Twelve-month effectiveness and safety of bictegravir/emtricitabine/tenofovir alafenamide in people with HIV: Real-world insights from BICSTaR cohorts

Background: Real-world evidence is an essential component of evidence-based medicine. The aim of the BICSTaR (BICtegravir Single Tablet Regimen) study is to assess effectiveness and safety of bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) in antiretroviral treatment-naïve (TN) and treatment-experienced (TE) people with HIV. Methods: BICSTaR is a prospective, observational cohort study. Participants (≥18 years) are being followed for 24 months. A pooled analysis is presented at 12 months, with the primary endpoint of effectiveness (HIV-1 RNA <50 copies/mL) and secondary endpoints of safety and tolerability (as per protocol). An exploration of patient-reported outcome measures using standardized questionnaires is included. Results: Between June 2018 and May 2021, 1552 people with HIV were enrolled across 12 countries. The analysed population comprised 1509 individuals (279 TN, 1230 TE); most were white (76%), male (84%) and had one or more comorbid conditions (68%). Median age was 47 years. After 12 months of B/F/TAF treatment, HIV-1 RNA was <50 copies/mL in 94% (221/236) of TN participants and 97% (977/1008) of TE participants. Median CD4 cell count increased by 214 cells/μL (p < 0.001) in TN participants and 13 cells/μL (p = 0.014) in TE participants; median CD4/CD8 ratios increased by 0.30 and 0.03, respectively (both p < 0.001). Persistence was high at 12 months (TN, 97%; TE, 95%). No resistance to B/F/TAF emerged. Study drug-related adverse events occurred in 13% of participants through 12 months, leading to B/F/TAF discontinuation in 6%. Conclusions: The findings of this study provide robust real-world evidence to support the broad use of B/F/TAF in both TN and TE people with HIV

New Breed Librarian

18 p.Feature article: The Perception of Image and Status in the Library Profession; Interview: Joanna Kroll; People: Richard Heinzkill; Ask Susu; Tech Tal

Blessing, Church, Altar, School

A group of four liturgical pamphlets: The Blessing and Laying of the Cornerstone for a Church According to the Roman Rite (translated and arranged by John Schneider and Richard Heinzkill); The Blessing of a Church According to the Roman Rite (translated and arranged by John Schneider and Richard Heinzkill); Meaning of the Altar (by Rev. Paschal Botz, O.S.B.); The Blessing of a School According to the Roman Rite (translated and arranged by John Schneider and Richard Heinzkill).https://digitalcommons.csbsju.edu/saint_johns_abbey_books/1087/thumbnail.jp

Imprint, Oregon ; Vol. 1 No. 2 (Fall 1974)

Gerald W. Williams Collectio