Switching from tenofovir disoproxil fumarate to tenofovir alafenamide coformulated with rilpivirine and emtricitabine in virally suppressed adults with HIV-1 infection: a randomised, double-blind, multicentre, phase 3b, non-inferiority study

C Orkin, E DeJesus, M Ramgopal, G Crofoot, P Ruane, A LaMarca, A Mills, B Vandercam, J de Wet, J Rockstroh, A Lazzarin, B Rijnders, D Podzamczer, A Thalme, M Stoeckle, D Porter, HC Liu, A Cheng, E Quirk, D SenGuptaH Cao

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Abstract

Background Tenofovir alafenamide, a tenofovir prodrug, results in 90% lower tenofovir plasma concentrations than does tenofovir disproxil fumarate, thereby minimising bone and renal risks. We investigated the efficacy, safety, and tolerability of switching to a single-tablet regimen containing rilpivirine, emtricitabine, and tenofovir alafenamide compared with remaining on rilpivirine, emtricitabine, and tenofovir disoproxil fumarate. Methods In this randomised, double-blind, multicentre, placebo-controlled, non-inferiority trial, HIV-1-infected adults were screened and enrolled at 119 hospitals in 11 countries in North America and Europe. Participants were virally suppressed (HIV-1 RNA
Original languageEnglish
Pages (from-to)e195-e204
JournalThe Lancet HIV
Volume4
Issue number5
DOIs
Publication statusPublished - 2017

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