Use of long-acting injectable antiretroviral agents for human immunodeficiency Virus: A review

J Clin Virol. 2022 Jan:146:105032. doi: 10.1016/j.jcv.2021.105032. Epub 2021 Nov 23.

Abstract

The development of potent antiretroviral drugs has significantly reduced morbidity and mortality associated with human immunodeficiency virus infection, however, the effectiveness of these medications depends upon consistent daily oral intake. Non-adherence can lead to the emergence of resistance, treatment failure and disease progression. This has necessitated the development of long-acting antiretroviral formulations administrable via an infrequent dosing regimen. Long-acting injectable forms of cabotegravir and rilpivirine have reached various stages in clinical trials both for the treatment and prevention of HIV. Other long-acting agents are at various stages of development. This review evaluates the current research on the development of long-acting injectable antiretroviral agents for the treatment and prevention of HIV.

Keywords: Antiretrovirals; Cabotegravir; Intramuscular; Non-adherence; Rilpivirine.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Anti-HIV Agents* / therapeutic use
  • Anti-Retroviral Agents / therapeutic use
  • HIV
  • HIV Infections* / drug therapy
  • Humans
  • Rilpivirine / therapeutic use

Substances

  • Anti-HIV Agents
  • Anti-Retroviral Agents
  • Rilpivirine