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How would you manage a patient with viremia up to 400 copies/mL on CAB/RIL injections who was previously undetectable on BIC/FTC/TAF and with prior genotypic testing without drug resistance mutations?

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Mednet Member
Mednet Member
Infectious Disease · Harbor - UCLA Medical Center

We have definitely seen treatment failure with CAB/RPV, which unfortunately made using both classes of medications impossible.

Assuming usual issues of adherence and attending appointments are not issues, I would review the administration technique, particularly if the patient has an elevated BMI or...

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Mednet Member
Mednet Member
Infectious Disease · Johns Hopkins Rockland Clinic At Greenspring Station

CAB/RPV seems to have a higher failure rate (around 1%) than BIC or DTG plus NRTIs. This may be a result of the lower potency of CAB. In addition, CAB has a lower barrier to resistance than BIC and DTG. That said, CAB/RPV is an excellent option for a wide range of patients. I review all injection ap...

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