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Tenofovir/FTC + rilpivirine has been shown in clinical trials to be noninferior to efavirenz + two nucleosides and is approved as a single-tablet regimen (Complera) for use in treatment-naive patients. Is it also a safe and effective option for patients looking to switch from multi-pill, protease inhibitor (PI)-based regimens? Data presented at the 2012 International AIDS Conference address this issue.
Frank Palella and colleagues conducted an international, multicenter, open-label trial (SPIRIT) involving 476 patients who had viral loads <50 copies/mL on a ritonavir-boosted PI plus two nucleosides for at least 6 months. Study participants were randomized 2:1 to either switch to tenofovir/FTC/rilpivirine or continue their PI-based regimens […