Efficacy and safety of the switch of Triumeq® to generic (abacavir + lamivudine) + Tivicay®: data at 48 weeks

Infect Dis (Lond). 2019 Sep;51(9):691-693. doi: 10.1080/23744235.2019.1637536. Epub 2019 Jul 5.

Abstract

Introduction: Generic drugs are helpful to enhance the efficiency of the sanitary system. A generic coformulation of abacavir (ABC) and lamivudine (3TC) is available since 2016 in Spain. A report of our experience with its use is exposed. Methods: Patients between February 2017 and June 2017 who were taking Triumeq® were switched to the generic ABC + 3TC plus DTG. Efficacy, safety, reasons for discontinuation and costs savings were evaluated at 48 weeks. Results: Switch was made in 93 patients, with a median age of 47 years and a mean time of 12.33 years with HIV infection. Six patients (6.5%) discontinued the new ART, being toxicity of the central nervous system the most frequent reason. The effective saving derived from the change after 1 year of treatment was 151.127 €. Conclusions: The change from Triumeq® to a generic regimen of ABC + 3TC and another pill of DTG seems to be safe and efficient at 48 weeks.

Keywords: Dolutegravir; HIV; antiretroviral treatment; drugs; generic; switch.

MeSH terms

  • Anti-HIV Agents / therapeutic use*
  • Dideoxynucleosides / therapeutic use*
  • Drug Combinations
  • Drug Substitution*
  • Drugs, Generic / therapeutic use*
  • Female
  • HIV Infections / drug therapy*
  • Heterocyclic Compounds, 3-Ring / therapeutic use*
  • Humans
  • Lamivudine / therapeutic use*
  • Male
  • Middle Aged
  • Retrospective Studies
  • Spain

Substances

  • Anti-HIV Agents
  • Dideoxynucleosides
  • Drug Combinations
  • Drugs, Generic
  • Heterocyclic Compounds, 3-Ring
  • abacavir, dolutegravir, and lamivudine drug combination
  • abacavir, lamivudine drug combination
  • Lamivudine