A pilot study that compared daily Biktarvy to three reduced dosing strategies, including to as low as once-weekly dosing, generated a lot of discussions at CROI 2025.
Even though the rationale for the study referenced the potency and long half-lives of bictegravir, emtricitabine and TAF to support less than daily dosing, the results were controversial as the lowest doses resulted in sub-optimal drug levels when viral failure would commonly be expected.
However, the results are also very timely though if less frequent dosing is shown to be safe in other settings, given the current uncertainty over continued funding for PEPFAR.
Source : HIV i-Base
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