natgillin/translations-raw huggingface dataset:
Emtricitabintriphosphat hæmmer hiv-replikation via indbygning i viralt deoxyribonukleinsyre (dna) af hiv-revers transkriptase (RT), hvilket resulterer i dna-kædeblokering.
Emtricitabine triphosphate inhibits HIV replication through incorporation into viral deoxyribonucleic acid (DNA) by the HIV reverse transcriptase (RT), which results in DNA chaintermination.
Den mediane stigning fra baseline for disse parametre var større i gruppen med E/C/F/TAF sammenlignet med gruppen med elvitegravir 150 mg/cobicistat 150 mg/emtricitabin 200 mg/tenofovirdisoproxil (som fumarat) 245 mg (E/C/F/TDF) ved uge 144 (p < 0,001 for forskellen mellem behandlingsgrupperne for fastende total kolesterol, direkte LDL- og HDL-kolesterol samt triglycerider).
The median increase from baseline for those parameters was greater in the E/C/F/TAF group compared with the elvitegravir 150 mg/cobicistat 150 mg/emtricitabine 200 mg/tenofovir disoproxil (as fumarate) 245 mg (E/C/F/TDF) group at Week 144 (p < 0.001 for the difference between treatment groups for fasting total cholesterol, direct LDL- and HDL-cholesterol, and triglycerides).
Seponering af behandlingen med Descovy hos patienter, som samtidig er inficerede med hiv og HBV, kan forekomme i forbindelse med svær, akut eksacerbation af hepatitis.
Discontinuation of Descovy therapy in patients co-infected with HIV and HBV may be associated with severe acute exacerbations of hepatitis.
Den kliniske virkning af Descovy hos behandlingsnaive patienter blev også klarlagt fra et studie udført med emtricitabin og tenofoviralafenamid (10 mg), når det blev givet sammen med darunavir (800 mg) og cobicistat som en fastdosis kombinationstablet (D/C/F/TAF).
Clinical efficacy of Descovy in treatment-naïve patients was also established from a study conducted with emtricitabine and tenofovir alafenamide (10 mg) when given with darunavir (800 mg) and cobicistat as a fixed-dose combination tablet (D/C/F/TAF).
Filmovertræk: Polyvinylalkohol, titandioxid, macrogol 3350, talcum, jernoxid, sort (E172).
Film-coating: Polyvinyl alcohol, titanium dioxide, macrogol 3350, talc, iron oxide black (E172).
Samtidig administration af fluconazol eller isavuconazol kan øge plasmakoncentrationerne af tenofoviralafenamid.
Co-administration of fluconazole or isavuconazole may increase plasma concentrations of tenofovir alafenamide.
I studie GS-US-299-0102 blev patienterne randomiseret i forholdet 2:1 til at få enten fastdosis kombinationen D/C/F/TAF én gang dagligt (n = 103) eller darunavir og cobicistat og emtricitabin/tenofovirdisoproxilfumarat én gang dagligt (n = 50).
In Study GS-US-299-0102, patients were randomised in a 2:1 ratio to receive either fixed-dose combination D/C/F/TAF once daily (n = 103) or darunavir and cobicistat and emtricitabine/tenofovir disoproxil fumarate once daily (n = 50).
Patienter, som samtidig er inficerede med hiv- og hepatitis B- eller C-virus
Patients co-infected with HIV and hepatitis B or C virus
I hiv 1-isolaterne fra 12 patienter med resistensudvikling i gruppen med E/C/F/TDF var de mutationer, der opstod, M184V/I (n = 9), K65R/N (n = 4) og L210W (n = 1) i RT og E92Q/V (n = 4) og Q148R (n = 2) og N155H/S (n = 3) i integrase.
Of the HIV-1 isolates from 12 patients with resistance development in the E/C/F/TDF group, the mutations that emerged were M184V/I (n = 9), K65R/N (n = 4), and L210W (n = 1) in RT and E92Q/V (n = 4) and Q148R (n = 2), and N155H/S (n=3) in integrase.
