Efficacy and Safety of Switching to a Single-Tablet Regimen of Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Alafenamide in HIV-1/Hepatitis B-Coinfected

被引:0
|
作者
Gallant, Joel [1 ]
Brunetta, Jason [2 ]
Crofoot, Gordon [3 ]
Benson, Paul [4 ]
Mills, Anthony [5 ]
Brinson, Cynthia [6 ]
Oka, Shinichi [7 ]
Cheng, Andrew [8 ]
Garner, Will [8 ]
Fordyce, Marshall [8 ]
Das, Moupali [8 ]
McCallister, Scott [8 ]
机构
[1] Southwest CARE Ctr, 649 Harkle Rd,Ste E, Santa Fe, NM 87505 USA
[2] Univ Toronto, Family & Community Med, Toronto, ON, Canada
[3] Crofoot Res Ctr, Houston, TX USA
[4] Be Well Med Ctr, Berkley, MI USA
[5] Southern Calif Mens Med Grp, Los Angeles, CA USA
[6] Cent Texas Clin Res, Austin, TX USA
[7] Natl Ctr Global Hlth & Med, AIDS Clin Ctr, Tokyo, Japan
[8] Gilead Sci Inc, 353 Lakeside Dr, Foster City, CA 94404 USA
关键词
tenofovir alafenamide; TAF; elvitegravir; HIV; HBV; coinfection; bone; renal; TENOFOVIR DISOPROXIL FUMARATE; HIV-INFECTED PATIENTS; CHRONIC HEPATITIS-B; ANTIRETROVIRAL-NAIVE; ABACAVIR-LAMIVUDINE; EMTRICITABINE; PHARMACOKINETICS; EFAVIRENZ; DENSITY;
D O I
暂无
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Coformulated elvitegravir, cobicistat, emtricitabine, and tenofovir alafenamide (E/C/F/TAF) has high efficacy and improved renal and bone safety in multiple phase 3 trials; TAF single agent is being studied in 2 phase 3 trials in patients with chronic hepatitis B. We report the results of an open-label, noncomparative switch study evaluating the efficacy and safety of E/C/F/TAF in HIV/hepatitis B virus (HBV)-coinfected adults. At 48 weeks, 91.7% of the 72 participants maintained or achieved virologic suppression (HIV-1 RNA <50 copies/mL; HBV DNA <29 IU/mL). Seroconversion occurred in 2.9% of hepatitis B surface antigen-positive participants and in 3.3% of HBV e antigen-positive participants; 40% of those with abnormal alanine aminotransferase normalized. E/C/F/TAF was associated with improved renal function and reduced bone turnover. These data support the use of E/C/F/TAF in treating HIV/HBV coinfection.
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页码:294 / 298
页数:5
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