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Cabotegravir plus Rilpivirine for Persons with HIV and Adherence Challenges - PubMed

4 days ago
  • #HIV
  • #antiretroviral therapy
  • #adherence
  • Randomized trial of long-acting injectable cabotegravir plus rilpivirine for HIV patients with adherence challenges.
  • Participants with inadequate adherence to oral ART received adherence support before randomization.
  • 306 participants were randomized to either cabotegravir-rilpivirine injections or standard oral ART.
  • Cabotegravir-rilpivirine showed superiority, with 22.8% regimen failure vs. 41.2% in standard care at 48 weeks.
  • Adverse events were similar between groups (43.5% vs. 42.4%).
  • Resistance mutations developed in 2 participants per group with virologic failure.
  • Long-acting injectable therapy reduced risk of regimen failure in adherence-challenged HIV patients.