TANGO: Drug-Related AEs and Discontinuation Rates Through 144 Weeks1
DOVATO (N=369), n (%) |
TAF-Containing Regimens (N=371),* n (%) |
|
---|---|---|
Drug-related AEs | 21 (6%) | 13 (4%) |
Grades 2 to 5 | ||
Insomnia | 4 (1%) | 0 |
Depression | 2 (<1%) | 1 (<1%) |
Constipation | 2 (<1%) | 1 (<1%) |
Weight Increased | 3 (<1%) | 3 (<1%) |
Flatulence | 2 (<1%) | 0 |
Nausea | 0 | 2 (<1%) |
AEs leading to withdrawal | 23 (6%) | 7 (2%) |
*1 participant was excluded for receiving a TDF-containing regimen instead of a TAF-containing regimen.
TANGO: Drug-Related AEs and Discontinuation Rates Through 196 Weeks2,3
At Week 196 in the TANGO study among patients who switched to DOVATO at Week 1 (Early Switch), 6% experienced at least one Grade 2-5 drug-related AE. For these Early-Switch patients, the most common drug-related AEs (all Grades, ≥2%) measured through Week 196 were weight increased (2%) and insomnia (2%). 7% experienced an AE leading to withdrawal through Week 196.
GEMINI 1 & 2: Drug-Related AEs and Discontinuation Rates Through 144 Weeks (Pooled Analysis)2,4
Drug-related AEs | DOVATO (N=716), n (%) |
DTG + TDF/FTC (N =717), n (%) |
---|---|---|
All Grades | 146 (20%) | 192 (27%) |
Grades 2 to 5 | 58 (8%) | 69 (10%) |
Participants reporting drug-related AEs (all Grades) with ≥2% frequency | ||
Headache | 21 (3%) | 30 (4%) |
Nausea | 14 (2%) | 40 (6%) |
Diarrhea | 15 (2%) | 21 (3%) |
Insomnia | 15 (2%) | 20 (3%) |
Fatigue† | 12 (2%) | 13 (2%) |
Anxiety | 11 (2%) | 6 (<1%) |
Dizziness | 8 (1%) | 14 (2%) |
Discontinuation rates | ||
AEs leading to withdrawal | 31 (4%) | 33 (5%) |
†Includes fatigue, asthenia, and malaise.2
STAT: Drug-Related AEs and Discontinuation Rates at 48 Weeks5,6
DOVATO (N=131)‡ |
|
---|---|
Drug-related AEs | 8% |
Drug-related AEs occurring in ≥2% of participants | |
Diarrhea | 2% |
Nausea | 2% |
Rash | 2% |
Headache | 2% |
Drug-related AEs (Grades 2 to 5)§ | 2% |
AEs leading to discontinuation of DOVATO | <1%¶ |
Any SAE | 2%# |
‡The safety population is the same as the ITT–E—all enrolled participants who received at least 1 dose of DOVATO.
§All AEs were Grade 2.
¶One AE leading to discontinuation of DOVATO occurred (rash). The event resolved.
#Two SAEs occurred (cellulitis and streptococcal bacteremia). No fatal SAEs occurred. AEs were coded using MedDRA v23.0.
LEARN THE DOVATO DOSING INFORMATION
AE=adverse event; DTG=dolutegravir; FTC=emtricitabine; ITT–E=intent-to-treat–exposed; MedDRA=Medical Dictionary for Regulatory Activities; SAE=serious adverse event; STAT=Study of Test and Treat; TAF=tenofovir alafenamide; TDF=tenofovir disoproxil fumarate.
References:
1. Osiyemi O, De Wit S, Ajana F, et al. Efficacy and safety of switching to dolutegravir/lamivudine (DTG/3TC) versus continuing a tenofovir alafenamide-based 3- or 4-drug regimen for maintenance of virologic suppression in adults living with HIV-1: results through week 144 from the phase 3, noninferiority TANGO randomized trial. Clin Infect Dis. 2022;75(6):975-986. doi:10.1093/cid/ciac036
2. Data on file, ViiV Healthcare.
3. De Wit S, Bonnet F, Osiyemi O, et al. Durable efficacy of switching from a 3-/4-drug tenofovir alafenamide (TAF)-based regimen to the 2-drug regimen dolutegravir/lamivudine (DTG/3TC) in the TANGO study through week 196. Presented at: HIV Drug Therapy Glasgow; October 23-26, 2022; Virtual and Glasgow, Scotland. Slides MO41.
4. Cahn P, Madero JS, Arribas JR, et al. Three-year durable efficacy of dolutegravir plus lamivudine in antiretroviral therapy-naïve adults with HIV-1 infection. AIDS. 2022;36(1):39-48. doi:10.1097/QAD.0000000000003070
5. Rolle C-P, Berhe M, Singh T, et al. Sustained virologic suppression with dolutegravir/lamivudine in a test-and-treat setting through 48 weeks. Open Forum Infect Dis. 2023;10(3):ofad101. doi:10.1093/ofid/ofad101
6. Rolle C-P, Berhe M, Singh T, et al. Dolutegravir/lamivudine as a first-line regimen in a test-and-treat setting for newly diagnosed people living with HIV. AIDS. 2021;35(12):1957-1965. doi:10.1097/QAD.0000000000002979
DLLWCNT240012 March 2024