DOVATO is indicated for the treatment of human immunodeficiency virus type 1 (HIV-1) infection in adults and adolescents above 12 years of age weighing at least 40kg, with no known or suspected resistance to the integrase inhibitor class, or lamivudine.
Adapted from Cahn P et al, 2022.[1]
Spotlight on the baseline viral loads of the participants included in the GEMINI I and II studies
of participants on DOVATO had baseline viral loads >100,000 copies/mL[1]
of participants in both arms had viral loads ≥500,000 copies/mL at baseline after screening[1]
Adapted from Eron J et al, 2018.[5]
Adapted from a systematic literature review of DTG+3TC from real-life cohorts including Wei Y et al. 2023; Philibert P et al, 2023, Calza L et al 2022, Suarez-Garcia I et al, 2023, Long H et al, 2023, Hidalgo-Tenorio C et al, 2022, Zhao F et al, 2022, Inan A et al, 2023, Nasreddine R et al, 2023, Schneider S et al, 2022, Pulido F et al, 2022.[6–16]
Effectiveness further supported in a small subset of people living with HIV with high baseline viral loads[18]
(n=8/9)
of those with baseline HIV-1 RNA 100,000–250,000 copies/mL achieved viral suppression.[18]
(n=6/7)
of those with baseline HIV-1 RNA >250,000 copies/mL achieved viral suppression.[18]
3DR, 3-drug regimen; 3TC, lamivudine; bDRT, baseline drug resistance testing; BL, baseline; CI, confidence interval; CVF, confirmed virological failure; DTG, dolutegravir; FTC, emtricitabine; FU, follow up; HBV, hepatitis B virus; IQR, interquartile range; ITT-E, intention-to-treat exposed; MEX, missing equals excluded; NRTI, nucleoside/nucleotide reverse transcriptase inhibitor; PP, per-protocol analysis; RNA, ribonucleic acid; RPV, rilpivirine; SD, standard deviation; T&T, test and treat; TDF, tenofovir disoproxil fumarate; XTC, emtricitabine or lamivudine.
*Once-daily DTG 50 mg + 3TC 300 mg used in the GEMINI studies.[1]
‡ Graph includes discrete cohorts reporting applicable effectiveness outcomes for ≥30 treatment-naïve people receiving DTG+3TC; reported effectiveness outcomes vary between studies; potential overlap between cohorts cannot be ruled out.[6–16]
§ Viral suppression defined as HIV-RNA <50 copies/mL or 50-200 copies/mL with subsequent HIV-RNA <50 copies/mL in the effectiveness set.[6]
|| People excluded due to missing data or not completing FU: CARAVEL n=10, CoRIS n=251, DOLAM-500 n=18.[7,9,13]
¶ N=37 treatment-naive people at BL, n at Week 48.[14]
# Median time over which treatment-naïve people became suppressed was 10.4 weeks.[15]
†† 162 people were included in the PP analysis.[16]
- Cahn P et al. AIDS 2022; 36(1): 39–48.
- Osiyemi O et al. Clin Infect Dis 2022; 75(6): 975–986.
- DOVATO (dolutegravir/lamivudine) Summary of Product Characteristics (SmPC)
- Cahn P et al. Lancet 2019; 393(10167): 143–155.
- Eron J et al. Presented at HIV DART and Emerging Viruses. 27–29 November 2018. Miami, USA. OP7.
- Wei Y et al. Chin Med J 2023; 136: 2677-2685
- Philibert P et al. Poster presented at 19th European IDS Conference. 18–21 October 2023. Warsaw, Poland. e.P.A.014.
- Calza L et al. J Acquir Immune Defic Syndr 2022; 91(4): e9–e11.
- Suárez-García I. J Antimicrob Chemother 2023; 78: 1423–1432.
- Long H et al. Poster presented at 19th European AIDS Conference. 18–21 October 2023. Warsaw, Poland. e.P.A.058.
- Hidalgo-Tenorio C et al. Viruses 2022; 14(524): 1–11.
- Zhao F et al. J Acquir Immune Defi c Syndr 2022; 91(S1): S16–S19.
- Inan A et al. Poster presented at 19th European AIDS Conference. 18–21 October 2023. Warsaw, Poland. 992.
- Nasreddine R et al. HIV Med 2023; 24(3): 267–278.
- Schneider S et al. Poster presented at the 24th International AIDS Conference. 29 July–2 August 2022. Virtual and Montreal, Canada. EPB147.
- Pulido F et al. Poster presented at HIV Glasgow. 23–26 October 2022. Glasgow, UK. P059.
- Kuretski J et al. Poster presented at IDWeek. 19–23 October 2022. Washington, USA. 1279.
- Benson P et al. Poster presented at IDWeek. 19–23 October 2022. Washington, USA. 1278.
- Maggiolo F et al. BMC Infect Dis 2022; 22(1): 782.
- Ciccullo A et al. JIADS 2021; 1—14.
- Taramasso L et al. AIDS Patient Care STDs 2021; 35(9): 342—353.
PM-GB-DLL-WCNT-240004. September 2024
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