GENVOYA (emtricitabine, cobicistat, elvitegravir and tenofovir alafenamide), antiviral combination
INFECTIOUS DISEASES - New indication
Opinions on drugs -
Posted on
Nov 27 2018
Reason for request
Extension of indication
High clinical benefit but no clinical benefit demonstrated in the treatment strategy for HIV-1 in children aged 6 – 12.
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GENVOYA now has MA in the treatment of HIV-1 infection in children aged 6 to 12, weighing at least 25kg, in whom other treatments cannot be used due to toxicity.
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No study has evaluated its efficacy in this population.
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The pharmacokinetic data available show significant overexposure in children when the adult form is used. This exposes this growing population to a high risk of renal and bone toxicity.
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It is a last resort therapeutic option in the treatment of HIV-1 infection with no known integrase inhibitor (elvitegravir, dolutegravir or raltegravir), emtricitabine or tenofovir resistance mutation.
Clinical Benefit
| Substantial |
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Clinical Added Value
| no clinical added value |
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