Supplementary Table 2: Changes in lipids in trials comparing rilpivirine (RPV)-based regimens with other antiretroviral therapies (ART).

Study

RPV group

Comparator [p value*]

Treatment -naive patients

TMC278-C204

Pozniak 2010 [33]

96-week (RPV 25 mg/day arm)

Change from BL (mg/dL), mean (SD)

Total cholesterol: 10 (28)

HDL cholesterol: 6 (10)

Total/HDL cholesterol: -0.4 (1.3)

LDL cholesterol: 5 (25)

Triglycerides: -8 (75)

96-week

Change from BL (mg/dL), mean (SD)

Total cholesterol: 34 (31)

HDL cholesterol: 11 (12)

Total/HDL cholesterol: -0.1 (0.9)

LDL cholesterol: 18 (28)

Triglycerides: 29 (87)

ECHO & THRIVE

Molina 2011 [3] (ECHO week 48 results)

Cohen 2011 [4]

(THRIVE week 48 results)

Cohen 2013 [5] (ECHO & THRIVE week 96 results)

48-week ECHO

Change from BL (mmol/L), mean (95% CI)

Total cholesterol: 0.03 (-0.06, 0.11)

HDL cholesterol: 0.07 (0.04, 0.10)

Total/HDL cholesterol: -0.14 (-0.33, 0.05)

LDL cholesterol: -0.04 (-0.10, 0.03)

Triglycerides: -0.10 (-0.19, -0.01)

48-week THRIVE

Change from BL (mmol/L), mean (95% CI)

Total cholesterol: 0.08 (-0.01, 0.16)

HDL cholesterol: 0.11 (0.08, 0.13)

Total/HDL cholesterol: -0.36 (-0.48, -0.25)

LDL cholesterol: -0.02 (-0.09, 0.05)

Triglycerides: -0.07 (-0.17, 0.04)

96-week ECHO & THRIVE

Change from BL (mmol/L), mean (95% CI)

Total cholesterol: 0.12 (0.06-0.18)

HDL cholesterol: 0.11 (0.09-0.13)

Total/HDL cholesterol: NA

LDL cholesterol: 0.03 (-0.02, 0.08)

Triglycerides: -0.07 (-0.15, 0.005)

48-week ECHO

Change from BL (mmol/L), mean (95% CI)

Total cholesterol: 0.63 (0.53, 0.73) [p < 0.0001]

HDL cholesterol: 0.24 (0.21, 0.27) [p < 0.0001]

Total/HDL cholesterol: -0.24 (-0.40, -0.09) [p = 0.25]

LDL cholesterol: 0.31 (0.23-0.39) [p < 0.0001]

Triglycerides: 0.16 (-0.07, 0.38) [p = 0.01]

48-week THRIVE

Change from BL (mmol/L), mean (95% CI)

Total cholesterol: 0.79 (0.69, 0.90) [p < 0.0001]

HDL cholesterol: 0.27 (0.24, 0.30) [p < 0.0001]

Total/HDL cholesterol: -0.28 (-0.38, -0.17) [p = 0.25]

LDL cholesterol: 0.44 (0.34, 0.53) [p < 0.0001]

Triglycerides: 0.14 (0.01, 0.26) [p < 0.0001]

96-week ECHO & THRIVE

Change from BL (mmol/L), mean (95% CI)

Total cholesterol: 0.74 (0.66-0.82) [p < 0.0001]

HDL cholesterol: 0.29 (0.26-0.31) [p < 0.0001]

Total/HDL cholesterol: NA [p = 0.17]

LDL cholesterol: 0.37 (0.31-0.43) [p < 0.0001]

Triglycerides: 0.14 (0.04-0.25) [p < 0.0001]

STAR

Cohen 2014 [32] (week 48 results)

Van Lunzen 2016 [7] (week 96 results)

48-week

Change from BL (mg/dL), mean

Total cholesterol: 1

HDL cholesterol: 2

Total/HDL cholesterol: -0.2

LDL cholesterol: 1

Triglycerides: -8

96-week

Change from BL (mg/dL), mean (SD)

Total cholesterol: 3 (33)

HDL cholesterol: 2 (10)

Total/HDL cholesterol: -0.2 (1.1)

LDL cholesterol: 2 (27)

Triglycerides: 8 (111)

48-week

Change from BL (mg/dL), mean

Total cholesterol: 22 [p < 0.001]

HDL cholesterol: 8 [p < 0.001]

Total/HDL cholesterol: -0.2

LDL cholesterol: 14 [p < 0.001]

Triglycerides: 8 [p < 0.001]

96-week

Change from BL (mg/dL), mean (SD)

Total cholesterol: 25 (32) [p < 0.001]

HDL cholesterol: 9 (11) [p < 0.001]

Total/HDL cholesterol: -0.2 (1.1)

LDL cholesterol: 15 (28) [p < 0.001]

Triglycerides: -5 (69) [p = 0.090]

Treatment-experienced, virologically controlled patients

SPIRIT

Palella 2014 [10]

