Open forum infectious diseases
Discontinuation of Long-acting Injectable Cabotegravir-Rilpivirine in a Large Clinic Cohort.
Katerina A Christopoulos, Xavier Erguera, Janet Grochowski, Matthew Hickey, Elizabeth Imbert, Samantha Dilworth, Ayesha Appa, Chesa Cox, Mary Shiels, Jon Oskarsson, Monica Gandhi
Published: 202510.1093/ofid/ofaf600
Abstract
Open AccessLittle is known about long-acting injectable cabotegravir-rilpivirine discontinuation outside clinical trials. In a large clinic cohort, 1 in 6 people with HIV discontinued long-acting injectable cabotegravir-rilpivirine over a median of ∼18 months. Injection-related pain was common. Virologic failure and efficacy concerns drove discontinuation for people with HIV with adherence challenges. Most had viral suppression on alternate antiretrovirals post-discontinuation.