Role of HBcAb Positivity in Increase of HIV-RNA Detectability after Switching to a Two-Drug Regimen Lamivudine-Based (2DR-3TC-Based) Treatment : Months 48 Results of a Multicenter Italian Cohort

The aim of this study was to evaluate whether the presence of anti-hepatitis B (HBV) c antibodies (HBcAb positivity) could influence the control of HIV viremia in patients living with HIV (PLWH) who switch to two-drug antiretroviral therapy (2DR) containing lamivudine (3TC) (2DR-3TC-based). A retrospective multicentre observational study was conducted on 160 PLWH switching to the 2DR-3TC-based regimen: 51 HBcAb-positive and 109 HBcAb-negative patients. The HBcAb-positive PLWH group demonstrated a significantly lower percentage of subjects with HIV viral suppression with target not detected (TND) at all time points after switching (24th month: 64.7% vs. 87.8%, p < 0.0001; 36th month 62.7% vs. 86.8%, p = 0.011; 48th month 57.2% vs. 86.1%, p = 0.021 of the HBcAb-positive and HBcAb-negative groups, respectively). Logistic regression analysis showed that the presence of HBcAb positivity (OR 7.46 [95% CI 2.35−14.77], p = 0.004) could favour the emergence of HIV viral rebound by nearly 54% during the entire study follow-up after switching to 2DR-3TC.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:15

Enthalten in:

Viruses - 15(2023), 1 vom: 10. Jan.

Sprache:

Englisch

Beteiligte Personen:

Malagnino, Vincenzo [VerfasserIn]
Salpini, Romina [VerfasserIn]
Teti, Elisabetta [VerfasserIn]
Compagno, Mirko [VerfasserIn]
Ferrari, Ludovica [VerfasserIn]
Mulas, Tiziana [VerfasserIn]
Svicher, Valentina [VerfasserIn]
Zordan, Marta [VerfasserIn]
Basso, Monica [VerfasserIn]
Battagin, Giuliana [VerfasserIn]
Panese, Sandro [VerfasserIn]
Rossi, Maria Cristina [VerfasserIn]
Scaggiante, Renzo [VerfasserIn]
Zago, Daniela [VerfasserIn]
Iannetta, Marco [VerfasserIn]
Parisi, Saverio Giuseppe [VerfasserIn]
Andreoni, Massimo [VerfasserIn]
Sarmati, Loredana [VerfasserIn]

Links:

Volltext

Themen:

2DR
2T8Q726O95
63231-63-0
Anti-HIV Agents
Anti-Retroviral Agents
HBcAb
HIV/HBV
Hepatitis B virus (HBV)
Journal Article
Lamivudine
Multicenter Study
Observational Study
Occult Hepatitis B Infection (OBI)
RNA
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 24.01.2023

Date Revised 16.11.2023

published: Electronic

Citation Status MEDLINE

doi:

10.3390/v15010193

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM351909494