E/C/F/TAF = elvitegravir/cobicistat/emtricitabin/tenofoviralafenamid E/C/F/TDF = elvitegravir/cobicistat/emtricitabin/tenofovirdisoproxilfumarat a Uge 48-vindue var fra dag 294 til 377 (inklusive); uge 144-vinduet var fra dag 966 til 1049 (inklusive).
E/C/F/TAF = elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide E/C/F/TDF = elvitegravir/cobicistat/emtricitabine/tenofovir disoproxil fumarate a Week 48 window was between Day 294 and 377 (inclusive); Week 144 window was between Day 966 and 1049 (inclusive).
19 % af patienterne blev identificeret som af spansk/latinsk herkomst.
Nineteen percent of patients were identified as Hispanic/Latino.
I kliniske studier af mennesker resulterede en 10 mg oral dosis af tenofoviralafenamid (givet sammen med emtricitabin og elvitegravir og cobicistat) i tenofovirdiphosphatkoncentrationer > 4 gange højere i PBMC'er og > 90 % lavere koncentrationer af tenofovir i plasma sammenlignet med en 245 mg oral dosis af tenofovirdisoproxil (som fumarat) (givet sammen med emtricitabin og elvitegravir og cobicistat).
In human clinical studies, a 10 mg oral dose of tenofovir alafenamide (given with emtricitabine and elvitegravir and cobicistat) resulted in tenofovir diphosphate concentrations > 4-fold higher in PBMCs and > 90% lower concentrations of tenofovir in plasma as compared to a 245 mg oral dose of tenofovir disoproxil (as fumarate) (given with emtricitabine and elvitegravir and cobicistat).
Patienterne havde en gennemsnitsalder på 15 år (interval: 12-17 år), og 56 % var kvinder, 12 % var asiater, og 88 % var sorte.
Patients had a mean age of 15 years (range: 12-17), and 56% were female, 12% were Asian, and 88% were Black.
I et studie med virologisk supprimerede voksne patienter, der skiftede fra abacavir/lamivudin til Descovy samtidig med, at de fortsatte med det tredje antiretrovirale middel (Studie GS-US-311-1717), var der en minimal ændring i lipidparametre.
In a study of virologically suppressed adult patients switching from abacavir/lamivudine to Descovy while maintaining the third antiretroviral agent (Study GS-US-311-1717), there were minimal changes in lipid parameters.
1 Descovy 200/10 mg i kombination med darunavir 800 mg og cobicistat 150 mg, administreret som en fastdosis kombinationstablet, blev undersøgt hos behandlingsnaive personer, se pkt.
1 Descovy 200/10 mg in combination with darunavir 800 mg and cobicistat 150 mg, administered as a fixed-dose combination tablet, was studied in treatment-naive subjects, see section 5.1.
Descovy 200/10 mg én gang dagligt
Descovy 200/10 mg once daily
Dosering i henhold til den samtidige antiretrovirale behandling (se pkt.
Dose Descovy according to the concomitant antiretroviral (see section 4.2).
EU/1/16/1099/003 30 filmovertrukne tabletter EU/1/16/1099/004 90 (3 beholdere med 30) filmovertrukne tabletter
EU/1/16/1099/003 30 film-coated tablets EU/1/16/1099/004 90 (3 bottles of 30) film-coated tablets
4 Studiet blev udført med emtricitabin/rilpivirin/tenofoviralafenamid fastdosis kombinationstablet.
4 Study conducted with emtricitabine/rilpivirine/tenofovir alafenamide fixed-dose combination tablet.
Den anbefalede dosis af Descovy er 200/25 mg én gang dagligt.
The recommended dose of Descovy is 200/25 mg once daily.