48-week

Change from BL (mg/dl), mean

Total cholesterol: -24

HDL cholesterol: -2

Total/HDL cholesterol: -0.35

LDL cholesterol: -16

Triglycerides: -64

48-week

Change from the late switch BL (~24 weeks RPV + FTC + TDF) (mg/dl), mean

Total cholesterol: -24

HDL cholesterol: -4

Total/HDL cholesterol: -43

LDL cholesterol: -14

Triglycerides: -80

24-week

Change from BL (~24 weeks of BL ART) (mg/dl), mean

Total cholesterol: -1

HDL cholesterol: -1

Total/HDL cholesterol: +0.08

LDL cholesterol: 0

Triglycerides: +3

LATTE

Margolis 2015 [28]

No data for the maintenance-exposed population

No data for the maintenance-exposed population

Probe

Maggiolo 2016 [11]

48-week

BL - week 48 (mg/dL), mean (SD)

Total cholesterol: 183 (46) - 200 (40)

HDL cholesterol: 47 (13) - 49 (17)

Total/HDL cholesterol: NA

LDL cholesterol: NA

Triglycerides: 200 (181) - 173 (138)

48-week

BL - week 48 (mg/dL), mean (SD)

Total cholesterol: 184 (37) - 188 (44)

HDL cholesterol: 45 (12) - 45 (13)

Total/HDL cholesterol: NA

LDL cholesterol: NA

Triglycerides: 128 (44) - 143 (63)

GS-US-366-1160

DeJesus 2017 [34] (week 48 results)

Hagins 2018 [12] (week 96 results)

48-week

Change from BL (mg/dL), median (q1, q3)

Total cholesterol: -9 (-27, 9)

HDL cholesterol: -4 (-9, 2)

Total/HDL cholesterol: 0.1 (-0.3, 0.5)

LDL cholesterol: -3 (-18, 13)

Triglycerides: -4 (-35, 23)

96-week

Change from BL (mg/dL), median (q1, q3)

Total cholesterol: -13 (-32, 10)

HDL cholesterol: -4 (-11, 1)

Total/HDL cholesterol: 0.1 (-0.4, 0.5)

LDL cholesterol: -2 (-20, 14)

Triglycerides: 1 (-34, 24)

48-week

Change from BL (mg/dL), median (q1, q3)

Total cholesterol: -3 (-18, 13) [p = 0.0012]

HDL cholesterol: -1 (-6, 4) [p = < 0.0001]

Total/HDL cholesterol: 0 (-0.3, 0.4) [p = 0.20]

LDL cholesterol: -2 (-13, 11) [p = 0.20]

Triglycerides: -2 (-27, 27) [p = 0.093]

96-week

Change from BL (mg/dL) median (q1, q3)

Total cholesterol: -3 (-19, 15) [p < 0.001]

HDL cholesterol: 0 (-6, 6) [p < 0.001]

Total/HDL cholesterol: 0 (-0.5, 0.4) [p = 0.06]

LDL cholesterol: 0 (-13, 13) [p = 0.22]

Triglycerides: 4 (-25, 35) [p = 0.14]

SWORD-1 & SWORD-2

Llibre 2018 [10] (week 48 results)

Aboud 2019 [2] (week 100 results)

48-week

BL - week 48 (mg/dL), mean

Total cholesterol: 184.3 - 186.1

HDL cholesterol: 52.3 - 54.1

Total/HDL cholesterol: 3.78 - 3.67

LDL cholesterol: 107.2 - 109.0

Triglycerides: 126.4 - 118.0

100-week

Change from BL (mmol/L), mean

Total cholesterol: 0.1

HDL cholesterol: 0.01

Total/HDL cholesterol: 0.05

LDL cholesterol: 0.15

48-week

BL - week 48 (mg/dL), mean

Total cholesterol: 186.7 - 187.0

HDL cholesterol: 53.3 - 54.7

Total/HDL cholesterol: 3.73 - 3.65

LDL cholesterol: 108.8 - 107.5

Triglycerides: 126.3 - 125.8

100-week

Change from the late-switch BL (~ 48 weeks of RPV + DTG) (mmol/L), mean

Total cholesterol: 0.06

HDL cholesterol: -0.03

Total/HDL cholesterol: 0.11

LDL cholesterol: 0.16

SALIF

Munderi 2019 [14]

No data

No data

Petchkum2019 [16]

48-week

Change from BL (mg/dL), mean (95% CI)

Total cholesterol: -17.1 (-29.69, -4.4)

HDL cholesterol: -0.37 (-6.10, 5.36)

Total/HDL cholesterol: -0.31 (-0.75, 0.13)

LDL cholesterol: 0.53 (-11.8, 12.86)

Triglycerides: -36.02 (-71.02, -1.12)

48-week

Change from BL (mg/dL), mean (95% CI)

Total cholesterol: 7.25 (-0.87, 15.38)

HDL cholesterol: 5.16 (2.46, 7.86)

Total/HDL cholesterol: -0.22 (-0.47, 0.03)

LDL cholesterol: 8.52 (1.63, 15.41)

Triglycerides: -12.25 (-40.93, 16.43)

Abbreviations: BL: Baseline; DTG: Dolutegravir; HDL: High-density lipoprotein; LDL: Low-density lipoprotein; NA: Not available; RPV: Rilpivirine.

*for comparison with the RPV group, as reported in the publication.