» Articles » PMID: 40041628

The Real-World Impact of Long-Acting Injectable Cabotegravir-Rilpivirine on Weight and Renal Function

Overview
Journal Cureus
Date 2025 Mar 5
PMID 40041628
Authors
Affiliations
Soon will be listed here.
Abstract

Despite the continued advancement in the efficacy and convenience of antiretroviral therapy (ART), counseling patients about the metabolic side effects of medications remains an integral task for clinicians. This retrospective study examines changes in weight and renal function in patients receiving long-acting injectable cabotegravir-rilpivirine (LAI CAB/RPV) compared to oral regimens in a real-world setting. In this small set of patients, LAI CAB/RPV led to less weight gain compared to oral integrase inhibitor-based regimens. However, there was no significant change in the estimated glomerular filtration rate (eGFR) between patients who were started on LAI CAB/RPV and those who continued to receive oral regimens with or without tenofovir alafenamide (TAF).

References
1.
Domingo P, Villarroya F, Giralt M, Domingo J . Potential role of the melanocortin signaling system interference in the excess weight gain associated to some antiretroviral drugs in people living with HIV. Int J Obes (Lond). 2020; 44(9):1970-1973. PMC: 7445112. DOI: 10.1038/s41366-020-0551-5. View

2.
Wilkinson D, Piasecki M, Atherton P . The age-related loss of skeletal muscle mass and function: Measurement and physiology of muscle fibre atrophy and muscle fibre loss in humans. Ageing Res Rev. 2018; 47:123-132. PMC: 6202460. DOI: 10.1016/j.arr.2018.07.005. View

3.
Diez-Domingo J, Martin I, Sanz A, Lopez A, Martinez C, Boronat C . Rotavirus gastroenteritis among children under five years of age in Valencia, Spain. Pediatr Infect Dis J. 2006; 25(5):455-7. DOI: 10.1097/01.inf.0000217378.30444.21. View

4.
Ramgopal M, Castagna A, Cazanave C, Diaz-Brito V, Dretler R, Oka S . Efficacy, safety, and tolerability of switching to long-acting cabotegravir plus rilpivirine versus continuing fixed-dose bictegravir, emtricitabine, and tenofovir alafenamide in virologically suppressed adults with HIV, 12-month results (SOLAR): a.... Lancet HIV. 2023; 10(9):e566-e577. DOI: 10.1016/S2352-3018(23)00136-4. View

5.
Grabar S, Potard V, Piroth L, Abgrall S, Bernard L, Allavena C . Striking differences in weight gain after cART initiation depending on early or advanced presentation: results from the ANRS CO4 FHDH cohort. J Antimicrob Chemother. 2023; 78(3):757-768. DOI: 10.1093/jac/dkad007. View