A survey of ATRIPLA use in clinical practice as first-line therapy in HIV-positive persons in Europe
- PMID: 24902520
- PMCID: PMC4103996
- DOI: 10.1007/s15010-014-0630-4
A survey of ATRIPLA use in clinical practice as first-line therapy in HIV-positive persons in Europe
Abstract
ATRIPLA is licensed for use only in HIV-positive persons whose viral loads <50 for ≥ 3 months. We investigated the use of ATRIPLA as first-line antiretroviral therapy (ART) in EuroSIDA using a web-based survey performed in Autumn 2012. 96/112 clinics (85.7 %) completed the survey. Recommendations when initiating first-line ART was TRUVADA plus efavirenz in 36 (37.5 %), ATRIPLA in 35 (36.5 %), a different first-line regimen in 12 clinics (12.5 %), and no recommendation in 7 clinics (7.3 %). ATRIPLA was commonest in Northern (15/21 clinics; 71.4 %), and least common in Eastern Europe (2/31 clinics; 6.5 %; p < 0.0001). Over one-third of the participating clinics in this survey were using ATRIPLA as first-line antiretroviral therapy, despite EMA recommendations.
Figures
References
-
- Dejesus E, Young B, Morales-Ramirez JO, Sloan L, Ward DJ, Flaherty JF, et al. Simplification of antiretroviral therapy to a single-tablet regimen consisting of efavirenz, emtricitabine, and tenofovir disoproxil fumarate versus unmodified antiretroviral therapy in virologically suppressed HIV-1-infected patients. J Acquir Immune Defic Syndr. 2009;51:163–174. doi: 10.1097/QAI.0b013e3181a572cf. - DOI - PubMed
-
- Fisher M, Moyle GJ, Shahmanesh M, Orkin C, Kingston M, Wilkins E, et al. A randomized comparative trial of continued zidovudine/lamivudine or replacement with tenofovir disoproxil fumarate/emtricitabine in efavirenz-treated HIV-1-infected individuals. J Acquir Immune Defic Syndr. 2009;51:562–568. doi: 10.1097/QAI.0b013e3181ae2eb9. - DOI - PubMed
-
- European Medicines Agency. Atripla. Efavirenz/emtricitabine/tenofovir disoproxil, EPAR summary for the public. 2013. http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Summary_for_.... Accessed 18 Mar 2013.
-
- European Medicines Agency. Tenofovir. EPAR summary for the public. 2013. http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Summary_for_.... Accessed 19 Sept 2013.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Research Materials
