Weekly Oral HIV Treatment Noninferior to Daily Regimen, Trial Finds

The weekly regimen may take some burden off of patients to maintain a daily regimen.

Key Highlights

  • The trial involved 607 adults across 12 countries, comparing weekly and daily HIV treatments over 48 weeks.
  • Viral suppression was maintained in over 93% of participants on the weekly regimen, comparable to 92.4% on daily therapy.
  • Immune markers such as CD4+ T-cell counts remained stable, indicating preserved immune function.
  • Serious adverse events were similar between groups, with a few participants discontinuing treatment due to adverse effects.
  • The weekly regimen could improve adherence and quality of life by reducing the daily medication burden.

A once-weekly oral HIV treatment maintained viral suppression as effectively as a once-daily regimen, according to a new trial detailed in the New England Journal of Medicine. CIDRAP has the news.

607 adults across 12 countries were randomly assigned to either switch to the weekly pill regimen or continue their daily medication. After 48 weeks, 93.4% of participants taking the weekly regimen and 92.4% of those continuing daily therapy maintained viral suppression, suggesting the weekly regimen was noninferior to the daily. CD4+ T-cell and total lymphocyte numbers remained stable, showing immune responses remained.

16 participants receiving the weekly regimen and 14 receiving daily therapy experienced a serious adverse event; six and five participants respectively discontinued treatment due to adverse events.

Investigators suggest a once-weekly oral regimen could help address the mental and emotional burden of taking medication daily. A weekly oral regimen may also simply be more convenient than long-acting injectable HIV therapies as well.

About the Author

Matt MacKenzie

Associate Editor

Matt is Associate Editor for Healthcare Purchasing News.

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