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HIV : New Agents, New Strategies

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Presentation on theme: "HIV : New Agents, New Strategies"— Presentation transcript:

1 HIV 2015-2016: New Agents, New Strategies

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4 Learning Objectives

5 EARLY VS DEFERRED ART The Case is Made

6 Should Early-Stage Asymptomatic HIV Patients Receive ART
Should Early-Stage Asymptomatic HIV Patients Receive ART? The INSIGHT START Study

7 The CD4+ Cell Count As a Measure of Immune Deficiency in HIV+ Patients How Good Is It?

8 Immediate vs Deferred ART and Isoniazid Preventive Therapy TEMPRANO Studya

9 Global Agreement on EARLY ART Initiation

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11 INSTIs vs Boosted PIs ACTG 5257 Study

12 The Triumph of INSTIs Over Boosted PIs ACTG 5257 Study

13 INSTI vs Boosted PI SINGLE Study (N=833)

14 Dolutegravir Superior to Boosted Darunavir FLAMINGO Study (N=484)

15 INSTIs vs Boosted PIs in Treatment-Naïve Patients Summary of Clinical Evidence

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17 Interesting But… Limitations of PADDLE

18 New Formulation of Tenofovir TAF

19 TAF Replaces TDF in Fixed-Dose Pill

20 Switching Virologically-Suppressed Patients From TDF- to TAF-Based Regimen Improved Virologic Outcomes at 48 Wk (N=1433)

21 Significant Improvement in BMD and Renal Function With Switch to TAF

22 Switching From TDF to TAF Improves Renal Function at 48 Wk in Patients With Renal Impairment

23 Fixed-Dose Tablet: DTG/ABC/3TC STRIIVING Study

24 Virologic Outcomes Maintained in Patients Switched to DTG/ABC/3TC STRIIVING Study

25 Possible Reasons for Discontinuations in STRIIVING Study

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27 Dolutegravir Monotherapy Switch Study Suggests Benefit for Select Patients

28 Dolutegravir Monotherapy Proceed With Caution

29 EFFICACY OF ART IN HIV-INFECTED WOMEN

30 First All-Women Study of ART Efficacy WAVES Study

31 WAVES 48-Week Data

32 Why Did Results Differ From a Similar Study of Mostly Mena?

33 Why Is It Difficult to Recruit Women Into Clinical Trials?

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35 Daclatasvir/Sofosbuvir for 8 vs 12 Wk to Treat HCV in HIV/HCV-Coinfected Patients ALLY-2 Study

36 Efficacy of Treating HCV With Ledipasvir/ Sofosbuvir for 12 Wk in HIV/HCV-Coinfected Patients ION-4 Study

37 New Combination of Sofosbuvir/ Velpatasvir Achieves High HCV SVR Rates Across HCV Genotypes ASTRAL-1 Study

38 Grazoprevir/Elbasvir: High HCV Cure Rates in HIV/HCV-Coinfected Patients C-EDGE CO-INFECTION

39 Treatment of HIV/HCV Coinfection Looking Forward

40 LONG-ACTING FORMULATIONS

41 Switch To a Long-Acting Nanoparticle Emulsion Formulation of Cabotegravir + Rilpivirine: 32-Wk Results LATTE-2 Studya,b

42 Potential Benefits of Long-Acting Injectable Agents

43 Summary

44 Abbreviations

45 Abbreviations (cont)

46 Abbreviations (cont)

47 Abbreviations (cont)


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