades Infecciosas, Hospital Universitario Reina Sofia, Córdoba, Spain.ORCID 0009-0002-0597-486X
Alejandro G García-Ruiz de MoralesCentro de Investigación Biomédica en Red de Enfermedades Infecciosas, Instituto de Salud Carlos III, Madrid, Spain.ORCID 0000-0003-4896-6528
Chiara FanciulliCentro de Investigación Biomédica en Red de Enfermedades Infecciosas, Instituto de Salud Carlos III, Madrid, Spain.
Luz Martín-CarboneroCentro de Investigación Biomédica en Red de Enfermedades Infecciosas, Instituto de Salud Carlos III, Madrid, Spain.ORCID 0000-0001-8102-4079
Sonia Calzado IsbertServei de Malalties Infeccioses, Parc Taulí Hospital Universitari, Barcelona, Spain.
Cristina Hernández GutiérrezUnidad de Enfermedades Infecciosas, Hospital Universitario Príncipe de Asturias, Alcala de Henares, Spain.
Víctor AsensiServicio de Medicina Interna, Hospital Universitario Central de Asturias, Oviedo, Spain.
Antonio Rivero JuarezServicio de Enfermedades Infecciosas, Hospital Universitario Reina Sofia, Córdoba, Spain.ORCID 0000-0002-8643-4250
Antonio RiveroServicio de Enfermedades Infecciosas, Hospital Universitario Reina Sofia, Córdoba, Spain.
Cohorte de la Red Española de Investigación en SIDA (CoRIS) Cohort

Funding

Gilead Sciences IN-ES-380-6277Instituto de Salud Carlos III CB21/13/00091investigator-sponsored research
6 · The paper itself

Abstract

backgroundThe comparative effectiveness and tolerability of bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF) has not been sufficiently evaluated in people with AIDS who initiate therapy.

methodsThe aim of the current study was to compare the effectiveness and tolerability of BIC/FTC/TAF with other first-line antiretroviral therapy (ART) regimens in treatment-naive adults from the CoRIS cohort who initiated ART with AIDS. Logistic regression models were used to estimate odds ratios (ORs) of association between initial regimen and achievement of viral suppression (VS), defined as human immunodeficiency virus RNA <50 copies/mL, and immunological recovery (IR), defined as CD4 count >200 cells/μL. Time to VS and the proportion of treatment discontinuations were also evaluated and compared, with all analyses conducted at weeks 24 and 48 after initiation of ART.

resultsWe analyzed 90 individuals initiating ART with BIC/FTC/TAF and 94 with other regimens, with similar baseline characteristics. At week 24, BIC/FTC/TAF was associated with a higher proportion of VS (75.6% vs 56.5%; adjusted odds ratio [aOR], 2.78 [95% confidence interval {CI}, 1.28-6.25]) and with a lower proportion of IR (47.7% vs 61.9%; aOR, 0.49 [95% CI, .25-.99]). These differences disappeared by week 48. The proportion of treatment discontinuations was significantly lower with BIC/FTC/TAF than with other regimens (week 24: 4.4% vs 20.2%; week 48: 10% vs 36.2%). At week 48, the main reasons for discontinuations were adverse events (3.3% vs 8.5%), toxicity prevention (1.1% vs 8.5%), ART simplification (0% vs 10.6%), and treatment failure (2.2% vs 4.3%).

conclusionsIn light of our results, BIC/FTC/TAF is an effective and well-tolerated option for starting ART in people with AIDS.

Indexed as

AdenineAnti-HIV AgentsEmtricitabineHeterocyclic Compounds, 4 or More RingsHIV InfectionsTenofovirAdultAlanineAmidesAntiretroviral Therapy, Highly ActiveCD4 Lymphocyte CountCohort StudiesDrug CombinationsFemaleHeterocyclic Compounds, 3-RingHumansAdenineAlanineAmidesAnti-HIV AgentsbictegravirDrug CombinationsEmtricitabineHeterocyclic Compounds, 3-RingHeterocyclic Compounds, 4 or More RingsPiperazinesPyridonesTenofovirtenofovir alafenamideAIDSBIC/FTC/TAFcohort studyeffectiveness and safetynaive

Identifiers

PMID40152537
PMCPMC12596416

What Socratic holds

Textmetadata
LicenceCC BY
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.