Table 3.

Immune Activation and Exhaustion Markers

 ITT-E (n = 130)B/F/TAF, 3DR (n = 43)DTG/3TC, 2DR (n = 87)
 Treatment Ratio 3DR/2DRWeek 48 Visit to Baseline RatioWeek 48 Visit to Baseline Ratio
MarkerEstimate95% LCL95% UCLEstimate95% LCL95% UCLEstimate95% LCL95% UCL
CD4 T
CD4 T0.94.821.070.93.821.040.99.911.07
 HLA-DR1.10.981.221.141.021.261.04.971.11
 CD38a1.17−.993.332.07.044.110.90−.512.31
 TIGIT0.97.921.021.02.971.071.051.011.09
 LAG-30.86.671.090.99.791.241.16.991.36
 PD-10.99.901.081.02.931.111.03.971.10
TEM1.05.951.160.99.91.090.94.881.01
 TEM HLA-DR1.221.061.411.251.101.431.03.941.12
 TEM HLA-DR+PD-1+CD381.161.011.341.11.971.280.96.871.06
TEMRA1.19.921.541.09.841.410.92.771.09
 TEMRA PD-10.79.64.960.86.701.061.10.971.24
CD8 T
CD8 T0.95.841.080.93.831.040.97.911.05
 HLA-DR1.09.911.301.231.041.471.141.011.28
 CD381.08.971.211.131.011.261.04.971.12
 TIGIT0.98.931.041.02.971.081.041.001.08
 LAG-30.86.691.061.10.891.361.281.111.49
 PD-10.94.881.001.02.951.091.091.041.14
 PD-1+HLA-DRCD380.91.84.970.96.901.031.061.011.12
CD27+ TEMRA1.02.921.121.01.911.110.99.931.05
 PD-10.93.87.990.98.921.051.061.011.11
 PD-1+ HLA-DRCD380.87.77.990.98.861.111.121.031.22
 TIGIT0.93.89.990.99.941.041.051.021.09
CD27 TEMRA1.05.911.200.96.841.100.92.851.00
 PD-1+HLA-DRCD380.84.73.980.92.801.071.091.001.20
CD25+CD45RA+1.13.941.361.17.971.421.04.911.18
 PD-10.88.80.980.95.851.051.071.001.15
CD8 NKT
CD8 NKT0.98.881.090.95.851.060.96.891.04
 HLA-DR1.611.132.291.581.132.230.99.781.24
γδ T
 γδ T0.90.81.990.91.831.001.02.951.09
 CD8+1.101.021.171.06.991.140.97.931.02
 CD4CD80.90.84.970.94.871.011.04.991.09
  HLA-DR1.13.931.371.261.051.511.11.981.27
  CD381.261.061.511.231.041.460.98.871.09
  PD-11.361.221.511.211.091.330.89.83.95
  LAG-3, MFIa−3.42−13.646.80−0.27−9.629.093.15−3.139.43
  TIGIT, MFI1.851.362.511.561.152.110.84.691.03
 ITT-E (n = 130)B/F/TAF, 3DR (n = 43)DTG/3TC, 2DR (n = 87)
 Treatment Ratio 3DR/2DRWeek 48 Visit to Baseline RatioWeek 48 Visit to Baseline Ratio
MarkerEstimate95% LCL95% UCLEstimate95% LCL95% UCLEstimate95% LCL95% UCL
CD4 T
CD4 T0.94.821.070.93.821.040.99.911.07
 HLA-DR1.10.981.221.141.021.261.04.971.11
 CD38a1.17−.993.332.07.044.110.90−.512.31
 TIGIT0.97.921.021.02.971.071.051.011.09
 LAG-30.86.671.090.99.791.241.16.991.36
 PD-10.99.901.081.02.931.111.03.971.10
TEM1.05.951.160.99.91.090.94.881.01
 TEM HLA-DR1.221.061.411.251.101.431.03.941.12
 TEM HLA-DR+PD-1+CD381.161.011.341.11.971.280.96.871.06
TEMRA1.19.921.541.09.841.410.92.771.09
 TEMRA PD-10.79.64.960.86.701.061.10.971.24
CD8 T
CD8 T0.95.841.080.93.831.040.97.911.05
 HLA-DR1.09.911.301.231.041.471.141.011.28
 CD381.08.971.211.131.011.261.04.971.12
 TIGIT0.98.931.041.02.971.081.041.001.08
 LAG-30.86.691.061.10.891.361.281.111.49
 PD-10.94.881.001.02.951.091.091.041.14
 PD-1+HLA-DRCD380.91.84.970.96.901.031.061.011.12
CD27+ TEMRA1.02.921.121.01.911.110.99.931.05
 PD-10.93.87.990.98.921.051.061.011.11
 PD-1+ HLA-DRCD380.87.77.990.98.861.111.121.031.22
 TIGIT0.93.89.990.99.941.041.051.021.09
CD27 TEMRA1.05.911.200.96.841.100.92.851.00
 PD-1+HLA-DRCD380.84.73.980.92.801.071.091.001.20
CD25+CD45RA+1.13.941.361.17.971.421.04.911.18
 PD-10.88.80.980.95.851.051.071.001.15
CD8 NKT
CD8 NKT0.98.881.090.95.851.060.96.891.04
 HLA-DR1.611.132.291.581.132.230.99.781.24
γδ T
 γδ T0.90.81.990.91.831.001.02.951.09
 CD8+1.101.021.171.06.991.140.97.931.02
 CD4CD80.90.84.970.94.871.011.04.991.09
  HLA-DR1.13.931.371.261.051.511.11.981.27
  CD381.261.061.511.231.041.460.98.871.09
  PD-11.361.221.511.211.091.330.89.83.95
  LAG-3, MFIa−3.42−13.646.80−0.27−9.629.093.15−3.139.43
  TIGIT, MFI1.851.362.511.561.152.110.84.691.03

