This document summarizes key findings from the 2015 Conference on Retroviruses and Opportunistic Infections regarding HIV prevention and antiretroviral therapy. Studies presented showed that immediate PrEP with TDF/FTC reduced HIV risk by 86% compared to deferred PrEP in high-risk MSM. An on-demand PrEP regimen also reduced risk by 86% compared to placebo in another study of high-risk MSM. Combining oral PrEP and ART for HIV-positive partners reduced expected HIV transmissions by 96% in serodiscordant couples. Regarding ART, studies found TAF to be noninferior to TDF at week 48 in treatment-naive patients, with smaller
In this downloadable slideset, Joel E. Gallant, MD, MPH, and Anton L. Pozniak, MD, FRCP, review key studies presented at the 2015 ICAAC, IDWeek, and EACS meetings.
Format: Microsoft PowerPoint (.ppt)
File size: 2.64 MB
Date posted: 11/10/2015
Highlights of IAS 2013.CCO Official Conference Coverage of the 7th IAS Confer...Hivlife Info
The document summarizes highlights from the 7th IAS Conference on HIV Pathogenesis, Treatment, and Prevention held in Kuala Lumpur, Malaysia in June-July 2013. Key findings included the WHO updating treatment guidelines to recommend initiating ART at CD4 counts ≤500 cells/mm3 and preferring TDF+3TC(FTC)+EFV as the initial regimen. Studies found noninferiority of 400mg EFV and demonstrated the efficacy of second-line LPV/r-based ART and PrEP with TDF in specific populations. Adherence to treatment was an important factor in outcomes.
HIV and Cardiovascular Disease.How Worried Should We Be ? 2015Hivlife Info
In this downloadable slideset, David A. Wohl, MD, reviews the association between HIV and cardiovascular disease, including potential contributing factors and best practices in prevention.
Format: Microsoft PowerPoint (.ppt)
File size: 5.01 MB
Date posted: 6/26/2015
Cardiovascular Disease in HIV-Infected Patients.Predict It and Prevent It.2015Hivlife Info
In this downloadable slideset, Priscilla Y. Hsue, MD, and David A. Wohl, MD, discuss data on using traditional and newer markers and modalities to predict and prevent cardiovascular disease in HIV-infected patients.
Format: Microsoft PowerPoint (.ppt)
File size: 3.21 MB
Date posted: 7/16/2015
Integrating Recent Data When Selecting First-line Antiretroviral Therapy.2015...Hivlife Info
Joseph J. Eron Jr., MD
W. David Hardy, MD
Paul E. Sax, MD
How do leading experts select first-line antiretroviral therapy for their HIV-infected patients?
Review these downloadable slides for key clinical trial data and the latest DHHS recommendations for first-line antiretroviral therapy.
In this downloadable slideset, Joel E. Gallant, MD, MPH, reviews the evidence behind the latest antiretroviral guidelines and offers a glimpse at upcoming agents currently under investigation.
Format: Microsoft PowerPoint (.ppt)
File size: 3.00 MB
Date posted: 6/15/2015
A new options for hiv prevention slides.2013Hivlife Info
This document discusses new options for HIV prevention through the use of antiretroviral therapy (ART). Observational studies and the HPTN 052 clinical trial showed that ART can significantly decrease the risk of transmitting HIV, with a 96% reduction in risk seen in the HPTN 052 trial. However, real-world adherence to lifelong ART may be challenging and is not as high as was achieved in HPTN 052 through intensive support strategies. U.S. guidelines now recommend ART for all HIV-infected individuals, but limitations remain regarding how well ART prevents transmission through different risk behaviors or in situations where adherence is imperfect.
Сравнение режимов лечения ВИЧ в разрезе различных клинических сценариев.ART...hivlifeinfo
This downloadable slideset summarizes optimal evidence-based antiretroviral therapy management strategies for a series of challenging clinical cases and is based on a satellite symposium presented at HIV Glasgow 2016.
Format: Microsoft PowerPoint (.ppt)
File size: 1.32 MB
Date posted: 11/11/2016
In this downloadable slideset, Joel E. Gallant, MD, MPH, and Anton L. Pozniak, MD, FRCP, review key studies presented at the 2015 ICAAC, IDWeek, and EACS meetings.
Format: Microsoft PowerPoint (.ppt)
File size: 2.64 MB
Date posted: 11/10/2015
Highlights of IAS 2013.CCO Official Conference Coverage of the 7th IAS Confer...Hivlife Info
The document summarizes highlights from the 7th IAS Conference on HIV Pathogenesis, Treatment, and Prevention held in Kuala Lumpur, Malaysia in June-July 2013. Key findings included the WHO updating treatment guidelines to recommend initiating ART at CD4 counts ≤500 cells/mm3 and preferring TDF+3TC(FTC)+EFV as the initial regimen. Studies found noninferiority of 400mg EFV and demonstrated the efficacy of second-line LPV/r-based ART and PrEP with TDF in specific populations. Adherence to treatment was an important factor in outcomes.
HIV and Cardiovascular Disease.How Worried Should We Be ? 2015Hivlife Info
In this downloadable slideset, David A. Wohl, MD, reviews the association between HIV and cardiovascular disease, including potential contributing factors and best practices in prevention.
Format: Microsoft PowerPoint (.ppt)
File size: 5.01 MB
Date posted: 6/26/2015
Cardiovascular Disease in HIV-Infected Patients.Predict It and Prevent It.2015Hivlife Info
In this downloadable slideset, Priscilla Y. Hsue, MD, and David A. Wohl, MD, discuss data on using traditional and newer markers and modalities to predict and prevent cardiovascular disease in HIV-infected patients.
Format: Microsoft PowerPoint (.ppt)
File size: 3.21 MB
Date posted: 7/16/2015
Integrating Recent Data When Selecting First-line Antiretroviral Therapy.2015...Hivlife Info
Joseph J. Eron Jr., MD
W. David Hardy, MD
Paul E. Sax, MD
How do leading experts select first-line antiretroviral therapy for their HIV-infected patients?
Review these downloadable slides for key clinical trial data and the latest DHHS recommendations for first-line antiretroviral therapy.
In this downloadable slideset, Joel E. Gallant, MD, MPH, reviews the evidence behind the latest antiretroviral guidelines and offers a glimpse at upcoming agents currently under investigation.
Format: Microsoft PowerPoint (.ppt)
File size: 3.00 MB
Date posted: 6/15/2015
A new options for hiv prevention slides.2013Hivlife Info
This document discusses new options for HIV prevention through the use of antiretroviral therapy (ART). Observational studies and the HPTN 052 clinical trial showed that ART can significantly decrease the risk of transmitting HIV, with a 96% reduction in risk seen in the HPTN 052 trial. However, real-world adherence to lifelong ART may be challenging and is not as high as was achieved in HPTN 052 through intensive support strategies. U.S. guidelines now recommend ART for all HIV-infected individuals, but limitations remain regarding how well ART prevents transmission through different risk behaviors or in situations where adherence is imperfect.
Сравнение режимов лечения ВИЧ в разрезе различных клинических сценариев.ART...hivlifeinfo
This downloadable slideset summarizes optimal evidence-based antiretroviral therapy management strategies for a series of challenging clinical cases and is based on a satellite symposium presented at HIV Glasgow 2016.
Format: Microsoft PowerPoint (.ppt)
File size: 1.32 MB
Date posted: 11/11/2016
In this downloadable slideset, Joseph J. Eron, Jr., MD, reviews the evidence behind the latest antiretroviral guidelines and offers a glimpse at potential future agents and strategies currently under investigation.
Format: Microsoft PowerPoint (.ppt)
File size: 2.06 MB
Date posted: 6/1/2016
What’s New in Coformulated Antiretroviral Regimens.2014Hivlife Info
Andrew R. Zolopa, MD, discusses how new agents are contributing to the development of novel coformulated antiretroviral agents and regimens.
Format: Microsoft PowerPoint (.ppt)
File size: 1.33 MB
Should Integrase Inhibitors Be Your First Choice When Starting HIV Therapy- E...Hivlife Info
In this downloadable slideset, Joseph J. Eron, Jr., MD, and Daniel Kuritzkes, MD, review key data on the evolving use of INSTIs in patients beginning HIV therapy.
Format: Microsoft PowerPoint (.ppt)
File size: 2.29 MB
Why, when, and how to use pre exposure prophylaxis for hiv acquisition. 2014Hivlife Info
In this downloadable slide set, Marcy S. Gelman, RN, MSN, MPH, and Kevin M. O’Hara, PA, review essential considerations for midlevel providers administering PrEP
Format: Microsoft PowerPoint (.ppt)
File size: 825 KB
Date posted: 9/29/2014
Clinical Impact of New HIV Data From the 2016 Comorbidities-Adverse Drug Reac...hivlifeinfo
In this downloadable slideset, expert faculty members Todd T. Brown, MD, PhD, and Jordan E. Lake, MD, MSc, review key studies presented at the 2016 Comorbidities/Adverse Drug Reactions Workshop.
Format: Microsoft PowerPoint (.ppt)
File size: 1.37 MB
Date posted: 10/14/2016
HIV Alert:ART Considerations for Aging Patients.2018hivlifeinfo
In this downloadable slideset, Eric S. Daar, MD, and David A. Wohl, MD, provide expert recommendations for older patients with HIV, both in terms of ART selection and general management.
Format: Microsoft PowerPoint (.ppt)
File size: 545 KB
Date posted: 2/12/2018
Clinical Impact of Data From the CROI 2015,SeattleHivlife Info
This document summarizes key findings from the 2015 Conference on Retroviruses and Opportunistic Infections regarding HIV prevention and antiretroviral therapy. Studies presented showed that immediate use of PrEP reduced HIV risk by 86% compared to deferred use in high-risk MSM. On-demand PrEP also reduced risk by 86% in another study of MSM. Combining ART and PrEP in serodiscordant couples reduced expected infections by 96%. Regarding ART, tenofovir alafenamide fumarate was found to be noninferior to tenofovir disoproxil fumarate at week 48, with less impact on renal and bone safety markers.
Современное лечение ВИЧ: лечение ВИЧ у пациентов с вирусными гепатитами.Conte...hivlifeinfo
Современное лечение ВИЧ: лечение ВИЧ у пациентов с вирусными гепатитами.Contemporary Management of HIV. Managing HIV in Viral Hepatitis Coinfection.2016
In this downloadable slideset, David L. Wyles, MD, and Program Director Eric S. Daar, MD, review key data and optimal approaches for ART management in patients with HIV and viral hepatitis coinfection.