Manglende data i tidsvinduet, men får studiemedicin Andel (%) patienter med hiv 1-rna < 50 kopier/ml pr. tidligere behandlingsregime Boostede PI'er Andre tredje stoffer
Missing data during window but on study drug Proportion (%) of patients with HIV-1 RNA < 50 copies/mL by prior treatment regimen Boosted PIs Other third agents
Descovy 200 mg/10 mg [kun på den ydre emballage]
Descovy 200 mg/10 mg [Outer packaging only]
I et separat fase 1-studie udelukkende med emtricitabin var gennemsnitlig systemisk emtricitabine eksponering højere hos patienter med svært nedsat nyrefunktion (estimeret CrCl < 30 ml/min) (33,7 µg•t/ml) end hos personer med normal nyrefunktion (11,8 µg•t/ml).
In a separate Phase 1 study of emtricitabine alone, mean systemic emtricitabine exposure was higher in patients with severe renal impairment (estimated CrCl < 30 mL/min) (33.7 μg•h/mL) than in subjects with normal renal function (11.8 μg•h/mL).
EU/1/16/1099/001 30 filmovertrukne tabletter EU/1/16/1099/002 90 (3 beholdere med 30) filmovertrukne tabletter
EU/1/16/1099/001 30 film-coated tablets EU/1/16/1099/002 90 (3 bottles of 30) film-coated tablets
Det er ukendt, om tenofoviralafenamid er en hæmmer af andre UGT-enzymer.
It is not known whether tenofovir alafenamide is an inhibitor of other UGT enzymes.
Den gennemsnitlige Cmax og AUClast efter en enkeltdosis med 10 mg tenofoviralafenamid, administreret i E/C/F/TAF var hhv. 0,21 ± 0,10 μg/ml og 0,25 ± 0,08 μg•t/ml.
The mean Cmax and AUClast following a single 10 mg dose of tenofovir alafenamide administered in E/C/F/TAF were 0.21 ± 0.10 μg/mL and 0.25 ± 0.08 μg•h/mL, respectively.
Tabel 3: Bivirkninger i tabelform1
Table 3: Tabulated list of adverse reactions1
Descovy bør seponeres hos patienter med en estimeret CrCl, der falder til under 30 ml/min under behandlingen (se pkt.
Descovy should be discontinued in patients with estimated CrCl that declines below 30 mL/min during treatment (see section 5.2).
Den anbefalede dosis af Descovy er 200/10 mg én gang dagligt.
The recommended dose of Descovy is 200/10 mg once daily.
Den gennemsnitlige stigning i CD4+-celletal fra baseline i uge 48 var 230 celler/mm3 hos patienter, der fik E/C/F/TAF, og 211 celler/mm3 hos patienter, der fik E/C/F/TDF (p = 0,024), og 326 celler/mm3 hos patienter, der fik E/C/F/TAF, og 305 celler/mm3 hos patienter, der fik E/C/F/TDF (p = 0,06), i uge 144.
The mean increase from baseline in CD4+ cell count was 230 cells/mm3 in patients receiving E/C/F/TAF and 211 cells/mm3 in patients receiving E/C/F/TDF (p = 0.024) at Week 48, and 326 cells/mm3 in E/C/F/TAF-treated patients and 305 cells/mm3 in E/C/F/TDF-treated patients (p = 0.06) at Week 144.
Cmax: ↑ 142% Darunavir:
Cmax: ↑ 80% Atazanavir:
Trippel nukleosidbehandling
Triple nucleoside therapy
Det gennemsnitlige CD4+ celletal ved baseline var 427 celler/mm3 (interval: 0-1.360), og 13 % havde et CD4+ celletal på < 200 celler/mm3.
The mean baseline CD4+ cell count was 427 cells/mm3 (range: 0-1,360) and 13% had a CD4+ cell count < 200 cells/mm3.
