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- W1867188112 abstract "Objectives HIV ‐1 transmitted drug resistance ( TDR ) in treatment‐naïve individuals is a well‐described phenomenon. Baseline genotypic resistance testing is considered standard of care in most developed areas of the world. The aim of this analysis was to characterize HIV‐1 TDR and the use of resistance testing in START trial participants. Methods In the S trategic T iming of A nti R etroviral T reatment ( START ) trial, baseline genotypic resistance testing results were collected at study entry and analysed centrally to determine the prevalence of TDR in the study population. Resistance was based on a modified 2009 W orld H ealth O rganization definition to reflect newer resistance mutations. Results Baseline resistance testing was available in 1946 study participants. Higher rates of testing occurred in E urope (86.7%), the USA (81.3%) and A ustralia (89.9%) as compared with A sia (22.2%), S outh A merica (1.8%) and A frica (0.1%). The overall prevalence of TDR was 10.1%, more commonly to nonnucleoside reverse transcriptase inhibitors (4.5%) and nucleoside reverse transcriptase inhibitors (4%) compared with protease inhibitors (2.8%). The most frequent TDR mutations observed were M 41L, D 67 N / G / E , T 215 F / Y / I / S / C / D / E / V / N , 219 Q / E / N / R , K 103 N / S , and G 190 A / S / E in reverse transcriptase, and M 46 I /L and L 90 M in protease. By country, the prevalence of TDR was highest in A ustralia (17.5%), F rance (16.7%), the USA (12.6%) and S pain (12.6%). No participant characteristics were identified as predictors of the presence of TDR . Conclusions START participants enrolled in resource‐rich areas of the world were more likely to have baseline resistance testing. In E urope, the USA and A ustralia, TDR prevalence rates varied by country." @default.
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- W1867188112 date "2015-02-25" @default.
- W1867188112 modified "2023-10-10" @default.
- W1867188112 title "Global HIV-1 transmitted drug resistance in the INSIGHT Strategic Timing of AntiRetroviral Treatment (START) trial" @default.
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- W1867188112 doi "https://doi.org/10.1111/hiv.12236" @default.
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