Table 3 Predicted effects of introduction of lenacapavir + cabotegravir over 10 years
Model output | No lenacapavir + cabotegravir introduction | Lenacapavir-cabotegravir introduction |
|---|---|---|
Of PWH on ART, percentage who are on lenacapavir+cabotegravir Age 15+ Ages 15−24 Women age 15+ Men age 15+ | --- --- --- --- | 15% (5% − 37%) 17% (17% - 18%) 20% (7% - 40%) 21% (20% - 22%) 14% (5% - 35%) 17% (16% - 17%) 15% (5% - 36%) 17% (17% - 18%) |
Of PWH on lenacapavir+cabotegravir, percentage who started (a) when on ART with measured viral non-suppression (b) when off ART (c) when already virally suppressed | --- --- --- | 24% (7% − 55%) 27% (26% - 28%) 40% (14% − 75%) 42% (40% - 43%) 31% (0% - 75%) 32% (31% - 34%) |
Of PWH on lenacapavir + cabotegravir, percentage with viral load <1000 copies/mL | --- | 96% (90% − 99%) 95% (95% - 96%) |
Of PWH who have ever taken lenacapavir + cabotegravir: percentage currently still on lenacapavir + cabotegravir percentage virologically failed lenacapavir + cabotegravir | --- --- | 88% (43% - 98%) 81% (79% - 82%) 7% (1% - 29%) 10% (9% - 10%) |
Percentage of PWH with a capsid inhibitor/integrase inhibitor drug resistance mutation | 0.0% (0.0% - 0.0%) 0.0% (0.0% -0.0%) 0.9% (0.2% - 3.0%) 1.1% (1.1% - 1.2%) | 0.2% (0.0% − 1.4%) 0.4% (0.4% - 0.4%) 0.9% (0.2% − 3.0%) 1.1% (1.1% - 1.2%) |
Of PWH on ART, percentage with viral load <1000 copies/mL | 97% (92% - 98%) 96% (96% - 96%) | 98% (94% - 99%) 97% (97% - 97%) |
Of people with diagnosed HIV, percentage with viral load >1000 copies/mL Difference | 8.3% (4.6% - 15.7%) 9.0% (8.8% - 9.2%) | 6.9% (3.9% - 13.0%) 7.5% (7.4% - 7.7%) -1.3% (-3.9% - +0.5%) -1.5% (-1.4% - -1.6%) |
Of all PWH, percentage with viral load <1000 copies/mL | 86% (77% − 92%) 85% (85% - 86%) | 87% (80% − 93%) 87% (87% - 87%) |
Prevalence of HIV viral load >1000 copies/mL amongst all adults Relative prevalence | 1.3% (0.4% - 4.0%) 1.7% (1.6% - 1.8%) | 1.2% (0.4% - 3.5%) 1.5% (1.4% - 1.6%) 0.90 (0.74 – 1.10) 0.90 (0.89 – 0.91) |
Number of HIV related deaths per year ^ Deaths averted Percent reduction | 1030 (340 – 2620) 1210 (1160 – 1250) | 830 (290 – 2010) 970 (9,300 – 1010) 180 (0 – 680) 240 (230 – 250) 19% (0% − 35%) 18% (18% - 19%) |
HIV incidence in women (age 15-49) (per 100 person years) Relative rate HIV incidence in men (age 15-49) (per 100 person years) Relative rate | 0.28 (0.06 – 1.28) 0.41 (0.39 – 0.44) --- 0.18 (0.04 – 0.66) 0.25 (0.23 – 0.26) --- | 0.27 (0.05–1.16) 0.39 (0.37 – 0.41) 0.95 (0.67 – 1.30) 0.97 (0.95 – 0.98) 0.17 (0.03 – 0.59) 0.23 (0.22 – 0.24) 0.94 (0.60 – 1.45) 0.97 (0.95 – 0.98) |
Percentage of children of women with HIV for which the child is infected at birth or through breastfeeding ^ Number of newly infected children per year ^ Relative risk | 5.1% (2.1% − 10.1%) 5.5% (5.3% - 5.6%) 370 (65 – 1940) 600 (560 – 640) | 4.0% (1.7% − 8.3%) 4.4% (4.3% - 4.6%) 300 (50 – 1660) 480 (450 – 520) 0.82 (0.54 – 1.20) 0.84 (0.83 – 0.86) |