- |||||||||| dolutegravir/lamivudine/tenofovir disoproxil fumarate / Cipla, Laurus Labs, Aurobindo, Viatris, Hetero, Macleods
Enrollment closed: Assess Therapeutic Efficacy and Emergence of HIV Drug Resistance Following Initiation of TLD (clinicaltrials.gov) - Dec 28, 2022 P=N/A, N=1339, Active, not recruiting, Our findings do not support the need for initial dolutegravir dose adjustment in patients switching to TLD who failed first-line TEE. Recruiting --> Active, not recruiting
- |||||||||| Cimduo (lamivudine/tenofovir disoproxil fumarate) / Mylan, Celltrion, Aurobindo, Cipla, Hetero, Sun Pharma, Macleods
Journal: Characteristics and associated factors of blood lipid trajectories among HIV-infected patients receiving antiretroviral therapy (Pubmed Central) - Dec 27, 2022 HIV-infected patients showed a dangerous trajectory of blood lipids after ART, which was significantly associated with the use of specific antiviral drugs such as AZT and LPV/r, treatment duration, baseline CD4, TC, TG levels and BMI. It is recommended to strengthen blood lipid monitoring and targeted intervention measure when HIV infected persons start antiviral treatment.
- |||||||||| dolutegravir/lamivudine/tenofovir disoproxil fumarate / Cipla, Laurus Labs, Aurobindo, Mylan, Hetero, Macleods, Vemlidy (tenofovir alafenamide) / Gilead
TAF is sold as better for kidneys/🦴, but ⬆️wt gain, worse lipid profile. In this study, when switched back to TDF/3TC/DTG, women lost weight. Should we be opting to start with TDF or switching back to TDF? @PaulSaxMD @drlaurajwaters @sebpoule @HIVDocSK https://t.co/wXXeiDK8g2 (Twitter) - Dec 17, 2022
- |||||||||| efavirenz/emtricitabine/tenofovir disoproxil fumarate / Generic mfg., dolutegravir/lamivudine/tenofovir disoproxil fumarate / Cipla, Laurus Labs, Aurobindo, Mylan, Hetero, Macleods, dolutegravir/emtricitabine/tenofovir alafenamide (DTG/FTC/TAF) / Mylan
F/u of ADVANCE in @CIDJournal shows that switching to TDF/3TC/DTG leads to weight reduction if on baseline TAF/FTC+DTG, but weight increase if on TDF/FTC/EFV. Further evidence that TDF suppresses weight, in particular when combined with EFV. https://t.co/htEtAkLpWS (Twitter) - Dec 16, 2022
- |||||||||| Biktarvy (bictegravir/emtricitabine/tenofovir alafenamide) / Gilead, Cimduo (lamivudine/tenofovir disoproxil fumarate) / Mylan, Celltrion, Aurobindo, Cipla, Hetero, Sun Pharma, Macleods
3- B/F/TAF Like @PaulSaxMD & @Amit_Achhra mentioned, this should work Extrapolation of DAWNING, NADIA and VISEND studies (in the context of VF), & the 2DS study (suppressed PLWH+extensive NRTIs RAMs) No reason to believe BIC (+F/TAF) wouldn't perform as well as DTG (+TDF/3TC) (Twitter) - Dec 15, 2022
- |||||||||| dolutegravir/lamivudine/tenofovir disoproxil fumarate / Cipla, Laurus Labs, Aurobindo, Mylan, Hetero, Macleods
Retrospective data, Journal: Attrition rate and its predictors among adults receiving anti-retroviral therapy following the implementation of the "Universal Test and Treat strategy" at public health institutions in Northern Ethiopia. A retrospective follow-up study. (Pubmed Central) - Nov 23, 2022 Following the implementation of the universal test and treat area, the attrition rate of adults living with (HIV) found to be high. Due attention shall be provided to those individuals who didn't disclose their status, were initiated into ART within seven days, had WHO stage III/IV clinical disease, had poor adherence history, had no regimen change, and are not on 1J (TDF_3TC-DTG) ART regimen type.