Format: Microsoft PowerPoint (.ppt)
File size: 1.85 MB
Топ достижений лечения ВИЧ в 2017 г / Top Advances in ART for 2017hivlifeinfo
Top Advances in ART for 2017
In this downloadable slideset, Joel E. Gallant, MD, MPH, provides a comprehensive update on ART management.
Format: Microsoft PowerPoint (.ppt)
File size: 579 KB
Date posted: 3/29/2017
Современное лечение ВИЧ: когда начинать, чем начинать. Contemporary Managemen...hivlifeinfo
.Contemporary Management of HIV. When to Start, What to Start.2016/Современное лечение ВИЧ: когда начинать, чем начинать.
In this downloadable slideset, Daniel R. Kuritzkes, MD, and Program Director Eric S. Daar, MD review key data and optimal approaches for first-line ART with contemporary HIV regimens.
Format: Microsoft PowerPoint (.ppt)
File size: 2.53 MB
Date posted: 2/9/2016
Modern European Guidelines on HIV Treatment 2016. Key Updateshivlifeinfo
This document summarizes key points from modern European guidelines on HIV treatment. It discusses factors to consider when deciding when to start antiretroviral therapy (ART) and which first-line regimen to use. Major studies like START and FLAMINGO provided evidence that immediate ART improves health outcomes and that dolutegravir is as effective as protease inhibitor-based regimens. Guidelines now recommend starting all patients on ART due to its prevention of HIV-related diseases and transmission. Tenofovir alafenamide (TAF) shows improved bone and kidney outcomes compared to tenofovir DF (TDF) in switch studies.
Аллопуринол и прогрессирование ХБП и кардиоваскулярные события. РКИ / Allopur...hivlifeinfo
Allopurinol and Progression of CKD and Cardiovascular Events- Long-term Follow-up of a Randomized Clinical Trial.Am J Kidney Dis. 2015 Apr
Background:Asymptomatic hyperuricemia increases renal and cardiovascular (CV) risk. We previously
conducted a 2-year, single-blind, randomized, controlled trial of allopurinol treatment that showed improved
estimated glomerular filtration rate and reduced CV risk.
Study Design:Post hoc analysis of a long-term follow-up after completion of the 2-year trial.
Setting & Participants:113 participants (57 in the allopurinol group and 56 in the control group) initially
followed up for 2 years and 107 participants followed up to 5 additional years.
Intervention: Continuation of allopurinol treatment, 100 mg/d, or standard treatment.
Outcome:Renal event (defined as starting dialysis therapy and/or doubling serum creatinine and/or$50%
decrease in estimated estimated glomerular filtration rate) and CV events (defined as myocardial infarction,
coronary revascularization or angina pectoris, congestive heart failure, cerebrovascular disease, and peripheral vascular disease).
Results:During initial follow-up, there were 2 renal and 7 CV events in the allopurinol group compared with
6 renal and 15 CV events in the control group. In the long-term follow-up period, 12 of 56 participants taking
allopurinol stopped treatment and 10 of 51 control participants received allopurinol. During long-term follow-up,
an additional 7 and 9 participants in the allopurinol group experienced a renal or CV event, respectively, and an
additional 18 and 8 participants in the control group experienced a renal or CV event, respectively. Thus,
during the initial and long-term follow-up (median, 84 months), 9 patients in the allopurinol group had a
renal event compared with 24 patients in the control group (HR, 0.32; 95% CI, 0.15-0.69; P50.004;
adjusted for age, sex, baseline kidney function, uric acid level, and renin-angiotensin-aldosterone system
blockers). Overall, 16 patients treated with allopurinol experienced CV events compared with 23 in the
control group (HR, 0.43; 95% CI, 0.21-0.88;P50.02; adjusted for age, sex, and baseline kidney function).
Limitations:Small sample size, single center, not double blind, post hoc follow-up and analysis.
Conclusions: Long-term treatment with allopurinol may slow the rate of progression of kidney disease and
reduce CV risk.
Современное лечение ВИЧ : АРТ как профилактика.Contemporary Management of HIV...hivlifeinfo
Contemporary Management of HIV. Antiretroviral Therapy As Prevention.2016
In this downloadable slideset, Kenneth Mayer, MD, and Program Director Eric S. Daar, MD, review key data and optimal approaches for pre- and post-exposure prophylaxis in patients at risk for HIV infection.
Format: Microsoft PowerPoint (.ppt)
File size: 2.13 MB
Современное лечение ВИЧ: новые подходы к оптимизации АРТ/Contemporary Managem...hivlifeinfo
Вопросы, связанные с АРТ первого ряда, смена арв-стратегии для пациентов с вирусной супрессией, акцентом на возрастающую роль новыхантиретровирусных стратегий.
This document discusses contemporary management of HIV with a focus on individualizing first-line antiretroviral therapy (ART). It provides an overview of recommended first-line ART regimens including integrase strand transfer inhibitors (INSTIs), discusses clinical trial data comparing different INSTI and protease inhibitor options, and considers factors in choosing among available single-tablet regimen options. It also addresses the potential roles of newer non-nucleoside reverse transcriptase inhibitors and tenofovir alafenamide versus tenofovir disoproxil fumarate in first-line ART.
Начало АРТ впервые.Наилучшая практика.Best Practices in Antiretroviral Therap...hivlifeinfo
Best Practices in Antiretroviral Therapy: Initiating First-line Therapy
In this downloadable slideset, Charles B. Hicks, MD, discusses data on initiating antiretroviral therapy in HIV-infected patients.
Format: Microsoft PowerPoint (.ppt)
File size: 2.16 MB
Ключевые слайды по индивидуальному выбору АРТ / Key Slides on Individualized ...hivlifeinfo
Слайды с последними данные и рекомендациями по выбору АРТ, как для пациентов, ранее не получавших лечения, так и пациентов с вирусологической супрессией. Оценки разных вариантов лечения, индивидуализация АРТ для женщин детородного возраста и во время беременности, пациентов с опортунистическими инфекциями и новые данные об исследовательских стратегиях АРТ.
Confronting the Challenges of HIV Care in an Aging Population.2019hivlifeinfo
Еxpert faculty use case-based examples to examine considerations for aging patients with HIV. Topics include ART modification, bone loss, renal impairment, cardiovascular risk, and cognitive decline.
Современное лечение ВИЧ: АРТ у пациентов с сопутствующими заболеваниями.Conte...hivlifeinfo
Современное лечение ВИЧ:АРТ у пациентов с сопутствующими заболеваниями.//Contemporary Management of HIV. Managing ART in HIV-Infected Patients With Common Comorbidities. 2016
In this downloadable slideset, David A. Wohl, MD, and Program Director Eric S. Daar, MD, review key data and optimal approaches for managing ART in the context of common comorbidities.
Format: Microsoft PowerPoint (.ppt)
File size: 3.51 MB
Современное лечение ВИЧ: модификация АРТ у пациентов с вирусной супрессией и ...hivlifeinfo
Современное лечение ВИЧ: модификация АРТ у пациентов с вирусной супрессией и у пациентов с вирусологической неудачей. /Contemporary Management of HIV. Modifying Antiretroviral Therapy in Virologically Suppressed Patients and Those With Treatment Failure.2016
In this downloadable slideset, W. David Hardy, MD, and Program Director Eric S. Daar, MD review key data and optimal approaches for modifying ART in patients who are virologically suppressed or have experienced treatment failure.
Format: Microsoft PowerPoint (.ppt)
File size: 2.07 MB
The Role of New HCV Agents in Managing HIV/HCV Coinfection.2014hivlifeinfo
This document summarizes a presentation on new agents for treating hepatitis C virus (HCV) infection in patients coinfected with HIV. It discusses FDA-approved regimens containing simeprevir and sofosbuvir, dosing and administration of these drugs, treatment guidelines from AASLD/IDSA, and clinical trial data on sofosbuvir-containing regimens in HIV/HCV coinfected patients, showing high sustained virologic response rates. The presentation provides an overview of evolving therapeutic options and recommendations for managing HCV/HIV coinfection.
In this downloadable slideset, Joseph J. Eron, Jr., MD, reviews the evidence behind the latest antiretroviral guidelines and offers a glimpse at potential future agents and strategies currently under investigation.
Format: Microsoft PowerPoint (.ppt)
File size: 2.06 MB
Date posted: 6/1/2016
What’s New in Coformulated Antiretroviral Regimens.2014Hivlife Info
Andrew R. Zolopa, MD, discusses how new agents are contributing to the development of novel coformulated antiretroviral agents and regimens.
Format: Microsoft PowerPoint (.ppt)
File size: 1.33 MB
Should Integrase Inhibitors Be Your First Choice When Starting HIV Therapy- E...Hivlife Info
In this downloadable slideset, Joseph J. Eron, Jr., MD, and Daniel Kuritzkes, MD, review key data on the evolving use of INSTIs in patients beginning HIV therapy.
Format: Microsoft PowerPoint (.ppt)
File size: 2.29 MB
Why, when, and how to use pre exposure prophylaxis for hiv acquisition. 2014Hivlife Info
In this downloadable slide set, Marcy S. Gelman, RN, MSN, MPH, and Kevin M. O’Hara, PA, review essential considerations for midlevel providers administering PrEP
Format: Microsoft PowerPoint (.ppt)
File size: 825 KB
Date posted: 9/29/2014
Clinical Impact of New HIV Data From the 2016 Comorbidities-Adverse Drug Reac...hivlifeinfo
In this downloadable slideset, expert faculty members Todd T. Brown, MD, PhD, and Jordan E. Lake, MD, MSc, review key studies presented at the 2016 Comorbidities/Adverse Drug Reactions Workshop.
Format: Microsoft PowerPoint (.ppt)
File size: 1.37 MB
Date posted: 10/14/2016
HIV Alert:ART Considerations for Aging Patients.2018hivlifeinfo
In this downloadable slideset, Eric S. Daar, MD, and David A. Wohl, MD, provide expert recommendations for older patients with HIV, both in terms of ART selection and general management.
Format: Microsoft PowerPoint (.ppt)
File size: 545 KB
Date posted: 2/12/2018
Clinical Impact of Data From the CROI 2015,SeattleHivlife Info
This document summarizes key findings from the 2015 Conference on Retroviruses and Opportunistic Infections regarding HIV prevention and antiretroviral therapy. Studies presented showed that immediate use of PrEP reduced HIV risk by 86% compared to deferred use in high-risk MSM. On-demand PrEP also reduced risk by 86% in another study of MSM. Combining ART and PrEP in serodiscordant couples reduced expected infections by 96%. Regarding ART, tenofovir alafenamide fumarate was found to be noninferior to tenofovir disoproxil fumarate at week 48, with less impact on renal and bone safety markers.
