Antiretrovirals

FDA approves fixed dose atazanavir/cobicistat

FDA approves fixed dose raltegravir/3TC formulation: Merck holds back from marketing in US

Dolutegravir and Truimeq approved in England

London prescribing guidelines updated to include dolutegravir and Triumeq

Adequate cerebrospinal fluid exposure of efavirenz when dosed at 400 mg

Savings to the NHS predicted from switching to generic antiretrovirals

Lower dose efavirenz effective in two studies

Should tenofovir dose be 200 – 250 mg when used with protease inhibitors?

3TC inferior to FTC in Dutch cohort but interchangeable in other studies

Suicide not associated with efavirenz use in the D:A:D cohort study

Efavirenz decreases exposure to hormonal contraceptive implant

Increased risk of ART-related hepatotoxicity in HIV positive pregnant women

Darunavir pharmacokinetics in pregnancy and postpartum

Efavirenz-associated gynaecomastia reported to the national HIV and TB healthcare workers hotline in South Africa

Infants start ART too late but improvement over time in Southern Africa

Pregnancy a risk factor for poor antiretroviral treatment outcomes in South African adolescents

Equivalent efficacy with lower dose darunavir

Antiretroviral studies at ICAAC 2014: darunavir-based FDC with TAF, cobicistat, doravirine, Stribild and gel formulation PrEP

Switch from efavirenz to rilpivirine quells CNS toxicity, improves sleep

HIV persists in lung macrophages of people on suppressive ART

Risk of CVD or type-2 diabetes according to change in BMI after starting ART

Single-pill dolutegravir/abacavir/3TC (Triumeq) approved in EU and US

Cobicistat and elvitegravir approved in the US as single pills

Positive opinion to approve of darunavir/cobicistat in Europe

Pill A, Pill B: simplified second-line treatment for low-income countries

Update on paediatric antiretrovirals

Is d4T a viable option for children in low-income countries?

Short-term safety of atazanavir/ritonavir-based second line treatment in Zambia

Uptake of ART is influenced by distance to the health facility in rural Zambia

Dolutegravir-based single-tablet regimen set for EU approval

The antiretroviral pipeline 2014

The paediatric antiretroviral pipeline

Preventive technologies: antiretroviral and vaccine development

50% of UK seroconverters start ART within 1.4 years of infection: treating during primary infection should be a patient choice

PIVOT study: further analysis from five-year PI/r monotherapy strategy study

Pharmacokinetics of antiretrovirals in pregnancy

Better virologic outcomes with efavirenz vs lopinavir/ritonavir in pregnant women and no difference in risk of preterm birth

Once daily lopinavir/ritonavir not recommended for routine use in children and adolescents

Early antiretroviral treatment in infants

ARV pipeline: doravirine, GSK-744 and BMS-068

Viral load rebound rate of 35% using ritonavir-boosted PI monotherapy: results of five-year PIVOT study

Dual therapy less effective at high viral load: NEAT 001 study with raltegravir/darunavir/r

Atazanavir, raltegravir and darunavir virologically equivalent in naive patients but significant differences for tolerability: results from ACTG 5257

Pharmacokinetic targets for efavirenz might be too high

Women, HIV research and antiretrovirals

Outcomes in infants exposed to lopinavir/ritonavir in utero

Two percent rate of efavirenz discontinuation in an ART programme in Malawi

Dolutegravir approved in Europe

Dolutegravir superior to darunavir/r at week 48 in open label treatment naïve study

GSK744: 24-week results with oral integrase inhibitor planned for once-monthly injections

Cenicriviroc: 48 week results compared to efavirenz

Approaches to once-daily raltegravir: new formulation likely to require food

DSMB stops boosted atazanavir monotherapy study due to virological failure

Recreational drug use is common in HIV positive gay men and is extensive in a significant minority

Elvitegravir approved in EU: data on food and drug interactions

ViiV file 572-trii fixed dose combination in the US: positive opinion to approve dolutegravir in the EU

Raltegravir safe and effective in pregnancy in small French study

Side effects common but mostly mild in women taking higher dose protease inhibitors in pregnancy

Good safety profile with long-acting integrase inhibitor GSK744

TAF comparable to TDF in once-daily pill for ART-naive: 48-week results

Dolutegravir superior to darunavir at 48 weeks in open-label ART-naive trial

High prices for antiretrovirals in middle-income countries outside Africa

Comparable efficacy and pregnancy outcomes with boosted atazanavir and lopinavir at standard doses

PrEP gives little extra benefit in attempted conception if male partner is on ART

Cobicistat approved as pharmacokinetic (PK) booster for atazanavir and darunavir in EU prior to the US

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