- |||||||||| Daklinza (daclatasvir) / BMS, NATDAC (daclatasvir) / NATCO, Hetero
Retrospective data, Review, Journal: Efficacy and Safety of Sofosbuvir-based Regimens in Hepatitis C Patients With Decompensated Cirrhosis: A Systematic Review and Meta-analysis. (Pubmed Central) - Nov 22, 2022 Patients on SOF/velpatasvir±ribavirin achieved a significantly higher SVR (91.0%, 95% CI: 87.7-93.9) than that of SOF/ledipasvir±ribavirin [(86.3%, 95% CI: 84.6-87.8); p=0.004)], or on SOF/daclatasvir±ribavirin (82.4%, 95% CI: 78.2-86.2%; p<0.001)...There was no publication bias. The analysis found that 12 weeks of SOF/velpatasvir without ribavirin is the preferred therapy, with a significantly higher SVR compared with other SOF-based regimens in decompensated HCV patients.
- |||||||||| Pifeltro (doravirine) / Merck (MSD), Cimduo (lamivudine/tenofovir disoproxil fumarate) / Mylan, Celltrion, Aurobindo, Cipla, Hetero, Sun Pharma, Macleods
Journal, HEOR: Economic evaluation of doravirine/tenofovir disoproxil fumarate/lamivudine for HIV-1-infected adults in Russia: a cost-minimization and budget impact analysis. (Pubmed Central) - Nov 15, 2022 In the budget impact analysis, the adoption of DOR/TDF/3TC into clinical practice is expected to reduce drug costs by ₽333 million (23.8%) in year 3. Fixed-dose combination DOR/TDF/3TC is equally effective and cost-saving compared to RPV/TDF/FTC from Russian vital and essential drugs list perspective.
- |||||||||| dolutegravir/lamivudine/tenofovir disoproxil fumarate / Cipla, Laurus Labs, Aurobindo, Viatris, Hetero, Macleods
Trial completion: ARTIST: Tenofovir-lamivudine-dolutegravir Combination as Second-line ART: a Randomised Controlled Trial (clinicaltrials.gov) - Nov 8, 2022 P2, N=192, Completed, Fixed-dose combination DOR/TDF/3TC is equally effective and cost-saving compared to RPV/TDF/FTC from Russian vital and essential drugs list perspective. Active, not recruiting --> Completed
- |||||||||| Symfi (efavirenz/lamivudine/tenofovir disoproxil fumarate) / Mylan, dolutegravir/lamivudine/tenofovir disoproxil fumarate / Cipla, Laurus Labs, Aurobindo, Mylan, Hetero, Macleods
Journal: Six-Months Retention on Treatment and Attrition Risk Factors among People Living with HIV in Kibera Informal Settlement, Nairobi, Kenya. (Pubmed Central) - Oct 22, 2022 To reduce further attrition in the early stages of HIV treatment, innovative strategies are needed to reach divorced and not married/single patients earlier and support them to remain on treatment. Efforts should also be made to further decentralize ART treatment to reduce costs and time associated with travelling to and from hospitals.
- |||||||||| dolutegravir/lamivudine/tenofovir disoproxil fumarate / Cipla, Laurus Labs, Aurobindo, Mylan, Hetero, Macleods
Journal: Antiretroviral Drug Resistance in HIV Sequences From People Who Inject Drugs and Men Who Have Sex With Men Across 21 Cities in India. (Pubmed Central) - Oct 14, 2022 Patients experiencing virologic failure on first-line therapy switched blindly to tenofovir/lamivudine/dolutegravir may effectively be receiving dolutegravir monotherapy due to resistance to tenofovir and lamivudine. While dolutegravir is expected to have full activity in the majority of patients in India, follow-up is needed to understand how resistance may affect long-term outcomes.