Tabel 6: Virologiske resultater af studie GS-US-311-1089 ved uge 48a og 96b
Table 6: Virological outcomes of Study GS-US-311-1089 at Weeks 48a and 96b
Til og med uge 144 blev der observeret udvikling af en eller flere primære emtricitabin-, tenofoviralafenamid- eller elvitegravir-resistensassocierede mutationer i isolater af hiv 1 fra 12 ud af 22 patienter med evaluerbare genotypedata fra parrede isolater ved baseline og efter behandlingssvigt med E/C/F/TAF (12 ud af 866 patienter [1,4 %]), sammenlignet med 12 ud af 20 isolater efter behandlingssvigt fra patienter med evaluerbare genotypedata i gruppen med E/C/F/TDF (12 ud af 867 patienter [1,4 %]).
Through Week 144, the development of one or more primary emtricitabine, tenofovir alafenamide, or elvitegravir resistance-associated mutations was observed in HIV-1 isolates from 12 of 22 patients with evaluable genotypic data from paired baseline and E/C/F/TAF treatment-failure isolates (12 of 866 patients [1.4%]) compared with 12 of 20 treatment-failure isolates from patients with evaluable genotypic data in the E/C/F/TDF group (12 of 867 patients [1.4%]).
Den gennemsnitlige Cmax og AUClast, (gennemsnit ± SD) efter indtagelse af mad efter en enkeltdosis med 25 mg tenofoviralafenamid, administreret i Descovy var hhv. 0,21 ± 0,13 μg/ml og 0,25 ± 0,11 μg•t/ml.
The mean Cmax and AUClast, (mean ± SD) under fed conditions following a single 25 mg dose of tenofovir alafenamide administered in Descovy were 0.21 ± 0.13 μg/mL and 0.25 ± 0.11 μg•h/mL, respectively.
3 Studiet blev udført med elvitegravir/cobicistat/emtricitabin/tenofoviralafenamid fastdosis kombinationstablet.
3 Study conducted with elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide fixed-dose combination tablet.
Den gennemsnitlige plasma hiv 1-rna ved baseline var 4,5 log10 kopier/ml (interval: 1,3-7,0), og 23 % havde viral load ved baseline på > 100.000 kopier/ml.
The mean baseline plasma HIV-1 RNA was 4.5 log10 copies/mL (range: 1.3-7.0) and 23% had baseline viral loads > 100,000 copies/mL.
Descovy 200 mg/25 mg [Kun på den ydre emballage]
Descovy 200 mg/25 mg [Outer packaging only]
Tabel 4: Samlede virologiske resultater i studie GS-US-292-0104 og GS-US-292-0111 ved uge 48 og 144a,b
Table 4: Pooled virological outcomes of Studies GS-US-292-0104 and GS-US-292-0111 at Weeks 48 and 144a,b
Samtidig infektion med hepatitis B- og/eller hepatitis C-virus Emtricitabins og tenofoviralafenamids farmakokinetik er ikke blevet fuldt evalueret hos patienter med samtidig infektion med HBV og/eller HCV.
The pharmacokinetics of emtricitabine and tenofovir alafenamide have not been fully evaluated in patients co-infected with HBV and/or HCV.
ORALE ANTIKONCEPTIVA Norgestimat (0,180/0,215/0,250 mg en gang dagligt), ethinylestradiol (0,025 mg en gang dagligt), emtricitabin/tenofoviralafenamid (200/25 mg en gang dagligt)5
ORAL CONTRACEPTIVES Norgestimate (0.180/0.215/0.250 mg once daily), ethinylestradiol (0.025 mg once daily), emtricitabine/tenofovir alafenamide (200/25 mg once daily)5
Descovy 200/25 mg én gang dagligt
Descovy 200/25 mg once daily
Sikkerhedsprofilen for emtricitabin og tenofoviralafenamid, givet sammen med elvitegravir og cobicistat hos 50 unge patienter lignede den for voksne (se pkt.
The safety profile of emtricitabine and tenofovir alafenamide given with elvitegravir and cobicistat in 50 adolescent patients was similar to that in adults (see section 5.1).
79 % var mænd, 63 % var hvide, 18 % var sorte og 14 % var asiater.
Seventy-nine percent were male, 63% were White, 18% were Black, and 14% were Asian.
