Cabenuva

Consensus recommendations for use of long-acting antiretroviral medications in the treatment and prevention of HIV-1: Endorsed by the American Academy of HIV Medicine, American College of Clinical Pharmacy, Canadian HIV and Viral Hepatitis Pharmacists Network, European AIDS Clinical Society, and Society of Infectious Diseases Pharmacists: An executive summary

Five long-acting (LA) antiretrovirals (ARVs)—cabotegravir, rilpivirine, lenacapavir, ibalizumab, and dapivirine—are now available in a few countries for HIV-1 prevention and treatment. To integrate LA ARVs into routine clinical practice, significant changes in HIV-1 care are needed. Consensus recommendations will guide doctors in the effective and safe use of these new, complex agents. These guidelines aim […]

Consensus recommendations for use of long-acting antiretroviral medications in the treatment and prevention of HIV-1: Endorsed by the American Academy of HIV Medicine, American College of Clinical Pharmacy, Canadian HIV and Viral Hepatitis Pharmacists Network, European AIDS Clinical Society, and Society of Infectious Diseases Pharmacists: An executive summary Read More »

Evidence Suggest Long-Acting Injectables Game Changer for Adherence

There is emerging evidence that long-acting injectable therapies, such as rilpivirine and cabotegravir, may offer significant benefits for people with HIV, especially those who struggle with adherence to daily oral medications. These injections, administered every few months, could improve adherence and provide a more convenient alternative to daily pills. The article highlights ongoing challenges, including

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Demonstration Project of Long-Acting Antiretroviral Therapy in a Diverse Population of People With HIV

Since 2021, the Ward 86 Clinic at the University of California, San Francisco (UCSF) has conducted a pilot study on injected CAB/RPV in patients with viremia. The study enrolled 133 patients who received injected CAB/RPV, 57 of whom had viremia. The mean log10 viral load of these 57 patients was 4.21, and the mean CD4

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Intramuscular cabotegravir and rilpivirine concentrations after switching from efavirenz-containing regimen

Intramuscular cabotegravir/rilpivirine (IM CAB/RPV) are metabolized by UGT1A1/CYP3A4. Efavirenz induces both enzymes; therefore, switching from an efavirenz-containing regimen to IM CAB/RPV could possibly result in suboptimal levels. Due to their long dosing interval, clinical studies with IM CAB/RPV are challenging. We used physiologically based pharmacokinetic (PBPK) modeling to simulate switching from efavirenz to IM CAB/RPV.

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The New Era of Long-Acting Antiretroviral Therapy: When and Why to Make the Switch

Despite the availability of safe and effective oral combination antiretroviral therapy, barriers to maintaining viral suppression remain a challenge to ending the HIV epidemic. Long-acting injectable antiretroviral therapy was developed as an alternative to daily oral therapy. This review summarizes the current literature on the efficacy of long-acting cabotegravir plus rilpivirine for the treatment of

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Cabotegravir and Rilpivirine Long-Acting Antiretroviral Therapy Administered Every 2 Months is Cost-Effective for the Treatment of HIV-1 in Spain

“Treatment with long-acting (LA) ART may improve adherence and health-related quality of life. The objective of this study was to evaluate the cost-effectiveness of cabotegravir + rilpivirine (CAB+RPV) LA administered every 2 months (Q2M) compared with current ART administered as daily oral single-tablet regimens (STRs) from a Spanish National Healthcare System perspective. This study demonstrated

Cabotegravir and Rilpivirine Long-Acting Antiretroviral Therapy Administered Every 2 Months is Cost-Effective for the Treatment of HIV-1 in Spain Read More »

Efficacy, safety, and tolerability of switching to long-acting cabotegravir plus rilpivirine versus continuing fixed-dose bictegravir, emtricitabine, and tenofovir alafenamide in virologically suppressed adults with HIV, 12-month results (SOLAR): a randomised, open-label, phase 3b, non-inferiority trial

Data support the use of long-acting cabotegravir plus rilpivirine dosed every 2 months as a complete antiretroviral regimen that has similar efficacy to a commonly used integrase strand transfer inhibitor-based first-line regimen while addressing unmet psychosocial issues associated with daily oral treatment.

Efficacy, safety, and tolerability of switching to long-acting cabotegravir plus rilpivirine versus continuing fixed-dose bictegravir, emtricitabine, and tenofovir alafenamide in virologically suppressed adults with HIV, 12-month results (SOLAR): a randomised, open-label, phase 3b, non-inferiority trial Read More »

High Acceptability and Perceived Feasibility of Long-Acting Injectable Antiretroviral Treatment Among People Living with HIV Who Are Viremic and Health Workers in Uganda

The HIV treatment approach known as long-acting injectable antiretroviral therapy (LAI ART), which includes a bimonthly injection of cabotegravir/rilpivirine, appears promising. People who are hesitant to start LAI ART or who adhere to it poorly and who are not virally suppressed may gain the most from it. However, the acceptability and viability of LAI ART

High Acceptability and Perceived Feasibility of Long-Acting Injectable Antiretroviral Treatment Among People Living with HIV Who Are Viremic and Health Workers in Uganda Read More »

Long-Acting Cabotegravir and Rilpivirine Dosed Every 2 Months in Adults With Human Immunodeficiency Virus 1 Type 1 Infection: 152-Week Results From ATLAS-2M, a Randomized, Open-Label, Phase 3b, Noninferiority Study

A full, long-acting (LA) regimen for maintaining HIV-1 virologic suppression consists of cabotegravir (CAB) and rilpivirine (RPV), administered intramuscularly monthly or every two months. In this report, the authors provide the findings from week 152 of the ATLAS-2M antiretroviral treatment research.

Long-Acting Cabotegravir and Rilpivirine Dosed Every 2 Months in Adults With Human Immunodeficiency Virus 1 Type 1 Infection: 152-Week Results From ATLAS-2M, a Randomized, Open-Label, Phase 3b, Noninferiority Study Read More »

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