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Acute Hepatitis B Infection After a Switch to Long-Acting Cabotegravir and Rilpivirine
Author(s) -
Claire Pintado,
Constance Delaugerre,
JeanMichel Molina
Publication year - 2020
Publication title -
open forum infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.546
H-Index - 35
ISSN - 2328-8957
DOI - 10.1093/ofid/ofaa367
Subject(s) - medicine , rilpivirine , hepatitis b virus , hepatitis b , lamivudine , pill , human immunodeficiency virus (hiv) , emtricitabine , virology , antiretroviral therapy , intensive care medicine , viral load , pharmacology , virus
Maintenance antiretroviral therapy with combination of two injectable long-acting drugs, cabotegravir and rilpivirine, is a new strategy addressing the challenges of daily adherence to oral pills that has shown non-inferior efficacy to standard of care therapy in patients with suppressed HIV-infection. Patients co-infected with hepatitis B virus (HBV) are not eligible for this dual therapy since it has no activity against HBV, but this strategy should also be restricted to patients with anti-HBs antibodies since people with HIV are still at risk of HBV acquisition due to high risk behavior and since HBV vaccination does not always elicit anti-HBs antibodies, as highlighted in the case report below.

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