Современное лечение ВИЧ: лечение ВИЧ у пациентов с вирусными гепатитами.Conte...hivlifeinfo
Современное лечение ВИЧ: лечение ВИЧ у пациентов с вирусными гепатитами.Contemporary Management of HIV. Managing HIV in Viral Hepatitis Coinfection.2016
In this downloadable slideset, David L. Wyles, MD, and Program Director Eric S. Daar, MD, review key data and optimal approaches for ART management in patients with HIV and viral hepatitis coinfection.
Format: Microsoft PowerPoint (.ppt)
File size: 1.85 MB
Топ достижений лечения ВИЧ в 2017 г / Top Advances in ART for 2017hivlifeinfo
Top Advances in ART for 2017
In this downloadable slideset, Joel E. Gallant, MD, MPH, provides a comprehensive update on ART management.
Format: Microsoft PowerPoint (.ppt)
File size: 579 KB
Date posted: 3/29/2017
Современное лечение ВИЧ: когда начинать, чем начинать. Contemporary Managemen...hivlifeinfo
.Contemporary Management of HIV. When to Start, What to Start.2016/Современное лечение ВИЧ: когда начинать, чем начинать.
In this downloadable slideset, Daniel R. Kuritzkes, MD, and Program Director Eric S. Daar, MD review key data and optimal approaches for first-line ART with contemporary HIV regimens.
Format: Microsoft PowerPoint (.ppt)
File size: 2.53 MB
Date posted: 2/9/2016
Modern European Guidelines on HIV Treatment 2016. Key Updateshivlifeinfo
This document summarizes key points from modern European guidelines on HIV treatment. It discusses factors to consider when deciding when to start antiretroviral therapy (ART) and which first-line regimen to use. Major studies like START and FLAMINGO provided evidence that immediate ART improves health outcomes and that dolutegravir is as effective as protease inhibitor-based regimens. Guidelines now recommend starting all patients on ART due to its prevention of HIV-related diseases and transmission. Tenofovir alafenamide (TAF) shows improved bone and kidney outcomes compared to tenofovir DF (TDF) in switch studies.
Аллопуринол и прогрессирование ХБП и кардиоваскулярные события. РКИ / Allopur...hivlifeinfo
Allopurinol and Progression of CKD and Cardiovascular Events- Long-term Follow-up of a Randomized Clinical Trial.Am J Kidney Dis. 2015 Apr
Background:Asymptomatic hyperuricemia increases renal and cardiovascular (CV) risk. We previously
conducted a 2-year, single-blind, randomized, controlled trial of allopurinol treatment that showed improved
estimated glomerular filtration rate and reduced CV risk.
Study Design:Post hoc analysis of a long-term follow-up after completion of the 2-year trial.
Setting & Participants:113 participants (57 in the allopurinol group and 56 in the control group) initially
followed up for 2 years and 107 participants followed up to 5 additional years.
Intervention: Continuation of allopurinol treatment, 100 mg/d, or standard treatment.
Outcome:Renal event (defined as starting dialysis therapy and/or doubling serum creatinine and/or$50%
decrease in estimated estimated glomerular filtration rate) and CV events (defined as myocardial infarction,
coronary revascularization or angina pectoris, congestive heart failure, cerebrovascular disease, and peripheral vascular disease).
Results:During initial follow-up, there were 2 renal and 7 CV events in the allopurinol group compared with
6 renal and 15 CV events in the control group. In the long-term follow-up period, 12 of 56 participants taking
allopurinol stopped treatment and 10 of 51 control participants received allopurinol. During long-term follow-up,
an additional 7 and 9 participants in the allopurinol group experienced a renal or CV event, respectively, and an
additional 18 and 8 participants in the control group experienced a renal or CV event, respectively. Thus,
during the initial and long-term follow-up (median, 84 months), 9 patients in the allopurinol group had a
renal event compared with 24 patients in the control group (HR, 0.32; 95% CI, 0.15-0.69; P50.004;
adjusted for age, sex, baseline kidney function, uric acid level, and renin-angiotensin-aldosterone system
blockers). Overall, 16 patients treated with allopurinol experienced CV events compared with 23 in the
control group (HR, 0.43; 95% CI, 0.21-0.88;P50.02; adjusted for age, sex, and baseline kidney function).
Limitations:Small sample size, single center, not double blind, post hoc follow-up and analysis.
Conclusions: Long-term treatment with allopurinol may slow the rate of progression of kidney disease and
reduce CV risk.
Современное лечение ВИЧ : АРТ как профилактика.Contemporary Management of HIV...hivlifeinfo
Contemporary Management of HIV. Antiretroviral Therapy As Prevention.2016
In this downloadable slideset, Kenneth Mayer, MD, and Program Director Eric S. Daar, MD, review key data and optimal approaches for pre- and post-exposure prophylaxis in patients at risk for HIV infection.
Format: Microsoft PowerPoint (.ppt)
File size: 2.13 MB
Современное лечение ВИЧ: новые подходы к оптимизации АРТ/Contemporary Managem...hivlifeinfo
Вопросы, связанные с АРТ первого ряда, смена арв-стратегии для пациентов с вирусной супрессией, акцентом на возрастающую роль новыхантиретровирусных стратегий.
This document discusses contemporary management of HIV with a focus on individualizing first-line antiretroviral therapy (ART). It provides an overview of recommended first-line ART regimens including integrase strand transfer inhibitors (INSTIs), discusses clinical trial data comparing different INSTI and protease inhibitor options, and considers factors in choosing among available single-tablet regimen options. It also addresses the potential roles of newer non-nucleoside reverse transcriptase inhibitors and tenofovir alafenamide versus tenofovir disoproxil fumarate in first-line ART.
Начало АРТ впервые.Наилучшая практика.Best Practices in Antiretroviral Therap...hivlifeinfo
Best Practices in Antiretroviral Therapy: Initiating First-line Therapy
In this downloadable slideset, Charles B. Hicks, MD, discusses data on initiating antiretroviral therapy in HIV-infected patients.
Format: Microsoft PowerPoint (.ppt)
File size: 2.16 MB
Ключевые слайды по индивидуальному выбору АРТ / Key Slides on Individualized ...hivlifeinfo
Слайды с последними данные и рекомендациями по выбору АРТ, как для пациентов, ранее не получавших лечения, так и пациентов с вирусологической супрессией. Оценки разных вариантов лечения, индивидуализация АРТ для женщин детородного возраста и во время беременности, пациентов с опортунистическими инфекциями и новые данные об исследовательских стратегиях АРТ.
Confronting the Challenges of HIV Care in an Aging Population.2019hivlifeinfo
Еxpert faculty use case-based examples to examine considerations for aging patients with HIV. Topics include ART modification, bone loss, renal impairment, cardiovascular risk, and cognitive decline.
Современное лечение ВИЧ: АРТ у пациентов с сопутствующими заболеваниями.Conte...hivlifeinfo
Современное лечение ВИЧ:АРТ у пациентов с сопутствующими заболеваниями.//Contemporary Management of HIV. Managing ART in HIV-Infected Patients With Common Comorbidities. 2016
In this downloadable slideset, David A. Wohl, MD, and Program Director Eric S. Daar, MD, review key data and optimal approaches for managing ART in the context of common comorbidities.
Format: Microsoft PowerPoint (.ppt)
File size: 3.51 MB
Современное лечение ВИЧ: модификация АРТ у пациентов с вирусной супрессией и ...hivlifeinfo
Современное лечение ВИЧ: модификация АРТ у пациентов с вирусной супрессией и у пациентов с вирусологической неудачей. /Contemporary Management of HIV. Modifying Antiretroviral Therapy in Virologically Suppressed Patients and Those With Treatment Failure.2016
In this downloadable slideset, W. David Hardy, MD, and Program Director Eric S. Daar, MD review key data and optimal approaches for modifying ART in patients who are virologically suppressed or have experienced treatment failure.
Format: Microsoft PowerPoint (.ppt)
File size: 2.07 MB
The Role of New HCV Agents in Managing HIV/HCV Coinfection.2014hivlifeinfo
This document summarizes a presentation on new agents for treating hepatitis C virus (HCV) infection in patients coinfected with HIV. It discusses FDA-approved regimens containing simeprevir and sofosbuvir, dosing and administration of these drugs, treatment guidelines from AASLD/IDSA, and clinical trial data on sofosbuvir-containing regimens in HIV/HCV coinfected patients, showing high sustained virologic response rates. The presentation provides an overview of evolving therapeutic options and recommendations for managing HCV/HIV coinfection.
IAS 2015.8th IAS Conference on HIV Pathogenesis, Treatment and Preventionhivlifeinfo
Highlights of IAS 2015
In this downloadable slideset, Andrew Carr, MBBS, MD, FRACP, FRCPA; Joel E. Gallant, MD, MPH; and Anton L. Pozniak, MD, FRCP, review key studies presented at the 2015 International AIDS Society conference.
Format: Microsoft PowerPoint (.ppt)
File size: 1.73 MB
In this downloadable slideset, expert faculty members Andrew Carr, MBBS, MD, FRACP, FRCPA; Daniel R. Kuritzkes, MD; and Ian M. Sanne, MBBCH, FCP(SA), review key studies presented at the 2016 International AIDS Conference.
Format: Microsoft PowerPoint (.ppt)
File size: 1.28 MB
Date posted: 8/5/2016
ВИЧ-инфекция и сопутствующие заболевания-особенности терапии в современных ус...hivlifeinfo
ВИЧ-инфекция и сопутствующие заболевания-особенности терапии в современных условиях.СПб ГБУЗ «Центр по профилактике и борьбе со СПИД и инфекционными заболеваниями».2016
Integrating Recent Data When Selecting First-line Antiretroviral Therapy.2015...hivlifeinfo
Joseph J. Eron Jr., MD
W. David Hardy, MD
Paul E. Sax, MD
How do leading experts select first-line antiretroviral therapy for their HIV-infected patients?
Review these downloadable slides for key clinical trial data and the latest DHHS recommendations for first-line antiretroviral therapy.
