Table 2.

Predictors of Virological Failure (VF)

PredictorTotal Subjects, No.Subjects With VF, No. (%)HR (95% CI)Adjusted HRa (95% CI)P Value
HIV subtype
 B5465309 (5.7)0.54 (.43–.67)0.87 (.63–1.21).41b
 C1455142 (9.8)1.001.00
 Non-B/C1826173 (9.5)1.00 (.77–1.31)1.06 (.81–1.40).65b
First-line regimen<.001
 TDF + 3TC/FTC + EFV5978345 (5.8)1.001.00
 TDF + 3TC/FTC + NVP52646 (8.8)1.43 (1.05–1.94)1.38 (1.01–1.89)
 TDF + 3TC/FTC + ATV/r86997 (11.2)2.07 (1.65–2.59)2.07 (1.64–2.59)
 TDF + 3TC/FTC + DRV/r58550 (8.6)2.13 (1.58–2.87)2.05 (1.50–2.80)
 TDF + 3TC/FTC + LPV/r78886 (10.9)1.73 (1.37–2.20)1.48 (1.16–1.89)
Exposure group<.001
 MSM5127253 (4.9)1.001.00
 Heterosexual sex, males1342138 (10.3)2.26 (1.83–2.78)1.63 (1.21–2.21)
 Heterosexual sex, females1623158 (9.7)2.14 (1.75–2.61)1.47 (1.07–2.00)
 Other65375 (11.5)2.60 (2.00–3.37)2.48 (1.88–3.27)
Ethnicity.04
 White5367314 (5.9)1.001.00
 Black2499262 (10.5)1.91 (1.62–2.25)1.33 (1.03–1.71)
 Asian32116 (5.0)0.89 (.54–1.48)0.79 (.48–1.32)
 Other55932 (5.7)0.97 (.68–1.40)0.88 (.61–1.28)
Baseline HIV RNA level, copies/mLc<.001
 50001.001.00
 10 0001.04 (1.02–1.07)1.05 (1.02–1.07)
 50 0001.23 (1.14–1.33)1.23 (1.14–1.34)
 100 0001.36 (1.23–1.51)1.35 (1.21–1.51)
 250 0001.59 (1.37–1.86)1.55 (1.32–1.83)
Baseline CD4+ T-cell count, cells/mm3c.02
 1001.001.00
 2000.83 (.79–.87)0.93 (.88–.99)
 3000.74 (.69–.80)0.90 (.82–.98)
 4000.69 (.63–.76)0.87 (.78–.98)
 5000.65 (.58–.72)0.85 (.75–.97)
Date of ART initiation (per calendar year)0.97 (.94–1.01)0.97 (.93–1.01).17
PredictorTotal Subjects, No.Subjects With VF, No. (%)HR (95% CI)Adjusted HRa (95% CI)P Value
HIV subtype
 B5465309 (5.7)0.54 (.43–.67)0.87 (.63–1.21).41b
 C1455142 (9.8)1.001.00
 Non-B/C1826173 (9.5)1.00 (.77–1.31)1.06 (.81–1.40).65b
First-line regimen<.001
 TDF + 3TC/FTC + EFV5978345 (5.8)1.001.00
 TDF + 3TC/FTC + NVP52646 (8.8)1.43 (1.05–1.94)1.38 (1.01–1.89)
 TDF + 3TC/FTC + ATV/r86997 (11.2)2.07 (1.65–2.59)2.07 (1.64–2.59)
 TDF + 3TC/FTC + DRV/r58550 (8.6)2.13 (1.58–2.87)2.05 (1.50–2.80)
 TDF + 3TC/FTC + LPV/r78886 (10.9)1.73 (1.37–2.20)1.48 (1.16–1.89)
Exposure group<.001
 MSM5127253 (4.9)1.001.00
 Heterosexual sex, males1342138 (10.3)2.26 (1.83–2.78)1.63 (1.21–2.21)
 Heterosexual sex, females1623158 (9.7)2.14 (1.75–2.61)1.47 (1.07–2.00)
 Other65375 (11.5)2.60 (2.00–3.37)2.48 (1.88–3.27)
Ethnicity.04
 White5367314 (5.9)1.001.00
 Black2499262 (10.5)1.91 (1.62–2.25)1.33 (1.03–1.71)
 Asian32116 (5.0)0.89 (.54–1.48)0.79 (.48–1.32)
 Other55932 (5.7)0.97 (.68–1.40)0.88 (.61–1.28)
Baseline HIV RNA level, copies/mLc<.001
 50001.001.00
 10 0001.04 (1.02–1.07)1.05 (1.02–1.07)
 50 0001.23 (1.14–1.33)1.23 (1.14–1.34)
 100 0001.36 (1.23–1.51)1.35 (1.21–1.51)
 250 0001.59 (1.37–1.86)1.55 (1.32–1.83)
Baseline CD4+ T-cell count, cells/mm3c.02
 1001.001.00
 2000.83 (.79–.87)0.93 (.88–.99)
 3000.74 (.69–.80)0.90 (.82–.98)
 4000.69 (.63–.76)0.87 (.78–.98)
 5000.65 (.58–.72)0.85 (.75–.97)
Date of ART initiation (per calendar year)0.97 (.94–1.01)0.97 (.93–1.01).17

