Research Article

Potential Impact of a Free Online HIV Treatment Response Prediction System for Reducing Virological Failures and Drug Costs after Antiretroviral Therapy Failure in a Resource-Limited Setting

Table 1

Characteristics of the treatment change episodes in the training and test sets.

Training setRDI test setIndia

TCEs ( )14,891800206
Patients ( )4,878800168
 Male11,006601109
 Female2,34113797
 Median age404228
Baseline data ( )
 Median baseline VL (log10 c/mL)3.773.794.79
 Mean baseline VL (log10 c/mL)3.743.744.75
 Range of baseline VL (log10 c/mL)1.71–7.01.71–6.012.96–6.82
 Median baseline CD4 (cells/μL)260260274
 Mean baseline CD4 (cells/μL)310294357
Treatment history ( )
 Number of previous drugs (median)553
 NRTI experience (%)100%100%100%
 NNRTI experience (%)68%67%100%
 PI experience (%)83%81%6%
Failures (>2.6 log10 c/mL follow-up VL) ( )6,50130974
 Percent44%39%36%
Responses ( )8,390491132
 Percent56%61%64%
New Regimens ( )
 2NRTI + PI (%)35%35%54%
 2NRTI + NNRTI (%)24%22%0%
 3NRTIs + PI (%)17%19%46%
 Other (%)24%43%0%

TCEs: treatment change episodes. VL: viral load. NRTI: nucleoside reverse transcriptase inhibitor. NNRTI: non-nucleoside reverse transcriptase inhibitor. PI: protease inhibitor.