Immunological changes after 48 weeks, corrected for age category (≤50 y, > 50 y), CD4/CD8 ratio, smoking status, and baseline response value in the ITT-E population. Estimated ratios are reported with upper and lower confidence interval limit estimates, calculated using an ordinary linear regression model applied to change from baseline in natural log-transformed imputed data. The confidence intervals highlighted in bold and italic do not contain the null value for the treatment ratios. Confidence intervals for the week 48 visit to baseline ratios that do not contain the null value are in bold.

Abbreviations: 2DR, 2-drug regimen; 3DR, 3-drug regimen; 3TC, lamivudine; B, bictegravir; DTG, dolutegravir; F, emtricitabine; ITT-E, intention to treat exposed; LCL, lower confidence interval limit; MFI, median fluorescence intensity; TAF, TAF, tenofovir alafenamide; UCL, upper confidence interval limit.

aFor untransformed end points, the estimated arithmetic mean difference in (absolute) change from baseline between groups is reported with 95% confidence interval. The gating strategy can be found in Supplementary Figure 2.

Table 3.

Immune Activation and Exhaustion Markers

 ITT-E (n = 130)B/F/TAF, 3DR (n = 43)DTG/3TC, 2DR (n = 87)
 Treatment Ratio 3DR/2DRWeek 48 Visit to Baseline RatioWeek 48 Visit to Baseline Ratio
MarkerEstimate95% LCL95% UCLEstimate95% LCL95% UCLEstimate95% LCL95% UCL
CD4 T
CD4 T0.94.821.070.93.821.040.99.911.07
 HLA-DR1.10.981.221.141.021.261.04.971.11
 CD38a1.17−.993.332.07.044.110.90−.512.31
 TIGIT0.97.921.021.02.971.071.051.011.09
 LAG-30.86.671.090.99.791.241.16.991.36
 PD-10.99.901.081.02.931.111.03.971.10
TEM1.05.951.160.99.91.090.94.881.01
 TEM HLA-DR1.221.061.411.251.101.431.03.941.12
 TEM HLA-DR+PD-1+CD381.161.011.341.11.971.280.96.871.06
TEMRA1.19.921.541.09.841.410.92.771.09
 TEMRA PD-10.79.64.960.86.701.061.10.971.24
CD8 T
CD8 T0.95.841.080.93.831.040.97.911.05
 HLA-DR1.09.911.301.231.041.471.141.011.28
 CD381.08.971.211.131.011.261.04.971.12
 TIGIT0.98.931.041.02.971.081.041.001.08
 LAG-30.86.691.061.10.891.361.281.111.49
 PD-10.94.881.001.02.951.091.091.041.14
 PD-1+HLA-DRCD380.91.84.970.96.901.031.061.011.12
CD27+ TEMRA1.02.921.121.01.911.110.99.931.05
 PD-10.93.87.990.98.921.051.061.011.11
 PD-1+ HLA-DRCD380.87.77.990.98.861.111.121.031.22
 TIGIT0.93.89.990.99.941.041.051.021.09
CD27 TEMRA1.05.911.200.96.841.100.92.851.00
 PD-1+HLA-DRCD380.84.73.980.92.801.071.091.001.20
CD25+CD45RA+1.13.941.361.17.971.421.04.911.18
 PD-10.88.80.980.95.851.051.071.001.15
CD8 NKT
CD8 NKT0.98.881.090.95.851.060.96.891.04
 HLA-DR1.611.132.291.581.132.230.99.781.24
γδ T
 γδ T0.90.81.990.91.831.001.02.951.09
 CD8+1.101.021.171.06.991.140.97.931.02
 CD4CD80.90.84.970.94.871.011.04.991.09
  HLA-DR1.13.931.371.261.051.511.11.981.27
  CD381.261.061.511.231.041.460.98.871.09
  PD-11.361.221.511.211.091.330.89.83.95
  LAG-3, MFIa−3.42−13.646.80−0.27−9.629.093.15−3.139.43
  TIGIT, MFI1.851.362.511.561.152.110.84.691.03