Data are averages over imputed data sets.

Abbreviations: 3TC, lamivudine; ART, antiretroviral therapy; ATV/r, atazanavir/ritonavir; CI, confidence interval; DRV/r, darunavir/ritonavir; EFV, efavirenz; FTC, emtricitabine; HIV, human immunodeficiency virus; HR, hazard ratio; LPV/r, lopinavir/ritonavir; MSM, men who have sex with men; NVP, nevirapine; TDF, tenofovir disoproxil fumarate.

a Adjusted for all variables in table.

b By individual Wald tests.

c HRs are presented at selected values as fitted as nonlinear, continuous relationship. Data are also shown in Supplementary Figure 1.

Table 2.

Predictors of Virological Failure (VF)

PredictorTotal Subjects, No.Subjects With VF, No. (%)HR (95% CI)Adjusted HRa (95% CI)P Value
HIV subtype
 B5465309 (5.7)0.54 (.43–.67)0.87 (.63–1.21).41b
 C1455142 (9.8)1.001.00
 Non-B/C1826173 (9.5)1.00 (.77–1.31)1.06 (.81–1.40).65b
First-line regimen<.001
 TDF + 3TC/FTC + EFV5978345 (5.8)1.001.00
 TDF + 3TC/FTC + NVP52646 (8.8)1.43 (1.05–1.94)1.38 (1.01–1.89)
 TDF + 3TC/FTC + ATV/r86997 (11.2)2.07 (1.65–2.59)2.07 (1.64–2.59)
 TDF + 3TC/FTC + DRV/r58550 (8.6)2.13 (1.58–2.87)2.05 (1.50–2.80)
 TDF + 3TC/FTC + LPV/r78886 (10.9)1.73 (1.37–2.20)1.48 (1.16–1.89)
Exposure group<.001
 MSM5127253 (4.9)1.001.00
 Heterosexual sex, males1342138 (10.3)2.26 (1.83–2.78)1.63 (1.21–2.21)
 Heterosexual sex, females1623158 (9.7)2.14 (1.75–2.61)1.47 (1.07–2.00)
 Other65375 (11.5)2.60 (2.00–3.37)2.48 (1.88–3.27)
Ethnicity.04
 White5367314 (5.9)1.001.00
 Black2499262 (10.5)1.91 (1.62–2.25)1.33 (1.03–1.71)
 Asian32116 (5.0)0.89 (.54–1.48)0.79 (.48–1.32)
 Other55932 (5.7)0.97 (.68–1.40)0.88 (.61–1.28)
Baseline HIV RNA level, copies/mLc<.001
 50001.001.00
 10 0001.04 (1.02–1.07)1.05 (1.02–1.07)
 50 0001.23 (1.14–1.33)1.23 (1.14–1.34)
 100 0001.36 (1.23–1.51)1.35 (1.21–1.51)
 250 0001.59 (1.37–1.86)1.55 (1.32–1.83)
Baseline CD4+ T-cell count, cells/mm3c.02
 1001.001.00
 2000.83 (.79–.87)0.93 (.88–.99)
 3000.74 (.69–.80)0.90 (.82–.98)
 4000.69 (.63–.76)0.87 (.78–.98)
 5000.65 (.58–.72)0.85 (.75–.97)
Date of ART initiation (per calendar year)0.97 (.94–1.01)0.97 (.93–1.01).17
PredictorTotal Subjects, No.Subjects With VF, No. (%)HR (95% CI)Adjusted HRa (95% CI)P Value
HIV subtype
