Descovy (emtricitabine/tenofovir alafenamide) vs Apretude (cabotegravir extended-release injectable suspension)

Descovy (emtricitabine/tenofovir alafenamide) vs Apretude (cabotegravir extended-release injectable suspension)

Descovy (emtricitabine/tenofovir alafenamide) is an oral medication taken daily for pre-exposure prophylaxis (PrEP) to reduce the risk of sexually acquired HIV-1 infection in individuals at high risk. Apretude (cabotegravir extended-release injectable suspension) is an injectable form of PrEP administered initially as two injections one month apart and then every two months thereafter, offering an alternative for those who prefer less frequent dosing or have difficulty with daily medication adherence. When deciding between Descovy and Apretude, one must consider factors such as dosing frequency preference, potential side effects, kidney function, and bone density, as well as consulting with a healthcare provider to determine which medication aligns best with their lifestyle and medical history.

Difference between Descovy and Apretude

Metric Descovy (emtricitabine/tenofovir alafenamide) Apretude (cabotegravir extended-release injectable suspension)
Generic name Emtricitabine/tenofovir alafenamide Cabotegravir extended-release
Indications HIV-1 pre-exposure prophylaxis (PrEP) in at-risk individuals, treatment of HIV-1 infection in combination with other antiretroviral agents HIV-1 pre-exposure prophylaxis (PrEP) in at-risk adults and adolescents
Mechanism of action Reverse transcriptase inhibitors: interfere with HIV viral RNA-dependent DNA polymerase resulting in inhibition of viral replication Integrase strand transfer inhibitor (INSTI): inhibits HIV integrase, preventing integration of the viral genome into the host DNA, thereby blocking HIV replication
Brand names Descovy Apretude
Administrative route Oral Injectable
Side effects Nausea, diarrhea, headache, fatigue, abdominal pain Injection site reactions, fever, fatigue, headache, musculoskeletal pain
Contraindications Patients with unknown or positive HIV-1 status, patients with a history of hypersensitivity to any of its components Patients with known hypersensitivity to cabotegravir, patients with HIV-1 infection not virologically suppressed
Drug class Nucleoside Reverse Transcriptase Inhibitors (NRTIs) Integrase Strand Transfer Inhibitor (INSTI)
Manufacturer Gilead Sciences ViiV Healthcare

Efficacy

Descovy for HIV Pre-Exposure Prophylaxis (PrEP)

Descovy, which is a combination of emtricitabine and tenofovir alafenamide, is approved for HIV pre-exposure prophylaxis (PrEP) to reduce the risk of sexually acquired HIV-1 infection in at-risk adults and adolescents. Clinical trials have demonstrated the efficacy of Descovy in reducing the incidence of HIV when taken as directed. In a key study known as DISCOVER, Descovy was compared to Truvada (another PrEP medication), and it showed non-inferior efficacy in preventing HIV infection. The trial participants who took Descovy had low rates of HIV acquisition, similar to those who took Truvada, indicating that Descovy is an effective option for PrEP.

Apretude for HIV Pre-Exposure Prophylaxis (PrEP)

Apretude (cabotegravir extended-release injectable suspension) is another medication approved for HIV PrEP. It is the first injectable option for PrEP and is administered once every two months after initial starter doses. Apretude's efficacy was evaluated in two pivotal phase 3 studies, HPTN 083 and HPTN 084, which compared the injectable cabotegravir to daily oral Truvada. The results from these studies showed that Apretude was highly effective in preventing HIV acquisition, with an efficacy that was superior to daily oral Truvada in HPTN 083 among men and transgender women who have sex with men, and non-inferior in HPTN 084 among cisgender women.

Comparative Efficacy in Diverse Populations

Both Descovy and Apretude have been studied in diverse populations, including men who have sex with men, transgender women, and cisgender women, among others. The efficacy of these medications across these varied groups reinforces their role as important options in the HIV prevention toolkit. It is important to note that while both medications are highly effective when used as directed, adherence to the dosing regimen is crucial for maximizing their protective benefits against HIV.

Conclusion on Efficacy for HIV/AIDS Prevention

In conclusion, Descovy and Apretude are both highly efficacious options for the prevention of HIV/AIDS in individuals at risk for sexually acquired HIV. Descovy, taken daily as a pill, provides a convenient option for those who prefer oral medication, while Apretude offers an injectable alternative with less frequent dosing. The introduction of these medications into the PrEP landscape represents a significant advancement in the effort to reduce new HIV infections and provides more choices to meet the diverse needs and preferences of individuals seeking to protect themselves from HIV.

Regulatory Agency Approvals

Descovy
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia
  • Medsafe (NZ)
Apretude
  • Food and Drug Administration (FDA), USA

Access Descovy or Apretude today

If Descovy or Apretude 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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