A New Options for HIV Prevention.The Role of Antiretroviralshivlifeinfo
This document provides an overview of new options for HIV prevention through the use of antiretrovirals (ARVs). It summarizes evidence that early initiation of ARV therapy (ART) can reduce the risk of HIV transmission by suppressing viral load. The HPTN 052 clinical trial found that immediate ART initiation reduced HIV transmission within serodiscordant couples by 96% compared to delayed initiation. However, challenges to implementing ART for prevention include ensuring adherence to lifelong therapy when started in asymptomatic individuals and limitations in current data regarding other modes of HIV transmission.
Evolving Switch Strategies for Virologically Suppressed HIV-Infected Patients...Hivlife Info
Доктор David A. Wohl при участии группы экспертов, рассматривает основные исследования о том, когда и как, при каких условиях переводить пациентов со стабильной супрессией ВИЧ на новые методы лечения .
Clinical Impact of New HIV Data From CROI 2019hivlifeinfo
March 4-7, 2019; Seattle, Washington
In this downloadable slideset, expert faculty members summarize key studies from this important annual conference.
Format: Microsoft PowerPoint (.ppt)
File Size: 576 KB
Released: March 22, 2019
Современное лечение ВИЧ.Объединенные данные с конференции IAS 2019 / Contemp...hivlifeinfo
Review key HIV data from IAS 2019 on the updated NTD risk in women receiving ART at conception, PrEP, first-line and switch options, and early-phase investigational strategies.
Современное лечение ВИЧ: новые парадигмы в АРТ / Contemporary Management of H...hivlifeinfo
Набор слайдов c рассмотрением важных вопросов об АРТ первого ряда, арв-препаратами пролонгированного действия и схемами АРТ с двумя препаратами, акцент в публикации на роль новых стратегий.
The document summarizes highlights from the 2013 Conference on Retroviruses and Opportunistic Infections held in Atlanta, Georgia from March 3-6, 2013. It includes a report on a child who achieved a "functional cure" after receiving very early triple-drug ART for HIV infection. It also discusses results from the SAILING trial showing higher rates of virologic suppression with dolutegravir compared to raltegravir in treatment-experienced patients at 24 weeks. Additional topics covered include updates to DHHS HIV treatment guidelines, research on HIV cure, PrEP trials, and new data on antiretroviral therapy agents.
Hepatitis C elimination in HIV-infected men who have sex with men: reality and challenges
Edward Cachay MD, MAS
February 23rd, 2018
UCSD HIV & Global Health Rounds
Contemporary Management of HIV. New Data From AIDS 2018hivlifeinfo
This document summarizes key findings from the AIDS 2018 conference regarding contemporary management of HIV. It describes studies showing:
1) No linked HIV transmissions occurred in over 77,000 condomless sex acts when the HIV+ partner had an undetectable viral load in the PARTNER2 study.
2) On-demand PrEP was highly effective at preventing HIV in several studies when adherence was high.
3) Early results from the ANRS Prevenir study found no difference in HIV incidence between daily and on-demand PrEP, with high adherence in both groups.
Best Practices in the Management of HCV/HIV Coinfection: Optimizing Treatment...Hivlife Info
Jürgen K. Rockstroh, MD, provides an update on the importance of HCV screening and the latest emerging treatment options for patients with HCV/HIV coinfection.
Новые данные с конференции по ВИЧ-инфекции CROI 2017/Clinical Impact of New D...hivlifeinfo
Clinical Impact of New Data From CROI 2017
Expert faculty members Joel E. Gallant, MD, MPH, and Charles B. Hicks, MD, summarize key studies from this important annual conference.
Format: Microsoft PowerPoint (.ppt)
File size: 1.25 MB
Date posted: 3/3/2017
2014 Report: Medicines in Development for HIV/AIDSPhRMA
Biopharmaceutical Company Researchers Are Developing More Than 40 Medicines and Vaccines For HIV Infection Treatment and Prevention
Globally, approximately 35 million people are infected with human immunodeficiency virus (HIV), the virus that causes
acquired immune deficiency syndrome (AIDS). However, new infections have dropped by 38 percent since 2001, according to UNAIDS, the Joint United Nations Programme on HIV/AIDS.
Best Practices in the Management of HCV/HIV Coinfection.Optimizing Treatment ...hivlifeinfo
This document discusses best practices for managing HCV/HIV coinfection. It begins with background on HCV/HIV coinfection epidemiology and the accelerated progression of liver disease in coinfected patients. It then reviews screening guidelines before discussing the challenges of current interferon-based HCV treatment and factors to consider in deciding whether to treat or defer therapy. The document summarizes recent studies on using telaprevir or boceprevir with pegylated interferon and ribavirin in coinfected patients. It concludes with recommendations on coadministering direct-acting antivirals with select antiretrovirals.
Случаи и разногласия по ВИЧ в 2019 году: европейские перспективы / Cases and...hivlifeinfo
Learn unique perspectives across Europe on PrEP, rapid ART initiation, ART in women, and options for switching ART.
Format: Microsoft PowerPoint (.ppt)
File Size: 1.33 MB
Released: July 10, 2019
Clinical Impact of New Data From IAS 2019hivlifeinfo
July 21-24, 2019; Mexico City, Mexico
Download slide highlights of key studies addressing current issues in HIV care, as reported at this important annual conference.
In this downloadable slideset, Joel E. Gallant, MD, MPH, reviews the evidence behind the latest antiretroviral guidelines and offers a glimpse at upcoming agents currently under investigation.
Format: Microsoft PowerPoint (.ppt)
File size: 3.00 MB
Date posted: 6/15/2015
WEBINAR - Zyvac tcv master class september 2018Gaurav Gupta
WEBINAR - Zyvac tcv master class september 2018. All indian webinar on the new Indian typhoid conjugate vaccination,
Broadcast throughout India with more than 500 pediatricians from across the country registering for viewing and asking questions
This document provides information from the Centers for Disease Control and Prevention (CDC) regarding immunization and vaccine-preventable diseases. The summary includes:
- The number of diseases prevented by vaccines included in the routine childhood/adolescent immunization schedule has increased from 6 in 1964 to 16 in 2017.
- Vaccination has led to significant decreases in reported cases of diseases like smallpox, diphtheria, measles, and others compared to 20th century annual morbidity.
- CDC estimates that childhood vaccination between 1994-2016 prevented 381 million illnesses, 24.5 million hospitalizations, and 855,000 early deaths, saving $360 billion in direct costs and $1.65 trillion
Cancer Biomarkers Research, HPV and Cancer, HPV VaccineJames Lyons-Weiler
The document discusses HPV (human papillomavirus) and cancer biomarkers. It notes that HPV vaccines target certain high-risk HPV types linked to cancers like cervical cancer. Some studies have found evidence of "type replacement" where non-vaccine HPV types increase in prevalence after vaccination, potentially limiting vaccine effectiveness. However, other studies have not found clear evidence of type replacement or have dismissed observed increases in non-vaccine types. There is ongoing debate about the ability of HPV vaccines to prevent cancer and their long-term safety profile based on limitations in clinical trials.
This document summarizes key information from an HIV & Global Health Rounds presentation on updates from the 2020 Conference on Retroviruses and Opportunistic Infections (CROI 2020). The presentation covered the global HIV epidemic, contraception and prevention, treatment as prevention, pre-exposure prophylaxis (PrEP), and HIV vaccines. Highlights included findings from the ECHO contraceptive study showing no increased HIV risk from various contraceptives, modest reductions in HIV incidence from universal test and treat trials, long-term efficacy and safety data from the DISCOVER PrEP trial, and the failure of the HVTN 702 vaccine trial to show efficacy.
This document evaluates a low-cost viral load assay called the Cavidi reverse transcriptase (RT) assay for monitoring the virologic response to antiretroviral therapy in 100 HIV-infected adults in Kenya over 48 weeks. The RT assay was compared to gold standard assays, Roche RNA PCR and Bayer bDNA. While the mean differences in viral loads between assays were small, the limits of agreement exceeded 0.5 log copies/ml, meaning the RT assay cannot be used interchangeably with the gold standards to monitor individual patients. However, the RT assay had 100% sensitivity and 95% specificity in detecting viral loads above 400 copies/ml compared to the gold standards, and 96% of patients had undetect
Similar to Clinical Impact of Data From the CROI 2015,Seattle (20)
Дискуссии о здоровом старении с ВИЧ /Key Slides on Healthy Aging With HIV.2022hivlifeinfo
Дискуссии о здоровом старении с ВИЧ
Узнайте о медицинских и немедицинских проблемах, с которыми сталкиваются стареющие пациенты с ВИЧ, включая дополнительные проблемы, с которыми сталкиваются пожилые женщины и пожилые люди, живущие в условиях ограниченных ресурсов.
Основы ведения АРТ у многократно леченных пациентов 2022 / Foundations of ART...hivlifeinfo
Основы ведения АРТ у многократно леченных пациентов (2022)
Тактики ведения пациентов с большим опытом лечения, включая анализ резистентности, последние рекомендации и данные по новым схемам АРТ
Современное лечение и профилактика ВИЧ : передовые стратегии лечения у пациен...hivlifeinfo
Стратегии смены АРТ у пациентов с вирусной супрессией, включая смену АРТ при резистентности, рекомендации по инъекционным препаратам длительного действия , смена АРТ до или во время беременности
Современное лечение ВИЧ: модификация АРТ у пациентов с вирусологической супре...hivlifeinfo
This document discusses modifying antiretroviral therapy (ART) in virologically suppressed patients with HIV. It describes two phase 3 trials, ATLAS and FLAIR, that evaluated switching to long-acting injectable cabotegravir plus rilpivirine (CAB/RPV) every 4 weeks in suppressed patients. Both trials found CAB/RPV to be noninferior to continued oral ART at 48 weeks. Common reasons to consider an ART switch include simplifying regimens or improving tolerability. Key factors that may increase risk of treatment failure with CAB/RPV include presence of rilpivirine resistance mutations at baseline and lower rilpivirine drug levels. The FDA
Современное лечение ВИЧ: лечение многократно леченных пациентов с резистентно...hivlifeinfo
This document discusses management of HIV in heavily treatment-experienced patients with multiclass resistance and limited treatment options. It provides an overview of the problem, including that some older patients were treated early in the HIV epidemic with less potent regimens, resulting in resistance. Younger patients may have congenital HIV and been treated long-term. Assessment of virologic failure and resistance testing are important to select an effective new regimen. Current options for active drugs in these patients include maraviroc, ibalizumab, fostemsavir, and enfuvirtide, which have novel mechanisms of action. Adherence assessment is also critical to determine if the current regimen may still be effective if taken as prescribed.