 B5465309 (5.7)0.54 (.43–.67)0.87 (.63–1.21).41b
 C1455142 (9.8)1.001.00
 Non-B/C1826173 (9.5)1.00 (.77–1.31)1.06 (.81–1.40).65b
First-line regimen<.001
 TDF + 3TC/FTC + EFV5978345 (5.8)1.001.00
 TDF + 3TC/FTC + NVP52646 (8.8)1.43 (1.05–1.94)1.38 (1.01–1.89)
 TDF + 3TC/FTC + ATV/r86997 (11.2)2.07 (1.65–2.59)2.07 (1.64–2.59)
 TDF + 3TC/FTC + DRV/r58550 (8.6)2.13 (1.58–2.87)2.05 (1.50–2.80)
 TDF + 3TC/FTC + LPV/r78886 (10.9)1.73 (1.37–2.20)1.48 (1.16–1.89)
Exposure group<.001
 MSM5127253 (4.9)1.001.00
 Heterosexual sex, males1342138 (10.3)2.26 (1.83–2.78)1.63 (1.21–2.21)
 Heterosexual sex, females1623158 (9.7)2.14 (1.75–2.61)1.47 (1.07–2.00)
 Other65375 (11.5)2.60 (2.00–3.37)2.48 (1.88–3.27)
Ethnicity.04
 White5367314 (5.9)1.001.00
 Black2499262 (10.5)1.91 (1.62–2.25)1.33 (1.03–1.71)
 Asian32116 (5.0)0.89 (.54–1.48)0.79 (.48–1.32)
 Other55932 (5.7)0.97 (.68–1.40)0.88 (.61–1.28)
Baseline HIV RNA level, copies/mLc<.001
 50001.001.00
 10 0001.04 (1.02–1.07)1.05 (1.02–1.07)
 50 0001.23 (1.14–1.33)1.23 (1.14–1.34)
 100 0001.36 (1.23–1.51)1.35 (1.21–1.51)
 250 0001.59 (1.37–1.86)1.55 (1.32–1.83)
Baseline CD4+ T-cell count, cells/mm3c.02
 1001.001.00
 2000.83 (.79–.87)0.93 (.88–.99)
 3000.74 (.69–.80)0.90 (.82–.98)
 4000.69 (.63–.76)0.87 (.78–.98)
 5000.65 (.58–.72)0.85 (.75–.97)
Date of ART initiation (per calendar year)0.97 (.94–1.01)0.97 (.93–1.01).17

Data are averages over imputed data sets.

Abbreviations: 3TC, lamivudine; ART, antiretroviral therapy; ATV/r, atazanavir/ritonavir; CI, confidence interval; DRV/r, darunavir/ritonavir; EFV, efavirenz; FTC, emtricitabine; HIV, human immunodeficiency virus; HR, hazard ratio; LPV/r, lopinavir/ritonavir; MSM, men who have sex with men; NVP, nevirapine; TDF, tenofovir disoproxil fumarate.

a Adjusted for all variables in table.

b By individual Wald tests.

c HRs are presented at selected values as fitted as nonlinear, continuous relationship. Data are also shown in Supplementary Figure 1.

Close
This Feature Is Available To Subscribers Only

Sign In or Create an Account

Close

This PDF is available to Subscribers Only

View Article Abstract & Purchase Options

For full access to this pdf, sign in to an existing account, or purchase an annual subscription.

Close