Cabenuva (cabotegravir + rilpivirine) vs Biktarvy (bictegravir, emtricitabine, tenofovir alafenamide)

Cabenuva (cabotegravir + rilpivirine) vs Biktarvy (bictegravir, emtricitabine, tenofovir alafenamide)

Cabenuva is a long-acting injectable regimen consisting of cabotegravir and rilpivirine, administered once monthly or every two months, which may be suitable for individuals seeking a treatment option that does not require daily pill intake. Biktarvy, on the other hand, is an oral medication taken once daily, containing bictegravir, emtricitabine, and tenofovir alafenamide, and is known for its high efficacy and barrier to resistance. When deciding between the two, considerations include dosing frequency preference, potential side effects, drug-drug interaction profiles, and individual health factors that a healthcare provider would assess to determine the most appropriate treatment for HIV management.

Difference between Cabenuva and Biktarvy

Metric Cabenuva (cabotegravir + rilpivirine) Biktarvy (bictegravir, emtricitabine, tenofovir alafenamide)
Generic name Cabotegravir, Rilpivirine Bictegravir, Emtricitabine, Tenofovir Alafenamide
Indications HIV-1 treatment in adults HIV-1 treatment in adults and pediatric patients
Mechanism of action Integrase inhibitor (cabotegravir), NNRTI (rilpivirine) Integrase inhibitor (bictegravir), NRTI (emtricitabine, tenofovir alafenamide)
Brand names Cabenuva Biktarvy
Administrative route Intramuscular injection Oral
Side effects Injection site reactions, fever, fatigue, headache Diarrhea, nausea, headache, fatigue
Contraindications Previous hypersensitivity reaction to cabotegravir or rilpivirine Patients with previous hypersensitivity to bictegravir, emtricitabine, or tenofovir alafenamide
Drug class Antiretroviral Antiretroviral
Manufacturer ViiV Healthcare Gilead Sciences

Efficacy

Efficacy of Cabenuva (cabotegravir + rilpivirine)

Cabenuva is a combination injectable treatment regimen consisting of two antiretroviral medications: cabotegravir and rilpivirine. It is indicated for the treatment of HIV-1 infection in adults who are virologically suppressed on a stable antiretroviral regimen with no history of treatment failure and with no known or suspected resistance to either cabotegravir or rilpivirine. Clinical trials have demonstrated that Cabenuva is effective in maintaining viral suppression when administered once monthly or every two months. The ATLAS and FLAIR studies showed that Cabenuva was as effective as continuing a daily oral regimen of antiretroviral therapy (ART) in maintaining viral suppression over a 48-week period.

Efficacy of Biktarvy (bictegravir, emtricitabine, tenofovir alafenamide)

Biktarvy is an oral combination pill that contains bictegravir, emtricitabine, and tenofovir alafenamide. This single-tablet regimen is approved for the treatment of HIV-1 infection in adults who are either new to antiretroviral therapy or who are virologically suppressed on a stable antiretroviral regimen for at least three months with no history of treatment failure and no known resistance to the components of Biktarvy. Clinical trials, such as the GS-US-380-1489 and GS-US-380-1490 studies, have shown that Biktarvy is highly effective in reducing viral load to undetectable levels and maintaining viral suppression. The drug has demonstrated high efficacy in a diverse range of patients, including those with high baseline viral loads.

Both Cabenuva and Biktarvy represent significant advancements in HIV treatment by providing effective options that can simplify treatment regimens. Cabenuva's long-acting formulation allows for less frequent dosing, which can improve adherence and quality of life for some patients. On the other hand, Biktarvy's once-daily oral dosing is also convenient and has been shown to have a high barrier to resistance, making it a robust option for initial and maintenance therapy. Both medications have been well-received in the clinical community due to their efficacy and the flexibility they offer to patients managing their HIV treatment.

In conclusion, the efficacy of both Cabenuva and Biktarvy in treating HIV/AIDS has been well-documented through rigorous clinical trials. They are important tools in the ongoing effort to manage HIV effectively and provide patients with more options for maintaining viral suppression. As with all medications, it is important for healthcare providers to consider individual patient needs and circumstances when selecting an appropriate HIV treatment regimen.

Regulatory Agency Approvals

Cabenuva
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia
Biktarvy
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia

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If Cabenuva or Biktarvy are not approved or available in your country (e.g. due to supply issues), you can access them via Everyone.org.

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