Key Slides on ART for HIV : Evolving Concepts and Innovative Strategies.2020hivlifeinfo
Expert-authored slides on evolving ART concepts, including simplification to 2-drug therapy, ART safety during pregnancy, weight gain, and long-acting injectable ART.
File Size: 580 KB
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Clinical Impact of New Data From AIDS 2020hivlifeinfo
current ART in principal populations, including older patients and women who become pregnant; metabolic outcomes during ART; HIV and COVID-19; investigational ART strategies; and HIV prevention.
Слайдсет о новом в лечении ВИЧ.Key Slides on What’s Hot in HIV Treatment.2020 hivlifeinfo
Expert-authored slides on the latest issues relating to HIV care, featuring patient cases and considerations for optimal treatment approaches. Topics include integrating newer ARVs, individualizing ART for women of childbearing potential and during pregnancy, adverse events during ART, and anticipated roles of emerging ART strategies.
Гиперлипопротеидемия(а) как опасное генетически обусловленное нарушение липид...hivlifeinfo
Гиперлипопротеидемия(а) как опасное генетически обусловленное нарушение липидного обмена и фактор риска атеротромбоза и сердечно-сосудистых заболеваний
Липопротеид(а) [Лп(а)] представляет собой сложный надмолекулярный комплекс, принадлежащий к апоВ100 содержащим липопротеидам. Лп(а) состоит из ЛНП-подобной частицы, в которой молекула апобелка В100 ковалентно связана дисульфидной связью с уникальной полиморфной молекулой апобелка(а). Концентрация Лп(а) генетически контролируется, при этом варьирует в очень широком диапазоне. Повышенный уровень Лп(а) является независимым фактором риска атеросклероза коронарных, сонных и периферических артерий, ИБС и стеноза аортального клапана, сопутствующих сердечно-сосудистых осложнений, а также осложнений после операций реваскуляризации миокарда. Несмотря на это, уровень Лп(а) по-прежнему не учитывается в стратификации риска сердечно-сосудистых заболеваний. Отчасти, это может быть связано с тем, что ни современная лекарственная терапия, ни новые поколения биологических гиполипидемических препаратовтерапия практически не влияют на концентрацию Лп(а), за исключением 20-30% снижения Лп(а) никотиновой кислотой и ингибиторами пропротеиновой конвертазы субтилизин-кексин 9 типа (PCSK9).
Лекция освящает современные представления о Лп(а), как факторе риска сердечно-сосудистых заболеваний, возможности и целесообразности его определения, а также посвящена современным возможностям коррекции гиперлипопротеидемии(а).
Физическая активность и физические тренировки как метод профилактики сердечно...hivlifeinfo
Чушкин М.И., Мандрыкин С.Ю., Карпина Н.Л., Попова Л.А. Физическая активность и физические тренировки как метод профилактики сердечно-сосудистых заболеваний. Кардиология. 2018;58(9S):10-18
Большое число данных свидетельствует, что функциональные возможности кардиореспираторной системы являются не менее важным фактором прогноза летальности, чем курение, артериальная гипертензия, ожирение, гиперхолестеринемия, СД. Пациенты с большей физической активностью имеют значительно меньший риск ССЗ, чем пациенты, ведущие неактивный образ жизни. В данном обзоре авторы показали возможности оценки физической активности и основные положения назначения физических тренировок для сохранения и повышения функциональных возможностей кардиореспираторной системы.
Key Slides on Individualizing ART Management Based on Treatment Safety and To...hivlifeinfo
Обзор последних рекомендаций DHHS , индивидуализация лечения в отдельных группах пациентов, минимизация побочных эффектов и межлекарственных взаимодействий
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This document summarizes data presented at CROI 2020 on current and investigational antiretroviral therapies (ART) for HIV. Key findings include:
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- The switch to BIC/FTC/TAF was noninferior to remaining on baseline regimens even in people with baseline nucleoside reverse transcriptase inhibitor resistance.
- Through week 96, dolutegravir plus lamivudine was similarly effective
Incorporating New ART Options Into First-line and Switch Strategies for HIV C...hivlifeinfo
This document discusses several new HIV treatment regimens approved between 2017-2019, including three-drug fixed-dose combinations of bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF), doravirine/lamivudine/tenofovir disoproxil fumarate (DOR/3TC/TDF), and darunavir/cobicistat/emtricitabine/tenofovir alafenamide (DRV/COBI/FTC/TAF). Clinical trials showed BIC/FTC/TAF and DOR/3TC/TDF were
This document summarizes an expert panel discussion on innovative antiretroviral therapy (ART) paradigms. The panel discussed whether positive results from two-drug and long-acting injectable regimens in clinical trials will translate to long-term efficacy and safety. They also considered the potential risks of resistance emerging with two-drug regimens and the impact of missed doses with long-acting injectables. The panel agreed that maintaining cold storage requirements for long-acting injectables may pose challenges for implementation in low- and middle-income countries but that qualitative research found patients highly satisfied with the convenience of long-acting ART.
Свобода интернета 2018: делегирование репрессий.Доклад Международной Агорыhivlifeinfo
«Настоящий доклад посвящен обзору вмешательства в свободу интернета в России в 2018 году и основан на данных постоянного мониторинга ситуации, который мы ведем более 10 лет.
Как обычно, доклад состоит из двух основных разделов, первый из которых посвящен описанию результатов мониторинга с приведением наиболее показательных примеров, а второй – авторской оценке состояния свободы интернета. В приложении даны сводные результаты мониторинга в виде таблицы со ссылкой на дату, источник, регион и вид ограничения по каждому известному эпизоду, а также карта нарушений, на которой цветом обозначен уровень относительной свободы интернета в отдельных субъектах Федерации.»
https://guides.files.bbci.co.uk/bbc-russian/AGORA_Freedom-of-the-Internet-2018.pdf
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Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
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Clinical Impact of Data From the CROI 2015,Seattle
1. February 23-26, 2015
Seattle, Washington
HIV/AIDS Seattle Update
CCO Independent Conference Coverage
of the 2015 Conference on Retroviruses and Opportunistic Infections*
*CCO is an independent medical education company that
provides state-of-the-art medical information to healthcare
professionals through conference coverage and other
educational programs.
This program is supported by an educational grant from
This program is supported by educational grants from
Gilead Sciences, Merck, and ViiV.
2. clinicaloptions.com/hiv
2015 Conference on Retroviruses and Opportunistic Infections
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3. clinicaloptions.com/hiv
2015 Conference on Retroviruses and Opportunistic Infections
Faculty
Joseph J. Eron, Jr., MD
Professor of Medicine and Epidemiology
University of North Carolina School of
Medicine
Director, AIDS Clinical Trials Unit
University of North Carolina
Chapel Hill, North Carolina
Joel E. Gallant, MD, MPH
Medical Director of Specialty Services
Southwest CARE Center
Santa Fe, New Mexico
Adjunct Professor of Medicine
Division of Infectious Diseases
Johns Hopkins University School of Medicine
Baltimore, Maryland
Kathleen E. Squires, MD
W. Paul and Ida H. Havens Professor of
Infectious Diseases
Director, Division of Infectious Diseases
Sidney Kimmel Medical College of Thomas
Jefferson University
Philadelphia, Pennsylvania
4. clinicaloptions.com/hiv
2015 Conference on Retroviruses and Opportunistic Infections
Disclosures
Joseph J. Eron, Jr., MD, has disclosed that he has received consulting
fees from AbbVie, Bristol-Myers Squibb, Gilead Sciences,
GlaxoSmithKline/ViiV, Merck, Tibotec/Janssen, and Tobira; and has
received funds for research support from GlaxoSmithKline/ViiV.
Joel E. Gallant, MD, has disclosed that he has received consulting fees
from Bristol-Myers Squibb, Gilead Sciences, Janssen, Merck, and ViiV
and funds for research support from AbbVie, Bristol-Myers Squibb,
Gilead Sciences, GlaxoSmithKline/ViiV, Janssen, Merck, and Sangamo
Biosciences.
Kathleen E. Squires, MD, has disclosed that she has received funds for
research support paid to Thomas Jefferson University from Gilead
Sciences and has served on advisory boards for Bristol-Myers Squibb,
Gilead Sciences, Janssen, Merck, and ViiV.
6. clinicaloptions.com/hiv
2015 Conference on Retroviruses and Opportunistic Infections
PROUD: Immediate vs Deferred PrEP in
High-Risk MSM in “Real World” Trial
Randomized, open-label trial of daily
oral TDF/FTC PrEP in HIV- MSM in 13
clinics in London
– Immediate (n = 267) vs
– Deferred for 12 mos (n = 256)
Primary endpoint: HIV infection in first
12 mos
86% reduction in risk seen over 60 wks
with immediate PrEP (90% CI: 58% to
96%, P = .0002)
– Rate difference: 7.6 (90% CI: 4.1-11.2)
– Number needed to treat to prevent 1
infection: 13 (90% CI: 9-25)
2 of 3 infected persons in immediate
group seroconverting at study entry or
shortly after first dose of PrEP
M184V/I observed in 3/6 patients who
seroconverted
– No K65R observed
High rate of STIs seen in both groups
DMSB interrupted trial; recommended
that all participants be offered PrEP
HIV Incidence
Group Infected, n
Incidence/100
PY (90% CI)
Immediate 3 1.3 (0.4-3.0)
Deferred 19 8.9 (6.0-12.7)
McCormack S, et al. CROI 2015. Abstract 22LB.
Reproduced with permission.
7. clinicaloptions.com/hiv
2015 Conference on Retroviruses and Opportunistic Infections
0.20
0.16
0.12
0.08
0.04
0.00
0 2 4 6 8 10 12 14 16 18 20 22 24 26
Mos
ANRS Ipergay: On-Demand Oral PrEP in
High-Risk MSM
Randomized double-blind trial of event-
driven oral TDF/FTC* (n = 199) vs
placebo (n = 201) (both with prevention
services) in France
– 2 tablets taken 2-24 hrs before sex
– 1 tablet 24 hrs after sex
– 1 tablet 48 hrs after first event-driven
dose
Primary endpoint: HIV seroconversion
86% reduction in risk seen in PrEP arm
(95% CI: 40% to 99%, P = .002)
– Number needed to treat for 1 yr to
prevent 1 infection: 18
– Median of 16 pills taken per mo in each
arm
In pts with infection, no TFV found in
serum in last 2 visits
4 cases of acute HCV infection noted
among lab abnormalities
DSMB stopped trial early and
recommended all participants start
PrEP
Molina JM, et al. CROI 2015. Abstract 23LB.
