Patient Participant Perspectives on Implementation of Long-Acting Cabotegravir and Rilpivirine: Results From the Cabotegravir and Rilpivirine Implementation Study in European Locations (CARISEL) Study

J Int Assoc Provid AIDS Care. 2024 Jan-Dec:23:23259582241269837. doi: 10.1177/23259582241269837.

Abstract

Introduction: CARISEL is an implementation-effectiveness "hybrid" study examining the perspectives of people living with HIV-1 (patient study participants [PSPs]) on cabotegravir (CAB) plus rilpivirine (RPV) long-acting (LA) dosed every 2 months (Q2M) across 5 European countries.

Methods: PSPs completed questionnaires on acceptability (Acceptability of Intervention Measure), appropriateness (Intervention Appropriateness Measure), and feasibility (Feasibility of Intervention Measure) at their first (Month [M] 1), third (M4), and seventh (M12) injection visits. Semistructured qualitative interviews were also conducted.

Results: Overall, 437 PSPs were enrolled, of whom 430 received treatment. Median (interquartile range) age was 44 (37-51) years, 25.3% (n = 109/430) were female (sex at birth), and 21.9% (n = 94/430) were persons of color. Across time points, PSPs found CAB + RPV LA highly acceptable, appropriate, and feasible (mean scores ≥4.47/5). Qualitative data supported these observations.

Conclusions: PSPs found CAB + RPV LA Q2M to be an acceptable, appropriate, and feasible treatment option.

Keywords: acceptability; appropriateness; cabotegravir + rilpivirine; long-acting; satisfaction; stigma.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anti-HIV Agents* / administration & dosage
  • Anti-HIV Agents* / therapeutic use
  • Diketopiperazines
  • Europe
  • Female
  • HIV Infections* / drug therapy
  • HIV-1 / drug effects
  • Humans
  • Male
  • Middle Aged
  • Pyridones* / administration & dosage
  • Pyridones* / therapeutic use
  • Rilpivirine* / administration & dosage
  • Rilpivirine* / therapeutic use
  • Surveys and Questionnaires

Substances

  • Rilpivirine
  • cabotegravir
  • Anti-HIV Agents
  • Pyridones
  • Diketopiperazines