Den kliniske virkning af Descovy blev klarlagt fra studier udført med emtricitabin og tenofoviralafenamid, når det blev givet sammen med elvitegravir og cobicistat som fastdosis kombinationstabletten E/C/F/TAF.
Clinical efficacy of Descovy was established from studies conducted with emtricitabine and tenofovir alafenamide when given with elvitegravir and cobicistat as the fixed-dose combination tablet E/C/F/TAF.
Descovys sikkerhed og virkning hos patienter med signifikant underliggende leversygdom er ikke klarlagt (se pkt.
The safety and efficacy of Descovy in patients with significant underlying liver disorders have not been established (see sections 4.2 and 5.2).
Baseret på disse begrænsede data lignede sikkerhedsprofilen for emtricitabin og tenofoviralafenamid i kombination med elvitegravir og cobicistat som en fastdosis kombinationstablet hos patienter, som samtidig er inficerede med hiv/HBV, den for patienter med hiv 1-monoinfektion (se pkt.
Based on these limited data, the safety profile of emtricitabine and tenofovir alafenamide in combination with elvitegravir and cobicistat as a fixed-dose combination tablet, in patients with HIV/HBV co-infection, was similar to that in patients with HIV-1 monoinfection (see section 4.4).
Sofosbuvirmetabolit GS-331007:
Sofosbuvir metabolite GS-331007: AUC: ↔
Sikkerheden af emtricitabin og tenofoviralafenamid er ikke klarlagt hos patienter med svært nedsat nyrefunktion (estimeret CrCl ≥ 15 ml/min og < 30 ml/min).
The safety of emtricitabine and tenofovir alafenamide has not been established in patients with severe renal impairment (estimated CrCl ≥ 15 mL/min and < 30 mL/min).
Samtidig administration af ketoconazol eller itraconazol, som er kraftige P-gp-hæmmere, forventes at øge plasmakoncentrationerne af tenofoviralafenamid.
Co-administration of ketoconazole or itraconazole, which are potent P-gp inhibitors, is expected to increase plasma concentrations of tenofovir alafenamide.
Hver beholder indeholder silicagel-tørremiddel og en vatspiral af polyester.
Each bottle contains silica gel desiccant and polyester coil.
Fås i pakninger, der indeholder 1 beholder med 30 filmovertrukne tabletter og i pakninger, der indeholder 90 (3 beholdere med 30) filmovertrukne tabletter.
The following pack sizes are available: outer cartons containing 1 bottle of 30 film-coated tablets and outer cartons containing 90 (3 bottles of 30) film-coated tablets.
I studier med behandlingsnaive patienter blev der observeret stigninger fra baseline i begge behandlingsgrupper, der indeholdt tenofoviralafenamidfumarat og tenofovirdisoproxilfumarat, for de fastende lipidparametre total kolesterol, direkte lavdensitets-lipoprotein (LDL)- og højdensitets-lipoprotein (HDL)-kolesterol og triglycerider ved uge 144.
In studies in treatment-naïve patients, increases from baseline were observed in both the tenofovir alafenamide fumarate and tenofovir disoproxil fumarate containing treatment groups for the fasting lipid parameters total cholesterol, direct low-density lipoprotein (LDL)- and high-density lipoprotein (HDL)-cholesterol, and triglycerides at Week 144.
Studier af tenofoviralafenamid fra dyr har ikke vist evidens for skadelige virkninger på fertilitetsparametre, graviditet eller føtal udvikling (se pkt.
Studies of tenofovir alafenamide in animals have shown no evidence of harmful effects on fertility parameters, pregnancy, or foetal development (see section 5.3).
I et studie med emtricitabin + tenofoviralafenamid kombineret med elvitegravir + cobicistat som fastdosis kombinationstablet (E/C/F/TAF) hos hiv 1-inficerede voksne med nyresygdom i slutstadiet (estimeret CrCl < 15 ml/min) i kronisk hæmodialyse opretholdtes effekten til og med 48 uger, men eksponering for emtricitabin var signifikant højere end hos patienter med normal nyrefunktion.