- |||||||||| dolutegravir/lamivudine/tenofovir disoproxil fumarate / Cipla, Laurus Labs, Aurobindo, Mylan, Hetero, Macleods, Tivicay (dolutegravir) / ViiV Healthcare
Journal: Minimal Cross-resistance to Tenofovir in Children and Adolescents Failing ART Makes Them Eligible for Tenofovir-Lamivudine-Dolutegravir Treatment. (Pubmed Central) - Oct 12, 2022 Frequent virological monitoring is recommended after switch to DTG, especially in children continuing ABC in the backbone. Clinical studies correlating predicted resistance with clinical outcomes, especially in settings without access to genotyping, are required.
- |||||||||| Symfi (efavirenz/lamivudine/tenofovir disoproxil fumarate) / Mylan, dolutegravir/lamivudine/tenofovir disoproxil fumarate / Cipla, Laurus Labs, Aurobindo, Mylan, Hetero, Macleods, dolutegravir/emtricitabine/tenofovir alafenamide (DTG/FTC/TAF) / Mylan
Long-term risks of clinical obesity in the ADVANCE, NAMSAL and VISEND trials () - Oct 4, 2022 - Abstract #HIVGlasgow2022HIV_Glasgow_274; Across three randomised trials in 2867 patients, the risks of clinical obesity were significantly higher for DTG-based treatment, especially when combined with TAF/FTC. The adverse consequences of clinical obesity (e.g. diabetes, myocardial infarction) need to be factored into decisions on starting or switching to TAF/FTC/DTG, especially if already overweight at baseline.
- |||||||||| dolutegravir/lamivudine/tenofovir disoproxil fumarate / Cipla, Laurus Labs, Aurobindo, Mylan, Hetero, Macleods, Tivicay (dolutegravir) / ViiV Healthcare
P4 data, Journal: A Phase IV Study on Safety, Tolerability and Efficacy of Dolutegravir, Lamivudine, and Tenofovir Disoproxil Fumarate in Treatment Naïve Adult Indian Patients Living with HIV-1. (Pubmed Central) - Aug 22, 2022 At week 24, 86.8% of the patients achieved plasma HIV-1 RNA levels <50 copies/mL and the mean CD4 cell count increased from 350.2 (SD, 239.73) at baseline to 494.6 (SD, 261.40) with an average increase of 143.2 (SD, 226.14) cells. This study demonstrated the safety and efficacy of DTG based regimen in treatment naïve HIV-1 patients in Indian population and support use of DTG as first-line treatment regimen.
- |||||||||| Prezista (darunavir) / J&J, dolutegravir/lamivudine/tenofovir disoproxil fumarate / Cipla, Laurus Labs, Aurobindo, Mylan, Hetero, Macleods
Clinical, Retrospective data, Clinical Trial,Phase III, Journal: Adaption of an ongoing clinical trial to quickly respond to gaps in changing international recommendations: the experience of DEFT. (Pubmed Central) - Aug 9, 2022 At inception, it compared a standard of care of boosted darunavir with two nucleos(t)ide reverse transcriptase inhibitors (NRTIs) to the novel NRTI-sparing regimen of boosted darunavir with dolutegravir...Around the time of implementation, the World Health Organization updated its treatment guidelines and recommended scaling up tenofovir disoproxil fumarate-lamivudine-dolutegravir (TLD)...The optimal strategy was deemed to be the addition of a third arm, arriving retrospectively at a simplified multi-arm multi-stage clinical trial design to achieve statistical validity. The DEFT study maintains additional value in a quickly evolving second-line ART strategy allowed by the progress in global access to ART.
- |||||||||| dolutegravir/lamivudine/tenofovir disoproxil fumarate / Cipla, Laurus Labs, Aurobindo, Mylan, Hetero, Macleods
WIDESPREAD PRIMARY GASTROINTESTINAL KAPOSI’S SARCOMA (Science Lounge) - Jul 20, 2022 - Abstract #UEGW2022UEGW_2663; Staging exams (thoracic, abdominal and pelvic CT scan and positron-emitting tomography) did not describe other suspicious lesions. The patient started antiretroviral therapy with tenofovir/lamivudine/dolutegravir and is currently under systemic chemotherapy with pegylated doxorrubicin.