 ITT-E (n = 130)B/F/TAF, 3DR (n = 43)DTG/3TC, 2DR (n = 87)
 Treatment Ratio 3DR/2DRWeek 48 Visit to Baseline RatioWeek 48 Visit to Baseline Ratio
MarkerEstimate95% LCL95% UCLEstimate95% LCL95% UCLEstimate95% LCL95% UCL
CD4 T
CD4 T0.94.821.070.93.821.040.99.911.07
 HLA-DR1.10.981.221.141.021.261.04.971.11
 CD38a1.17−.993.332.07.044.110.90−.512.31
 TIGIT0.97.921.021.02.971.071.051.011.09
 LAG-30.86.671.090.99.791.241.16.991.36
 PD-10.99.901.081.02.931.111.03.971.10
TEM1.05.951.160.99.91.090.94.881.01
 TEM HLA-DR1.221.061.411.251.101.431.03.941.12
 TEM HLA-DR+PD-1+CD381.161.011.341.11.971.280.96.871.06
TEMRA1.19.921.541.09.841.410.92.771.09
 TEMRA PD-10.79.64.960.86.701.061.10.971.24
CD8 T
CD8 T0.95.841.080.93.831.040.97.911.05
 HLA-DR1.09.911.301.231.041.471.141.011.28
 CD381.08.971.211.131.011.261.04.971.12
 TIGIT0.98.931.041.02.971.081.041.001.08
 LAG-30.86.691.061.10.891.361.281.111.49
 PD-10.94.881.001.02.951.091.091.041.14
 PD-1+HLA-DRCD380.91.84.970.96.901.031.061.011.12
CD27+ TEMRA1.02.921.121.01.911.110.99.931.05
 PD-10.93.87.990.98.921.051.061.011.11
 PD-1+ HLA-DRCD380.87.77.990.98.861.111.121.031.22
 TIGIT0.93.89.990.99.941.041.051.021.09
CD27 TEMRA1.05.911.200.96.841.100.92.851.00
 PD-1+HLA-DRCD380.84.73.980.92.801.071.091.001.20
CD25+CD45RA+1.13.941.361.17.971.421.04.911.18
 PD-10.88.80.980.95.851.051.071.001.15
CD8 NKT
CD8 NKT0.98.881.090.95.851.060.96.891.04
 HLA-DR1.611.132.291.581.132.230.99.781.24
γδ T
 γδ T0.90.81.990.91.831.001.02.951.09
 CD8+1.101.021.171.06.991.140.97.931.02
 CD4CD80.90.84.970.94.871.011.04.991.09
  HLA-DR1.13.931.371.261.051.511.11.981.27
  CD381.261.061.511.231.041.460.98.871.09
  PD-11.361.221.511.211.091.330.89.83.95
  LAG-3, MFIa−3.42−13.646.80−0.27−9.629.093.15−3.139.43
  TIGIT, MFI1.851.362.511.561.152.110.84.691.03

Immunological changes after 48 weeks, corrected for age category (≤50 y, > 50 y), CD4/CD8 ratio, smoking status, and baseline response value in the ITT-E population. Estimated ratios are reported with upper and lower confidence interval limit estimates, calculated using an ordinary linear regression model applied to change from baseline in natural log-transformed imputed data. The confidence intervals highlighted in bold and italic do not contain the null value for the treatment ratios. Confidence intervals for the week 48 visit to baseline ratios that do not contain the null value are in bold.

Abbreviations: 2DR, 2-drug regimen; 3DR, 3-drug regimen; 3TC, lamivudine; B, bictegravir; DTG, dolutegravir; F, emtricitabine; ITT-E, intention to treat exposed; LCL, lower confidence interval limit; MFI, median fluorescence intensity; TAF, TAF, tenofovir alafenamide; UCL, upper confidence interval limit.

aFor untransformed end points, the estimated arithmetic mean difference in (absolute) change from baseline between groups is reported with 95% confidence interval. The gating strategy can be found in Supplementary Figure 2.

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