The evidence for using tenofovir disoproxil fumarate plus lamivudine as a nucleoside analogue backbone for the treatment of HIV
- PMID: 33598310
- PMCID: PMC7868802
- DOI: 10.1016/j.jve.2021.100028
The evidence for using tenofovir disoproxil fumarate plus lamivudine as a nucleoside analogue backbone for the treatment of HIV
Abstract
This article evaluates the evidence supporting use of the tenofovir disoproxil fumarate (TDF) plus lamivudine (3 TC) combination as a dual nucleoside backbone within a triple drug antiretroviral regimen. Key trials that assess the relative efficacy, safety and resistance profile of 3 TC and emtricitabine (FTC) are discussed. Clinical use of 3 TC and FTC with two tenofovir prodrugs -TDF and tenofovir alafenamide (TAF) - is presented. Recommendations from various international guidelines for the construction of triple and emerging dual regimens are summarised. In conclusion, data suggest the therapeutic equivalence of 3 TC and FTC, especially when 3 TC is combined with TDF.
Keywords: Antiretroviral therapy; Lamivudine; NRTI backbone; Tenofovir.
© 2021 Published by Elsevier Ltd.
Conflict of interest statement
The authors declare no conflict of interest.
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References
-
- Global HIV and AIDS statistics – 2019 fact sheet. 2020. https://www.unaids.org/en/resources/fact-sheet Last Available at: accessed February 19.
-
- Trogarzo S.P.C. 2020. https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm?event=BasicSea... Available at: Last accessed February 19.
-
- Clercq E.D. Anti-HIV drugs: 25 compounds approved within 25 years after the discovery of HIV. Int J Antimicrob Agents. 2009;33:307–320. - PubMed
-
- Caplan M.R., Daar E.S., Corado K.C. Next generation fixed dose combination pharmacotherapies for treating HIV. Expet Opin Pharmacother. 2018;19(6):589–596. - PubMed
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