In a study of emtricitabine + tenofovir alafenamide in combination with elvitegravir + cobicistat as a fixed-dose combination tablet (E/C/F/TAF) in HIV-1 infected adults with end stage renal disease (estimated CrCl < 15 mL/min) on chronic haemodialysis, efficacy was maintained through 48 weeks but emtricitabine exposure was significantly higher than in patients with normal renal function.
Indlægsseddel: Information til brugeren Descovy 200 mg/10 mg filmovertrukne tabletter emtricitabin/tenofoviralafenamid Dette lægemiddel er underlagt supplerende overvågning.
Package leaflet: Information for the user Descovy 200 mg/10 mg film-coated tablets emtricitabine/tenofovir alafenamide This medicine is subject to additional monitoring.
3,3 % (95 % CI: -11,4% til 18,1 %)
3.3% (95% CI: -11.4% to 18.1%)
Der blev ikke observeret nogen klinisk relevante forskelle i farmakokinetikken for tenofoviralafenamid hos patienter med nyresygdom i slutstadiet i kronisk hæmodialyse sammenlignet med hos patienter med normal nyrefunktion.
No clinically relevant differences in tenofovir alafenamide pharmacokinetics were observed in patients with end stage renal disease on chronic haemodialysis as compared to those with normal renal function.
I studier af behandlingsnaive patienter var emtricitabin og tenofoviralafenamid, givet sammen med elvitegravir og cobicistat som en fastdosis kombinationstablet til og med 144 uger forbundet med en mindre påvirkning af renale sikkerhedsparametre (målt efter 144 ugers behandling ved eGFRCG og forhold mellem protein og kreatinin i urinen og efter 96 ugers behandling ved forhold mellem albumin og kreatinin i urinen) sammenlignet med E/C/F/TDF.
In studies in treatment-naïve patients, emtricitabine and tenofovir alafenamide given with elvitegravir and cobicistat as a fixed-dose combination tablet through 144 weeks was associated with a lower impact on renal safety parameters (as measured after 144 weeks treatment by eGFRCG and urine protein to creatinine ratio and after 96 weeks treatment by urine albumin to creatinine ratio) compared to E/C/F/TDF.
Indlægsseddel: Information til brugeren Descovy 200 mg/25 mg filmovertrukne tabletter emtricitabin/tenofoviralafenamid Dette lægemiddel er underlagt supplerende overvågning.
Package leaflet: Information for the user Descovy 200 mg/25 mg film-coated tablets emtricitabine/tenofovir alafenamide This medicine is subject to additional monitoring.
Gennemsnitsalderen var 36 år (interval: 18-76), 85 % var mænd, 57 % var hvide, 25 % var sorte, og 10 % var asiater.
The mean age was 36 years (range: 18-76), 85% were male, 57% were White, 25% were Black, and 10% were Asian.
I en samlet analyse af antiretroviral-naive patienter, der fik emtricitabin og tenofoviralafenamid (10 mg), givet sammen med elvitegravir og cobicistat som en fastdosis kombinationstablet i fase 3studierne GS-US-292-0104 og GS-US-292-0111, blev der foretaget genotypebestemmelse af plasma hiv 1-isolater fra alle patienter med hiv 1-rna ≥ 400 kopier/ml ved bekræftet virologisk svigt, uge 144 eller på tidspunktet for tidlig seponering af studiemedicinen.
In a pooled analysis of antiretroviral-naïve patients receiving emtricitabine and tenofovir alafenamide (10 mg) given with elvitegravir and cobicistat as a fixed-dose combination tablet in Phase 3 studies GS-US-292-0104 and GS-US-292-0111, genotyping was performed on plasma HIV-1 isolates from all patients with HIV-1 RNA ≥ 400 copies/mL at confirmed virological failure, at Week 144, or at the time of early study drug discontinuation.
