Volume 390, Issue 10101, Pages (September 2017)

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Volume 390, Issue 10101, Pages 1499-1510 (September 2017) Long-acting intramuscular cabotegravir and rilpivirine in adults with HIV-1 infection (LATTE-2): 96-week results of a randomised, open-label, phase 2b, non-inferiority trial  Dr David A Margolis, MD, Juan Gonzalez-Garcia, MD, Prof Hans-Jürgen Stellbrink, MD, Prof Joseph J Eron, MD, Prof Yazdan Yazdanpanah, MD, Daniel Podzamczer, PhD, Thomas Lutz, MD, Jonathan B Angel, MD, Gary J Richmond, MD, Bonaventura Clotet, MD, Prof Felix Gutierrez, MD, Prof Louis Sloan, MD, Marty St Clair, BS, Miranda Murray, PhD, Susan L Ford, PharmD, Joseph Mrus, MD, Parul Patel, PharmD, Herta Crauwels, PhD, Sandy K Griffith, Pharm D, Kenneth C Sutton, MA, David Dorey, MMath, Kimberly Y Smith, MD, Peter E Williams, PhD, William R Spreen, Pharm D  The Lancet  Volume 390, Issue 10101, Pages 1499-1510 (September 2017) DOI: 10.1016/S0140-6736(17)31917-7 Copyright © 2017 Elsevier Ltd Terms and Conditions

Figure 1 Trial profile LA=long-acting. *Multiple reasons for screening failure were reported for two patients. †310 patients were enrolled, but one patient withdrew consent after baseline visit procedures were done and before study treatment was initiated. ‡Two patients completed the induction period (and had day 1 assessments) but did not enter the maintenance period and were not randomly assigned (because of investigator discretion and lack of efficacy). §Patient experienced suspected protocol-defined virological failure at the time of withdrawal, which was subsequently confirmed. The Lancet 2017 390, 1499-1510DOI: (10.1016/S0140-6736(17)31917-7) Copyright © 2017 Elsevier Ltd Terms and Conditions

Figure 2 Proportion of patients with HIV-1 RNA concentration less than 50 copies per mL (FDA snapshot algorithm) by visit in the maintenance-exposed population and snapshot outcomes at week 96 Error bars show 95% CIs, derived using the normal approximation. FDA=US Food and Drug Administration. LA=long-acting. The Lancet 2017 390, 1499-1510DOI: (10.1016/S0140-6736(17)31917-7) Copyright © 2017 Elsevier Ltd Terms and Conditions

Figure 3 Arithmetic mean (SD) plasma concentration–time profiles following every 4 weeks and every 8 weeks administration of (A) cabotegravir LA and (B) rilpivirine LA through week 48 Cτ=concentration at the end of dosing interval. LA=long-acting. PA-IC90=protein-adjusted 90% inhibitory concentration. The Lancet 2017 390, 1499-1510DOI: (10.1016/S0140-6736(17)31917-7) Copyright © 2017 Elsevier Ltd Terms and Conditions

Figure 4 Summary of patient-reported outcomes at (A) week 48 (maintenance treatment) and (B) week 96 The data are based on the observed case dataset of patients who completed questionnaires at week 48 and week 96 (HIV Treatment Satisfaction Questionnaire, status version). LA=long-acting. The Lancet 2017 390, 1499-1510DOI: (10.1016/S0140-6736(17)31917-7) Copyright © 2017 Elsevier Ltd Terms and Conditions