Doravirine Exposure and HIV-1 Suppression after Switching from an Efavirenz-Based Regimen to Doravirine-Lamivudine-Tenofovir Disoproxil Fumarate
Author(s) -
Wayne Greaves,
Hong Wan,
Ka Lai Yee,
Bhargava Kandala,
Pavan Vaddady,
Carey Hwang
Publication year - 2019
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.01298-19
Subject(s) - efavirenz , lamivudine , reverse transcriptase inhibitor , regimen , tenofovir , pharmacology , human immunodeficiency virus (hiv) , medicine , virology , sida , virus , viral load , viral disease , antiretroviral therapy , hepatitis b virus
Doravirine is a non-nucleoside reverse transcriptase inhibitor approved for the treatment of HIV-1. In a phase 1 trial, doravirine exposure was transiently decreased when treatment was started immediately after stopping efavirenz. In a post-hoc subgroup analysis of participants who switched from an efavirenz-based regimen to doravirine/lamivudine/tenofovir disoproxil fumarate in the phase 3 DRIVE-SHIFT trial, doravirine plasma levels at week 4 were similar to non-induced levels, and HIV-1 suppression was maintained at weeks 24 and 48.
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