{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T22:25:15Z","timestamp":1792794315743,"version":"4.5.0"},"reference-count":47,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2023,4,13]],"date-time":"2023-04-13T00:00:00Z","timestamp":1681344000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Austrian HIV Cohort Study"},{"name":"Australian HIV Observational Database"},{"name":"CHU Saint-Pierre"},{"DOI":"10.13039\/501100012681","name":"University Hospital Cologne","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100012681","id-type":"DOI","asserted-by":"publisher"}]},{"name":"EuroSIDA"},{"name":"Frankfurt HIV Cohort Study"},{"name":"Georgian National AIDS Health Information System"},{"name":"Modena HIV Cohort"},{"name":"San Raffaele Scientific Institute"},{"name":"Swiss HIV Cohort Study","id":[{"id":"https:\/\/ror.org\/048hyya13","id-type":"ROR","asserted-by":"crossref"}]},{"name":"AIDS Therapy Evaluation"},{"name":"Royal Free HIV Cohort Study","id":[{"id":"https:\/\/ror.org\/01ge67z96","id-type":"ROR","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001711","name":"Swiss National Science Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001711","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,8,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There are conflicting data regarding baseline determinants of virological nonsuppression outcomes in persons with human immunodeficiency virus (HIV) starting antiretroviral treatment (ART). We evaluated the impact of different baseline variables in the RESPOND cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We included treatment-naive participants aged \u226518 who initiated 3-drug ART, in 2014\u20132020. We assessed the odds of virological suppression (VS) at weeks 48 and 96 using logistic regression. Viral blips, low-level viremia (LLV), residual viremia (RV), and virological failure (VF) rates were assessed using Cox regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 4310 eligible participants, 72% started integrase strand transfer inhibitor (INSTI)-based regimens. At 48 and 96 weeks, 91.0% and 93.3% achieved VS, respectively. At 48 weeks, Kaplan-Meier estimates of rates were 9.6% for viral blips, 2.1% for LLV, 22.2% for RV, and 2.1% for VF. Baseline HIV-1 RNA levels &amp;gt;100 000 copies\/mL and CD4+ T-cell counts \u2264200\/\u00b5L were negatively associated with VS at weeks 48 (adjusted odds ratio, 0.51 [95% confidence interval, .39\u2013.68] and .40 [.27\u2013.58], respectively) and 96 and with significantly higher rates of blips, LLV, and RV. CD4+ T-cell counts \u2264200\/\u00b5L were associated with higher risk of VF (adjusted hazard ratio, 3.12 [95% confidence interval, 2.02\u20134.83]). Results were consistent in those starting INSTIs versus other regimens and those starting dolutegravir versus other INSTIs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Initial high HIV-1 RNA and low CD4+ T-cell counts are associated with lower rates of VS at 48 and 96 weeks and higher rates of viral blips, LLV, and RV. Low baseline CD4+ T-cell counts are associated with higher VF rates. These associations remain with INSTI-based and specifically with dolutegravir-based regimens. These findings suggest that the impact of these baseline determinants is independent of the ART regimen initiated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/cid\/ciad219","type":"journal-article","created":{"date-parts":[[2023,4,13]],"date-time":"2023-04-13T08:22:46Z","timestamp":1681374166000},"page":"593-605","source":"Crossref","is-referenced-by-count":26,"title":["Plasma Human Immunodeficiency Virus 1 RNA and CD4+ T-Cell Counts Are Determinants of Virological Nonsuppression Outcomes With Initial Integrase Inhibitor-Based Regimens: A Prospective RESPOND Cohort Study"],"prefix":"10.1093","volume":"77","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5002-1737","authenticated-orcid":false,"given":"Hortensia","family":"\u00c1lvarez","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Infectious Diseases Unit, Complexo Hospitalario Universitario de Ferrol, Ferrol, SERGAS-A Coru\u00f1a , Spain"},{"name":"Department of Biochemistry, Genetics and 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