Reproduced with permission.
*On-demand PrEP strategy not FDA approved.
2 infections;
incidence 0.94/100 PY
14 infections;
incidence 6.6/100 PY
201
199
141
140
74
82
55
58
41
43
Pts at Risk, n
Placebo
TDF/FTC
Placebo
TDF/FTC
P = .002
ProbabilityofHIV
Infection
Kaplan-Meier Estimate of Time to
HIV Infection
8. clinicaloptions.com/hiv
2015 Conference on Retroviruses and Opportunistic Infections
Oral PrEP + ART as Prevention in High-
Risk Serodiscordant Couples
Partners Demonstration Project in Africa
– Oral daily TDF/FTC PrEP for HIV-
uninfected partner in serodiscordant
couple continued 6 mos beyond
initiation of ART for infected partner
– High-risk couples defined as younger
age, fewer children, uncircumcised HIV-
negative male, cohabitating, unprotected
sex in past mo, high HIV-1 RNA in HIV-
positive partner
Interim analysis
– > 95% of HIV-negative partners using
PrEP
– 80% of HIV-positive partners have
initiated ART; of these, > 90% with
suppression
96% reduction in expected infections
‒ IRR, expected vs observed: 0.04 (95%
CI: 0.01-0.19; P < .0001)
In pts with seroconversion, no TFV
detectable in plasma at time of
seroconversion
– HIV-positive partner in 1 couple not on ART
(high CD4+ count)
– Other couple dissolved and HIV-negative
partner in new relationship
Baeten J, et al. CROI 2015. Abstract 24. Reproduced with permission.
HIV Incidence, Actual vs Expected
Group Infected, n
Incidence/100 PY
(95% CI)
Expected 39.7 5.2 (3.7-6.9)
Actual 2 0.2 (0-0.9)
9. clinicaloptions.com/hiv
2015 Conference on Retroviruses and Opportunistic Infections
Medical Cost Savings Associated With HIV
Prevention in the United States
Cost modeling analysis of the Medical Expenditure Panel
Survey
Investigators used Cost-Effectiveness of Preventing AIDS
Complications Model to project discounted lifetime medical
costs, assuming HIV infection at 35 yrs of age
The medical cost savings of averting 1 HIV infection was
found to be $229,800
Cost savings are higher if taking secondary infections into
account and lower if infection is delayed vs totally averted
Schackmann R, et al. CROI 2015. Abstract 1104.
10. clinicaloptions.com/hiv
2015 Conference on Retroviruses and Opportunistic Infections
PROMISE: Randomized Trial of PMTCT
Strategies: Antepartum Component
Multinational trial in HIV-positive pregnant women in India and Africa
Primary endpoint: HIV infection in infant
– MTCT through neonatal 14 days of age significantly lower in triple ART arms
– Difference: -1.28% (95% CI, -2.11% to -0.44%)
Fowler MG, et al. CROI 2015. Abstract 31LB.
ZDV + sdNVP + TDF/FTC tail
TDF/FTC + LPV/RTV*
ZDV/3TC + LPV/RTV
HIV-positive pregnant women
Gestational age ≥ 14 wks
No triple ART in current
pregnancy
Did not meet country
eligibility for ART
CD4+ ≥ 350 or country
threshold for ART
CrCl > 60
No active TB
(N = 3529)
MTCT, % (infections/births)
1.8 (25/1326)
0.56 (9/1710)†
*In Version 2 of the protocol, only
HBV-positive women in TDF/FTC arm.
†
Combined triple ARV arms.
Primary Endpoint ResultsAntepartum component
14 days postdelivery
11. clinicaloptions.com/hiv
2015 Conference on Retroviruses and Opportunistic Infections
PROMISE: Less MTCT but Adverse Events
Greater in Triple ART Arms
Higher moderate, but not severe, adverse pregnancy outcome with triple ARV
– Severe outcomes less in ZDV/3TC arm vs TDF/FTC arm
– Lower risk of infant death with ZDV/3TC vs TDF/FTC: 0.6% (2/346) vs 4.4%
(15/341), P = .001
– Primarily among deaths in infants < 34 wks of gestational age
Fowler MG, et al. CROI 2015. Abstract 31LB. Reproduced with permission.
ZDV (Arm A)
ZDV/3TC + LPV/RTV (Arm B)
TDF/FTC + LPV/RTV (Arm C)
40
30
20
10
0
Moderate Adverse Outcomes Severe Adverse Outcomes
27
38
35
20
17
9
20
9
7
4
19
13
6
3 3210
B vs C
P = .02 B vs C
P = .04
A vs C
P = .004
A vs C
P = .04
%WithEvent
Any < 37 Wk
Gest. Age
Any < 34 Wk
Gest. Age
< 2500 g
Birth Wt
< 1500 g
Birth Wt
13. clinicaloptions.com/hiv
2015 Conference on Retroviruses and Opportunistic Infections
Studies 104/111: Tenofovir Alafenamide
Fumarate vs TDF in Treatment-Naive Pts
Parallel, randomized, double-blind, active-controlled phase III studies
Primary endpoint: HIV-1 RNA at Wk 48
TAF/FTC/EVG/COBI*
single-tablet regimen
(n = 866)
TDF/FTC/EVG/COBI†
single-tablet regimen
(n = 867)
Treatment-naive
HIV-infected pts with
HIV-1 RNA ≥ 1000 copies/mL,
eGFR ≥ 50 mL/min
(N = 1733)
Stratified by HIV-1 RNA,
CD4+ cell count,
geographic region
Wk 48
Primary endpoint Wk 144
*10/200/150/150 mg once daily.
†
300/200/150/150 mg once daily.
Wohl DA, et al. CROI 2015. Abstract 113LB.
14. clinicaloptions.com/hiv
2015 Conference on Retroviruses and Opportunistic Infections
Virologic
Success*
Virologic
Failure
No Data
Studies 104/111: TAF Noninferior to TDF at
Week 48
TAF also noninferior to TDF at Wk 48 in
each study (104 and 111)
Results similar across all baseline
virologic and demographic subgroups
7 pts in TAF arm and 5 pts in TDF arm
with NRTI resistance at VF
– 1 in TAF arm and 2 in TDF arm with
combined M184V/I + K65R
5 pts in TAF arm and 3 pts in TDF arm
with INSTI resistance at VF
0.9% in TAF arm and 1.5% in TDF arm
discontinued due to AE
CD4+ increases greater in TAF arm:
211 vs 181 (P = .024)
Pts(%)
92
90
Δ +2.0%
(95% CI: -0.7% to +4.7)
TAF/FTC/EVG/COBI
(n = 866)
TDF/FTC/EVG/COBI
(n = 867)
0
20
40
60
80
100
4 4 4 6
n =
*HIV-1 RNA < 50 c/mL as defined by FDA Snapshot algorithm
Discontinued for AE, death, or missing data.
800 784
Wohl DA, et al. CROI 2015. Abstract 113LB. Reproduced with permission.
15. clinicaloptions.com/hiv
2015 Conference on Retroviruses and Opportunistic Infections
Renal Markers With TAF and TDF at Wk 48
Smaller decreases in eGFR with TAF[1]
Smaller changes in proteinuria with TAF[1]
In separate single-arm trial of
virologically suppressed pts with eGFR
30-69 mL/min switched to open-label
TAF/FTC/EVG/COBI[2]
– 65% on TDF at BL
At Wk 48 after switch:
– 92% maintained virologic suppression
– No change in eGFR
– Reduction in proteinuria and markers of
renal tubular function
– Improvement in hip and spine BMD
1. Sax P, et al. CROI 2015. Abstract 143. Reproduced with permission. 2. Pozniak A, et al. CROI 2015. Abstract 795.
P < .00120
10
0
-10
-20
0 12 24 36 48
Time (Wks)
-6.6
-11.2
MeanΔFromBLineGFR,
mL/min(Cockcroft-Gault)
TAF/FTC/EVG/COBI (n = 866)
TDF/FTC/EVG/COBI (n = 867)
Median % Change From BL in Urine
Protein:Creatinine Ratio
Marker
TAF
(n = 866)
TDF
(n =
867)
P
Value
Protein -3 +20 < .001
Albumin -5 +7 < .001
Retinol-binding
protein
+9 +51 < .001
β2-microglobulin -32 +24 < .001
16. clinicaloptions.com/hiv
2015 Conference on Retroviruses and Opportunistic Infections
Studies 104/111: Significantly Smaller
Decline in Hip and Spine BMD With TAF
Significantly smaller decline in hip and spine BMD with TAF
Higher lipid levels with TAF, but TC:HDL-C ratio same as TDF[1]
0 24 48 0 24 48
-8
-6
-4
-2
0
2
Wk Wk
-8
-6
-4
-2
0
2
= 845
= 850
797
816
784
773
836
848
789
815
780
767
-1.30
-2.86
-0.66
-2.95
P < .001
P < .001
Mean%Change
FromBL
Sax P, et al. CROI 2015. Abstract 143. Reproduced with permission.
n
n
TAF/FTC/EVG/COBI (n = 866)
TDF/FTC/EVG/COBI (n = 867)
Change in Spine BMD Change in Hip BMD
17. clinicaloptions.com/hiv
2015 Conference on Retroviruses and Opportunistic Infections
LATTE: Cabotegravir (GSK1265744) + RPV
as Maintenance ART: Wk 96 Results
Cabotegravir, DTG analogue with long half-life, oral or injectable formulations
Randomized, dose-ranging phase IIb study of oral formulation
Primary endpoint: HIV-1 RNA < 50 c/mL at Wk 48
CAB 10 mg QD + RPV 25 mg QD
CAB 30 mg QD + RPV 25 mg QD
*Pts with HIV-1 RNA < 50 c/mL at Wk 24 continued to maintenance phase.
TDF/FTC or ABC/3TC.
ART-naive pts,
HIV-1 RNA
≥ 1000 c/mL
(N = 243) CAB 60 mg QD + RPV 25 mg QD
EFV 600 mg QD + 2 NRTIs QD
(n = 62)
Margolis D, et al. CROI 2015. Abstract 554LB.
