Introduction: Approximately 2.1 million of the estimated 36 million infected with HIV are children or adolescents. International guidelines for HIV-1 Infection suggest starting antiretrovirals (ARV) at the moment of diagnosis. Many factors limit the optimization of antiretroviral therapy in children and adolescents: lack of pediatric formulations, poor adherence, metabolic and pharmacokinetic changes associated withnormal child development and puberty. Areas covered: Three integrase inhibitors are approved by the US Food and Drug Administration and by European Medical Agency for children and adolescents with HIV-1 infection. Raltegravir is approved for children aged 4 weeks to 18 years, while dolutegravir and elvitegravir co-formulated with cobicistat, emtricitabine, and tenofovir alafenamide (E/C/FTC/TAF) are approved for children from 6 years of age. This article evaluates E/C/FTC/TAF as a treatment option. Expert opinion: E/C/FTC/TAF was well tolerated, and the antiretroviral activity and tolerability data of this combination support the use in children and adolescents. However, the studies regarding E/C/FTC/TAF in children and adolescents are scant. Consequently, additional studies investigating its safety and efficacy in children are paramount.
An evaluation of elvitegravir plus cobicistat plus tenofovir alafenamide plus emtricitabine as a single-tablet regimen for the treatment of HIV in children and adolescents / V. Giacomet, M.V. Cossu, A.F. Capetti, G.V. Zuccotti, G. Rizzardini. - In: EXPERT OPINION ON PHARMACOTHERAPY. - ISSN 1465-6566. - 20:3(2019 Feb 11), pp. 269-276.
|Titolo:||An evaluation of elvitegravir plus cobicistat plus tenofovir alafenamide plus emtricitabine as a single-tablet regimen for the treatment of HIV in children and adolescents|
|Parole Chiave:||Elvitegravir; adolescent; antiretroviral therapy; children; cobicistat; Adenine; Adolescent; Anti-HIV Agents; Child; Cobicistat; Emtricitabine; HIV Infections; Humans; Quinolones; Tablets; United States; United States Food and Drug Administration|
|Settore Scientifico Disciplinare:||Settore MED/38 - Pediatria Generale e Specialistica|
|Data di pubblicazione:||11-feb-2019|
|Data ahead of print / Data di stampa:||26-dic-2018|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1080/14656566.2018.1559299|
|Appare nelle tipologie:||01 - Articolo su periodico|
File in questo prodotto:
|An evaluation of elvitegravir plus cobicistat plus tenofovir alafenamide plus emtricitabine as a single tablet regimen for the treatment of HIV in.pdf||Publisher's version/PDF||Administrator Richiedi una copia|