- |||||||||| dolutegravir/lamivudine/tenofovir disoproxil fumarate / Cipla, Laurus Labs, Aurobindo, Mylan, Hetero, Macleods
Journal: Transitioning women to first-line preferred TLD regimen is lagging in Sub-Saharan Africa. (Pubmed Central) - Jul 5, 2022 The patient started antiretroviral therapy with tenofovir/lamivudine/dolutegravir and is currently under systemic chemotherapy with pegylated doxorrubicin. Despite TLD being the WHO's preferred regimen since 2019, transition of women to potentially lifesaving TLD has been slower than men at certain clinical sites even after accounting for local eligibility criteria.
- |||||||||| Tivicay (dolutegravir) / ViiV Healthcare, Vemlidy (tenofovir alafenamide) / Gilead
Safety outcomes among HIV-1 positive Zambian adults receiving Tenofovir Alafenamide combined with Dolutegravir: results from the VISEND clinical trial () - Jun 19, 2022 - Abstract #AIDS2022AIDS_3274; The VISEND trial is a 144 week, randomized, open label, phase 3 noninferiority study in which weenrolled HIV-1 positive Zambian adults individuals who were receiving TDF/lamivudine (3TC) /efavirenz (EFV) or nevirapine (NVP) ART. Individuals on TAF/FTC/DTG had better renal and bone safety profiles whereas pregnancy outcomes were comparable in both groups.TAFED was associated with increased weight gain.Tenofovir alafenamide offers a choice for an ARV with balancedoptimal efficacy and potential for improved long-term safety among HIV positive individuals on ART.However,long term follow up is needed to ascertain metabolic complications in women.
- |||||||||| Pifeltro (doravirine) / Merck (MSD)
Journal: Doravirine/tenofovir disoproxyl fumarate/lamivudine-induced alopecia: A case report. (Pubmed Central) - Jun 14, 2022 The association between the episode of alopecia and DOR/TDF/3TC was scored as probable according to the Naranjo causality scale. We concluded that alopecia was probably related to DOR but whether it is self-limiting, cannot be predicted at this stage.
- |||||||||| pegcetacoplan intravitreal (APL-2 intravitreal) / Apellis
Review, Journal: Novel approach to antiangiogenic factors in age-related macular degeneration therapy. (Pubmed Central) - May 24, 2022 Among the directions in dry AMD treatment, the most promising are complement cascade inhibitors and complement cascade targeted gene therapy. In the article we outline the main directions in up-to-date experimental and practical approaches to wet and dry AMD therapy with the emphasis on antiangiogenic factors and gene therapy focused on the inhibition of pathological angiogenesis.
- |||||||||| dolutegravir/lamivudine/tenofovir disoproxil fumarate / Cipla, Laurus Labs, Aurobindo, Viatris, Hetero, Macleods
Enrollment closed: ARTIST: Tenofovir-lamivudine-dolutegravir Combination as Second-line ART: a Randomised Controlled Trial (clinicaltrials.gov) - May 16, 2022 P2, N=192, Active, not recruiting, Future investigations should confirm the findings of this study, and more research into the effects of weight gain in these people is required. Recruiting --> Active, not recruiting
- |||||||||| Tivicay (dolutegravir) / ViiV Healthcare
Persistent low-level viremia in the era of dolutegravir in four African countries () - May 12, 2022 - Abstract #AIDS2022AIDS_2548; In this analysis, we included participants who were taking tenofovir/lamivudine/dolutegravir (TLD) for at least three months and had two subsequent VL measurements; we used the two most recent VL measurements. Studies to investigate associations with unsuppressed and pLLV are needed in these populations, including documentation of differences in viral genomics (e.g., viral subtypes and drug resistance mutations) and local participant demographic factors associated with adherence.
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