PMID- 37815035 OWN - NLM STAT- MEDLINE DCOM- 20231226 LR - 20240319 IS - 2048-7207 (Electronic) IS - 2048-7193 (Linking) VI - 12 IP - 12 DP - 2023 Dec 16 TI - Efficacy, Safety, and Tolerability of Doravirine/Lamivudine/Tenofovir Disoproxil Fumarate Fixed-Dose Combination Tablets in Adolescents Living With HIV: Results Through Week 96 from IMPAACT 2014. PG - 602-609 LID - 10.1093/jpids/piad078 [doi] AB - BACKGROUND: IMPAACT 2014 study is a phase I/II, multicenter, open-label, nonrandomized study of doravirine (DOR) co-formulated with lamivudine (3TC) and tenofovir disoproxil fumarate (TDF) as fixed-dose combination (DOR FDC) in adolescents with HIV-1. We report the efficacy, safety, and tolerability of DOR FDC through 96 weeks. METHODS: Participants were adolescents aged 12 to <18 years who weighed at least 45 kg and who were either antiretroviral (ARV)-naive or virologically suppressed without documented resistance mutations to DOR/3TC/TDF. The efficacy endpoint was the proportion of participants with HIV-1 RNA <40 copies/mL assessed at weeks 48 and 96 using the observed failure approach. Safety and tolerability outcomes were incidence of adverse events (AEs) and treatment discontinuations. RESULTS: A total of 45 adolescents, median age 15 (range, 12-17) years, 58% females, were enrolled and 2 (4.4%) participants were ARV naive. Of the 45 participants, 42 (93.3%) completed the study and 41 (91.1%) completed the study treatment. At week 48, 41/42 (97.6%; 95% confidence interval [CI], 87.4-99.9) and week 96, 37/40 (92.5%; 95% CI, 79.6-98.4) participants had achieved or maintained HIV-1 RNA <40 copies/mL. There were no treatment-related discontinuations due to AEs and no drug-related AEs >/=grade 3 or deaths. CONCLUSIONS: We found once-daily dosing of DOR FDC to be safe and well tolerated for maintaining viral suppression through 96 weeks in adolescents living with HIV-1. CI - (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Journal of the Pediatric Infectious Diseases Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Rungmaitree, Supattra AU - Rungmaitree S AD - Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. FAU - Aurpibul, Linda AU - Aurpibul L AUID- ORCID: 0000-0003-0246-8187 AD - Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand. FAU - Best, Brookie M AU - Best BM AD - Skaggs School of Pharmacy and Pharmaceutical Sciences and Pediatrics Department, School of Medicine-Rady Children's Hospital San Diego, University of California San Diego, San Diego, California, USA. FAU - Li, Xiang AU - Li X AD - Frontier Science Technology and Research Foundation, Madison, Wisconsin, USA. FAU - Warshaw, Meredith G AU - Warshaw MG AD - Center for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA. FAU - Wan, Hong AU - Wan H AD - Merck & Co., Inc., Rahway, New Jersey, USA. FAU - Tobin, Nicole H AU - Tobin NH AD - Department of Pediatrics, Division of Pediatric Infectious Diseases, David Geffen School of Medicine, University of California, Los Angeles, California, USA. FAU - Jumes, Patricia AU - Jumes P AD - Merck & Co., Inc., Rahway, New Jersey, USA. FAU - Leavitt, Randi AU - Leavitt R AD - Merck & Co., Inc., Rahway, New Jersey, USA. FAU - McCarthy, Katie AU - McCarthy K AD - FHI 360, Durham, North Carolina, USA. FAU - Scheckter, Rachel AU - Scheckter R AD - FHI 360, Durham, North Carolina, USA. FAU - Ounchanum, Pradthana AU - Ounchanum P AD - Chiangrai Prachanukroh Hospital PHPT, Chiang Rai, Thailand. FAU - Violari, Avy AU - Violari A AD - Perinatal