CAB 10 mg QD + 2 NRTIs
(n = 60)
CAB 30 mg QD + 2 NRTIs
(n = 60)
CAB 60 mg QD + 2 NRTIs
(n = 61)
Wk 48
primary analysis
Stratified by HIV-1 RNA
(≤ vs > 100,000 c/mL) and NRTI Wk 24
Induction Phase* Maintenance Phase
Wk 96
18. clinicaloptions.com/hiv
2015 Conference on Retroviruses and Opportunistic Infections
LATTE: Virologic Success Through
Maintenance Wk 96
6 pts in CAB arms with PDVF at Wk 96; 4 additional pts since Wk 48
– 3 pts in CAB 10-mg arm with treatment-emergent NNRTI resistance; 1 of these with both
NNRTI + INSTI RAMs but decreased ARV exposure in PK analysis
Margolis D, et al. CROI 2015. Abstract 554LB. Reproduced with permission.
HIV-1RNA<50c/mLby
SnapshotAlgorithm(%)
100
80
60
40
20
0
BL 4 12 24 28 36 48 72 96
Induction Phase Maintenance Phase
CAB 10 mg (n = 60)
CAB 30 mg (n = 60)*
CAB 60 mg (n = 61)
EFV 600 mg (n = 62)
68%
63%
84%
75%
Wks*CAB 30 mg selected for future development
19. clinicaloptions.com/hiv
2015 Conference on Retroviruses and Opportunistic Infections
BMS-955176: Investigational Second-
Generation Maturation Inhibitor
BMS-955176 binds tightly and
reversibly to HIV-1 Gag with greater
potency and coverage of Gag
polymorphs than first-generation
maturation inhibitors
– Low-dose with half-life supportive of
once-daily dosing
– Low serum binding
– No significant safety issues in early
clinical studies
Antiviral activity measured over 10
days in placebo-controlled study
– HIV-infected treatment-naive and
experienced pts with HIV-1 RNA
≥ 5000 and CD4+ count ≥ 200
All doses ≥ 10 mg associated with HIV-
1 RNA declines over dosing period
– Median change in HIV-1 RNA from BL to
Day 11: 1.4 log10 c/mL
No serious AEs; no discontinuations
due to AEs over study period
Hwang C, et al. CROI 2015. Abstract 114LB. Reproduced with permission.
1 2 3 4 5 6 7 8 91011 13 25
Dosing period
Study Days
1
0
-1
-1.8
BMS-955176: Median Δ in HIV-1 RNA Over Time
Placebo
5 mg
10 mg
20 mg
40 mg
80 mg
120 mg
MedianΔinHIV-1RNA
FromBL(log10c/mL)
21. clinicaloptions.com/hiv
2015 Conference on Retroviruses and Opportunistic Infections
NA-ACCORD: Recent Abacavir Use and
Risk of MI
Retrospective analysis of pts in 7
clinical cohorts with recent ABC use
from 1/1/1995 to 12/31/2010
“Recent” ABC initiation: prescribed
within previous 6 mos
ABC initiators (n = 1948) vs non-ABC
initiators (n = 14,785):
– “Full” study population: all ART users
excluding persons on ABC at study entry
– “Restricted” population: ART-naive
persons who initiated ART in the cohort
Endpoint of incident MIs: presence of
clinical diagnosis or elevation of cardiac
enzymes
– All MIs independently adjudicated
Palella F, et al. CROI 2015. Abstract 749LB.
Reproduced with permission.
0.00 2.001.00 4.003.00
Full Study
Restricted
Study
D:A:D
Replication
1.95
1.33
Recent ABC use significant in restricted
population and D:A:D replication
Association diminished after adjusting
for additional CVD risk factors in
multivariate analysis
Significant factors
– Both: age 60+ yrs, HTN, eGFR < 30,
AIDS
– Full: smoking, DM
Adjusted HRs for MI in Those With Recent ABC Use
22. clinicaloptions.com/hiv
2015 Conference on Retroviruses and Opportunistic Infections
A5260: Changes in Limb and Trunk Fat
With INSTI vs PI/RTV First-line Regimens
Metabolic substudy of A5257,
comparison of first-line TDF/FTC +
– RAL (n = 106)
– ATV/RTV (n = 109)
– DRV/RTV (n = 113)
Endpoints: change from BL to Wk 96
in peripheral fat, central adiposity,
lean mass
– ATV/RTV vs DRV/RTV
– Combined PIs vs RAL
Trend toward greater % change in
lean mass in ATV/RTV vs DRV/RTV
– Combined PIs similar to RAL
Similar changes in limb and trunk fat
(SAT and VAT) among regimens
Greater gains in VAT and SAT in BL VL
stratum HIV-1 RNA ≥ 100,000 c/mL vs
< 100,000 c/mL, regardless of regimen
McComsey G, et al. CROI 2015. Abstract 140. Reproduced with permission.
ATV/RTV 31%
RAL 33%
DRV/RTV 29%
N
ATV/RTV 108 97
RAL 105 95
DRV/RTV 112 94
Wk 96BL
50
40
30
20
10
0
VAT Change
Mean%ChangeFrom
Baseline
ATV/RTV vs DRV/RTV (P = .54)
PI/RTV vs RAL (P = .72)
23. clinicaloptions.com/hiv
2015 Conference on Retroviruses and Opportunistic Infections
Randomized Trial of Statin Therapy and
Coronary Plaque Progression
Randomized 12-mo trial in HIV+ pts
on stable ART with LDL-C < 130
and ≥ 1 coronary plaque
– Atorvastatin 20 mg (↑ to 40 mg at
3 mos) (n = 19) vs
– Placebo (n = 21)
Statin therapy reduced progression
of coronary plaques
– Reduced overall plaque volume,
including lipid-laden plaques
– Reduced high-risk morphology
plaques
Statin therapy safe and well
tolerated
Lo J, et al. CROI 2015. Abstract 136. Reproduced with permission.
Plaque Progression in Proximal Left
Anterior Descending Coronary Artery
With Atorvastatin or Placebo
BL
12 mos
PlaceboAtorvastatin
24. clinicaloptions.com/hiv
2015 Conference on Retroviruses and Opportunistic Infections
D:A:D: ARV Exposure and Risk of CKD
Retrospective analysis of pts with BL
eGFR > 90/mL/min (N = 23,560)
– Evaluated cumulative exposure to TDF,
ABC, ATV/RTV, LPV/RTV, other PIs
and risk of CKD
– 210 pts developed CKD
Multivariate analysis: exposure to TDF,
ATV/RTV, and LPV/RTV significantly
associated with CKD development
– Risk ↑ greatly over 5 yrs
Association with TDF or LPV/RTV and
CKD remains when excluding those
who stopped drugs during or before
study entry
When TDF exposure censored, CKD
risk per yr of ATV/RTV or LPV/RTV
exposure increased substantially
CKD risk ↓ with time after stopping TDF
CKD Risk by Yrs of ARV Exposure, IRR (95%
CI)
Drug 1 Yr 2 Yrs 5 Yrs
TDF
1.12
(1.06-
1.18)
1.25
(1.12-1.39)
1.74
(1.33-2.27)
ATV/
RTV
1.27
(1.18-
1.36)
1.61
(1.40-1.84)
3.27
(2.32-4.61)
LPV/
RTV
1.16
(1.10-
1.22)
1.35
(1.21-1.50)
2.11
(1.62-2.75)Mocroft A, et al. CROI 2015. Abstract 142. Reproduced with permission.
Relationship Between Increasing
Exposure to ARVS and CKD
1.80
1.60
1.40
1.20
1.00
0.00
ATV/RTV LPV/RTVTDF
Univariate
Multivariate
On treatment
TDF censored
26. clinicaloptions.com/hiv
2015 Conference on Retroviruses and Opportunistic Infections
ION-4: LDV/SOF for 12 Wks in GT1/4
HCV/HIV-Coinfected Pts
Phase III open-label study in HIV
virologically suppressed HIV/HCV
coinfected pts (N = 335)
– 20% with compensated cirrhosis
– n = 8 with HCV GT4
ART regimens
– TDF/FTC/EFV (n = 160)
– TDF/FTC + RAL (n = 146)
– TDF/FTC/RPV (n = 29)
HCV treatment experienced, 55%
– Previous HCV PI therapy: 29%
– n = 13 previously failed SOF + RBV
Very high rate of SVR12
– No difference in SVR rates based on
HCV treatment experience or cirrhosis
status
SVR12(%)
96
0
20
40
60
80
95 97 96 94
Overall No Yes
n/N =
321/
335
142/
150
100
179/
185
258/
268
63/
67
No Yes
Naggie S, et al. CROI 2015. Abstract 152LB. Reproduced with permission.
SVR Rates According to BL Characteristics
CirrhosisPrevious
HCV Tx
27. clinicaloptions.com/hiv
2015 Conference on Retroviruses and Opportunistic Infections
ION-4: LDV/SOF Effective Across All Pt
Demographic and Disease Subgroups
10 relapses all in black pts
No pt with HIV virologic rebound
No discontinuation of therapy due
to adverse events
4 pts experienced increase in
creatinine > 0.4 mg/dL
– 2 completed treatment without
change in ART
– 1 pt changed TDF to new NRTI
– TDF dose reduced in 1 pt
Naggie S, et al. CROI 2015. Abstract 152LB. Reproduced with permission.
Black
Nonblack
1a
1b
4
< 800,000
≥ 800,000
< 30
≥ 30
CC
CT
TT
TDF/FTC/EFV
TDF/FTC + RAL
TDF/FTC/RPV
< 350
≥ 350
HCV Genotype
Baseline HCV
RNA (IU/mL)
Baseline BMI
(kg/m2
)
Race
IL28B
ARV Regimen
Baseline CD4
(cells/mm³)
Overall
60 70 80 90 100
SVR12, % (95% CI)
Statistically
significant in
multivariate
analysis
28. clinicaloptions.com/hiv
2015 Conference on Retroviruses and Opportunistic Infections
ION-4: Resistance Analysis and LDV/SOF
Drug–Drug Interactions With bPIs
Deep sequencing at BL
identified 67 (20%) pts with
NS5A RAVs[1]
– 63 (94%) of these pts achieved
SVR12
RAVs in NS5A found in 10/12
pts with virologic failure
No S282T mutation in NS5B
found in any pt at BL or
virologic failure
In drug–drug interaction studies
with LDV/SOF and boosted PIs
and TFV[2]
– LDV/SOF increases ATV, RTV,
and TFV exposure
– ATV/RTV + TDF/FTC
increases LDV
– DRV/RTV + TDF/FTC
decreases SOF
Staggered administration did
not mitigate interactions but
interactions not deemed
clinically relevant
1. Naggie S, et al. CROI 2015. Abstract 152LB. 2. German P, et al. CROI 2015. Abstract 82.
29. clinicaloptions.com/hiv
2015 Conference on Retroviruses and Opportunistic Infections
ALLY-2: SOF + DCV in GT1-6 HCV/HIV-
Coinfected Pts
Phase III open-label study
– Non GT1 < 20% in each cohort; compensated cirrhosis < 50% overall; HIV-1 RNA < 50 c/mL
and CD4+ ≥ 100 in pts on ART; CD4 ≥ 350 in pts not on ART
– ART allowed: PI/RTV, NRTIs, NNRTIs, INSTIs, MVC, ENF
Primary endpoint: SVR12 in GT1 naive pts treated for 12 wks
Wyles DL, et al. CROI 2015. Abstract 151LB.
