What are the considerations for discontinuing Cabotegravir (Integrase Strand Transfer Inhibitor) and switching to Descovy (Emtricitabine/Tenofovir Alafenamide)?

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Considerations for Discontinuing Cabotegravir and Switching to Descovy

When discontinuing long-acting cabotegravir and switching to Descovy (emtricitabine/tenofovir alafenamide), careful planning is essential to prevent viral rebound and development of resistance, with monitoring of viral load at 1 month and every 3 months for the first year after switching. 1

Key Considerations Before Switching

  • A thorough review of the patient's ART history, prior resistance testing, comorbidities, potential drug interactions, and presence of hepatitis B coinfection is mandatory before making any treatment changes 1

  • For patients with virologic suppression on cabotegravir, switching to Descovy (emtricitabine/tenofovir alafenamide) should be part of a complete regimen, typically combined with an integrase strand transfer inhibitor (InSTI) like dolutegravir or bictegravir to maintain a high barrier to resistance 1

  • If switching from injectable cabotegravir plus rilpivirine, the long half-life of these medications requires overlap with the new oral regimen to prevent periods of functional monotherapy 1

Recommended Switching Protocol

  • Begin oral Descovy-based regimen (typically with bictegravir or dolutegravir) at least 1 month before the next scheduled cabotegravir injection would have been due 1

  • HIV viral load assessment is recommended 1 month after switching regimens and then every 3 months for the first year 1

  • For patients with chronic hepatitis B virus (HBV) coinfection, Descovy is an appropriate choice as it contains tenofovir alafenamide, which is active against HBV 1

Special Considerations

  • For patients who had been using long-acting cabotegravir due to adherence challenges with daily oral therapy, additional adherence support should be provided when switching to daily Descovy 1

  • Patients with previous NRTI resistance should be monitored more closely in the first year after switching to a Descovy-based regimen, especially if there are concerns about adherence 1

  • Weight gain may occur after switching to Descovy-containing regimens, particularly when combined with integrase inhibitors, and may be more pronounced in women 2

Potential Regimens When Switching to Descovy

  • Bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) has demonstrated high efficacy (>99% viral suppression) when switching from dolutegravir-based regimens 3

  • Dolutegravir plus Descovy (emtricitabine/tenofovir alafenamide) is also highly effective and maintains a high barrier to resistance 4

  • For patients with concerns about weight gain, consider regimens with lower association with weight gain, though all modern ART regimens may contribute to some degree of weight gain 2

Monitoring After Switch

  • Check viral load at 1 month post-switch to ensure continued viral suppression 1

  • Continue monitoring viral load every 3 months for the first year after switching 1

  • Review for potential drug interactions with the new regimen, particularly if the patient is taking medications that may interact with tenofovir alafenamide 1

  • Monitor for any changes in renal function, bone density, and weight, as these parameters may change after switching to a Descovy-containing regimen 4, 2

Common Pitfalls to Avoid

  • Never discontinue cabotegravir without immediately starting an effective alternative regimen due to the risk of developing resistance during the prolonged elimination phase 1

  • Do not switch to Descovy monotherapy or with agents having a low genetic barrier to resistance if there is a history of NRTI resistance 1

  • For patients with chronic HBV, do not switch to a regimen without anti-HBV activity (Descovy contains tenofovir alafenamide which is active against HBV) 1

  • Be aware that the pharmacokinetic tail of long-acting cabotegravir can persist for months after the last injection, requiring continued monitoring even after switching to a new regimen 5

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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