HIV Research Unit, University of the Witwatersrand, Johannesburg, South Africa. FAU - Teppler, Hedy AU - Teppler H AD - Merck & Co., Inc., Rahway, New Jersey, USA. FAU - Campbell, Havilland AU - Campbell H AD - Merck & Co., Inc., Rahway, New Jersey, USA. FAU - Krotje, Chelsea AU - Krotje C AD - Frontier Science, Amherst, New York, USA. FAU - Townley, Ellen AU - Townley E AD - DAIDS/NIAID/NIH, Rockville, Maryland, USA. FAU - Moye, Jack AU - Moye J AD - NICHD/NIH, Bethesda, Maryland, USA. FAU - Melvin, Ann J AU - Melvin AJ AD - Department of Pediatrics, Division of Pediatric Infectious Disease, University of Washington and Seattle Children's Research Institute, Seattle, Washington, USA. CN - IMPAACT 2014 study team LA - eng GR - UM1 AI068616/AI/NIAID NIH HHS/United States PT - Clinical Trial, Phase I PT - Clinical Trial, Phase II PT - Journal Article PT - Multicenter Study PL - England TA - J Pediatric Infect Dis Soc JT - Journal of the Pediatric Infectious Diseases Society JID - 101586049 RN - 0 (Anti-HIV Agents) RN - 0 (Anti-Retroviral Agents) RN - 913P6LK81M (doravirine) RN - 2T8Q726O95 (Lamivudine) RN - 63231-63-0 (RNA) RN - 99YXE507IL (Tenofovir) SB - IM MH - Adolescent MH - Female MH - Humans MH - Male MH - *Anti-HIV Agents/adverse effects MH - Anti-Retroviral Agents/therapeutic use MH - *HIV Infections/drug therapy MH - *HIV Seropositivity MH - Lamivudine/adverse effects MH - RNA/therapeutic use MH - Tenofovir/adverse effects MH - Treatment Outcome OTO - NOTNLM OT - HIV-1 OT - MK-1439A OT - adolescents OT - doravirine FIR - Beck, Justine IR - Beck J FIR - Sise, Thucuma IR - Sise T FIR - Kapogiannis, Bill G IR - Kapogiannis BG FIR - George, Kathleen IR - George K FIR - Morgan, Patricia IR - Morgan P FIR - Woolwine-Cunningham, Yvonne IR - Woolwine-Cunningham Y FIR - Leblanc, Rebecca IR - Leblanc R FIR - Trabert, Kathleen IR - Trabert K FIR - Mendell, Jeanne IR - Mendell J FIR - Alvero, Carmelita IR - Alvero C FIR - Farhad, Mona IR - Farhad M FIR - Pasyar, Sarah IR - Pasyar S FIR - Muresan, Petronella IR - Muresan P FIR - Patel, Nehali IR - Patel N FIR - English, Adrienne IR - English A FIR - Heince, Ryan IR - Heince R FIR - Jones, Sandra IR - Jones S FIR - Cooper, Ellen IR - Cooper E FIR - McLaud, Debra IR - McLaud D FIR - McFarland, Elizabeth IR - McFarland E FIR - Hays, Shane Curran IR - Hays SC FIR - Dunn, Jennifer IR - Dunn J FIR - Navarro, Kacey IR - Navarro K FIR - Robson, Amanda IR - Robson A FIR - Ndiwani, Hilda IR - Ndiwani H FIR - Mathiba, Ruth IR - Mathiba R FIR - Violari, Avy IR - Violari A FIR - Ramsagar, Nastassja IR - Ramsagar N FIR - Chotirosniramit, Nuntisa IR - Chotirosniramit N FIR - Khamrong, Chintana IR - Khamrong C FIR - Chantong, Jiraporn IR - Chantong J FIR - Srita, Angkana IR - Srita A FIR - Cressey, Tim R IR - Cressey TR FIR - Sukrakanchana, Praornsuda IR - Sukrakanchana P FIR - Kaewmamuang, Kanyanee IR - Kaewmamuang K FIR - Thaweesombat, Yupawan IR - Thaweesombat Y FIR - Vanprapar, Nirun IR - Vanprapar N FIR - Chokephaibulkit, Kulkanya IR - Chokephaibulkit K FIR - Kongstan, Nantaka IR - Kongstan N FIR - Lermankul, Watcharee IR - Lermankul W EDAT- 2023/10/10 12:43 MHDA- 2023/12/18 06:42 CRDT- 2023/10/10 06:53 PHST- 2023/05/24 00:00 [received] PHST- 2023/09/27 00:00 [accepted] PHST- 2023/12/18 06:42 [medline] PHST- 2023/10/10 12:43 [pubmed] PHST- 2023/10/10 06:53 [entrez] AID - 7303744 [pii] AID - 10.1093/jpids/piad078 [doi] PST - ppublish SO - J Pediatric Infect Dis Soc. 2023 Dec 16;12(12):602-609. doi: 10.1093/jpids/piad078.