1. Week 96 results of a phase 3 trial of darunavir/cobicistat/emtricitabine/tenofovir alafenamide in treatment-naive HIV-1 patients
- Author
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Orkin, Chloe, Eron, Joseph J., Rockstroh, Jürgen, Podzamczer Palter, Daniel, Esser, Stefan, Vandekerckhove, Linos, Van Landuyt, Erika, Lathouwers, Erkki, Hufkens, Veerle, Jezorwski, John, Opsomer, Magda, and AMBER study group
- Subjects
Male ,0301 basic medicine ,efficacy ,Medizin ,HIV Infections ,Gastroenterology ,0302 clinical medicine ,Medicine and Health Sciences ,ART-naive ,Emtricitabine ,Immunology and Allergy ,tenofovir alafenamide ,030212 general & internal medicine ,Darunavir ,Emtricitabine tenofovir alafenamide ,Alanine ,Cobicistat ,Antiretrovirals ,Viral Load ,OPEN-LABEL ,Drug Combinations ,Treatment Outcome ,Infectious Diseases ,INITIAL TREATMENT ,Female ,Viral load ,Tablets ,medicine.drug ,HIV infections ,Adult ,safety ,TENOFOVIR DISOPROXIL FUMARATE ,DARUNAVIR ,medicine.medical_specialty ,Anti-HIV Agents ,Darunavir/Cobicistat ,Immunology ,RITONAVIR ,Tenofovir alafenamide ,single-tablet regimen ,03 medical and health sciences ,ADHERENCE ,Double-Blind Method ,Internal medicine ,INFECTION ANALYSIS ,medicine ,Humans ,Protease Inhibitors ,Tenofovir ,emtricitabine ,business.industry ,Adenine ,ADULTS ,cobicistat ,Antiretroviral agents ,030104 developmental biology ,HIV-1 ,Ritonavir ,Infeccions per VIH ,business - Abstract
Background: Darunavir/cobicistat/emtricitabine/tenofovir alafenamide (D/C/F/TAF) 800/150/200/10 mg was investigated through 96 weeks in AMBER (NCT02431247). Methods: Treatment-naive, HIV-1-positive adults [screening plasma viral load >= 1000 copies/ml; CD4(+) cell count >50 cells/mu l) were randomized (1 : 1) to D/C/F/TAF (N = 362) or D/C plus emtricitabine/tenofovir-disoproxil-fumarate (F/TDF) (N = 363) over at least 48 weeks. After week 48, patients could continue on or switch to D/C/F/TAF in an open-label extension phase until week 96. Results: At week 96, D/C/F/TAF exposure was 626 patient-years (D/C/F/TAF arm) and 109 patient-years (control arm post switch), week 96 virologic suppression (viral load = 50 copies/ml; FDA-Snapshot) was 5.5% (20/362) and 4.4% (16/363), respectively. No darunavir, primary protease inhibitor or tenofovir resistance-associated mutations (RAMs) were observed post baseline. In one patient in each arm, an M184I and/or V RAM was detected. Few adverse event-related discontinuations (3% D/C/F/TAF
- Published
- 2020