Miguel
Newly diagnosed
Photographer, looking to maintain his busy lifestyle.
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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
Paso Doble is a phase IV, randomised, open-label, multi-centre study comparing DOVATO (n=277) vs. BIC/FTC/TAF (n=276) as maintenance therapy in virologically suppressed people living with HIV without previous experience of DTG or BIC: 48-week results.[1]
The 48-week results were presented as an oral presentation at HIV Glasgow Conference November 2024. The study is not yet published.
DOVATO achieved non-inferior efficacy vs. BIC/FTC/TAF and, with 0 cases of treatment-emergent resistance across both arms at 48 Weeks.[1]
Snapshot outcomes in the intention-to-treat-exposed (ITT-E) population.
Statistically significant difference in weight gain on BIC/FTC/TAF at 48 weeks: 0.92 KG (95% CI 0.17, 1.66; p=0.016)
Switching to BIC/FTC/TAF was associated with an 81% increased odds of clinically relevant weight gain vs. switching to DOVATO (>5% increase from baseline to Week 48) AOR 1.81 (95% CI 1.19, 2.76) p=0.006.[1]
Dr Esteban Martínez talks through the PASO DOBLE outcomes and the significance of the results.
DOVATO has a comparable safety profile vs. BIC/FTC/TAF. [1] Drug-related adverse events reported in n=19/277 participants on DOVATO vs. n=27/276 participants on BIC/FTC/TAF. [1]
People living with HIV on effective treatment are living longer than ever before.[2] That is why it is important to recognise and consider the challenges that may impact them now and in their years ahead.
3DR, 3-drug regimen; ABC, abacavir; ART, antiretroviral therapy; BIC, bictegravir; COBI, cobicistat; DDI, drug-drug interaction; EVG, elvitegravir; FTC, emtricitabine; NRTI, nucleoside/nucleotide reverse transcriptase inhibitor; TAF, tenofovir alafenamide; TDF, tenofovir disoproxil fumarate.
†Primary endpoint: the proportion of participants with plasma HIV-1 RNA ≥50 c/mL with DOVATO vs BIC/FTC/TAF at Week 48 (FDA Snapshot; non-inferiority margin 4%)
*Confirmed virologic failure was defined as HIV-1 RNA ≥50 c/mL followed by a second consecutive HIV-1 RNA assessment ≥200 c/mL[1]
References:
Adverse events should be reported directly to the Health Products Regulatory Authority (HPRA) on their website: www.hpra.ie. Adverse events should also be reported to GlaxoSmithKline on 1800 244 255, or via the online patient safety reporting form at gsk.public.reportum.com.
Trademarks are owned by or licensed to the GSK group of companies.
Date of Preparation: April 2025 | PM-IE-DLL-WCNT-250004