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.
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.
No study has evaluated its efficacy in this population.
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.
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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