Associations fixes « tout en un » d'antirétroviraux en mono-prise quotidienne : mise au point pharmacologique

Once-daily single-tablet regimen (STR) represents a significant recent advance in the simplification of antiretroviral therapy, facilitating adherence to complex and chronic treatments, and improving the quality of life of HIV-infected patients. The STR reduces the risk of treatment errors, particularly in situations of selective non-compliance and therefore, limits the risk of emergence of HIV resistance mutations. Galenic researches and pharmaceutical industry collaborations may allow STR combining drugs with favorable pharmacokinetic profiles as HIV-1 non-nucleosidic reverse transcriptase inhibitors (efavirenz or rilpivirine), integrase inhibitors (cobicistat-boosted elvitegravir or dolutegravir), and protease inhibitors (cobicistat-boosted darunavir) associated with either tenofovir disoproxil fumarate/emtricitabine or abacavir/lamivudine. With the exception of renal or liver dysfunctions or drug-drug interactions requiring dose adjustments, the preferential use of STR should be recommended by guidelines in many antiretroviral-naïve or -experienced HIV-infected patients.