Treatment-naive pts
(N = 151)
SOF 400 mg QD +
DCV 30/60/90* mg QD
(n = 101)
SOF 400 mg QD +
DCV 30/60/90* mg QD
(n = 52)
Treatment-experienced pts
(N = 52)
Wk 12
Pts followed
to Wk 36
SOF 400 mg QD +
DCV 30/60/90* mg QD
(n = 50)
Wk 8
*Standard dose of 60 mg adjusted for ART: 30 mg with RTV; 90 mg with NNRTIs except RPV.
30. clinicaloptions.com/hiv
2015 Conference on Retroviruses and Opportunistic Infections
High SVR12 rates with 12 wks SOF +
DCV
– Large decline in SVR rate with
shortening to 8 wks
12-Wk 12-Wk8-Wk 12-Wk 12-Wk8-Wk
ALLY-2: Virologic Outcomes With SOF +
DCV in HIV/HCV-Coinfected Pts
In 12-wk groups analyzed by GT, 100%
with SVR12 except GT1a
– GT1a naive: 96%; exp’d: 97%
Similar SVR12 rates in pts with or
without baseline NS5A RAVs
12 pts with relapse, 10 in 8-wk arm
– 1 in 8-wk arm had emergent NS5A
RAVs
No NS5B RAVs at BL or time of failure
No discontinuation of therapy due to
AEs
10 pts with HIV-1 RNA > 50 at EOT
– 8 with repeat testing; 7 with suppression
without change in ART; 1 with HIV-1
RNA of 59; 2 LTFU
2 with HIV VF = HIV-1 RNA ≥ 400 c/mL
SVR12,%
96
0
20
40
60
80
98
76
97 98
n/N =
80/
83
43/
44
100
31/
41
98/
101
51/
52
76
38/
50
Wyles DL, et al. CROI 2015. Abstract 151LB.
Reproduced with permission.
Naive Exp’d Naive Exp’d
GT1 Overall
31. Go Online for More CCO
Coverage of 2015 Retroviruses!
Capsule Summaries of key data from the conference
CME-certified Expert Analysis module with faculty commentary on key
studies presented in Seattle
clinicaloptions.com/hiv
Editor's Notes
This slide lists the faculty who were involved in the production of these slides.
This slide lists the disclosure information of the faculty involved in the development of these slides.
DSMB, data and safety monitoring board; FDA, US Food and Drug Administration; FTC, emtricitabine; HCV, hepatitis C virus; PrEP, pre-exposure prophylaxis; PY, patient-years; TDF, tenofovir DF; TFV, tenofovir.
Each arm also received prevention services: Counseling, condoms and gels, testing and treatment for STIs, vaccination for HBV and HAV, PEP.
For more information about this study, go to http://www.clinicaloptions.com/HIV/Conference%20Coverage/Retroviruses%202015/Highlights/Capsules/23LB.aspx.
COBI, cobicistat; eGFR, estimated glomerular filtration rate; EVG, elvitegravir; FTC, emtricitabine; TAF, tenofovir alafenamide fumarate; TDF, tenofovir disoproxil fumarate.
For more information about this study, go to http://www.clinicaloptions.com/HIV/Conference%20Coverage/Retroviruses%202015/Highlights/Capsules/113LB.aspx.
AE, adverse event; COBI, cobicistat; EVG, elvitegravir; FDA, US Food and Drug Administration; FTC, emtricitabine; TAF, tenofovir alafenamide fumarate; tenofovir disoproxil fumarate; VF, virologic failure.
For more information about this study, go to http://www.clinicaloptions.com/HIV/Conference%20Coverage/Retroviruses%202015/Highlights/Capsules/23LB.aspx.
BL, baseline; BMD, bone mass density; COBI, cobicistat; eGFR, estimated glomerular filtration rate; EVG, elvitegravir; FTC, emtricitabine; TAF, tenofovir alafenamide fumarate; TDF, tenofovir disoproxil fumarate.
For more information about this study, go to http://www.clinicaloptions.com/HIV/Conference%20Coverage/Retroviruses%202015/Highlights/Capsules/143.aspx.
BL, baseline; BMD, bone mass density; COBI, cobicistat; EVG, elvitegravir; FTC, emtricitabine; HDL-C, high density lipoprotein cholesterol; TAF, tenofovir alafenamide fumarate; TC, total cholesterol; TDF, tenofovir disoproxil fumarate.
For more information about this study, go to http://www.clinicaloptions.com/HIV/Conference%20Coverage/Retroviruses%202015/Highlights/Capsules/143.aspx.
3TC, lamivudine; ABC, abacavir; ART, antiretroviral therapy; CAB, cabotegravir; DTG, dolutegravir; EFV, efavirenz; FTC, emtricitabine; QD, once daily; RPV, rilpivirine; TDF, tenofovir.
For more information about this study, go to http://www.clinicaloptions.com/HIV/Conference%20Coverage/Retroviruses%202015/Highlights/Capsules/554LB.aspx.
ARV, antiretroviral; BL, baseline; CAB, cabotegravir; EFV, efavirenz; PDVF, protocol-defined virologic failure; PK, pharmacokinetic; RAM, resistance associated mutations.
For more information about this study, go to http://www.clinicaloptions.com/HIV/Conference%20Coverage/Retroviruses%202015/Highlights/Capsules/554LB.aspx.
AE, adverse event; BL, baseline.
ABC, abacavir; ART, antiretroviral therapy; CVD, cardiovascular disease; DM, diabetes mellitus; eGFR, estimated glomerular filtration rate; HTN, hypertension; MI, myocardial infarction.
For more information about this study, go to http://www.clinicaloptions.com/HIV/Conference%20Coverage/Retroviruses%202015/Highlights/Capsules/749LB.aspx.
ATV, atazanavir; BL, baseline; DRV, darunavir; FTC, emtricitabine; RAL, raltegravir; RTV, ritonavir; SAT, subcutaneous adipose tissue; TDF, tenofovir; VAT, visceral adipose tissue; VL, viral load.
For more information about this study, go to http://www.clinicaloptions.com/HIV/Conference%20Coverage/Retroviruses%202015/Highlights/Capsules/140.aspx.
ART, antiretroviral therapy; BL, baseline; LDL-C, low density lipoprotein cholesterol.
ABC, abacavir; ARV, antiretroviral; ATV, atazanavir; BL, baseline; CKD, chronic kidney disease; eGFR, estimated glomerular filtration rate; IRR, incident rate ratio; LPV, lopinavir; RTV, ritonavir; TDF, tenofovir.
For more information about this study, go to http://www.clinicaloptions.com/HIV/Conference%20Coverage/Retroviruses%202015/Highlights/Capsules/142.aspx.
HCV, hepatitis C virus.
ART, antiretroviral therapy; BL, baseline; EFV, efavirenz; FTC, emtricitabine; GT, genotype; HCV, hepatitis C virus; LDV, ledipasvir; RAL, raltegravir; RBV, ribavirin; RPV, rilpivirine; SOF, sofosbuvir; SVR, sustained virologic response; TDF, tenofovir.
For more information about this study, go to http://www.clinicaloptions.com/HIV/Conference%20Coverage/Retroviruses%202015/Highlights/Capsules/152LB.aspx.
ART, antiretroviral therapy; BMI, body mass index; EFV, efavirenz; FTC, emtricitabine; LDV, ledipasvir; RAL, raltegravir; RPV, rilpivirine; SOF, sofosbuvir; SVR, sustained virologic response; TDF, tenofovir.
For more information about this study, go to http://www.clinicaloptions.com/HIV/Conference%20Coverage/Retroviruses%202015/Highlights/Capsules/152LB.aspx.
ART, antiretroviral therapy; ATV, atazanavir; BL, baseline; DRV, darunavir; FTC, emtricitabine; LDV, ledipasvir; RAV, resistance-associated variants; RTV, ritonavir; SOF, sofosbuvir; SVR, sustained virologic response; TDF, tenofovir DF; TFV, tenofovir.
For more information about this study, go to http://www.clinicaloptions.com/HIV/Conference%20Coverage/Retroviruses%202015/Highlights/Capsules/152LB.aspx.
ART, antiretroviral therapy; DCV, daclatasvir; ENF, enfuvirtide; GT, genotype; HCV, hepatitis C virus; MVC, maraviroc; RTV, ritonavir; QD, once daily; RPV, rilpivirine; SOF, sofosbuvir; SVR, sustained virologic response.
David R. Nelson, MD:
Aiming to address the need for improved therapies for genotype 3 HCV infection, ALLY-3 was a nonrandomized phase III trial investigating the once-daily combination of sofosbuvir and daclatasvir, another NS5A inhibitor, for 12 weeks without ribavirin in patients with genotype 3 HCV infection.[1] Two populations were studied: 101 treatment-naive patients and 51 treatment-experienced patients. Approximately 20% to 25% of the population was cirrhotic across the 2 treatment groups.
Reference
Nelson DR, Cooper JN, Lalezari JP, et al. All-oral 12-week combination treatment with daclatasvir (DCV) and sofosbuvir (SOF) in patients infected with HCV genotype 3: ALLY-3 phase 3 study. Program and abstracts of the 2014 Annual Meeting of the American Association for the Study of Liver Diseases; November 7-11, 2014; Boston, Massachusetts. Abstract LB-3.
For more information about this study, please see the CCO Capsule Summary at:
http://www.clinicaloptions.com/Hepatitis/Conference%20Coverage/AASLD%202014/Highlights/Capsules/LB3.aspx
AE, adverse event; ART, antiretroviral therapy; BL, baseline; DCV, daclatasvir; EOT, end of treatment; GT, genotype; LTFU, lost to follow-up; RAV, resistance-associated variants; SOF, sofosbuvir; SVR, sustained virologic response; VF, virologic failure.