Manglende data i tidsvinduet, men får studiemedicin Andel (%) patienter med hiv 1-rna < 50 kopier/ml pr. undergruppe Alder < 50 år ≥ 50 år
Missing data during window but on study drug Proportion (%) of patients with HIV-1 RNA < 50 copies/mL by subgroup Age
Ved uge 48 var skift til et regime indeholdende Descovy non-inferiørt i forhold til at blive på et baseline regime indeholdende abacavir/lamivudin til at vedligeholde hiv 1-rna < 50 kopier/ml.
Descovy-containing regimen was non-inferior to staying on a baseline abacavir/lamivudine-containing regimen in maintaining HIV-1 RNA < 50 copies/mL
I et studie med virologisk supprimerede patienter, der skiftede fra emtricitabin/tenofovirdisoproxilfumarat til Descovy samtidig med, at de fortsatte med det tredje antiretrovirale middel (studie GS-US-311-1089), blev der set stigning fra baseline i de fastende lipidparametre total-kolesterol, direkte LDL-kolesterol og triglycerider i Descovy-armen sammenlignet med kun små ændringer i emtricitabin/tenofovirdisoproxilfumarat-armen (p ≤ 0,009 for forskellen mellem grupperne i ændringer i forhold til baseline).
In a study of virologically suppressed patients switching from emtricitabine/tenofovir disoproxil fumarate to Descovy while maintaining the third antiretroviral agent (Study GS-US-311-1089), increases from baseline were observed in the fasting lipid parameters total cholesterol, direct LDL cholesterol and triglycerides in the Descovy arm compared with little change in the emtricitabine/tenofovir disproxil fumarate arm (p ≤ 0.009 for the difference between groups in changes from baseline).
I kliniske studier med 866 behandlingsnaive voksne patienter, der fik emtricitabin og tenofoviralafenamid sammen med elvitegravir og cobicistat som en fastdosis kombinationstablet med elvitegravir 150 mg/cobicistat 150 mg/emtricitabin 200 mg/tenofoviralafenamid (som fumarat) 10 mg (E/C/F/TAF) til og med 144 uger, var de hyppigst indberettede bivirkninger diarré (7 %), kvalme (11 %) og hovedpine (6 %).
In clinical studies of 866 treatment-naïve adult patients receiving emtricitabine and tenofovir alafenamide with elvitegravir and cobicistat as the fixeddose combination tablet elvitegravir 150 mg/cobicistat 150 mg/emtricitabine 200 mg/tenofovir alafenamide (as fumarate) 10 mg (E/C/F/TAF) through 144 weeks, the most frequently reported adverse reactions were diarrhoea (7%), nausea (11%), and headache (6%).
d Omfatter patienter, som afbrød behandlingen af andre årsager end en AE, død eller manglende eller svigtende virkning, f.eks. tilbagetrækning af samtykke, tabt for opfølgning osv.
d Includes patients who discontinued for reasons other than an AE, death or lack or loss of efficacy; e.g., withdrew consent, loss to follow-up, etc.
Lægemidler, der inducerer P-gp-aktivitet (f.eks. rifampicin, rifabutin, carbamazepin, phenobarbital) forventes at nedsætte absorptionen af tenofoviralafenamid, hvilket fører til en nedsat plasmakoncentration af tenofoviralafenamid, hvilket kan forårsage en svigtende terapeutisk virkning af Descovy samt udvikling af resistens.
Medicinal products that induce P-gp activity (e.g., rifampicin, rifabutin, carbamazepine, phenobarbital) are expected to decrease the absorption of tenofovir alafenamide, resulting in decreased plasma concentration of tenofovir alafenamide, which may lead to loss of therapeutic effect of Descovy and development of resistance.
SEDATIVA/HYPNOTIKA Oralt administreret midazolam (2,5 mg enkeltdosis), tenofoviralafenamid (25 mg én gang dagligt)
SEDATIVES/HYPNOTICS Orally administered midazolam (2.5 mg single dose), tenofovir alafenamide (25 mg once daily)