Initial HIV Therapy for Adults and Treatment-Associated Weight Gain: The Opti-DOR Randomized Clinical Trial.
The Opti-DOR open-label, noninferiority randomized trial compared two initial antiretroviral regimens in 600 ART-naive adults at two South African sites; 99.5% of participants were Black African.
Why it matters
Weight gain after ART initiation may add to cardiometabolic risk. This trial found less median weight gain with the doravirine-based regimen while maintaining noninferior viral suppression at 48 weeks.