Doravirine associated with greater LDL cholesterol reduction in people with HIV switching antiretroviral regimens

AIDS. 2025 Mar 15;39(4):477-479. doi: 10.1097/QAD.0000000000004072. Epub 2025 Feb 27.

Abstract

In this observational cohort study, the objective was to compare low-density lipoprotein (LDL) cholesterol dynamics in people with HIV (PWH) who switched to a regimen containing doravirine (DOR), rilpivirine, dolutegravir, or bictegravir and were naïve to the studied drugs. Generalized additive mixed models were used to examine LDL cholesterol dynamics. LDL cholesterol was measured in 2381 PWH: during the first two years, DOR had the greatest lowering effect and showed the most favorable lipid outcome.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Anti-Retroviral Agents* / therapeutic use
  • Cholesterol, LDL* / blood
  • Cohort Studies
  • Drug Substitution*
  • Female
  • HIV Infections* / drug therapy
  • Humans
  • Male
  • Middle Aged
  • Oxazines
  • Pyridones* / administration & dosage
  • Pyridones* / therapeutic use
  • Treatment Outcome
  • Triazoles* / administration & dosage
  • Triazoles* / therapeutic use

Substances

  • Pyridones
  • Cholesterol, LDL
  • doravirine
  • Triazoles
  • Anti-Retroviral Agents
  • Oxazines