Review Article

Ritonavir-Boosted Darunavir Plus Two Nucleoside Reverse Transcriptase Inhibitors versus Other Regimens for Initial Antiretroviral Therapy for People with HIV Infection: A Systematic Review

Table 2

Quantitative data for trial outcomes (dichotomous).

DRV/r versus LPV/r (ARTEMIS)Events, DRV/rTotal, DRV/rEvents, LPV/rTotal, LPV/rRR (95% CI)

Mortality (192 weeks)434373460.58 (0.17–1.95)
Mortality (96 weeks)134333460.34 (0.04–3.22)
Mortality (48 weeks)134333460.34 (0.04–3.22)
≥1 SAE (192 weeks)55343723460.77 (0.56–1.06)
≥1 SAE (96 weeks)34343553460.62 (0.42–0.93)
≥1 SAE (48 weeks)25343413460.62 (0.38–0.99)
PVL < 50 copies/mL (192 weeks)2363431983461.20 (1.07–1.35)
PVL < 50 copies/mL (96 weeks)2713432463461.11 (1.02–1.21)
PVL < 50 copies/mL (48 weeks)2543432263461.13 (1.03–1.25)

DRV/r versus DTG (FLAMINGO)Events, DRV/rTotal, DRV/rEvents, DTGTotal, DTGRR (95% CI)

≥1 SAE (96 weeks)36245212431.70 (1.02–2.83)
≥1 SAE (48 weeks)13245262430.50 (0.26–0.94)
PVL < 50 copies/mL (96 weeks)1642451942430.84 (0.75–0.93)
PVL < 50 copies/mL (48 weeks)1862451922430.96 (0.87–1.06)

DRV/r versus RAL (ACTG 5257)Events, DRV/rTotal, DRV/rEvents, RALTotal, RALRR (95% CI)

Mortality (96 weeks)1360166032.17 (0.83–5.68)
Elevated blood bilirubin (96 weeks)4666014446031.05 (0.99–1.12)
PVL < 50 copies/mL (96 weeks)4616014946030.94 (0.88–0.99)

DRV/r versus ATV/r (ACTG 5257)Events, DRV/rTotal, DRV/rEvents, ATV/rTotal, ATV/rRR (95% CI)

Mortality (96 weeks)13601106051.31 (0.58–2.96)
Elevated blood bilirubin (96 weeks)4666012866051.64 (1.49–1.80)
PVL < 50 copies/mL (96 weeks)4616014556051.02 (0.96–1.09)

RR, risk ratio; PVL, plasma viral load; SAE, severe adverse event; CI, confidence interval; DRV/r, ritonavir boosted darunavir-based regimen; DTG, dolutegravir-based regimen; LPV/r, ritonavir boosted lopinavir-based regimen; ATV/r, ritonavir boosted atazanavir-based regimen; RAL, raltegravir-based regimen.