Evidence mapPaperPMID 40458197Full record

ArticleInfection and drug resistance2025

Metabolic Health Consequences of Switching to the Bictegravir/Emtricitabine/Tenofovir Alafenamide and Dolutegravir Plus Lamivudine Regimens in Virologically Suppressed People Living with HIV Aged > 40 Years: A Retrospective Real-World Study.

Jinchuan Shi, Wenhui Zhang, Jie Han, Zhongdong Zhang, Dingyan Yan, Rongrong Zheng, Feng Li, Yi Wang

Abstract read
In one paragraph

Article in Infection and drug resistance, 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

8 authors.

Jinchuan ShiDepartment of Infection, Affiliated Hangzhou Xixi Hospital, Zhejiang Chinese Medical University, Hangzhou, 310023, People's Republic of China.ORCID 0000-0003-2582-2660
Wenhui ZhangDepartment of Infection, Affiliated Hangzhou Xixi Hospital, Zhejiang Chinese Medical University, Hangzhou, 310023, People's Republic of China.
Jie HanDepartment of Infection, Affiliated Hangzhou Xixi Hospital, Zhejiang Chinese Medical University, Hangzhou, 310023, People's Republic of China.
Zhongdong ZhangDepartment of Infection, Affiliated Hangzhou Xixi Hospital, Zhejiang Chinese Medical University, Hangzhou, 310023, People's Republic of China.
Dingyan YanDepartment of Infection, Affiliated Hangzhou Xixi Hospital, Zhejiang Chinese Medical University, Hangzhou, 310023, People's Republic of China.
Rongrong ZhengDepartment of Infection, Affiliated Hangzhou Xixi Hospital, Zhejiang Chinese Medical University, Hangzhou, 310023, People's Republic of China.
Feng LiDepartment of Infection, Affiliated Hangzhou Xixi Hospital, Zhejiang Chinese Medical University, Hangzhou, 310023, People's Republic of China.
Yi WangDepartment of Infection, Affiliated Hangzhou Xixi Hospital, Zhejiang Chinese Medical University, Hangzhou, 310023, People's Republic of China.ORCID 0000-0001-9081-120X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Both B/F/TAF and DTG/3TC are recommended in treatment guidelines for switch therapy in PLWH. This study aimed to evaluate the safety and metabolic health consequences of two switched regimens in a real-world setting among virologically suppressed PLWH previously treated with EFV/TDF/3TC. Methods: This retrospective real-world study in Hangzhou included 220 virologically suppressed PLWH who switched from EFV/TDF/3TC to DTG/3TC or B/F/TAF between January 1, 2020 and October 30, 2023. All participants were examined the changes in weight, BMI, GLU levels, lipid parameters (TC, LDL-C, HDL-C, and TG), and eGFR at post-12-month. Results: The mean age of included participants was 50.8 years (SD: 11.3). After 12 months of switching, the HIV RNA level was below the limit of detection (< 20 copies/mL) among all participants. The switch to DTG/3TC or B/F/TAF therapy was associated with significant improvement in LDL-C, GLU levels, and eGFR values (all Conclusion: In this study, the B/F/TAF or DTG/3TC regimens are safe for virologically suppressed PLWH aged > 40 years. The transition to B/F/TAF demonstrated dual clinical benefits, significantly reducing hyperglycemia incidence while preserving renal function.

Indexed as

antiretroviral therapymetabolic indicespeople living with HIVvirological suppression

Identifiers

PMID40458197
PMCPMC12129012

What Socratic holds

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Registered trials

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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.