Clinical infectious diseases : an official publication of the Infectious Diseases Society of America 2025 Sep 02
HIV resistance to dolutegravir varies with co-administered agents.
ABSTRACT
We hypothesized that HIV-dolutegravir-resistance is more frequent when co-administered with nucleos(t)ides with shorter intracellular half-lives. Multivariable analysis of 183 viremic (≥200c/mL) participants from four cohorts (N=660 participants) found dolutegravir-resistance in 21 (11.5%). Dolutegravir-resistance was greater with dolutegravir+lamivudine+zidovudine/(one on stavudine) (OR=19.4, 95%CI 5.1-74.3) or dolutegravir+lamivudine+abacavir (OR=5.4, 95%CI 1.1-25.8), compared to dolutegravir+lamivudine+tenofovir.
New comment by at Crossroads Virology ( October 19, 2025)
I have an older, fatter, and more hypertensive/diabetic population, so I have to avoid tenofovir, even in its “half as nephrotoxic “ TAF form. When I need to ...